Review

Question 1

Difference in bowel retraining

Answer 1

T11 and above (spastic bladder): trained voiding on schedule, digital stimulation/reflex voiding

T12 and below (flaccid bladder): manual removal/intermittent catheterization

Question 2

signs/symptoms of intractable constipation

Answer 2

abdominal pain, tenderness in anterior thigh, hip, groin

Question 3

Referral of pain from diaphragm, liver, pericardium:

Answer 3

shoulder

Question 4

Referral of pain from esophagus:

Answer 4

midback

Question 5

Referral of pain from gallbladder, stomach, pancreas, small intestine:

Answer 5

midback/scapular region

Question 6

Referral of pain from colon, appendix, pelvic viscera:

Answer 6

sacrum, pelvis, low back

Question 7

Impetigo

Answer 7

small blisters/vesicles

Question 8

Stereognosis

Answer 8

object recognition

Question 9

Graphesthesia

Answer 9

recognize writing on hand

Question 10

Anosognosia

Answer 10

inability to recognize one’s own illness

Question 11

Prosopagnosia

Answer 11

facial blindness

Question 12

Somatoagnosia

Answer 12

inability to recognize one’s own body parts

Question 13

Allesthesia

Answer 13

sensation experienced at remote site

Question 14

Atopognosia

Answer 14

inability to localize sensation

Question 15

Analgesia

Answer 15

loss of pain sensation

Question 16

Pallanesthesia

Answer 16

loss of vibratory sense

Question 17

Allodynia

Answer 17

pain from non-noxious stimulus

Question 18

POMA

Answer 18

“tinetti balance”
max = 28
high risk of falls if <19

Question 19

Berg Balance

Answer 19

max = 56

high risk of falls if < 45

Question 20

Timed up & Go

Answer 20

normal ~ 10 sec

high risk if > 30 sec

Question 21

Functional reach/multidirectional reach

Answer 21

increased risk of falls if < 10

increased risk if posterior < 3.5

Question 22

Short physical performance battery

Answer 22

chair to stand, tandem…

0 (worst)-12 (best)

Question 23

DGI

Answer 23

adapt gait to environmental demands
normal ~ 21
high risk ~ 11

Question 24

Balance efficacy scale

Answer 24

< 50% low confidence

Question 25

Functional gait assessment

Answer 25

DGI + more | total = 30

Question 26

Modified Emory functional ambulation profile scale

Answer 26

walking with 5 environmental challenges | multiply by A.D. factors

Question 27

Coupled movements in cervical spine

Answer 27

OA - sidebend/rotation are opposite | C2-C7 - sidebend/rotation are same

Question 28

Coupled movements in thoracic/lumbar spine

Answer 28

flexion - sidebend/rotation are same | neutral/extension - sidebend/rotation are opposite

Question 29

To increase R Rotation at T6-T7, what mob would you do?

Answer 29

superior/anterior glide on L T6

Question 30

Rib movement with inspiration/expiration

Answer 30

lateral moves up/out head moves inferior/down on expiration, head glides superior

Question 31

TMJ capsulo-ligamentous pattern:

Answer 31

limited opening lateral deviation > uninvolved side deviation toward involved on opening

Question 32

position/posture of pelvis

Answer 32

follows the femur! IR femur = IR pelvis

Question 33

Phantom pain treatments

Answer 33

ice, massage, pulsed US, TENS

Question 34

ATNR

Answer 34

extension of face side limbs, flexion of head side limbs | can inhibit hands to mouth and interfere with grasp, cause scoliosis/hip dislocation

Question 35

PNF patterns out of synergy

Answer 35

chop/reverse chop

Question 36

To start pts w/ cardiac exercise testing few days post MI

Answer 36

~70% HRmax, NOT MORE

Question 37

Exercise prescription for asymptomatic elderly

Answer 37

60-90% HRMax | 50-85% HRR/VO2max

Question 38

Effects of valsalva maneuver on cardiac

Answer 38

slows pulse and increases venous pressures

Question 39

Conventional TENS

Answer 39

low amplitude/high rate sensory level gate theory fast onset/short duration

Question 40

Strong/low rate TENS

Answer 40

low rate/high amplitude motor level chronic pain slow onset/long duration (endogenous opiate)

Question 41

Brief Intense

Answer 41

high rate/high amplitude used prior to painful procedure immediate onset/short duration

Question 42

Burst mode

Answer 42

motor level starts off as conventional and bursts of low frequency med-high amplitude long onset/long duration

Question 43

Hyperstimulation

Answer 43

low frequency/super high noxious amp (HVPC) trigger points - endogenous opiates fast relief/long lasting

Question 44

FES for spasticity

Answer 44

ramp up/down gradually to decrease quick stretch (this will increase spasticity) careful not to over fatigue 5 up, 5 on, 5 down

Question 45

if HVPC is not comfortable, what should you alter?

Answer 45

pulse duration NOT intensity