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100 Cards in this Set
- Front
- Back
Current density is influenced by
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Size of electrodes
Distance they are apart |
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Same size electrodes are used. Current density under each will be...
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the same
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Unequal size electrodes are used. Current density will be....
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more concentrated in the smaller electrode
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Current is more dense in the superficial tissues when the electrodes are...
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closer to each other
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Current is more dense in the deeper tissues when the electrodes are...
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farther apart from each other
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Standard unit of measure for phase charge
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Coulomb
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A PT would like the pt. to extend the involved LE while sitting in the hydrotherapy tank. Which type of tank would NOT allow this?
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Highboy tank (permits sitting in with water level to chest, hips and knees flexed).
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Tank used for full body immersion.
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Hubbard tank
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Temperature in the Hubbard tank should not exceed
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100 degrees F
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Hot packs are stored in water with a temperature between ___ and ____degrees F
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158-167 F (70-75 C)
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The handgrip of an axillary crutch should be at the level of the
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ulnar styloid process
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How many towel layers should be applied between the skin and the hot pack?
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6-8
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Unit used to descrive resistance or electrical impedance.
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Ohm
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Unit used to describe the rate of current
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Ampere
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3 MHz ultrasound setting is used to treat superficial tissues with a depth of less than
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2 cms
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Wheelchair- recommended amount of space between the edge of the seat and the popliteal space
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2 inches
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Unit of measure that describes the number of cycles per second when using alternating current
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Hertz
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Compression garments- A pressure of ___ to ____ Hg is used to control edema in ambulatory patients
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30-40 mm Hg
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Compression garments- A pressure of ___ to ____ mm Hg is used to control scar tissue formation
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20-30 mm Hg
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Compression garments- A pressure of ___ to ____ mm Hg is used to prevent DVT in bed bound patients (commonly with off the shelf stockings)
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16-18 mm Hg
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Iontophoresis
Negatively charged ion used to treat calcific deposits |
Acetate
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Iontophoresis
Positively charged ion used to treat pain and inflammation associated with acute inflammatory conditions |
Lidocaine
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Iontophoresis
Positively charged ion used as a muscle relaxant and vasodilator |
Magnesium
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Iontophoresis
Positively charged ion used to promote healing, most often with open lesions and ulcerations |
Zinc
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Iontophoresis is the process by which ions are introduced into the body through the skin by means of
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continuous direct current electrical stimulation
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Mechanical traction- A duration of __ to ___ mins is most often recommended for stretching soft tissue or reducing muscle spasm.
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20-30
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Which general rule best determines the length of tx when using ultrasound?
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5 mins for an area that is 2 times the size of the transducer face
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Tension in the calcaneofibular ligament contributes to the normal firm end-feel of
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Dorsiflexion
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The Lachman test is designed to assess the integrity of the ____________. It is typically performed with the pt. in ______ and the knee flexed _______ degrees.
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ACL, supine, 20-30 degs
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Highest spinal cord injury level at which transfers with a sliding board would be feasible
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C6
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Special test that requires the pt. to grasp a piece of paper between the thumb and index finger. A + test is indicated by flexion of the terminal phalanx of the thumb, caused by paralysis of the APL. Test is used to assess the integrity of the ulnar nerve.
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Froment's sign
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The ___________ reflex is elicited by contact of the ball of the foot with the floor surface when placed into a standing position.
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positive support
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The positive support reflex is typically integrated at
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2-4 months of age
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The patellar reflex is innervated at the ________ spinal level
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L3-L4
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The medial hamstrings reflex is innervated at the ______________ spinal level
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L5-S1
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The lateral hamstrings reflex is innervated at the ______________ spinal level
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S1-S2
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The Achilles reflex is innervated at the ______________ spinal level
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S1-S2
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Accumulation of fluid in the peritoneal cavity
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Ascites
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What effect could Digitalis be expected to have on a pt.'s ECG? Why?
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prolonged PR interval due to increased conduction time through the AV node
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Max volume of gas that can be exhaled after a max inhalation
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vital capacity
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Which muscle of respiration is most active during force expiration?
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Internal intercostals
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The main purpose of an arterial line is to measure
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blood pressure
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The ADA requires that the minimum width of a door is___, and of a hallway _____
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32 inches
36 inches |
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The max value for a ramp according to the ADA (%)
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8.3% (1 inch of rise for every 12 inches of run)
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Temperature information is transmitted through the _________________ system
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spinothalamic
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A PaO2 of less than ______ constitutes hypoxemia
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80 mmHg
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Most likely graft (autograft) site for ACL reconstruction?
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semitendinosus and gracilis
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Height and weight measurements are on what scale?
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ratio
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An increased BUN level can be indicative of
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dehydration
renal failure heart failure |
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Brown-Sequard's syndrome most commonly occurs from
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a stab or bullet wound
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Tube most commonly used for short-term feeding
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nasogastric
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Normal pH of the skin
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3-4
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Normal pH of the blood
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7.35-7.45
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Gower's sign is associated with what disease?
