Clinical Skills Midterm

Front 1

EIS stands for-

Back 1

english as a second language

Front 2

Does ethinicity determine someones cultural background?

Back 2

No

Front 3

Five Components of Culturally Competent Care

Back 3

awareness and acceptance
self-awareness
dynamics of difference
basic knowledge
Adaptations of Skills

Front 4

Sources of Cross Cultural Misunderstanding

Back 4

gestures, eye contact, personal space, touching, expressiveness

Front 5

Which is better to use a family member or an interpreter?

Back 5

Professional Interpreter because the family may be biased.

Front 6

Often Primary Goal of patient

Back 6

functional ambulation

Front 7

Sonambulance means-

Back 7

sleep walking

Front 8

Three things to be aware of When getting a patient to stand up from a wheel chair

Back 8

1)wheel chair positioning
2)orthostatic hyportention
3)Assistance required

Front 9

For ACL- what type of chain is appropriate for recovery?

Back 9

closed chain for first 6 weeks

Front 10

Forward and Backward stepping requires what?

Back 10

weight shifting

Front 11

open/close chain activies related to gait? (2)

Back 11

hip hiking
partial squats

Front 12

When turning with an injured leg which direction should you go?

Back 12

Toward Stronger Leg
(with small circles)

Front 13

Gait Training Considerations
(6)

Back 13

1)cognitive level
2) readniess
3) Saftey
4) vital signs
5) prior experience
6) weight bearing restrictions
7)sequencing

Front 14

NWB means =

Back 14

non weight bearing

Front 15

TTWB means =

Back 15

Toe Touch Weight Bearing

Front 16

TDWB means =

Back 16

touch down weight bearing

Front 17

PWB =

Back 17

partial weight bearing

Front 18

FWB =

Back 18

Full weight bearing

Front 19

How does a cane help?

Back 19

Widens Base of Support

Front 20

3 Ways to Size a patient for a cane?

Back 20

1) cane - elbow at 30 degrees
2) Cane comes up to wrist crease
3) Cane comes to the height of greater trochantor

Front 21

What foot steps with the cane?

Back 21

injured foot

Front 22

What must you acheieve before progressing to a cane?

Back 22

Full weight bearing

Front 23

What would someone using 4 point stance in a chronic situation need?

Back 23

LoftStrand Crutches

Front 24

What would a lady use if she broke her wrist and her foot? (to ambulate)

Back 24

platform attachment on crutches

Front 25

How do you know when the crutches are high enough for a patient?

Back 25

3 fingers away from armpit

Front 26

What gait is appropriate for a full weight bearing person on crutches?

Back 26

four point gait
two point gait

Front 27

Fancy name for crutches =

Back 27

Standard Axillary Crutches

Front 28

General Rule for Stair climbing with crutches?

Back 28

Up with the good, down with the bad

Front 29

Documentation pertaining to gait training

Back 29

1) Assistance required for transfer
2) specifics of decive used
3) weight bearing status
4) speed, functional, surface

Front 30

Preambulation Progression means =

Back 30

getting ready to walk without walking

Front 31

The least supportive gait pattern is

Back 31

two point

Front 32

3 systems under homeostatic control

Back 32

1. blood flow
2. respiration
3. thermal regulation

Front 33

4 reasons why getting vital signs is important

Back 33

1. baseline values
2. goal setting
3. track patients treatment response
4. effectiveness

Front 34

What is the bodies response to a change in ph

Back 34

pass out

Front 35

Temperature regulating center

Back 35

hypothalamus

Front 36

pynexia =

Back 36

fever

Front 37

Normal Temperature in C and F

Back 37

37 deg. 98.6 deg.

+/- 1 deg

Front 38

How do we thermoregulate

Back 38

by conserving or dissapating energy

Front 39

What times of day effect our temperature?

Back 39

4-6am (morning) LOW TEMP

4-8pm (night) HIGH TEMP

Front 40

Pulse is created by

Back 40

Contraction of Left Ventrical

Front 41

O2 consumption is measured in

Back 41

METS

Front 42

Heart Rhythm Means-

Back 42

intervals between beats

Front 43

Can you have a regularly irregular heart beat

Back 43

yepperdoodle

Front 44

3 ways to discribe quality of PULSE

Back 44

1. weak
2. normal
3. bounding

Front 45

Where can you find the apical pulse?

Back 45

heart is left of center- 3rd rib

Front 46

Radial Pulse is where?

