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(3) PT in Special Conditions > S2L1: Systemic Effects of Prolonged Bed Rest > Flashcards

S2L1: Systemic Effects of Prolonged Bed Rest Flashcards

1
Q

Heart rate at rest, and with submaximal exercise

A. Increase
B. Decrease
C. No change

A

A. Increase

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2
Q

Stroke volume, VO2 Max, left ventricular volume, & cardiac output

A. Increase
B. Decrease
C. No change

A

B. Decreased

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3
Q

True or False: Myocardial thickening happens due to prolonged bed rest

A

False

Myocardial thinning happens due to prolonged bed rest

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4
Q

True or False: Orthostatic Hypertension happens due to prolonged bed rest

A

False

Orthostatic Hypotension happens due to prolonged bed rest

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5
Q

Total blood volume, red blood cell mass, and plasma volume

A. Increase
B. Decrease
C. No change

A

B. Decrease

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6
Q

Hematocrit

A. Increase
B. Decrease
C. No change

A

A. Increase

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7
Q

Virchow’s Triad: _ _ _

A

Venous stasis, hypercoagulability, blood vessel damage

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8
Q

Lung volumes and capacities (FRC, FVC, FEV1)

A. Increase
B. Decrease
C. No change

A

B. Decrease

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9
Q

mucociliary clearance

A. Increase
B. Decrease
C. No change

A

B. Decrease

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10
Q

Risk of pneumonia, atelectasis, and pulmonary embolism

A. Increase
B. Decrease
C. No change

A

A. Increase

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11
Q

arterial oxygen saturation

A. Increase
B. Decrease
C. No change

A

B. Decrease

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12
Q

True or False: GERD may be present in patients with prolonged bed rest

A

True

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12
Q

appetite, fluid intake, bowel mobility, and gastric bicarbonate secretion

A. Increase
B. Decrease
C. No change

A

B. Decrease

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13
Q

True or False: Swallowing is normal in patients with prolonged bed rest

A

False

There is difficulty in swallowing

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14
Q

mineral excretion, kidney stones, difficulty voiding, and urinary retention

A. Increase
B. Decrease
C. No change

A

A. Increase

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15
Q

risk of urinary tract infection

A

A. Increase

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16
Q

True or False: There is altered temperature and sweating responses, circadian rhythm, regulation of hormones, increased cortisol and glucose intolerance

A

True

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17
Q

cortisol

A. Increase
B. Decrease
C. No change

A

A. Increase

18
Q

overall metabolism

A. Increase
B. Decrease
C. No change

A

B. Decrease

19
Q

muscle weakness (especially antigravity muscles), atrophy

A. Increase
B. Decrease
C. No change

A

A. Increase

20
Q

muscle endurance

A. Increase
B. Decrease
C. No change

A

B. Decrease

21
Q

contracture

A. Increase
B. Decrease
C. No change

A

A. Increase

22
Q

True or False: The myotendinous junction is not affected in patients with prolonged bed rest

A

False

weakened myotendinous junction

23
Q

True or False: Secondary osteoporosis is not present in patients with prolonged bed rest

A

True

Disuse, not secondary, osteoporosis is present

24
Q

Give the 3 Musculoskeletal physiologic changes involving degeneration

A

Degeneration of cartilage, synovial atrophy, and ankylosis

25
Q

dopamine, noradrenaline, and serotonin levels

A. Increase
B. Decrease
C. No change

A

B. Decrease

26
Q

True or False: There is Sensory and social deprevation in patients with prolonged bed rest

A

True

27
Q

True or False: There is Depression, restlessness, insomnia in patients with prolonged bed rest

A

True

28
Q

Give at least 3 Neurologic Physiologic changes due to prolonged bed rest

A

Sensory and social deprevation
Decreased dopamine, noradrenaline, and serotonin levels
Depression, restlessness, insomnia
Decreased balance, coordination, and visual acuity
Increased risk of compression neuropathy
Reduced pain threshold

29
Q

balance, coordination, and visual acuity

A. Increase
B. Decrease
C. No change

A

B. Decrease

30
Q

risk of compression neuropathy

A. Increase
B. Decrease
C. No change

A

A. Increase

31
Q

pain threshold

A. Increase
B. Decrease
C. No change

A

B. Decrease

32
Q

risk of pressure injury formation

A. Increase
B. Decrease
C. No change

A

A. Increase

33
Q

Give an integumentary physiologic change

A

Increased risk of pressure injury formation

34
Q

risk of reactivation of latent viruses

A. Increase
B. Decrease
C. No change

A

A. Increase

35
Q

immune response and immunity

A. Increase
B. Decrease
C. No change

A

B. Decrease

36
Q

give 2 physiologic changes in the immune system

A

Increased risk of reactivation of latent viruses
Reduced immune response and immunity

37
Q

True or False: self worth and self esteem is not affected in patients with prolonged bed rest

A

False

38
Q

risk of delirium, depression, and post-traumatic stress syndrome

A. Increase
B. Decrease
C. No change

A

A. Increase

39
Q

Give at least 2 psychological changes:

A

impaired self worth and self esteem
Increased risk of delirium, depression, and post-traumatic stress syndrome

40
Q

sodium, potassium, calcium, phosphorus, and nitrogen loss

A. Increase
B. Decrease
C. No change

A

A. Increase

41
Q

body fat and decreased lean body mass

A

A. Increase

42
Q

Fluid shift from legs to _ _ _ , diuresis

A

abdomen/thorax/head

(3) PT in Special Conditions (40 decks)

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