SUPERHERO POSE Flashcards
(106 cards)
1
Q
Rate pressure product
A
HR x SBP
Indication of myocardial oxygen demand
2
Q
Squat test
A
For ruling in or out a hip fracture
Pt with hip fx will report inc pain with WB
3
Q
Psoas abscess symptoms
A
Night sweats
Low grade fever
4
Q
Patrick test
A
Rule in or out hip joint dysfunction
5
Q
McBurney test
A
Appendicitis
RLQ, umbilical region pain
N/V, low grade fever
6
Q
Iliopsoas muscle test
A
Screening for psoas abscess
7
Q
Abnormal lymph node
A
Firm, mobile, tender or nontender
8
Q
Stenosis on the R side - what cervical motion gives most relief?
A
Flexion, L SB, L rot
9
Q
Listers tubercle 3.37
A
EPL
10
Q
Exopthalamus
A
GRAVES! Hyperthyroidism
11
Q
Grip for grabbing a suitcase
A
POWER GRIP! Slight ext and ulnar deviation
12
Q
Exercise with dyslipidemia
A
ASCM says mod intensity of 40-80% of HR reserve 5 or more times per week
13
Q
Spastic bowel occurs with injury where
A
Above S2
14
Q
Palpate the supraspinatus - shld in what position
A
Extension and IR
15
Q
Legg Calve Perthes - affects what
Common gait deviation
A
hip (4.32)
Trendelenburg
16
Q
Second degree type 1
A
Progressively lengthening PR
17
Q
Abdominal paradoxical breathing
A
Upward and outward motion of the upper chest
Inward motion of the abdomen
18
Q
Manual lymphatic drainage - order (4.38)
A
Decongest involved trunk quadrant before decongesting the involved limb
19
Q
Impaired proprioception may be the result of malavsorption of which nutrient
A
Vit B12!
Dec B12 can lead to pernicious anemia which gradually affects sensory and motor nerves
20
Q
Impaired levels of K would impact
A
mm contraction
Heart, intestines, resp tract
21
Q
Iron deficiency can occur secondary to ___ and produce symptoms of ___
A
Can occur secondary to blood loss, malabsorption, pregnancy
Symptoms of irritability, lack of ex tolerance, HA
22
Q
Beta blockers
A
Dec HR
Dec BP
Dec oxygen demand
23
Q
Thiazide =
A
Diuretic
24
Q
Adverse effect to Thiazide
A
Diuretic
Lead to enhanced secretion of Na and K in urine which leads to hyponatremia and hypokalemia
Clammy skin, hypotension = signs of hyponatremia
Dizziness and hyperventilation = signs of hypokalemia
25
Signs of hyponatremia
Clammy skin
| Hypotension
26
Signs of hypokalemia
Dizziness
| Hypoerventilation
27
Signs of tethered cord
Rapidly progressive scoliosis
Hypertonicity in LEs
Changes in gait
Changes in urologic function
28
Normal atrial pressure
0-8 mmHg
29
L innominate posterior rotation
L sulcus becomes deeper
| L ASIS is more superior
30
Rubor of dependency test
For arterial insufficiency
Lay supine, elevate leg - positive if rapid loss of normal pink color of skin and takes a longer time (more than 30 sec) for color to return when back in starting position
31
Compression pressure for someone with venous wound
```
SHORT stretch (high working, low resting)
40 mm Hg
```
32
Measuring wheel chair back height
Should fall below inferior angle of scapula
| Measure from seat of chair to floor of axilla with pt shld flexed to 90 and then subtract 4 in from there
33
Hip position to prevent contracture after burn to anterior hip
Hip extension and ABDuction
| Hip spica and hip abduction splints are commonly used
34
Intrinsic factors that affect wound healing
Hydration
Nutrition
Body composition
35
Extrinsic factor affecting wound healing
Maceration
36
Braden scale
Pressure ulcer predictor - perception, moisture, activity, mobility, nutrition, friction, shear
All scored 1 - 4 except friction and shear only scored 1 -3
Max score is 23
18 or less = need pressure ulcer prevention program
37
Bacterial agent most responsible for skin infection
Staph auerus
38
BMI Normal
18.5 - 24.9
39
Percussion test
Venous insufficiency
Percuss distal segment of saphenous vein while palpating proximal segment
If sense blood movement proximally, the valves are not functioning properly
40
rule of 9s not used for
superficial burns
41
rule of 9s - anterior right leg and foot
9%
42
Rule of 9s - posterior of B legs and feet
18%
43
Rule of 9s - anterior trunk
18%
44
Rule of 9s - posterior arm, forearm, hand
4.5%
45
Rule of 9s - what age does a child fit the adult rules?
age 9
46
Rule of 9s - child under 1 yr - what happens
9% is taken from LEs and added to head and neck
| Each yr of life 1% is distributed back to LEs until age 9 - when normal values apply
47
Rule of 9s for child vs. adult
Head and neck is 18% and LEs are each 14%
Adult - Trunk total is 36%, 18% for each LE, 9% for each UE, 9% for head and neck, and 1% genitals
48
Wagner scale
Ulcer grade classification (diabetic) - uses wound depth and presence of infection
```
0 = pre ulcerative
1 = superficial w/o subQ
2 = penetrates subQ, exposed tendon, bone, lig
3 = osteitis, osteomyelitis
4 = gangrene of digit
5 = gangrene of foot, disart
```
49
Proliferative phase of healing =
Development of new tissue
| 2-3 days after injury, fibroblasts enter and develop new tissue which marks onset of proliferative phase
50
Inflammatory phase of healing =
bleeding is reduced as blood vessels constrict
| Infiltration of neutrophils too
51
drying out or dehydration of a wound =
Dessication
52
peeling or shedding of epidermis
desquamation
53
abrasion =
rubbing or scraping of epidermal layer of skin
| often due to friction btw skin and transfer surface
54
excoriation
linear scratch on surface of skin
55
induration =
hardening of a normally soft tissue or organ
| Usually due to inflammation, infiltration of neoplasm, or accumulation of blood
56
Contraindication to whirlpool
venous insufficiency
57
medial malleolus wound
Venous!
