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Random questions about NPTE

QuestionAnswer
What is a Steppage Gait Excessive hip and knee F usually from foot drop (involvement of sciatic or peroneal nerve)
Reason for toe clawing w/ ambulation hypertonicity of toe flexors, plantar grasp reflex, or positive supporting reflex
Action of Sartorius hip Abd and ER
When is hip strategy used vs. ankle strategy ankle: small perturbation, firm surface hip: larger/faster perturbations, narrow or compliant surface
Palpating plica medial to patella over ant med femoral condyle while passively E and F the knee (plica causes issues of synovitis)
Carotid Sinus baroreceptor located at bifurcation of carotid artery that reacts to changes in arterial blood pressure
What muscle has to relax to be able to reduce the disc of the TMJ joint superior lateral pterygoid (has an attachment to the disc pulling it anteriorly)
The Joints of Luschka in mid CS help with what? (Uncovertebral joints) In mid cervical (C3-7) guide F and E of spine. Limit lateral glide/lateral F.
Origin and insertion of lumbricals origin: FDP insertion: lateral side of extensor expansion of digits 2-5
Kher's Sign Acute pain in tip of shoulder due to presence of blood or other irritants in peritoneal cavity. Hx of severe blow, reflex or referred pain to L shoulder or upper arm suggest spleen rupture
Typical contractures following transfemoral amputation hip F, Abd and ER (use an Abd roll to achieve neutral hip rotation in WC, prone-lying encouraged)
What should be the first intervention following dx of shoulder impingement instruct pt in proper postural alignment
What type of AD is contraindicated for patient w/ PD Rolling walker, as it would increase forward postural deformities and festinating gait.
Abarognosis inability to recognize weight
Allodynia pain produced by a non-noxious stimuli (light touch)
Ptosis is related to decreased function of which CN? CN III (Occulomotor)
Motor function of muscle of mastication and sensation to the face are functions of which CN? CN V (Trigeminal)
The gag reflex is a function of which CN(s)? CN IX (Glossopharyngeal), CN X (Vagus)
At risk Cholesterol levels (Total, LDL, HDL) >200 Total, >130 LDL, <40 HDL (men), <50 HDL (women)
Innervation of thumb abductors Abductor pollicis brevis: Median nerve; Abductor pollicis longus: Radial nerve (Posterior Interosseous)
Antigravity muscles of LE (LE Extensor spasticity) hip E, Add, and PF
Ant vs. Lat Spinothalamic tract Ant=crude touch, pressure Lat= pain and temp
What type of studies provide the BEST evidence Multicenter RCTs (Level l RCT)
Response Orientation refers to the ability to select the correct movements in response to a stimulus
What setting on TENS prevents accommodation? Bust modulation
FEV1/FVC ratio below ____ is indicative of COPD 70%
BMI for Obesity >30 kg/m2
Best intervention for long term limited ROM and F contractures Prolonged mechanical stretching
Appropriate HR and RPE values for post-MI pt's in IP cardiac rehab HR <120 bpm, RPE <13
What type of exercise should women avoid after 1st trimester? exercises in the supine position as this can decrease CO
Requirements before pt begins resistive training post-MI exercise capacity >5 METS without anginal sx or ST segment depression. Exercise is to be terminated at RPE of 15
Best Knee F position for testing maximal tibial IR and ER 90 deg F
What is REEP Resting End Expiratory Pressure; Equilibrium point where forces of inspiration and expiration are balanced.
Primary motions of the talocrual and first metatarsophalangeal joints DF and PF
Primary motions of talonavicular and subtalar joints Pronation and Supination
Best PT interventions for stage l lymphedema Intermittent pneumatic compression, extremity elevation, and massage
The Dynamic Gait Index (DGI) evaluates a pt's ability to: modify gait in response to changing task demands
Interpretation of spontaneous fibrillation potentials on EMG evidence of denervation
Interpretation of polyphasic motor units of low amplitude and short duration evidence of reinnervation
What will you see w/ step down test w/ pts w/ PFPS hip add and IR
What type of exercise should be avoided w/ CRPS? Passive manipulation and ROM
Developmentally appropriate age for transferring objects from one hand to another 8-9 months
Developmentally appropriate age for fine pincer grasp 11 months
Developmentally appropriate age for stacking 2 blocks 12-15 months
Developmentally appropriate age for stacking 6 blocks 16-24 months
Developmentally appropriate age for holding a cup by the handle while drinking 12 months
Intervention for Slipped Capital Femoral Epiphysis closed-chain PWB LE exercises; aquatic therapy; treat impairments
Sx of Slipped Capital Femoral Epiphysis AROM restricted in Abd, F, and IR. Glute med gait. Males 10-17 y/o, Females 8-15 y/o. Vague knee, thigh, and hip pain.
Sx of AVN of femoral head painful WB; limited hip Abd, IR, and F (same as SCFE). TTP hip, pain in groin and/or thigh.
