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MSK IV > quiz questions > Flashcards

quiz questions Flashcards

1
Q

a patient presents to your clinic three months after a distal tibia fracture with a red, dry and swollen lower leg and foot. which type of CRPS is this

A

warm subtype

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2
Q

evidence-based management for CRPS of the UE includes all of the following except:
* limit activity as possible and advise rest
* a multidisciplinary approach
* pain neuroscience education
* recommendations on smoking cessation

A

limit activity as possible and advise rest

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3
Q

t/f: a characteristic of all CRPS cases is elevated sympathetic nervous system activity

A

true

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4
Q

t/f: a characteristic of all CRPS cases is elevated sympathetic nervous system activity

A

true

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5
Q

a distinguishing feature of complex regional pain syndrome is

A

pain disproportionate to the injury

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6
Q

what are “best practices” in the management of CRPS

A
  • use of modalities to manage pain and edema
  • using psychotherapy to address stress management and emotional distress
  • graded motor imagery and a stress loading program

NOT pharmacological intervention only when progress is not being made

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7
Q

allodynia is

A

a sensation of pain from a non-painful stimulus

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8
Q

what is the most common type of scoliosis

A

idiopathic

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9
Q

an 18 degree curve is considered

A

mild

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10
Q

which planes of motion are affected by scoliosis

A

coronal, sagittal, and transverse

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11
Q

a Risser sign that would mostly likely be associated with scoliosis curve progression is

A

1

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12
Q

a scoliosis curve that is still apparent with active ROM is called

A

structural

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13
Q

for the health condition of scoliosis, how is the apex of the curve named

A

according to the direction of the convexity

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14
Q

t/f: the sympathetic nervous system is resopnsible for empyting the bladder

A

false

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15
Q

a typical PT evaluation for a pelvic problem may include

A
  • assessment of bowel and bladder function
  • posture
  • muscle length assessment
  • muscle activation/strength assessment
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16
Q

t/f: the best treatment to address stress incontinence is to educate the patient on how to perform a valsalva maneuver

A

false

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17
Q

which of the following is not a contraindication for internal assessment during a pelvic health physical examination

A
  • no prior sexual activity
  • what is a contraindication:
  • first trimester of pregnancy
  • no prior pelvic exam
  • a current UTI
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18
Q

a common characteristic of a person with urge incontinence

A

they try to urinate before leaving to go shopping

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19
Q

a patient who suffers from constipation should receive which advice from a PT

A

increasing water intake to 1/2 of body weight in ounces

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20
Q

which of the following is not a sign of abnormal bladder function

A

voiding 5-8 times per day

  • things that are signs of abnormal bladder function
  • staccato peeing
  • post void dribble
  • voiding > 3 times per night
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21
Q

t/f: one of the goals of work conditioning is to restore appropriate work behaviors

A

false

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22
Q

appropriate education provided to employers in regard to an injured worker may include

A
  • recommending a sit-to-stand desk for an office worker
  • reccommending the worker stretch during slow times or breaks
  • requiring the worker to wear a brace or splint
  • recommending moving heavy items to shelves at waist height to avoid having to lift them from the floor
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23
Q

which of the following is not an example of an “essential function” of a job

A
  • choosing a walker or can for a patient as a PT
  • things that are essential functions:
  • loading/unloading luggage as a baggage handler
  • developing lesson plans as a teacher
  • transporting students to and from school as a bus driver
24
Q

t/f: workers’ comp insurance plans typically have cost sharing mechanisms for injured workers such as copays and coinsurance

A

false

25
Q

older workers file [ ] work injury claims

A

fewer

26
Q

program to restore physical strength, endurance, and ROM needed to return to full duty at work

A

work conditioning

27
Q

workers’ comp is considered a “no fault” system, meaning

A

employers must provide medical care and indemnity benefits regardless of whose fault a work injury was

28
Q

a reason a functional capacity evaluation (FCE) may be ordered by a physician is

A

the patient’s recovery has reached a plateau with existing treatments

29
Q

some tests a PT evaluator may design for an FCE are used to assess

A

positional tolerance (tolerance for sitting, standing, kneeling)