Back 46

lateroventraL proximal to radius

Front 47

The elderlys decrease body temp is due to-

Back 47

decrease in metabolism

Front 48

line over c =

Back 48

with

Front 49

line over s =

Back 49

without

Front 50

line over p =

Back 50

after

Front 51

blood pressure is literally=

Back 51

force against arterior walls

Front 52

Factors effecting blood pressure

Back 52

1. blood volume
2. hemmorhaging
3. constriction or dialation
4. elasticity
5. cardiac output
6. body positing

Front 53

What can prevent Valsalva manever

Back 53

talking during the activity

Front 54

______ = amount of air moved in and out of breath

Back 54

vital capacity

Front 55

What regulates blood pressure

Back 55

1. baroreceptors (sense pressure)
2. Chemoreceptors (detect ph)

Front 56

Reguarding a sphygomamonomemter, the skinny side- and the big side?

Back 56

increase/decrease

Front 57

Normal adult breaths per minute

Back 57

12-18

Front 58

Words to discribe depth of breathing

Back 58

shallow, deep

Front 59

difficult labored breathing

Back 59

dyspnea

Front 60

DOE =

Back 60

dyspnea on exertion

Front 61

High pictched upper airway obstruction sound

Back 61

strider

Front 62

crackles in breathing

Back 62

rawis

Front 63

Increased repiration Rate of normal volume of air

Back 63

tachypnea

Front 64

Cessation of Breathe

Back 64

Apnea

Front 65

Deep breathing but normal rate

Back 65

hyperventillation

Front 66

Irregular breathing- fast and deep then all of a sudden slow and spontaneous apnea =

Back 66

cheyne-stokes respirations

Front 67

What breathing patterns to you see close to death?

Back 67

cheyne-stokes respirations

Front 68

When your documenting on the respiration system what 3 things must you include?

Back 68

1. rate
2. rthym
3. quality

Front 69

PVD =

Back 69

peripheral vascular disease

Front 70

PVD is a disturbance of

Back 70

circulation in V, A or lymph

Front 71

Two symptoms of arterial disorders:

Back 71

1. Pain (due to ischemia)
2. Decreased Sensation
** parastigia

Front 72

Appearance (and feel) of someone with arterial compromise

Back 72

1. chalky
2. shiny, waxy
3. hair loss
4. wounds, ulcers
5. cold to the touch
6. dry skin
7. possible paralysis and atrophy-because nerves are starved

Front 73

ASVD =

Back 73

Chronic Ateriosclerotic vascular disease

Front 74

ASVD effects... (3)

Back 74

1. extremities
2. elderly
3. diabetics

Front 75

Thromboangiitis Obliterans =

Back 75

young male smokers- inflammation of vessels due to nicotine.

Front 76

4 types of arterial disorders

Back 76

1. Acute arterial occlusion
2. ASVD
3. buergers disease
4. raynauds

Front 77

Raynauds involves what nerveous system?

Back 77

sympathetic nerveous

Front 78

Test for Rubor tests for-

Back 78

reactive hypermia

Front 79

Arterial Examination procedures

Back 79

1. palpate peripheral pulse
2. Skin Appearance
3. Rubor
4. Doppler Ultrasound
5. Arteriography

Front 80

What do you do if a patient has chronic arterial insufficiency?

Back 80

1. treat conservitivly
2. give edu
3. graded exercise

Front 81

Signs and symptoms of venous disorders

Back 81

- pain
- swelling
- warm (inflammation)

Front 82

DVT =

Back 82

deep vein thrombosis

Front 83

Info on Chronic Venous Insuffiency

Back 83

- swelling espeically in feet
- dependant endema
- worse at night
- increases skin ulcers
- achniess

Front 84

Examinations procedures and techniques for people with venous problems -

Back 84

- girth mreasreuments
- visual examination
*color, texture, hot,pain
-Homans Sign

Front 85

Homans Sign

Back 85

Supine, dorsiflex their calf and squeeze. Pain = BAD!

Front 86

Treatment of patients with venous disorders

Back 86

- ankle pumps
- quad sets
- early mobilization post operation
- passsive movement
-pressure ciffs
- massage

Front 87

brawny edema =

Back 87

pitted edema

Front 88

jobst is what -

Back 88

machine for intermittant compression

Front 89

general back care principals

Back 89

- aviod static load
- change positions often
- encourage general exericse and weight control

Front 90

Risk Factors for pressure sores -

Back 90

- poor nutrition
-decreased sensation
-anemia
-too skinny
-vascular diseases
- wearing a cast
- diabetes
-dementia

Front 91

Cervical Spine Degrees of Flexion

Back 91

45

Front 92

Cervial spine flexion axis

Back 92

center over external auditory meatus

Front 93

degrees of cervical extension

Back 93

45

Front 94

Cervical Lateral flexion degrees and axis

Back 94

45
center over
spinous process of c7

Front 95

Cervical Rotation degrees and axis

Back 95

60
center top of head

Front 96

Shoulder Flexion degrees and axis
(axis also all other shoulder movements)

Back 96

180
near acromian process through humoral head

Front 97

Shoulder Horizontal rotation degrees

Back 97

30

Front 98

Discribe movement of shoulder horizontal adduction

Back 98

movement occurs in transverse plane around a vertical axis

Front 99

Shoulder internal rotation axis

Back 99

olecranon process of ulna

Front 100

Elbow Flexion degrees and axis

Back 100

145
lat epidoncondyle of hum

Front 101

Forearm pronation and supination axis

Back 101

medial to ulnar styloid process

Front 102

MCP flexion axis and degrees

Back 102

dorsal aspect of mcp joint
90

Front 103

How do you measure thoracolumbar flexion and extension?

