1
Q
meralgia paresthetica
A
- entrapment or injury to lateral femoral cutaneous nerve - sensory nerve to lateral thigh
2
Q
incentive spirometry is used for
A
- visual feedback to encourage performance of sustained maximal inspiration
3
Q
pacing is for
A
- learning to work within exercise tolerance
- i.e. walking slowing or walking w/ breaks and allowing greater total walking distance with SOB
4
Q
diaphragmatic breathing
A
- decrease work of breathing and improve diaphragmatic movement
- does not improve exercise tolerance
5
Q
segmental breathing is for
A
- for chest hypomobility to augment localized lung expansion
6
Q
anterior interosseous nerve entrapment
A
- pt unable to make “O” shape with thumb and pointer finger
- AIN supplies flexor pollicis longus and radial half of flexor digitorum profundus - entrapped
7
Q
entrapment of posterior interosseous nerve results in
A
functional wrist drop (radial nerve)
8
Q
most common presentation for enlargement of prostate is
A
difficulty initiating urine stream
9
Q
horizontal nystagmus is a symptom of
A
cerebellar problem - i.e. lesion of anterior inferior cerebellar artery
10
Q
apraxia
A
- disorder of the brain and nervous system in which a person is unable to perform tasks or movements when asked
- even though the request or command is understood and they are willing to perform the task
11
Q
massed practice
A
- sequence of practice and rest times w/ shorter rest time than practice time
12
Q
distributed practice
A
- intervals w/ practice time equal to or less than rest time
13
Q
random practice
A
- sequence where various tasks are ordered randomly across trials
13
Q
blocked practice
A
- practice sequence organized around one task performed repeatedly w/o interruption of other tasks
- not time dependent
13
Q
if a patient has an adverse reaction (wheals) to a modality (ice pack), you should
A
discontinue cryotherapy
13
Q
classic presentation of venous ulcer
A
- medial leg
- irregular shape
- hyperpigmented periwound skin
14
Q
monitor _ for warfarin/coumadin and monitor _ for heparin
A
- international normalied ratio (INR) for warfarin/coumadin
- partial thromboplastin time (PTT) for heparin
14
Q
weakness of _ results in scapular winging
A
- serratus anterior - innvervated by long thoracic n
14
Q
athetoid cerebral palsy
A
- characterized by involuntary movements that are slow and writhing
- less likely to have contracturse compared to other forms of CP
- in PT, emphasize facilitating cocontraction and encourage control in voluntary movement
14
Q
junctional rhythm
A
- originates in AV node instead of SA node that normally causes P wave
- missing P wave - R, S, T waves come from ventricles after stimulation from AV junction
14
Q
colles fracture
A
- distal radius fx w/ dorsal comminution, angulation, displacement, radial shortening, associated w/ ulnar styloid fx
15
Q
increased _ levels are linked to improved wound healing in patients w/ pressure injuries
A
- increased protein intake levels
15
Q
gait pattern in children w/ juvenile RA
A
- decreased cadence
- decreased PF at toe off and termainl stance
- decrease hip extension at terminal stance and toe off
- increase ant pelvic tilt
15
Q
squeezing therapy putty between sides of fingers isolates what muscles
A
- lumbricals and interossei - innvervated by ulnar nerve, affected by entrapment of tunnel of Guyon
15
myasthenia gravis
- chronic autoimmune disease that causes weakness in skeletal muscles - breakdown in communication between nerves and muscles
- s/s: weakness in arm and leg muscles, double vision, difficulties w/ speech and chewing, ptosis,
15
bell palsy
- sudden unexplained episode of facial muscle weakness or paralysis
- begins suddenly and worsens over 48 hours
- d/t damage to facial nerve (CN 7)
- muscle weakness that causes 1/2 of face to droop
- usually resolves on its own within 6 months
16
naming scoliosis
17
RA can use _ for involved joints
- splints: good for acute RA to prevent excessive movement, reduce mechanical stresses
18
test for anterior tibiofibular ligament
- compression of distal shafts of tibia and fibula - tests for syndesmosis injury, including anterior tibiofibular ligament
19
oswestry disability questionnaire scoring
- lower score is better
20
are single devices appropriate for restricted weight bearing gait
- no
- instead you need 2 crutches or a walker, but 2 crutches are least restrictive
21
innervation for muscle controlling hip abduction
L4-S1
22
goals of PT for plantar fasciitis
- midfoot stability, functional foot and ankle ROM, normal foot and ankle strength (5/5), minimal pain
- negative prognostic factors: obesity, limitations in ROM
23
gross motor developmental milestones
- 18 months - 3 years: kicking a stationary ball, fast walking, walking w/ assistance on stiars
- 2-3 years: catching a large ball, riding a tricycle, running short distances
