click below
click below
Normal Size Small Size show me how
IntroClinic A
CanColl May12 MCQ IntroClinic A
Question | Answer |
---|---|
Categorize skin lesions | ABCDEF |
ABECDG | Asymetrical, Border(irregular), Colour (black, brown, tan, red, blue, etc), Diameter, Elevation, Feeling (itchy, tingling) |
Lipoma | benigh growth of fatty tissue |
Eczema - what | chronic, itchy, inflammatory, redness, vesicles, papules and plaques |
Eczema - where | neck, scalp, face, antecubital, popliteal, palms, soles |
Psoriasis - what | chronic, scaling, inflammatory - red papules with silver/white scales of plaque |
Psoriasis -where | knees, elbows, scalp, back |
Warts | viral, black dots, palmer & plantar - contagious |
Athlete's Foot | fungal, smelly, itchy patches, flaking skin, raised edges |
analgesics (painkillers) | deep pressure & extreme ROM is CI'd |
Anti-asthmatic - | sympathetic response - inc RESP, heart rate, BP |
Anti-asthmatic - modifications | prop up in supine, less stress on heart, avoid long periods prone |
anti-coagulants (blood thinners) | deep pressure, deep frictions & repetitive stripping are all CI's - as they may cause bruising |
anti-depressants | affect vascular responses to temp change - therefore moderate hydro only. Can also cause hi or low BP |
anti-inflammatories | reduce production of prostaglandin - which cause inflammation response - therefore - frictions and deep techs are CI'd |
Corticosteroids - a type of anti-inflammatories | injection sites local CI for 14 - 21 days |
Corticosteroids | repeated use alters struc of tissues - atrophy - therefore - fascial techs, frics & joint mobs are all CI'd |
MM relaxants | act on NMJ - alter stretch response of mm - therefore - deep techs and extreme stretches CI'd. Hydro - moderate only. May also cause postural hypotension- get up slowly |
CBAN | order of progresson - cold, burning, achy - then numb - as the tissue gets colder |
Heat - effects | local inc temp, vasodilation, inc blood flow, Px perception dec, dec spasm, dec hypertonicity, inc fascial flex, inc relax |
Heat - Uses | chronic conditions, TP's, fibromyalgia, osteoarthritis (if no swelling), tendinitis, tension headaches, general relax, prep for massage Tx. |
heat CI's | acute injuries, prolonged app with hypertension, neuropathy, paralysis, inflamed joints, local infections, burn sites, hypersensitivity to heat, MS, metal implants, flaccid mm, edema |
Cold - effects | local dec in temp, local vasoconstriction, reduce swelling & bleeding, dec perception of Px, reduce mm spasm, brief app - stimulating - flush |
Cold - uses | acute - sprains,strains,bruises, flare up of overuse conditions - tendinitis, CTS -if swelling present, migraines, after frics |
Cold - CI's | Raynaud's, dec skin sensitivity to temp, neuropathy, paralysis, low tolerance to cold, Ct is chilled, metal implants, PVD, prev frostbite |
Three types of Pain | transient, acute, chronic |
Components of massage | Direction, duration, rate, rhythm, pressure and contact part |
principles of massage | general - spec - general, superficial - deep - super, proximal - distal - prox, periphery- center -periph, treat agonist |
Connective tissues are | mm, ligament, fascia, tendons, cartilage, bone and blood |
Hyperemia | inc bloodflow causes reddening of the skin |
what are the 4 T's of palpation | temp, texture, tension and tenderness |
types of petrissage | mm squeezing, wringing, skin-rolling, picking up, kneading, c-scooping, mm stripping |
pure reflex | no effect on circ, affects the nervous system only |
percussion and postural drainage are indicated for | asthma (blockage of airways), chronic bronchitis (excessive mucus) and emphyzema (overinflation of the lungs) |
Tapotement - duration | under 2 mins - stimulating over 2 - 3 mins - relaxing |
CIs for tapotement | spastic paralysis, osteoporosis, insomnia, the kidneys |
What conditions are CI's for Diaphragmatic breathing | long term diabetes and kidney disease |
5 types of swedish massage | effleurage, petrissage, stroking, vibrations, tapotement |
hyperpenea | inc depth and rate of breathing |
apnea | stopped respiration |
dyspenea | difficulty breathing while laying flat - relieved by sitting up |
abdominal massage for IBS - should it be stimulating or relaxing | stimulating |
BP normal | 120/80 |
BP low | 100/60 |
BP high | 140/90 |
def: syncope | fainting - general CI for massage |
def: atelectasis | collapsed lung - gen CI |
def: sepsis | toxic shock - local CI |
def: ectopic pregnancy | in the tubes - local CI |
Ethmoid sinuses | under eyebrows - between and behind eyes |
frontal sinuses | behind forehead |
maxillary sinuses | under maxillary bone - lat to nose and down to eye teeth |
sphenoid sinuses | deep to the ethmoids - general frontal/occipital areas |