Back 103

compare differences in distance from c7 to s1 before and after

Front 104

How do you test for thoracolumbar Lateral Flexion

Back 104

measure finger tips to the floor.

Front 105

Thoracolumbar rotation degrees and axis

Back 105

45
- over top of head

Front 106

Hip Flexion degrees with knee extended and with knee flexed

Back 106

115

125

Front 107

Hip hyperextension

Back 107

0-15

Front 108

Hip Abduction degrees and axis

Back 108

45
ASIS

Front 109

Hip Adduction degrees and axis

Back 109

30
ASIS

Front 110

Knee Flexion degrees with hip extended and then with hip flexed

Back 110

120

130

Front 111

ROM of dorsiflexion and axis

Back 111

20
lat aspect of lat mall.

Front 112

Joint of the ankle that dorsiflexes

Back 112

Talocrural
(mortis joint)

Front 113

Ankle mid tarsal joint aka

Back 113

subtalar joint

Front 114

Techniques for lifting a heavy box

Back 114

1. inc cog
2. get bos under cog
3. use large muscles
4. eyes to the horizon

Front 115

how to you measure hips for wheel chair seat

Back 115

1. have them sit to open hips
2. add two inches

Front 116

Wheel Chair Classification

Back 116

k1- regular
k2- hemichair (low to floor)
k3- light weight chair
k4-5 spinal cord chairs
k8- customized manual chairs

Front 117

INTRArater liability
INTERrater liability

Back 117

- you take the measurements
- YOu take them, then I take them

Front 118

YOure working with a patient, debride an ulcer and it begins to bleed profusly. What do you do??

Back 118

- pressure with sterile gauze
- elevate
- monitor vital signs

Front 119

DVT SIGNS-

Back 119

1. discoloration
2. pain (homans test)
3. warm

Front 120

Factors affecting ROM

Back 120

age
gender (21-69)
pain and swelling

Front 121

Hip Flexion degrees with knee extended and with knee flexed

Back 121

115

125

Front 122

Hip hyperextension

Back 122

0-15

Front 123

Hip Abduction degrees and axis

Back 123

45
ASIS

Front 124

Hip Adduction degrees and axis

Back 124

30
ASIS

Front 125

Knee Flexion degrees with hip extended and then with hip flexed

Back 125

120

130

Front 126

ROM of dorsiflexion and axis

Back 126

20
lat aspect of lat mall.

Front 127

Joint of the ankle that dorsiflexes

Back 127

Talocrural
(mortis joint)

Front 128

Ankle mid tarsal joint aka

Back 128

subtalar joint

Front 129

Techniques for lifting a heavy box

Back 129

1. inc cog
2. get bos under cog
3. use large muscles
4. eyes to the horizon

Front 130

how to you measure hips for wheel chair seat

Back 130

1. have them sit to open hips
2. add two inches

Front 131

Wheel Chair Classification

Back 131

k1- regular
k2- hemichair (low to floor)
k3- light weight chair
k4-5 spinal cord chairs
k8- customized manual chairs

Front 132

INTRArater liability
INTERrater liability

Back 132

- you take the measurements
- YOu take them, then I take them

Front 133

YOure working with a patient, debride an ulcer and it begins to bleed profusly. What do you do??

Back 133

- pressure with sterile gauze
- elevate
- monitor vital signs

Front 134

DVT SIGNS-

Back 134

1. discoloration
2. pain (homans test)
3. warm

Front 135

Factors affecting ROM

Back 135

age
gender (21-69)
pain and swelling

Front 136

Cervical Spine Degrees of Flexion

Back 136

45

Front 137

Cervial spine flexion axis

Back 137

center over external auditory meatus

Front 138

degrees of cervical extension

Back 138

45

Front 139

Cervical Lateral flexion degrees and axis

Back 139

45
center over
spinous process of c7

Front 140

Cervical Rotation degrees and axis

Back 140

60
center top of head

Front 141

Shoulder Flexion degrees and axis
(axis also all other shoulder movements)

Back 141

180
near acromian process through humoral head

Front 142

Shoulder Horizontal rotation degrees

Back 142

30

Front 143

Discribe movement of shoulder horizontal adduction

Back 143

movement occurs in transverse plane around a vertical axis

Front 144

Shoulder internal rotation axis

Back 144

olecranon process of ulna

Front 145

Elbow Flexion degrees and axis

Back 145

145
lat epidoncondyle of hum

Front 146

Forearm pronation and supination axis

Back 146

medial to ulnar styloid process

Front 147

MCP flexion axis and degrees

Back 147

dorsal aspect of mcp joint
90

Front 148

How do you measure thoracolumbar flexion and extension?

