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114 Cards in this Set
- Front
- Back
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Which of the following would not be a C6 nerve root injury: weakness in biceps and supinator,diminished sensation on the ant. arm and index finger or paresthesias of the long and ring fingers?
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Paresthesias of the long and ring fingers
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What component of the vertebral artery test is most likely to assess the patency of the intervertebral foramen?
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Extension
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The preferred method to initially teach a 2 y/o child w/ T10 spinal bifida to maintain standing for gt. trng is to use what A.D.?
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Parapodium and parallel bars
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Which technique is used to improve motor control for a Parkinson's pt.?
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Rhythmic initiation
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Expire maximally after taking a maximal inspiration measure what?
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Vital capacity
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How do one differentiate heat exhaustion and heat stroke?
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Mental status and skin temperature
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Which of the following is least likely to be affected by post-polio syndrome: strength, sensation, endurance, or functional mobility?
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Sensation
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What are the best TENS parameters?
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high freq:50-100 pps, short phase duration, low intensity
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Which values are atypical: 78 bpm, 130/85 mm Hg, total cholesterol 170 mg/dL, high-density lipoproteins 20 mg/dL, or low-density lipoproteins 150 mg/mL?
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High-density lipoproteins 30-80 mg/dl
Low-density lipoproteins 60-180 mg/dl cholesterol <200 mg/dL |
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Which motions combine ankle pronation?
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abd,DF,eversion
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Which positions is appriopriate to test hip flexors w/o gravity?
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Supine or SL
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Which mm strength is being tested when pressure is applied medially above the ankle and pressure is pushing the leg outward in attempt to rotate the thigh medially?
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Hip lateral rotators
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True or False. It is beneficial for developing a tx plan for a confused-agitated Rancho Los Amigos Levels of Cognitive Functioning pt. to concentrate on one specfic activity for each tx session?
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False. They have short attn span, many and varied are better
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What needs to be correctly determine to tx the tissue at a specific depth with U.S.?
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Frequency 3mHz=superficial
1mHz= deeper |
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What would be the most appropriate position for splinting the elbow?
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Elbow ext & forearm supination
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What is a characteristic of post status right CVA?
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Distorted awareness of self-image
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What is the first to occur with normal progression w/ a dx of Duchenne muscular dystropy?
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Proximal mm weakness
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How to elicit palmar reflex grasp?
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Maintain pressure to the palm of the hand.
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What restriction is for hip anterior approach?
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Hip lateral rotation.
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What situation would provide the most direct support for an ACL reconstruction?
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Functional instability.
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Which type of whirlpool would not allow the patient to extend the involved LE?
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Highboy tank
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Which mm of respiration is most active during forced expiration?
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Internal intercostals. (opp.)
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What happens to the total lung capacity and dead space w/ someone w/ emphysema?
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Total lung capacity and dead space in lungs increase.
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Which would NOT produce extensor lag:mm weakness,bony obstruction, inhibition of pn, or pt. apprehension?
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Bony obstruction: passive/active ROM=equal
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What mm would prevent shlder flexion while maintaining posterior pelvic tilt?
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Latissimus dorsi tightness.
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What should be taught first when learning to perform a wheelie?
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Statically hold the wheelie position after being placed in it by the therapist.
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What is the wt. bearing status for a post non-cemented THR?
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Toe-touch wt. bearing
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What do you call putting toothpaste directly into mouth and hair?
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Ideational apraxia
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Which bandage would be appropriate to utilize for a transfemoral amputation?
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6-inch bandage
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What is the best indicator for a pt. that exerted a maximal effort?
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Failure of heart rate to increase w/ further increases in intensity.
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If the pt. has tight hip flexors which result in excessive ant. pelvi tilt, what can you conclude about the pt.'s measured HS length?
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Actual length is less than the measured length.
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What is arterial line used for?
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Measure BP and obtain blood sample.
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Which type of contraction is utilized at the end point of available ROM of PNF?
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Isometric
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What common deformity is often associated with tight hip flexors?
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Lordosis
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What is the most appropriate position for post transtibial amputation?
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supine w/ legs extended
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C4 tetraplegia requires what type of W/C?
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Folding reclining W/C, power chin control and seat.back cushions.
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What technique is most effective in energy conservation w/o dyspnea?
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Pacing.
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True or false. Lengthening of the long finger flexors will reduce the benefits of tendodesis.
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True.
