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PTAS 203 Review Guide Exam 3

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Atria   Receiving chambers of heart  
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Ventricules   Distributing chambers of heart  
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Systole   Contraction of both atria and then ventricules  
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Diastole   Relaxation of atria and ventricules  
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Ischemia   Oxygen deprivation to tissues  
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Angina Pectoris   Insufficient oxygen to heart causing chest pain  
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MI   Myocardial cell death following blood supply cessation to heart  
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Arrhythmia   Loss of normal heart rhythm  
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Arteriosclerosis   Artery walls that have begun to thicken and lose elasticity  
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Arthrosclerosis   Most common form of arteriosclerosis where artery walls have deposits of fat  
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CABG   Coronary artery bypass graft  
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CHF   Congestive heart failure; heart can not pump enough blood to meet body's demand  
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Cor Pulmonale   Right ventricular failure associated with pulmonary diagnosis  
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Myocardial stenosis   Narrowing of heart valves  
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Tetralogy of Fallot   Congenital heart defect where there is a septal defect  
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PVD   Peripheral vascular disease where circulatory system outside of the heart is affected  
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Intermittent claudication   Pain in LEs that occurs with activity  
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Thromboangiitis Obliterans   Chronic form of occlusive arterial disease that occurs in young male smokers  
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Pallor   Paleness or absence of color in skin  
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Arterial embolism   Cardiac emboli that moves  
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Arterial thrombi   Blood clot  
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Raynaud's phenomenon   Arterial spasm caused by cold exposure secondary to scleroderma, thoracic outlet  
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Phlebitis   Inflammation of veins  
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Thrombophlebitis   Phlebitis with blood clot  
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Homan's disease   Patient has pain when gastroc is squeezed with dorsiflexion  
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Lymphedema   Excessive accumulation in tissues due to lymph channel disruption  
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Gangrene   Necrosis or tissue death  
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Syme's amputation   Ankle disarticulation amputation  
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Hemicorpectomy   Amputation of both legs and pelvis  
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Unna boot   Semirigid dressing  
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Anemia   Reduction of red blood cells or hemoglobin  
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Hemophilia   Hereditary bleeding disorder caused by lack of clotting factor  
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Raynaud's Disease   Benign vasospastic condition of fingers, hands or feet caused by cold exposure or stress  
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CVA   Cerebral Vascular Accident or stroke  
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Aneurysm   Weakening of arterial vessel wall  
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Hemianopsia   Loss of visual field on each half of eyes  
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Agnosia   Loss of ability to understand or interpret auditory, visual or other forms of sensory information even though the respective sensory organs are functioning properly  
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Hypotonia   Low tone  
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Hypertonia   High tone  
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Synergy   Stereotypical, primitive movement patterns with spasticity (flexion, extension); limbs tend to move mass movement patterns and movements are not isolated.)  
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Associated reactions   Abnormal automatic responses of the involved limb resulting from action occurring from some other part of the body by reflex or voluntary stimulation (sneezing, stretching or yawning)  
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Souque's phenomenon   Finger extension with UE elevation  
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Raimiste's phenomenon   Affected side will abduct when abduction is resisted on unaffected side  
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Apraxia   Loss or impairment of the ability to perform coordinated movements especially impairment of the ability to use common objects for their intended purpose  
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Dysphasia/aphasia   Loss or impairment of the ability to communicate through speech, writing or signs due to dysfunction of brain centers  
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Fluent aphasia   Wernicke's Aphasia or receptive aphasia in which oral and written comprehension is poor but speech production is somewhat fluent  
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Nonfluent aphasia   Broca's Aphasia or expressive aphasia in which oral and written comprehension is good but speech is nonfluent or limited to a word or two at a time  
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Global aphasia   severe aphasia characterized by marked impairments of both production and comprehension of language  
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Dysarthria   Difficulty with articulation  
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Dysphagia   Difficulty with swallowing  
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Confabulation   Filling memory gaps with inappropriate words or fabricated stories  
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Pusher's syndrome   patient leans his/her strong side to the hemiplegic side which interferes with mobility  
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Perservation   continued repetition of words, thoughts or acts not related to current context  
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TIA   Transischemic attack; temporary episode of impaired neurological activity that usually resolves in 24 hours  
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Tetra(quadri)plegia   4 limb involvement  
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Paraplegia   LE involvement  
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Brown-sequard syndrome   SCI with assymetrical symptoms caused by stab wound  
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Anerior cord syndrome   Flexion injuries to cervical area with loss of motor function with pain, proprioception and kinesthesia intact  
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Central cord syndrome   Hyperextension injury with more UE involvement than LE involvement  
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Posterior cord syndrome   Very rare with loss of proprioception below level of injury  
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Sacral sparing   Patient retains sensation in perianal area and has toe flexors  
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Cauda equina injury   Incomplete SCI where there is some recovery  
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Spinal shock   Loss of all sensation and reflex activity below the level of lesion that occurs about 24 hours after injury  
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Autonomic dysreflexia   Pathological autonomic reflex seen in patients with lesions above T-6. It is precipitated by noxious stimuli below the level of injury and produces an acute onset of autonomic activity. It is an EMERGENCY!  