Back 148

compare differences in distance from c7 to s1 before and after

Front 149

How do you test for thoracolumbar Lateral Flexion

Back 149

measure finger tips to the floor.

Front 150

Thoracolumbar rotation degrees and axis

Back 150

45
- over top of head

Front 151

Interventions to avoid bed sores

Back 151

- proper positioning
- aviod wrinkles
- reposition
- special beds

Front 152

Complete independence on a fim scale=

Back 152

1

Front 153

Major Hip Flexion Muscle

Back 153

iliopsoas

Front 154

Hip extensors

Back 154

-gut max
- hamstrings

Front 155

Hip ABducution

Back 155

- glut med and MINI

Front 156

Hip ADduction

Back 156

all aductors, gracilis and pectinius

Front 157

Hip medial rotation muscles

Back 157

- glut med and mini
- TFL

Front 158

Knee Extension Muscles

Back 158

QUADS

Front 159

Knee Flexion Muscles

Back 159

HAMS

Front 160

Ankle Eversion Muscles

Back 160

- peroneus longus and brevis
- tertius

Front 161

Ankle Inversion Muscle

Back 161

- tibilas posterior

Front 162

Upward scapular rotation

Back 162

lower traps

Front 163

Scap Adduction

Back 163

Rhombiods

Front 164

SCap ABduction

Back 164

serratus anterior

Front 165

shoulder flexion muscles

Back 165

- anterior delts
- coracobrachilias

Front 166

shoulder medial rotation muscles

Back 166

- sub scapularis
- teres major

Front 167

Ulnar Deviation

Back 167

FCU
ECU

Front 168

Radial Deviation

Back 168

FCR
ECR

Front 169

contraindiction =

Back 169

something that prevents procession

Front 170

How do we think of gait?

Back 170

constant falling and recovery of falling

Front 171

what is dynamic stability

Back 171

maintaining posture while shifting weight

Front 172

whats the point of abulatory progression?

Back 172

lesson BOS and raise COG

Front 173

what are gait patterns with a crutch

Back 173

2 point
4 point
swing 2
swing through

Front 174

Signs and symptoms of lymphatic disorders-

Back 174

painless swelling
brawny edema

Front 175

what od you do if you have an acute occulsion?

Back 175

ER

Front 176

Motor function sign for arterial compromise

Back 176

paralysis
muslce atrophy

Front 177

what is rubor

Back 177

blanching in feet

Front 178

How do you examine a patient if you suspect an arterial disorder?

Back 178

test right and left pulse

Front 179

what is brawny edema

Back 179

NON pitted

Front 180

Contraindictions for ROM

Back 180

- hematome
- fracture
- endfeel
- sharp suddan pain

Front 181

When would you use AROM

Back 181

- quick screening tool
- maintain tissue integrity
- coordination

Front 182

Discribe pediatric ROM

Back 182

- less hip exten
- more ventral motions

Front 183

When do you use CMP?

Back 183

- after knee replacement
- faster recovery
- lessons effects of imbolization
- joint nurishment

Front 184

myostatic contracture

Back 184

permanent muscle shorting fo rno good reason

Front 185

what is LLPS

Back 185

low load prolongation stretch

Front 186

Muscle immbolization in a length postion increases....

Back 186

sarcomeres

Front 187

whats an inhibition technique

Back 187

PNF

Front 188

CABG

Back 188

coranary artery bipass grrapth

Front 189

what is AAROM

Back 189

active- assisted ROM

Front 190

ROM precautions

Back 190

- severe osteoperosis
- newly united fratcure

Front 191

Only thing AROM can do to muscles

Back 191

improve coordination in pattern. Can help strengthen or maintain

Front 192

What is nueromuscluar status?

Back 192

- chore
- tone
- prgoression

Front 193

Maximal function of wheel chair seating-

Back 193

stabilize pevlis

Front 194

How do you measure overal chair width?

Back 194

seat plus 7

Front 195

Standard wheel chair seat depth

Back 195

16 inches

Front 196

What does FIm scale assess

Back 196

How much work the patient is doing. 1 the worst. 7 the best

Front 197

External factors in homeostatis

Back 197

extreme temp

Front 198

current president of apta

Back 198

scott ward

Front 199

process of a pt with a patient

Back 199

- exam
- evlaute
- dx
- prognoses
- intervention
- treatment