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

25
older workers file [ ] work injury claims
fewer
26
program to restore physical strength, endurance, and ROM needed to return to full duty at work
work conditioning
27
workers' comp is considered a "no fault" system, meaning
employers must provide medical care and indemnity benefits regardless of whose fault a work injury was
28
a reason a functional capacity evaluation (FCE) may be ordered by a physician is
the patient's recovery has reached a plateau with existing treatments
29
some tests a PT evaluator may design for an FCE are used to assess
positional tolerance (tolerance for sitting, standing, kneeling)
30
true statments about workers' comp stuff
* 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
functionally-oriented goals for injured worker
* 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
biggest impact of PT on adults in preventing complications from osteoporosis
provide education on lifestyle (diet, avoiding smoking)
33
causes for onset of delirium in older adults
* alcohol or drug withdrawal * electrolyte imbalance * infection | not genetics
34
possible reason for dehydration in elderly persons
* dementia * caffeine intake * medication side effects
35
test helpful in assessing for thoracic compression fracture in an elderly woman with acute onset of back pain
wall-occiput distance of 5.3 cm
36
considerations of PT evaluation process on medical/surgical floor in acute care following exam of geriatric patient who had surgery
* anticipated discharge destination * referral to other disciplines in the hospital * equipment needs for the patient upon discharge from the hospital
37
polypharmacy is a risk factor for
increased fall risk
38
why does weakness occur in older adults
* decrease in number of motor units * neuromuscular function changes * type II muscle fibers decrease in size and number
39
key documentation elements for a home health patient
* 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
central concept to providing care in the home
safety of patient and provider are critical
41
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
* slipped capital femoral epiphysis * non-accidental trauma * legg-calve perthes disease | not proximal femoral focal deficiency - more peds
42
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
* slipped capital femoral epiphysis * non-accidental trauma * legg-calve perthes disease | not proximal femoral focal deficiency - more peds
43
congenital muscular torticollis presents as
contralateral rotation and ipsilateral lateral flexion
44
the CPG for torticollis recommends use of what (described by Ohman) to objectively measure active lateral flexion/side bending
muscle function sclae | passive would be arthrodial protractor
45
what three questions do you consider when a child comes in limping
* **does the child have** * history of MSK trauma * normal neurological exam * history of fever | not history of cancer
46
what three questions do you consider when a child comes in limping
* **does the child have** * history of MSK trauma * normal neurological exam * history of fever | not history of cancer
47
johnny is 7 and walks with bilateral internal foot progression angles. what is most likely
femoral anteversion
48
arthrogryposis is associated with
less movement in utero
49
common characteristics of metatarsus adductus (club foot)
* medially curved forefoot * calf atrophy * hindfoot varus * ankle plantarflexion | not DF
50
common characteristics of metatarsus adductus (club foot)
* medially curved forefoot * calf atrophy * hindfoot varus * ankle plantarflexion | not DF
51
PT intervention for developmental hip dysplasia includes
* instruction on Pavlik harness * facilitating play in different positions
52
what is correlated with LBP in adolescents
pain beliefs | not scoliosis, posture, or joint hypermobility
53
what is correlated with LBP in adolescents
pain beliefs | not scoliosis, posture, or joint hypermobility
54
apophysitis treatment
active rest and activity modification, correcting muscle length/strength imbalance and cryotherapy
55
stage 1 osteochondritis dissecans
* 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
can ACL reconstruction in skeletally immature individuals be managed by the same techniques (graft types, tunnel placements, fixation methods) as in adults
nope