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Physical Therapy
Exam #1
| Question | Answer |
|---|---|
| What Is a Physical therapist assistant? | care and service under the supervision of a physical therapist to promote health and function. |
| what is the Practice act? | every state has their own laws on what pta's can and cannot do |
| what does the Medical model of care (doctor) do? | focuses on treating he disease |
| PT focuses on treating the loss of function that results from a medical condition. what do you do? | PTAs promote optimal health and function |
| What is the first step in Pt Practice? | Examination , determine the nature of the condition |
| what is the 2nt step in Pt Practice? | Intervention , design and implement specific medical treatment |
| what is the 3rd step in Pt practice? | prevention, wellness and health promotion |
| what does engaging wellness and health mean> | education, research and in consultation |
| what is the five characteristics of Pt as a profession? | lifelong commitment, representative organization, specialized education, service to clients, non judgmental |
| When did ptas become a thing ? | During ww1 and when polio was severally going around |
| After ww1 what did PTAs do? | focused on wounded military and kids with polio |
| who was the 1st PT in America | Mary McMillian (1921) |
| the first two males was in which year? | 1923 |
| in 1936 how many pta schools got approved? | 13 schools |
| ww2 forced emergency training courses. True or False | True |
| Who promoted research and medicine ( Rx) for children with polio? | Franklin Roosevelt |
| Who provided support to PT's with scholarships? | Franklin Roosevelt |
| What was created by the army in 1947 to promote medical service to the military ? | Women's medical specialist corps |
| (post ww2) in 1947 Professional organization renamed what? | The American Physical therapy association |
| in 1960s you was required to have a bachelors to be a pt what do you require now | clinical doctorate |
| what is restricted reimbursement? | reimbursement changed with manage care. |
| Medicare restricted services and reimbursement | Insurance covered the bill until they was spending to much money so they covered a certain part of the bill |
| what is Nagi Model? | describes the relationship between health and function. |
| Four Nagi models ? | disease, impairment, functional limitation and disability |
| what is ICF model? | describes enablement and disability , world health organization, interaction between health conditions and contextual factors |
| what is rehabilitation models? | clients are active not lazy, treat disability rather than a disease, team work is important. |
| 3 ways of patient care | primary care, secondary care, tertiary care. |
| what is primary care? | 1st person in contact with the recipient , provides the most health needs, Pts work in states with direct access. |
| Can access pt service without doctor note and some form in all 50 states | primary care |
| what is secondary care? | provides care with a doctors note |
| what is the most common level of care in PT? | secondary |
| What is tertiary care? (3rd level ) | focuses on a particular health problem |
| What is patient managements FIRST component? | Examination gather info about current and past health |
| what is patient managements 2nt component ? | history review records and interview client about current health |
| what is patient management 3rd component? | system review info on overall medical and status of client |
| what is patient management 4th component | test and measure done by pt to see physical and function status |
| what is the last component in patient management | plan of care |
| who does a evaluation? pta or pt? | physical therapist |
| what is a evaluation | judgement of pt based on data collected |
| what is a therapy diagnosis ? | what the problem is according to the exam |
| what is prognosis? | prediction of improvement and time needed to reach a goal |
| When is the plan of care done? | on the first visit |
| what is a plan of care | long and short term goals, expectation from client, expected outcome, intervention, discharge criteria |
| PTA can choose when/what to do along as it is | under the plan of care , if it is not in the plan of care you must ask the pt |
| what is intervention | procedures done by the therapist to achieve desire outcome. |
| step 2 in intervention | document |
| step 3 in intervention | patient instruction / education and training |
| step 4 in intervention ( direct intervention) | treatment |
| what is intervention ? | surgery or treatment |