Sx of Legg-Calve-Perthes painful hip w/ limited hip Abd and E; avg onset is 6 y/o. MRI dx test.
Anaphylactic shock allergic reaction
Open motor skills vs. Closed motor skills Open skills are movements skills that can be performed in a variable, changing environment. Closed are performed in a stable, nonchanging environment.
Continuous skills movement skills that appear to have no recognizable beginning or inherent beginning and end.
Pressure sensitive areas of lower leg ant tibia and tibial crest, fibular head, fibular (peroneal nerve)
Stemmer's Sign is positive for lymphedema in the presence of a thickened cutaneous fold of skin over the dorsal proximal toes or fingers. There is inability lifting up or pinching skin in this area. Appears in late stages of lymphedema.
Neurapraxia and healing time a mild peripheral nerve injury. Rapidly reversed, generally within 2-3 weeks. Ex) Saturday night palsy
Wallerian degeneration if nerve is cut, distal part degenerates
Kassmaul breathing deep and labored breathing that is often associated w/ severe metabolic acidosis, particularly diabetic ketoacidosis but also kidney failure
Osteogenesis imperfecta inherited autosomal dominant. Bone become thin, leading to fractures and deformity. Tx: calcium, vit D, estrogen, biophosphonates. Endurance activities.
Treatment contraindications for Osteogenesis imperfecta PROM and traction
Knee E and IR w/ McMurray's will place: tensile or compressive stress on med or lat meniscus compressive on lateral meniscus and tensile force on medial meniscus
Spondylosis vs. Spondylolysis vs. Spondylolisthesis Spondylosis: degeneration of spine. Spondylolysis: fracture of pars interarticularis (oblique x-ray view). Spondylolisthesis: ant or post slippage following B fracture of pars interarticularis (lateral x-ray view)
Anosognosia a person w/ a disability seems to be unaware of the existence of his/her disability
CN's responsible for swallowing V, VII, IX, X, XI, XII
Kernig's Sign for meningitis. Pt supine, F hip and extends knee. If pain w/ extending knee it is positive.
Special tests for ACL Lachman's, Slocum's, Lateral pivot shift
TUG Normal <10 seconds; 11-20 normal for frail elderly or disabled; > 20 sec inc risk for falls; >30 sec high risk
Functional Reach (inches) Above avg >12.2; Below avg <5.6; <10 is indicative of inc fall risk
POMA/Tinetti Max score=28; <19 high risk for falls; 19-24 moderate risk
Berg Max 56; <45 high risk for falls
Short Physical Performance Battery (SPPB) tests are scored in terms of time to complete. Tests balance, gait speed, chair stand. 0 (worst performance) - 12 (best performance)
Dynamic Gait Index Normal 18-24; Hx of falls 7-15
Balance Efficacy Scale (BES) <50 indicates low confidence
Anomia Deficit of expressive aphasia; consistent inability to produce words for things they want to talk about. (looking at maches and saying "these light things on fire")
The Hawthorne Effect someone modifies their behavior based on the realization that other people are watching
Myelodysplasia a.k.a. Spina Bifida.
Cholecystitis Inflammation of the gall bladder. Sx: abdominal (upper right) pain lasting for several hours, can spread to shoulder or back.
Valsalva's maneuver's effect on HR, return of blood to heart, venous pressure, cardiac work: slows HR and return of blood to the heart; inc venous pressure and cardiac work.
PRE (Progressive Resistive Exercise) 10 reps at 50%, 10 reps at 75%, 10 reps at 100%
Some contraindications to aquatic exercise kidney disease, severe peripheral vascular disease
van't Hoff's law for every 10 deg C increase in tissue temp, the rate of cellular oxidation increases by 2-3x
Semi-Fowler's vs. Fowler's HOB elevated 30-45 deg (semi) vs. HOB elevated to 90 deg
Trendlenburg position Feet higher than head by 15-30 deg (Trendelenburg) Reverse Trendelenburg is literally the opposite.
Asthenia weak muscles
3 shoulder depressor muscles lower trap, pec major, lat
Percussion technique for upper lobes apical segments (pg. 237T) Pt leans back on pillow at 30 deg against therapist. Percuss area between clavicle and top of scapula on each side.
Percussion technique for upper lobes post segments (pg. 237T) Pt leans over folded pillow at 30 deg angle. PT stands behind and claps over back on both sides.
Percussion technique for upper lobes anterior segments (pg. 237T) Pt lies on back w/ pillow under knees. PT claps between clavicle and nipple on each side.
Percussion technique for right middle lobe (pg. 237T) Foot of bed elevated 16 inches. Pt's head down on L side and rotates 1/4 turn backwards, knees flexed. PT claps over right nipple area. Females: heel of hand under armpit, fingers beneath breast.
