YOU CAN DO IT Flashcards
(107 cards)
1
Q
Fergusons angle is what
A
Lumbosacral angle
Angle formed by // line thru superior aspect of sacrum and horizontal
Normal 35-45 deg
2
Q
Hyper/Hypolordosis angles
A
Hyperlordosis is more than 45
Hypolordosis is less than 35
Fergusons angle
3
Q
Hyperlordosis leads to
A
Increased shear force on L5-S1
4
Q
Sacrum moves ant on ilium with inhalation or exhalation
A
Exhalation
5
Q
Sacrum moves post on ilium with inhalation or exhalation
A
Inhalation
6
Q
Supine to sit pneumonic for leg length
A
ALS (ant rot if long to short)
PSL (post rot if short to long)
7
Q
Resting position - what distance between teeth
A
2-5 mm
8
Q
Depression of mandible = what translation
A
Anterior
9
Q
Elevation of mandible = what translation
A
Posterior and superior
10
Q
Normal opening ROM of TMJ
A
40-50 mm
11
Q
Scapulohumeral rhythm
A
For every 2 deg of GH motion, there is 1 deg of scapular motion
Early phase 0-30 is all GH
Mid (30-90) is 40 GH, 30 SC
Late (90-180) is 60 GH, 30 AC, 10 spine
12
Q
Total of __ deg of scapular ___ during flex/abd
A
60 deg of upward rot with flex/abd
13
Q
Subacromial space - RTC dysfunction is space is what
A
Less then 6 mm
14
Q
Bakart lesion
A
Ant/Inf labral tear
15
Q
Common shoulder - dislocation and lesion
A
Ant dislocation
Can lead to Hill Sachs lesion - fx of post head
16
Q
Shoulder - start with closed or open chain
A
Start with closed chain first
17
Q
Hornblowers sign
A
RTC - ERs
pt hold arm in scaption with ER against resistance
18
Q
Maudleys test
A
Hand flat
Middle figner extended
For lateral epicondylitis
19
Q
Contents of carpal tunnel
A
FDP/FDS
Median nerve
FPL
FCR
20
Q
OA vs. RA joints
A
OA = HerberDens (DIP) RA = Bouchards (PIP) and MCPs
21
Q
DeQuairvains involves
A
EPB
APL
22
Q
What deformities seen with RA
A
Swan neck - PIP ext, DIP flex
Boutonniere - PIP flex, DIP ex
23
Q
HS strain common with
A
Hip flexion and full ext (hurdlers/runners)
24
Q
Quad strain common with
A
rapid decelertion
25
Most common type of hip location
Post
26
Close packed for hip
IR, abd, ext
27
Capsular pattern hip
IR, flexion, ext = abd
28
PCL torn with what
Varus
Twisting
Tibia on dashboard or fall onto flexed knee
29
ACL torn with
Hyperextension, valgus rot force
30
Medial meniscus - shape and attaches to what
C shaped, atttaches with MCL and semimem
31
Lateral meniscus - shape and attaches to what
O shaped, attaches to popliteus and PCL
32
Maniscal tears happen with
rot/cutting moveemnt
| Deep flexion or degeneration
33
Arthro of knee
Open chain = Concave on convex = SAME
34
Initial contact - Foot ___ and Calc ___
Foot pronates
| Calc ev
35
Push off - Foot ___ and Calc ____
Foot supinates
| Calc inv
36
In nonweigthbearing the forefoot ____ Calc __
Forefoot Varus
| Calc
37
Sustentaculum tali is where and what
Medial
Tom, DIck, Harry
TA, FDL, FHL and tibial nerve and artery
38
ROM needed for gait
| hip and lower
```
Hip flex 30
Hip ext 10
Knee flex 60
knee ext 0
DF 10
PF 20
```
39
Avg gait cadence and velocity
```
Cadence = 80-110 steps/min
Velocity = 1.3 m/s (3mph)
```
40
wrist norm ROM
F 80
E 70
R 20
U 30
41
Most common lever in body
Third
| FER
42
Arthro of radiocarpal
Carpals = convex
Radius = concave
Flex/Ext = Vex on Cave = OPP
Inc Flex = Dorsal glide
43
Arthro of talocrural
Talus = Convex
Tib/Fib = Concave
Vex on Cave = OPP
44
MMT - but with good, fair...