| informed consent ? | clients must give before anything happens at all times |
| true or false : clients must confirm understanding prior to intervention ? | true |
| true or false : you must tell client pros and cons and get consent first | true |
| as a pta you must be health and active true or false? | true |
| what's the 2 most important things you want from a patient? | trust and consent |
| what is prevention and wellness | public awareness of health and physical activity has grown |
| what is consultation | recommendations on patient care |
| why do you have to be good at educating | to educate your clients |
| critical inquiry (research) | validate the intervention |
| why do you have to have all evidence on why an intervention (surgery) must be done | so insurance pays for it |
| who mostly works in a outpatient office | females in the 30s |
| what is the function of the pta | carries out task that the pt says |
| supervision and autonomy varies by what? | state |
| in 1965 the people needed a cost effective solution which is what? | medicare and medicaid |
| ptas are taught date collection skills but not what skills? | evaluation |
| ptas education prepares student to assist pts with what | intervention and data |
| true or false : for the next 10 years pta degree level will not go further than a associate degree | true |
| what does Rx mean | treatment |
| can a pta interpret new referrals ? | no |
| can a pta perform initial evaluation | no |
| can a pta develop a plan of care | no |
| can a pta re-examine a patient / see their progress | no |
| can a pta make a discharge | no |
| does a pta oversight all documents | no |
| can a pta preform ant intervention the pt says / allows by the practical act | yes |
| can a pta work off site | yes |
| does the pt have to be available by phone at all times while you work off site | yes |
| if you work off site do you have to have regular schedule and documentation meetings with the pt | yes |
| how often does a pt have to check in while you work off site | monthly |
| can a pt aide make clinical decisions | no |
| what is a pt aide | support person |
| pta students are aides unless they are doing what? | clinicals |
| how many times do you have the state quiz ? | one time |
| if the state quiz overlaps do you have to take it again ? | yes |
| Americans with disability act (1990) have what? | equal access to working, public services, public building access, communication |
| most insurance companies follow | medicare |
| manage care (private insurance) | reduce cost of inventions |
| what does medicare do | help 65 and older |
| what does medicaid do | help the poor |
| true or false : pta DO NOT do joint mobilizations and sharp debridement | True |
| pt can see a client without a referral in all 50 states , what state was the last to pass in 2013 | indiana |
| what does direct access do | reduce cost and get quicker care |
| what is the 3 tier organizational structure ? | local, state and national |
| where is local organizational structure | in larger areas |
| what is state organizational structure | follows boundaries , members participate at state level |
| what is national organizational structure | for people with special interest |
| what is house of delegates | highest policy making body of the apta |
| board of directors has how many officers | six |
| board of directors has how many directors | nine |
| carry out policy developed by the house of ? | delegates |
| PTA caucus has how many delegates | five |
| how many votes does ptas get | zero |
| American board of pt specialities : | recognizes its with advance knowledge and skills |
| commission on accreditation in physical therapy education (capte) | evaluates and accredits Pt and Pta education programs |
| Federation of state boards of pt | develops licensing exams and writes the practice act |
| definition of asepsis | the absence of bacteria and viruses |
| definition of medical asepsis | the state of being free from disease causing microorganism's |
| definition of surgical asepsis | the absence of all microorganism's within any type of invasive procedure |
| definition of nosocomial infection | because of an infection or toxin in an area |
| cycle of infection FIRST step | reservoir , where organisms grow and reproduce |
| cycle of infection 2nt step | method of exit , nose, mouth, eye, ear, draining wound |
| cycle of infection 3rd step | method of transmission |
| 5 methods of transmission - #1 | contact, person to person or person to object |
| 5 methods of transmission- #2 | object that spreads infection to multiple things |
| 5 methods of transmission - #3 | airborne , in dust or in the air |