58
technique to temporarily relieve night pain in someone with arterial insufficiency
Leg in dependent position to temporarily improve circulation
59
spleen - which quadrant
LUQ
60
endocrine gland - sleep/wake cycle
Pineal!
61
which gland produces calcitonin
post pituitary gland
| Calcitonin lowers blood Ca levels
62
in response to elevated blood glucose, the
pancreas secretes insulin
63
Post pit gland secretes
Oxytocin
| ADH
64
gout - need to avoid
Food high in purine
alcohol
make sure to drink plenty of water
65
Addisons disease
hypofunction of adrenal cortex
Dec cortisol and aldosterone
Hypotension, weakness, anorexia, altered pigmentation
66
Cushings
Excessive cortisol
| hyperfunction of adrenal gland
67
Serious side effect of hyperparathyroidism
Increased parathyroid hormone causes Ca to leave the bone resulting in OP
68
Hypoglycemic state s.s
Slurred speech, lack of coordination, staggering gait
Inc HR, pale, moist skin, anxiety, tremors
He iS TIRED
HA, Sweating, Tachycardic, Irritable, Restless, Excessive hunger, Dizzy
69
PKU should avoid
foods with phenylalanine
| Meats, dairy, eggs, nuts, legumes, seeds, breads, and aspartame
70
Osteomalacia
softening of the bones
often caused by vit D deficiency
(rickets in kids - bowing of the legs)
71
Paget's disease
Osteitis deformans
Thickened, spongy, abnormal bone formation
Bowing of long bones, inc skull size, bone deformities, fx (usually of vertebrae)
72
Metabolic syndrome - diagnosis needs
```
at least 3 of the 5
Elevated blood glucose
Elevated BP
Elevated triglycerides
Dec HDL
Abdominal obesity (based on waist circumference)
```
73
Common cause of metabolic alkalosis
HCO3 high
Excess bicarb or acid is lost
Prolonged vomiting is common cause!
74
Common cause of metabolic acidosis
Diarrhea and renal failure
75
Common cause of resp alkalosis
hyperventilation
76
Dowager's hump
kyphotic curvature of thoracic spine secondary to OP that occurs in postmenopausal women
77
Class 1 drug
No accepted medical use in US
Hgh potential for abuse
Herroisn and LSD are exampls
78
Biophosphonates are used for
OP
79
Allupurinol used to treat
gout
80
Airborne precautions
```
private room with negative air pressure
6-12 air changes within room per hour
Room door closed
Resp protection worn when enter room
Limit pt transportation outside the room
```
81
Examples of need for airborne precautions
TB
Varicella
Measles
82
Droplet precautions
```
Private room
Maintain at least 3 ft btw pt and any contact
Room door can be open
Wear mask
Limit transport out of room
```
83
Droplet precuation examples
Influenza
Neisseria meningitis
Pneumonia
84
Contact precautions
Private room
Gown and gloves when entering room
Take gloves off prior to leaving room and perform hand washing
Limit pt leaving room
85
Nosocomial infection =
Acquired during hospital stay
86
Min for hand washing
30 sec
87
Every ramp should have ____ of horizontal run for every ___ of vertical rise
Should have 12 inches of horizontal run for each inch of vertical rise
equivalent to a 8.3% grade
88
A ramp should be a min of ___ inches wide
36 inches wide!
89
Ramp needs a rail if
rise is greater than 6 in and run is longer than 72 inches
90
If a ramp changes directions, the landing area should be at least
5 feet by 5 feet
| 60 in x 60 in
91
Doorway width - accessibility
min 32 in
92
Carpet - accessibiity - requires ____ pile or less
1/2 inch pile or less
93
Hallway has to be what width
36 in in width
94
Wheelchair turning radius needed - accessibilityy
60 in wide
| 78 in long
95
Bathroom - grab bars - accessibility -
1.25 to 1.5 inches in diameter
1.5 in space btw grab bar and wall
placed 33-36 in above the floor level
96
Crutches - fitting
Base of crutch should be placed 6 in anterior and 2 in lateral
Crutch height should be no greater than 3 finger widths (2 in) from axilla
Allow for 20-25 deg of elbow flex
97
Medial sole flare is used to resist
Eversion
98
What reduces joint compression when walking in waist high water
Buoyancy
99
Effects of hydrostatic pressure
Inc venous return
Dec HR for a given workload
Dec edema
Dec WB
100
Positive sharp waves with EMG can be indicative of
Muscular dystrophy
101
Abnormality with EMG associated with LMN
Fibrillations
102
Electrode size and impedance
Large electrode size - dec impedance
| Small electrode size - inc impedance
103
Large electrode size - current density and flow
Large electrode size = inc current density
| Dec current flow
104
The farther apart the electrodes are placed the ___ the current travels
Deeper!
105
Intermittent compression for LE vs UE
LE 80-90
| UE 40-60
106
In general, to avoid cardiac complication, the pressure with intermittent comp device should always be lwoer than
systolic pressure!