```
0 = Zero
1 = Trace
2- = Poor minus
2 = Poor
2+ = Poor plus
3- = Fair minus
3 = Fair
3+ = Fair plus
4- = Good minus
4 = Good
4+ = Good plus
5 = Normal
```
45
Person with new orthosis - wear it how often at first? For the first day
Wear it 1-2 hours
46
Most important stretching for transfemoral - stretch what
Hip ext and add
| Contracture would be flex and abd and ER
47
Cruciate and collateral ligaments with IR of the tibia
Cruciate become tighter
| Collateral become more relaxed
48
Initial swing phase - need what knee flexion
60
49
Midswing phase - need what knee flexion
30
50
Termnal stance - need what knee flex
0 to 5
51
Firm end feel =
Ligament
Tendon
Capsule
52
First to occur with PROM
Stabilize proximal joint segment
53
Talipes equinovarus =
PF
Hindfoot varus
Forefoot adduction
54
Tarsal tunnel syndrome is associated with
Pes planus
55
Strong and painful =
Minor lesion of musculotendinous unit
56
Weak and pain free =
Complete rupture of the musculotendinous unit
57
Weak and painful =
Inhibition by pain
58
Weak and variable pain =
Neurological lesion
59
Elevated BUN think
Renal problem
60
Reduced BUN think
Liver/malnutrition
61
P wave =
atrial depolarization
| 0.08 to 0.10
62
PR itnerval =
Time to pass through AV junction
| 0.12 to 0.20
63
QRS =
Depolarization of ventricles (and buries atrial repolarization)
0.04 to 0.1
64
T wave =
Repolarization of ventricles
65
QT interval
Less than or equal to 0.44
| Total time for dep and rep of the ventricles
66
Second degree - compare type 1 and 2
Type 1 = prog lengthens, drops every 4th
| Type 2 = fixed long, drops every 2, 3, or 4
67
Preload =
the amount of stretch in the LV at the end of diastole
68
Afterload =
Systemic vascular resistance, amount of resistance the heart has to overcome to open the aortic valve and push blood volume into systemic circulation
69
ACE inhibitors - end in what
"ril"
70
Nitrglycerin - does what
Dec preload and afterload by VD
71
Nitroglycerin is used for what
VD used for chest pain/angina
72
Ca channel blockers - do what
Dec contractility
Dec HR, BP
VD
73
ACE inhibitors do what
Dec afterload
| Dec BP
74
Beta blockers dp wjat
```
Dec HR
Dec contractility
Dec O2 demand of heart
Dec CO
Dec BP
```
75
Type of meds for CHF
```
ACE inhib (VDs)
Pos ionotropes (inc contractility)
Diuretics (to dec preload)
Ca channel blcokers
Beta blockers (dec HR and cx and afterload)
```
76
Types of meds for bradycardia
Atropine
Isoproterenol
Pacemaker
77
Types of meds for tachycardia
BEAR DOWN!
| Vagal stimulation
78
Antiarrhthmia agents
Na channel
Beta blockers
K channel blockers
Ca channel blockers
79
Digoxin does what
Helps AV node slow down impulses so more time for blood to go through efficiently
Enhanced mobidity when combined with diuretics!!!
Inc contractility by dec hR
80
Meds for high BP - to help lower it
```
DIuretics (dec preload)
Beta blockers (dec HR, cx, afterload, BP)
ACE inhib (VD, dec BP)
```
81
Emphysema - think what
Pink puffer
SOB, thin.underweight
Inc AP chest diameter
82
Chronic bronchitis - think what
Blue bloater
| Chronic cough with sputum, Cyanosis, overweight, wheezing, R HF
83
COPD - what percent emphysems vs. chronic bronchitis
80% CB
| 20% emphysema
84
One of main treatments for COPD
BDs
| Like albuterol
85
Acute resp failure =
| PaO2 of what and PaCO2 of what
PaO2 less than 60
| PaCO2 greater than 50
86
Aspiration is more common in which lobe
R because more vertical and larger diameter
87
Normal ins:exp ratio
| COPD ratio
1:2
| COPD is 1:4
88
Resonant sound associated with
Loud, low pitched - heard over lungs
89
Dull sound associated with
High pitched, heard over liver and diaphragm
90
Flat sound associated with
High pitched, heard over mm mass
91
Tympanic sound associated with
High pitched, heard over hollow organs like stomach
92
Pulmonary hypertension - normal values
Norm = 12-18 mm Hg
HTN is more than 20
No ex if more than 25
93
Jugular distention is indicative of what
R heart failure
94
Definition of MET
The amount of oxygen required to sustain an individual in a seated, upright posiiton
95
Work hardening vs. conditioning
```
Hardening = focus on job bx and tasks - Specific
Conditioning = physically return to work - non specific
```
96
HMO =
In network only
| PCP is gatekeeper
97
PPO =
In and out of network
| more expensive to go out of network
98
POS
Requires PCP but can go out of network
| Need referral to go out of network
99
Medicare A
```
IPT hospital
SNF
HH
Hospice
Inpt rehab
```
100
Medicare B
```
OPT
physician visits
DME
ambulance
Mntal health
```
101
Progress note = when
Every 10th visit or 30 calendar days
102
Recert - when
At least 90 days
| Or end of intiial cert and wanting to continue therapy
103
8 min CMS
8-22 = 1
23-37 = 2
38 - 52 = 3
53-67 = 4
104
Pneumonia x-ray will show what
Radiopaque (white) infiltrate involving the vast majority of the lobe
105
Radiolucent = what color
Black
106
Radiopaque = what color
White
107
Women vs. Men Hematocrit and Hemoglobin
Women have lower hematocrit and hemoglobin
12-16 (F), 14-18 (M)
37-47 (F) 40-54 (F)