| 5 methods of transmission - #4 | when you cough or sneeze |
| 5 methods of transmission- #5 | vector-borne, living transmitter |
| what are the five methods of transmission | contact,vehicle,airborne,droplets,vector-borne |
| cycle of infection | method of entry and susceptible host |
| what are barriers | primary and secondary |
| what is the primary barrier | skin |
| what is the secondary barrier | personal protective equipment |
| is it mandatory for PPE to be available for employees | yes |
| what is basic measure of prevention | hand washing, hand rubs |
| what is transmission based isolation precautions | protects care giver with highly transmitted pathogens |
| what is isolation precautions | use in addition to normal precaution |
| what is contact precaution | infection of skin |
| what is droplet precaution | prevent the spread of pathogens |
| what is airborne precaution | used for diseases that are spread by airborne |
| what is hepatitus | inflammation of the liver |
| what is hepatitus a | transmitted by the mouth |
| what is hepatitus b | intercourse |
| what is hepatitus c | iv drug use |
| what is blood born diseases | hiv, syphilis, malaria |
| what airborne disease is on the rise now | tb |
| TB risk groups | nursing Homes, healthcare workers, iv drug users, prisons |
| what is TB category Latent | came in contact with no symptoms but may be active later |
| what is TB category Active | has active tb that can spread |
| what is the TB treatment | medication |
| how long does TB treatment last | 6 months to a year |
| if positive for TB what testing is done | skin test or X-ray |
| cough for 3 + weeks , fever , feel weak, weight loss, loss of appetite, night sweats , cough up blood , Are all signs and symptoms of what ? | tb |
| what is the teachers fav football team | Cleveland browns |
| these are all risk factors of what? elderly and debilitated , longterm residents, feeding tubes | MRSA |
| MRSA categorie #1 is | colonized , you have it but no symptoms |
| MRSA categorie #2 | infected you have it. |
| what is MRSA common reason of infection | neglected hand washing , not properly cleaning |
| hand sanitizer (alcohol based) is the same as washing UNLESS you see what on your hands | dirt |
| basic vital signs we worry about | heart rate, respitory rate, blood pressure |
| do we take vital signs on elder (65) | yes |
| do we take vital signs very young (2) | yes |
| history of cardiovascular or respiratory disease would we take their vitals | yes |
| people who has had surgery or traumatic injury do we take their vitals | yes |
| what is the adult normal bpm | 60-100 |
| what is the child normal bpm | 70-130 |
| what is the newborn bpm | 100-150 |
| where is the posterior tibial | inside ankle |
| where is the dorsal pedal | top of foot |
| where is the popliteal | behind knee |
| where is the radial | wrist |
| where is the brachial | elbow |
| where I the carotid | neck |
| where is the temporal | temple |
| where is the femoral | private |
| where all do we find the heart rate | inside ankle, top of foot, behind knee, wrists, elbow, neck, temple, private |
| truck drivers have bad what ? | blood pressure |
| does physical Activity affect vital signs | yes |
| does environment temp affect vital signs | yes |
| does age affect vital signs | yes |
| does nervous / emotional state affect vital signs | yes |
| does medication affect vital signs | yes |
| does gender affect vital signs | yes |
| the heart rate is described according to | rate, rhythm, volume |
| the normal respiratory rate for adults is | 12-18 |
| the normal respiratory rate for newborns is | 30-50 |
| you describe respiratory rate according to | rate, rhythm, depth |
| what is systolic pressure | pressure when left ventricle is contracting |
| what is diastolic pressure | pressure when ventricle is at rest |
| when listening for korotkoff sounds what distant sound do we listen for | 1 and 5 |
| the last beat is the | bottom number |
| the first beat is the | top number |
| what Is CAD | cordinary arthrities disease |
| what is CVA | stroke |
| what is CHF | heart failure |
| measure of the blood pressure is taken with ? | a blood pressure cuff |
| a Sphygmomanometer is what? | a blood pressure cuff |
| blood pressure below normal is called | hypotension |
| hypotension happens to clients who stay in bed for to ..? | long |
| obesity, nicotine, alcohol, diabetes, salt, age, race, diet all are factors leading to | hypertension |
| feet on floor, relax, arm on table at chest or heart level is to get your arm to do what to get the proper measurement. | rest |
Created by:
lindsaybrumley1
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