30
Q

true statments about workers’ comp stuff

A
  • prolonged work in one position is typically associated with pain in dentists
  • improper work postures have been associated with more pain in dentists
  • stretching exercises ahve been associated with less musculoskeletal pain in dentsists
  • false: carpal tunnel syndrome is the most common MSK complaint in dentists
31
Q

functionally-oriented goals for injured worker

A
  • patient will be able to stand for up to 30 minutes
  • patient will be able to carry 15 pounds for up to 100 feet
  • not good: patient will demonstrate active shoulder flexion ROM of 135 degrees without pain
  • also not good: the patient will have decreased swelling in the ankle as evidenced by a reduction in Figure 8 girth by 1 centimeter
32
Q

biggest impact of PT on adults in preventing complications from osteoporosis

A

provide education on lifestyle (diet, avoiding smoking)

33
Q

causes for onset of delirium in older adults

A
  • alcohol or drug withdrawal
  • electrolyte imbalance
  • infection

not genetics

34
Q

possible reason for dehydration in elderly persons

A
  • dementia
  • caffeine intake
  • medication side effects
35
Q

test helpful in assessing for thoracic compression fracture in an elderly woman with acute onset of back pain

A

wall-occiput distance of 5.3 cm

36
Q

considerations of PT evaluation process on medical/surgical floor in acute care following exam of geriatric patient who had surgery

A
  • anticipated discharge destination
  • referral to other disciplines in the hospital
  • equipment needs for the patient upon discharge from the hospital
37
Q

polypharmacy is a risk factor for

A

increased fall risk

38
Q

why does weakness occur in older adults

A
  • decrease in number of motor units
  • neuromuscular function changes
  • type II muscle fibers decrease in size and number
39
Q

key documentation elements for a home health patient

A
  • assessment of vital signs (BP, HR, RR)
  • needs moderate assistance to ascend 2 steps
  • independent with shower transfers
  • incision reveals mild redness, local swelling, and increased temperature
40
Q

central concept to providing care in the home

A

safety of patient and provider are critical

41
Q

when a 10 YO patient comes to you for a PT exma of their significant non specific hip groin and knee pain, your differential diagnosis should consider all of the following

A
  • slipped capital femoral epiphysis
  • non-accidental trauma
  • legg-calve perthes disease

not proximal femoral focal deficiency - more peds

42
Q

when a 10 YO patient comes to you for a PT exma of their significant non specific hip groin and knee pain, your differential diagnosis should consider all of the following

A
  • slipped capital femoral epiphysis
  • non-accidental trauma
  • legg-calve perthes disease

not proximal femoral focal deficiency - more peds

43
Q

congenital muscular torticollis presents as

A

contralateral rotation and ipsilateral lateral flexion

44
Q

the CPG for torticollis recommends use of what (described by Ohman) to objectively measure active lateral flexion/side bending

A

muscle function sclae

passive would be arthrodial protractor

45
Q

what three questions do you consider when a child comes in limping

A
  • does the child have
  • history of MSK trauma
  • normal neurological exam
  • history of fever

not history of cancer

46
Q

what three questions do you consider when a child comes in limping

A
  • does the child have
  • history of MSK trauma
  • normal neurological exam
  • history of fever

not history of cancer

47
Q

johnny is 7 and walks with bilateral internal foot progression angles. what is most likely

A

femoral anteversion

48
Q

arthrogryposis is associated with

A

less movement in utero

49
Q

common characteristics of metatarsus adductus (club foot)

A
  • medially curved forefoot
  • calf atrophy
  • hindfoot varus
  • ankle plantarflexion

not DF

50
Q

common characteristics of metatarsus adductus (club foot)

A
  • medially curved forefoot
  • calf atrophy
  • hindfoot varus
  • ankle plantarflexion

not DF

51
Q

PT intervention for developmental hip dysplasia includes

A
  • instruction on Pavlik harness
  • facilitating play in different positions
52
Q

what is correlated with LBP in adolescents

A

pain beliefs

not scoliosis, posture, or joint hypermobility

53
Q

what is correlated with LBP in adolescents

A

pain beliefs

not scoliosis, posture, or joint hypermobility

54
Q

apophysitis treatment

A

active rest and activity modification, correcting muscle length/strength imbalance and cryotherapy

55
Q

stage 1 osteochondritis dissecans

A
  • intact articular cartilage surface but high signal in subchondral bone on MRI
  • managed with conservative care (PT and no impact for 3-6 months)
56
Q

can ACL reconstruction in skeletally immature individuals be managed by the same techniques (graft types, tunnel placements, fixation methods) as in adults

A

nope

MSK IV (8 decks)

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