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What hip/knee mov't are the result from an avulsion fx of the ischial tuberosity? (HS)
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Forceful flexion of the hip w/ an extended knee.
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In a contrast bath, if an ankle is placed in warm water for 3 min, how long should it be placed in cold water?
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The ratio for heat to cold is 3:1 or 4:1. =1 min
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What A.D. is used for initiating amb.?
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Parallel bars
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What would you administer if a pt. should signs of airway obstruction?
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Abdominal thrusts
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Where would be the most appropriate location to elicit the brachioradialis reflex?
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Styloid process of the radius
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True or False. Constriction of the pupils is an indicator of increased sympathetic involvement.
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False, dilation of the pupils.
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What is the primary objective of wt. shifting in parallel bars w/ someone who has Guillain-Barre syndrome?
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Controlled mobility
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What is the std of measure when recording AC freq?
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Hertz or cycles per sec.
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How do you test for clonus in foot?
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Provide quick stretch to the PF.
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What are the signs and symptoms of anemia?
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Heart palpitations, SOB, dyspnea, & mild exertion
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During bronchial drainage to the ant. basal segments of the lower lobes, the pt. begins to feel dizzy and mild dyspnea. What is the next appropriate action to do?
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Elevate the pt.'s head
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Difficulty flexing the neck while in supine is a failure to integrate which reflex?
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Symmetrical tonic labyrinthine
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Chronic respiratory alkalosis has laboratory findings w/ what amount the arterial blood pH and PaCO2?
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Elevate arterial blood pH, low PaCO2.
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What is the side effect of Heparin?
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Excessive anticoagulation
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What is the likely cause of excessive redness over the patella w/ a pt. wt. bearing on the prosthesis?
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Settling due to the limb shrinkage.
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What ROM limitation is the result of capsular tightness in the anterior-inferior aspect with adhesive capsulitis dx?
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Abduction and lateral rotation
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What is used to quantify a pt's edema?
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Volumetric measurements
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What type of protective equipment is necessary when entering a room requiring droplet precautions?
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Mask
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What massage is not a tapotement: kneading, clapping, hacking, or beating?
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Kneading is a form of petrissage.
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What are the sign and symptoms of Parkinson's disease?
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Cogwheel rigidity, resting tremor, poor initiation of mov't, shuffling gait, and flat affect.
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When would you consider using volumetric measurements to quantify edema?
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To measure edema in DISTAL extremities.
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Which spinous process is at the same level as the vertebral end of the spine?
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T3
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Which AXIS of mov't is utilized with hip abd/add ex's?
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Abd/add occurs in frontal PLANE around an ANT/POST AXIS.
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What PNF pattern would help with ankylosing spondylitis?
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D2 flex: flex,abd, lat. rot
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What is the most frequently cited malpractice claim in PT?
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Failure to monitor the condition of the pt.
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What communication disorder has severve difficulty in verbal expression and mild difficulty in understanding complex syntax?
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Broca's asphasia (left frontal lobe)has difficulty to put Thoughts into Words.
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What is the key element to look for in Romberg test?
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The ant. of sway present during the test period.
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What condition is most responsible for pt's limited ex. tolerance w/ someone w/ CHF?
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Insufficient stroke volume (diff. bet end diastolic vol. and end systoloc vol.) during ventricular systole
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How to measure seat ht. for a pt. in a W/C?
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Measure from the seat of the chair to the base of the axilla and subtract 4 in. ~16-16.5in
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How long is an ice massage?
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5-10 min
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"Rules of Nine" Ant. right arm and ant. trunk. How bad is the burn?
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4.5%= ant. R arm
18%=ant. trunk ==>22.5% |
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Which on:off time ratio would result in the most onset of mm fatigue?
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5:1
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What is 5lbs of wt. bearing equivalent to?
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Partial wt.-bearing
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What are the parameters for TENS unit for pn?
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Freq: 50-150 Hz
Duration: 20-30 min Short phase duration: 20-100 microsec. |
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How much knee ROM is needed for stair trng?
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90 degrees
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What are the symptoms of RA?
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AM stiffness, limited ROM, and on w/ mov't.
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What mm are integrated by axillary nerve?
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Teres minor and deltoids
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Is the FWW to HIGH/LOW for a pt w/ 35 degrees of elbow flex?
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Too HIGH, elbow flex= 20-30 degrees
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What method of sensory testing is able to differentiate wt. between 2 or more objects?