Percussion technique for L upper lobe lingular segments (pg. 237T) Foot of bed elevated 16 inches. Pt's head down on R side and rotates 1/4 turn backwards, knees flexed. PT claps over L nipple area. Females: heel of hand under armpit, fingers beneath the breast.
Percussion technique for lower lobe anterior basal segments (pg. 237T) Foot of bed elevated 20 inches. Pt lies on side, head down, pillow between knees. PT claps over lower ribs.
Percussion technique for lower lobes lateral basal segments (pg. 237T) Foot of bed elevated 20 inches. Pt lies on abdomen, head down, then rotates 1/4 turn upward, upper leg flexed over a pillow. PT claps uppermost portion of lower libs.
Percussion technique for lower lobes posterior basal segments (pg. 237T) Foot of bed elevated 20 inches. Pt lies on abdomen, head down, pillow under hips. PT claps over lower ribs close to spine on each side.
Percussion technique for lower lobes superior segments (pg. 237T) Bed flat!!!!! Pt lies on abdomen w/ 2 pillows under hips. PT claps over middle of back at tip of scapula on either side of spine.
4 Stages of AD in order Preclinical AD, Mild AD, Moderate AD, Severe AD
Preclinical AD sx measurable changes in brain CSF and blood biomarkers without noticeable symptoms
Mild AD (mild cog impairment) Mild but measurable changes in cognitive abilities noticeable to person affected and family members; able to carry out everyday activites
Moderate AD Noticeable memory, thinking and behavioral symptoms that impair a person's ability to function in daily life
Severe AD Characterized by loss of ability to communicate, recognize others, and complete dependence
Chronic traumatic encephalopathy (CTE) progressive degenerative brain disease resulting from repetitive head trauma
Mini Mental State Examination <24 indicative of mental decline/dementia
Grade I ankle sprain no loss of function, min tearing of Anterior Talofibular ligament
Grade II ankle sprain some loss of function, partial disruption of Anterior Talofibular and Calcaneofibular ligaments
Grade III ankle sprain complete loss of function, complete tearing of Anterior Talofibular and Calcaneofibular ligaments, w/ partial tear of posterior talofibular ligament
Hyperkalemia can cause: dec rate and force of contraction
Hypokalemia can cause: ventricular fibrillation
Hypermagnesia can cause: arrhythmias
Hypomagnesemia can cause: coronary artery vasospasm
Positive camel back sign caused by Patella Alta. Two bumps, second one is tibial tuberosity.
Talipes equinovarus PF, rearfoot inversion, forefoot supination
Bigeminy a PVC every other beat
Couplet 2 premature ventricular contractions are together with no normal heartbeat between them
Multifocal PVC occur when more than one PVC is present, and the two do not appear similar in configuration
3 actions on the scapula from the Rhomboids Scapular elevation, adduction, and downward rotation
3 actions on the scapula from the Low Trap Scapular depression, adduction, and upward rotation
Petechiae a small red or purple spot caused by bleeding into the skin. Can happen w/ increased risk of bleeding.
Status Epilepticus prolonged series of seizures lasting >30 min. MEDICAL EMERGENCY
3 PRIMARY risk factors for atherosclerosis high BP, cigarette smoking, and hyperlipidemia
Watson's Test Scaphoid subluxation test. Forearm sup, PT applies ulnar force at scaphoid tubercle w/ pt's hand in ulnar deviation and slight E. PT maintains force while moving pt into radial dev and slight F. Thud or click.
Murphy Sign Indicates lunate dislocation. Head of third metacarpal is level w/ 2nd and 4th metacarpals.
Prone Instability Test Tenderness w/ mobes. Pt prone and holds onto plinth and brings LEs up. Dec in tenderness w/ mobes. Indicates pt will benefit from stabilization techniques.
Normal ESR M: <15 mm/hr F: <20 mm/hr
Normal WBC count 4,300-10,800
Use mask when WBC is: and when Absolute Neutrophil Count is: WBC <1,000-2,000 ANC <500-1,000
Lacunar stroke stroke to internal capsule-posterior limb. Sx: Contralateral hemiplegia UE and LE. Typically no aphasia and visual field deficit is rare
Locked in syndrome result of lesion to pontine. Sx: Tetraplegia, lower bulbar paralysis (CN V-XII), preserved vertical eye movements and blinking
Rinne's Test Tuning fork placed to mastoid process and once pt says they can't hear it anymore you take it 2cm away from ear and if they can't hear it they have conductive hearing loss. Normal is called Positive Rinne's Test
Weber's Test Tuning fork on middle of forehead or top of lip. If someone has a sensorineural hearing loss one ear will hear it louder than the other. Issues w/ vestibulocochlear nerve, brain, or cochlea. Can be issue caused by drugs, noise, etc.
Miosis Constriction of the pupil
At what level of platelets would you quit exercising? <20,000
Created by: adparr