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Postural hypotension   A decrease in blood pressure when moving supine to sit; this is more common in cervical and thoracic lesions.  
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Glasgow Coma Scale   documents the level of consciousness and defines the severity of injury  
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Rancho Los Amigos Level of Cognitive functioning   outlines a predictable sequence of cognitive and behavioral recovery  
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Concussion   Temporary loss of consciousness  
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Carpal tunnel   Compression of median nerve  
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Bell's palsy   Injury of 7th or Facial nerve  
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Thoracic outlet   Brachial plexus compression  
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Foot drop   Compression of peronneal nerve  
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Saturday night palsy   Compression of radial nerve  
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Wrist drop   Compression of radial nerve  
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Ape hand   Compression of ulnar nerve  
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Parkinson's disease   Progressive muscle rigidity and involuntary tremors caused by degeneration of substantia nigra and cells of basal ganglia; there are low levels of dopamine  
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Cog-wheel rigidity   jerky, rachet-like response to passive movement as muscles alternately tense and relax  
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Lead piple rigidity   constant, uniform resistance to passive movement  
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Bradykinesia   slowness and difficulty maintaining movement  
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Hypokinesia   reduction in speed, range and amplitude of movement  
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Micrographia   abnormally small handwriting that is difficult to read  
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AlS   Disease of motor neurons that results in muscular atrophy and weakness  
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Guillain-Barre   Acute rapidly ascending paralysis of spinal nerves  
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Huntington's chorea   Hereditary degenerative disease of the cerebral cortex and basal ganglia characterized by uncontrolled involuntary movements  
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Alzheimer's disease   • Alzheimer’s disease is a type of chronic organic brain syndrome characterized by the death of neurons in the cerebral cortex and their replacement of microscopic “plaques” resulting in progressive intellectual impairment  
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Epilepsy   Epilepsy is a chronic brain disorder characterized by recurring attacks of abnormal sensory, motor and psychological activity  
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Alcohol abuse   Alcohol abuse is a disorder of physical and psychological dependence on daily or regular excessive intake of alcoholic beverages  
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Post-polio syndrome   Poliomyelitis is a viral infection of the anterior horn cells of the gray matter of the spinal cord and a selective destruction of the motor neurons. Post-polio syndrome occurs later in life in persons who have previously experienced the disease  
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Reflex sympathetic dystrophy   RSD is a sympathetic vasomotor disorder caused by prolonged immobilization of the shoulder or hand. RSD can also occur in the foot.  
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Anaplastic   When tumor no longer resembles parent tissue  
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Dyplasia   General category indicating cell changes in size, shape or organization  
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Metaplasia   First level of dysplasia that is benign and reversible  
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Hyperplasia   Increased cell numbers in tissue  
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TNM   Method of staging tumors that looks at size of tumor, lymph node involvement and presence/absence of metastases  
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Leukemia   Progressive, malignant disease of blood forming organs  
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Hodkin's Disease   Malignant neoplasm of lymphatic system  
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