- 4 years: kicking a rolling ball, catching a small ball, hopping on one foot
- 5-6 years: dribbling, riding a bike, skipping
24
children who have spinal muscular atrophy and who do not develop sitting ability are unlikely to _ and will require _
- unlikely to walk and will require power mobility
- may become independent in power wheelchair by 1-2 YO
- SMA: disorder affecting CNS, PNS, and voluntary muscle movement
25
research shows superior long-term effects for _ practice d/t higher cognitive processes requires for patients w/ CVA
- random practice - varied task practice w/ variable time intervals
- random practice provides higher level of contextual interference that requires individual to retrieve practice from memory stores
26
massed practice is preferred for individuals w/ _
- fatigue issues
- learning occurs with this practice but depth of cognitive processes is not as high
| random practice is best
27
blocked practice allows for motor learning but is not best for _
- not best for long-term retention d/t lack of variability
- variability is a hallmark of typical daily movement
28
force required for segmental separation in lumbar traction
- 30-50% pt body weight
29
graded exercise test should be discontinued if
- DBP reaches 120 mmHG
30
pressure gradient assessment for bandages
- squeezing distal to proximal over short-stretch bandages to assess pressure gradient to determine where next bandage should be applied
- done after each layer of bandage to ensure proper pressure gradient established to direct lymphatic flow from distal to proximal
31
iontophoresis density
- amplitude/conductive surface area
32
dehydration in infants s/s
- vomiting, diarrhea
- increased respiratory rate
- sunken fontanelle
- cold hands and feet
- inability to cry
33
osteochondritis dissecans
- necrotic bone lesion w/ no known cause
- knee, talus, and elbow can be inolved
34
myositis ossificans
- complication of quadriceps contusion
- caused by heterotropic bone formation of femur
- during quad contraction, muscle belly rubs across bone and causes sharp pain
35
a patient w/ cupulolithiasis or canalithiasis in a posterior canal will exhibit _ nystagmus w/ torsion _ the affected
- upbeating nystagmus toward the affected side
36
a patient w/ superior canal cupulolithiasis or canalithiasis will have _ nystagmus w/ torsion _ the affected side
- downbeating nystagmus w/ torsion toward the affected side
37
ALS progression
- patients w/ initial onset of bulbar and respiratory weakness tend to have more rapid progression to death than patients whose weakness begins in distal extremities
38
emphysema
- abnormal and permanent enlargement of air spaces distal to terminal nonrespiratory bronchioles accompanied by destructive changes of alveolar walls
38
with irregular heart rate greater than 100 bpm, _ is the most accurate method of measuring heart rate
- auscultation
39
lymphedema exercises should be performe _ to _
- proximal to distal
- cervical, should circumduction, elbow flexion/ext, then wrist circumduction
40
room designed for airborne infection isolation
- negative air pressure w/ direction of airflow into room from adjacent space outside room
41
arm exercise typically results in _ % _ maximal oxygen uptake than leg exercise
- UE exercise 30-40% lower maximal oxygen uptake than LE exercise
42
ECG reports significant Q waves, suggesting what condition?
- myocardial infarction - pathological Q wave
43
carpal bone commonly injured w/ FOOSH?
- distal radius fracture w/ scaphoid fracture
44
w/ scoliosis, there is a compression of the ribs on the side of the _ and shortening of
- on the side of the concavity and shortening of intercostals
45
glute med innervation
superior gluteal nerve (L5-S1)
46
a kid who W sits most likely has
- femoral anteversion - results in excessive hip IR and loss of passive ER
47
hypertonic piriformis also likely has
SIJ dysfunction
- also glute max weakness
48
fetal alcohol syndrome
- maxillary hypoplasia, elongated mid face, short upturned nose, poor growth, short attention span
- fine motor dysfunction, visuomotor deficits, balance problems, weak grasp
- would benefit from balance activities
49
if the amplitude for TENS is appropriate and teh pt doesn't feel it, what should you do
- turn it off and check connections
50
51
lacking shoulder ER can be due to
- weakness of ER muscles - infraspinatus, teres minor
- tightness in anterior band of inferior glenohumeral ligament - restrains ER at 90 ABD
52
_ nerves from _ plexus allow for micturition
- parasympathetic nerves from pelvic plexus fire to contract bladder to being emptying
53
resisting ability to keep eyes tightly shut tests CN _
- facial nerve (CN 7)
54
glossopharyngeal breathing is appropriate for patients with _
- high cervical spinal cord injury - increases pulmonary function when there is severe weakness of inspiratory muscles
55
myocardial infarction more likely to occur ?