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Duchenne muscular dystrophy
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Refers to a state of decreased blood volume, most often a decrease in blood plasma. Often occurs following a burn.
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hypovolemia
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The Hoover test is often employed as a gross test for
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malingering
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Normal duration of the PR interval
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0.12 to 0.20 secs
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Defining feature of first degree AV block
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prolonged PR interval
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Treatment time for ice massage
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5-10 mins
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Hierarchy of evidence (research)
top to bottom |
Systematic reviews
RCTs Cohort studies Case-control studies Case series, case reports Editorials, expert opinion |
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Diagnostic test that uses radioactive isotopes to identify bone areas that are hypervascular or have an increased rate of bone mineral turnover
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bone scan
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The probability of obtaining a negative test in individuals without the disease
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specificity
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The probability of obtaining a positive test in individuals with the disease
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sensitivity
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Most common substitution to exaggerate hamstrings length
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posterior rotation of the pelvis
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Frequency is significantly ______________ with sensory level stimulation than motor level stimulation
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greater
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Instrument that measures the degree of assistance required by an individual on 10 items of mobility and self-care
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Barthel Index
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Focuses on patient performance and the degree of assistance required in 6 categories of basic ADL.
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Katz index of ADL
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A major disadvantage of using the Katz index in rehabilitation settings is
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its failure to include an item on ambulation
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Can be tested by asking a patient to interpret a common proverb or describe similarities/differences between objects
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abstract ability
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Can be tested by asking a patient to copy figures of varying sizes and shapes, or drawing a known item
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constructional ability
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Can be tested by asking a patient to count from 1 to 25 in increments of 3
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attention
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Location of the anatomical snuff box
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between the tendons of the EPL and the EPB
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What bone can be palpated inside of the anatomical snuff box?
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scaphoid bone
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This type of catheter inserts into the R atrium and permits removal of blood samples, administration of meds and monitoring of central venous pressure.
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Hickman catheter
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Monitoring device that is inserted into an artery and attached to an electronic monitoring system; used to measure BP and obtain blood samples
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arterial line
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Plastic IV tube used to measure pressure in the R atrium or the superior vena cava (specifically, it measures pressure associated with the filling of the R ventricle)
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central venous pressure catheter
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Soft, flexible catheter that is inserted through a vein and into the pulmonary artery. Used to provide continuous measurements of pulmonary artery pressure.
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Swan-Ganz catheter
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This 11-question measure assesses 5 areas of cognitive function: orientation, registration, attention/calculation, recall and language.
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MMSE
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What is the minimum score necessary to be obtained in the MMSE in order to avoid being classified as cognitively impaired?
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24
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A pt. with a properly fitted walker should exhibit ____ to ____ degrees of elbow flexion
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20-25
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Reflex seen in males. May be absent with upper/lower motor neuron lesions or spinal injuries at the level of L1-L2.
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cremasteric reflex
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The normal degree of toe-out during free-speed walking should be approx.:
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7 degrees
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Borg's RPE scale
60% of the heart range corresponds to an RPE of |
12-13 somewhat hard
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Borg's RPE scale
70% of the heart range corresponds to and RPE of |
14-15 between somewhat hard and hard
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Could a patient with a C6 spinal cord injury be able to drive an adapted van?
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yes
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Often the first sensation compromised with peripheral neuropathy
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vibration sense
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Pts. with ______ hemisphere damage often are described as cautious, anxious and disorganized. They often have difficulty communicating and processing information in a sequential manner.
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LEFT
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Pts. with _______ hemisphere damage often are quick when performing mobility tasks. They are impulsive and tend to overestimate their abilities.
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RIGHT
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At what time of the day should compression stockings be applied?
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In the morning when swelling is minimal, leave on the rest of the day
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Karvonen's formula for target HR
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[(HR max - HR rest) x 0.60 and 0.80] + HR rest
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With a platelet count of _________ or less, the patient is thrombocytopenic. Precautions include restricting chest percussion due to increased risk of bleeding.
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50,000 ul or less
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Characterized by flexion of the PIP joint and extension of the MCP and DIP joints.
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Boutonniere deformity
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Caused by a rupture of the central tendinous slip of the extensor hood (hand).
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Boutonniere deformity
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Hamstrings muscles whose tendons become visible when performing a leg curl
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Semitendinosus and Biceps femoris
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Minimum space required to turn 180 degrees in a standard wheelchair
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60 inches
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A score of 18 or less in the Braden scale means
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pt. is deemed at risk for pressure ulcers
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A score of 16 or less in the Norton Risk assessment scale means
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pt. is at risk for pressure ulcer
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What is the critical cut-off score for the Gosnell Pressure Sore Risk Assessment?
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16
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To detect an S3 heart sound, it would be best to place the stethoscope at:
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the 5th mid-clavicular intercostal space on the L
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With ACL tears swelling is ___________, with meniscal tears it is__________
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immediate, delayed
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