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Barognosis
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How do you determine suberythemal dose vs minimal erythemal dose?
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Suberythemal dose=time insufficient for perceptible reddening of the skin
Mininmal erythemal dose=time req'd for mild reddening of the skin. |
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What is the depth for a 3.0 MHz U.S.?
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Superficial= 1-2 cm
Deep @ 1.0 MHz 3-5cm |
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What is the appropriate habd placement for a manual assisted cough technique on a pt. w/ a midthoracic SCI in supine?
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Epigastric area
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What is the characteristics associated w/ genu varum?
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GV= excessive hip abd, ipsilateral hip lateral rotation, and medial tibial torsion.
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What is the characteristics associated w/ genu valgum?
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GL= Lateral patellar subluxation, excessive hip adduction, and lateral tibial torsion.
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True or false. Focus on teaching new skills assoc. w/ ADL is present in Rancho Los Amigos level IV (confused-agitated)?
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False. Seen in VII.
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What appropriate initial step for instruction of an ex. program for a pt. w/ Alzheimer's disease?
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Assess the pt. cognitive status.
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True or false. Rescue breathing on an adult consists of con't for 30 sec, approx. 6 breaths.
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False. Rescue breathing has pulse but not breathing.
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What is the likely cause of taking a longer step w/ the prosthetic limb for a transfemoral amputation?
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Hip flexion contracture.
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What Rancho Los Amigos level of Cognitive Functioning Scale would be able to follow simple directions on a consistent level?
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VI.
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Where is the smallest measured distance bet. 2 perceived pts.?
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The fingertips are able to recognize 1-2 mm apart.
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True or false. Providing the pt. w/ a reasonable opportunity to refuse is most essential when obtaining informed consent.
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True
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Which is the appropriate deep heating agent: hot pack, pulsed U.S., hydrotherapy, or shortwave diathermy to increase ROM and decrease paravertebral spasm?
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Shortwave diathermy
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Which breathing technique would be the most beneficial to prevent alveolar collapse in a patient following thoracic surgery?
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Incentive spirometry
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True or false. Trapezium articulate with the lunate?
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False, it's in distal carpal row on the radial side.
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Which cranial nerve is associated with sensation of the pt.'s face?
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Trigeminal (V)
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Which is NOT an indicator of sympathetic involvement: rapid shallow breathing,constriction of pupils, mottled cold shiny skin, or anxiety/distractibility?
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Constriction of pupils; Diliation of pupils are sympathetic involvement
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Wt. shifting in parallel bars is a primary objective for what?
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Controlled mobility
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What is the standard of unit for AC freq?
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Hertz
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How would you test for clonus in the foot?
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Provide quick stretch to PF
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What useful info. to gather related to anemia?
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If pt. is experiencing heart palpitations, SOB at rest or w/ mild exertion.
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What reflex not integrated that is responsible for unable to flex the neck in supine?
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Symmetrical tonic labyrinthine
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What lab findings is consistent w/ chronic respiratory alkalosis?
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Elevated arterial blood pH, low PaCO2; alveolar hyperventilation
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What is the cause for excessive reddness of the patella w/ a patellar tendon prosthesis?
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Settling due to linb shrinkage
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What type of equip. is necessary to wear for droplet precaution?
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MASK only required
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Which is NOT an example of tapotement: kneading, hacking, clapping, or beating?
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Kneading is a type of petrissage.
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Which spinal level is responsible for mm weakness in the supinator and wrist extensors?
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C6
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During inspiration or expiration does vibration occurs?
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Expiration
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What type of end-feel at the end of hip ext?
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Firm
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What position is best to strengthen the weak diaphragm and w/ someone who is hypertensive?
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Reverse Trendelenburg
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Which Rancho Los Amigos level can follow simple commmands faily consistently?
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VI "confused appropriate"
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What is the goal of incentive spirometry?
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Prevent aveolar collapse and increase air inspired
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What cranial nerve detects sensation of the face?
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Cranial V= Trigeminal
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What burn is the most painful burn?
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Superficial-partial burn
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What A.D. is the most funxtional mobility for a T10 SCI?
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W/C; any level above T12 requires W/C
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What type of wt. bearing allows for 5lbs?
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Partial- wt. bearing; Toe-touch= balance
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What is the highest level of A.D. for bilateral transtibial amputation?
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2 forearm crutch
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