- in the morning, during exertion, or when someone is working with arms overhead
- s/s: radiating UE pain, SOB, diaphoresis
56
leukopenia vs leukocytosis
- leukopenia: lower than normal WBC, greater risk for infection
- leukocytosis: abnormally high WBC, in response to acute infection
57
liver dysfunction symptoms
- jaundice, dark urine, clay-colored stool
- easy bruising
- R shoulder pain
58
septic arthritis symptoms
- rapid onset over hours or days
- monoarthritis of a joint
- swollen, red, tender, warm, limited ROM d/t pain
59
hetertopic ossification symptoms
- alkaline phosphatase levels increase
- edema, heat, erythema
60
actinomycosis
- s/s chest pain, dypnea, fatigue, fever
- fluid filled pus around mouth d/t bacteria
61
anterior compartment syndrome
- d/t blunt trauma
- presents w/ sensory deficits - numbness, tingling, coolness of extremity
62
thrombophlebitis
- leg pain, swelling, increased temperature, bluish discoloration
63
in scoliosis screening, forward bend eval conducted to determine presence of?
- vertebral rotation
- (lateral spinal deviation better assessed w/ plumbline)
64
pressure garments and burns
- pressure garments worn 23 hours/day reduce formation or thickness of hypertrophic scars
65
tendinitis s/s
- TTP
- painful arc
- full end-range ROM
- not empty end feel
66
bursitis s/s
- TTP
- painful arc w/ PROM
- protective muscle spasms
- empty end-feel
67
lateral medullary syndrome
- loss of pain and temp on opposite side of body
68
clasp knife phenomenon d/t
- damage to descending motor pathways from cortex or brainstem
| not basal ganglia
69
70
cogwheel resistance
- d/t lesion of basal ganglia
- also tremor and rigidity w/ injury to basal ganglia
70
burns and what they have
- superficial burn: mild to severe erythema w/o blisters, red, some edema, no blisters
- superficial partial-thickness burn: wet, shiny, weeping, mottled red color, intact blisters
- deep parthial thickness: mixed red or waxy white color, wet broken blistres, marked edema
- full-thcikness: fat exposed, white color, maybe have some charring
71
fibroma and chondroma
- benign tumors of connective tissue
72
fibrosarcoma and chondrosarcoma
- malignant tumors of connective tissues
73
papilloma and adenoma
- bening tumors of epithelium/skin
74
adenocarcinoma and basal cell carcinoma
- malingnant tumors of epithelium/skin
75
infraspinatus tightness limits
- limits IR
| tight post capsule also limits shoulder IR
76
sensory nerve conduction tests measures
- distal component of a peripheral nerve
- would not detect abnormalities in lesion proximal to DRG - no EMG changes if only sensory roots injured
77
is hypotension a side effect of anticoagulants
- no
| should be most concerned about bleeding/bruising
78
aerobic exercise for weight loss
- up to 50-75% intensity
- 5-7 days/week
- 45-60 minutes/session
79
herpes zoster (shingles) s/s
- pain and paresthesias followed by unilateral rash along affected dermatome
80
complete decongestive therapy (CDT)
- skin care
- manual lymph drainage
- compression therapy
- decongestive exercise therapy
81
floor-reaction AFO
encourages knee extension
82
pt equilibrium
- dynamic reaction fo upright posture and smooth transitional movements
- assessed by testing ability to respond to change in body position or surface support to maintain body alignment
- ex: marching in place changes COG and palcement demand on body to maintain upright posture
NPTE
flashcards
Decks in class (32)
# Cards
-
exercise physiology3
-
kinesiology and physiology7
-
pain7
-
ROM measurements7
-
LE testing31
-
UE testing64
-
end-feel, MMT measurements6
-
exam 3 missed questions159
-
emergent conditions16
-
accessibility14
-
PT BS4
-
research58
-
mobility, ambulation8
-
medical equipment and diagnostic imaging28
-
therapeutic modalities51
-
metabolic and endocrine systems100
-
gastrointestinal system41
-
genitourinary system and obstetrics51
-
lymphedema29
-
oncology32
-
geriatrics27
-
bariatrics3
-
nutrition9
-
pharmacology19
-
integumentary system64
-
PTFE MSK107
-
Student PEAT 195
-
PTFE NM86
-
PTFE CP42
-
PEAT 2 questions103
-
student PEAT 294
-
other PTFE62
