Pta 130 Final Exam

Front 1

A functional capacity exam is used for what

purpose?

Back 1

Evaluates a persons functional abilities to complete work related tasks

Front 2

What is Functional Movement screen used for ?

Back 2

Used with athletes for return to sports, injury prediction, and workout design

Front 3

Owestry Disability Questionnaire?

Back 3

Used for back and leg pain and the effect on everyday life

Front 4

What is the duty cycle on an ultrasound?

Back 4

The amount of time the ultrasound is working such as 100% (continuous)

Front 5

Ice massage should be used for what types of impairments?

Back 5

Small focal treatments such as tendons, localized hematoma, and muscle contusion

Front 6

How often can you put on an ice pack?

Every 20 min? every hour?

Back 6

A patient can be treated for 15-30 minutes at a time with a 2 hour lap between treatments

Front 7

What is the proper goniometer placement for measuring rotation of the shoulder?

Back 7

Axis- Olecrenon process

Stationary Arm-Perpendicular to floor or ceiling

Moving Arm- Mid-line of the ulna using ulnar

styloid for reference

Front 8

How often should you check cords on equipment? (maintenance)

Back 8

every day

Front 9

You are handwriting a note and you write something that is incorrect. What do you do to correct this?

Back 9

Mark through the mistake with a single line and put initials beside it. Then put correction.

Front 10

How often does whirlpool get cultured?

Back 10

Every 1-3 months

Front 11

How often is the hydrocollator cleaned?

Back 11

Drained and cleaned every 2 weeks

( NO BLEACH / CHLORINE)

Front 12

What do biomedical inspectors look at? How often do they come ?

Back 12

Anything electrical or that needs to be calibrated

( ultrasound & fluidotherapy )

Comes anually

Front 13

Where would modalities be put in a soap note?

Back 13

Objective

Front 14

AROM therex is put where in a soap note

Back 14

Objective

Front 15

Vital signs are put where in a soap note?

Back 15

Objective

Front 16

Where do Goals go in a soap note?

Back 16

Plan

Front 17

When documenting patient improvement, where would it be documented in a soap note?

Back 17

Assessment

Front 18

When giving a Functional Outcome test, where is the score documented?

Back 18

Objective

Front 19

FIM is what kind of test?

Back 19

Uniform measurement for disability

Front 20

Barthel Index measure what ?

Back 20

Scaling and scoring on ADL's

Front 21

DASH is what kind of test?

Back 21

Questionnaire for disabilities of the arm, shoulder, and hand

Front 22

Quick Dash test?

Back 22

Questionnaire about symptoms and ability to perform certain activities (arm)

Front 23

FAB Scale ?

Back 23

Testing for advanced balance

Front 24

Timed up and Go

Back 24

Timed test from seated to walk 3 meters, turn around and sit again

Front 25

Timed 10-meter walk test

Back 25

Administered test and walks 10 meters without assistive device

Front 26

Neck Disability Index?

Back 26

How neck pain affects everyday life

Front 27

WOMAC is questionnaire for?

Back 27

on pain, stiffness, and physical function

Front 28

Knee outcome survey ?

Back 28

Knee pain / functional limitations and how it affects level of activity

Front 29

ABC Scale ?

Back 29

Questionnaire on confidence level about doing an activity without losing your balance or becoming unsteady

Front 30

In the Anatomical position, what movements occur in the following planes?

Saggital Plane

Transverse Plane

Frontal Plane

Back 30

Saggital Plane- Flexion & Extension

Transverse Plane- Rotation

Frontal Plane- Abduction & Adduction

Front 31

How would you measure thoracolumbar rotation with a goniometer?

Back 31

Have subject seated with feet flat on floor in a seat w/o back support

Axis- Centered over cranial aspect of head

Stationary Arm- parallel to an imaginary line between tubercles of the iliac crest

Moving Arm- Align with imaginary line between the two acromial processes

Front 32

Changes in Mental Status is put where in a soap note?

Back 32

Assessment

Front 33

Normal Joint End Feels

Back 33

Soft- approximation of two soft tissue structures

Firm- Springy sensation when a contractile tissue is put on a stretch

Hard- abrupt stop to motion because of boney approximation

Front 34

What is the purpose or why would you perform PROM (manual ROM)

Back 34

Patient is unable to move it themselves

lack of strength

initiate movement patterns

surgical precautions

Front 35

What is Functional ROM for the shoulder?

Back 35

Reaching behind the head 112 degrees (abd)

Reaching for objects on high shelf 148 degrees shoulder flexion

Feeding requires 36-52 degrees shoulder flexion

Reach behind back to fasten bra 56 degrees ext. and 69 degrees horizontal abduction

Front 36

What is open pack position and why do we use it?

Back 36

Open pack= joint surfaces are least congruent and the joint is most mobile

Why? Used to increase joint mobility or normalize arthrokinimatics. ( to keep from hitting bone on bone)

Front 37

What is functional ROM for forearm?

Back 37

to read newspaper 48.8 pron. & -7.3 sup.

rise from chair-33.8 pron & -9.5 sup

eat with fork-10.4 pron & 51.8 sup

use telephone 40.9 pron & 22.6 sup

Front 38

What is functional ROM for knee?

Back 38

Rising from chair-90.1 to 95 degrees flexion

Descending stairs- 86.9 to 107 degrees flexion

Front 39

What is Functional ROM ?

Back 39

Motion necessary to complete a task

eg. cervical rotation necessary to drive car,

hip flexion necessary to sit in a chair

Front 40

What is close pack position?

Back 40

Joint surfaces are most congruent with one another and the joint is most stable

Front 41

What is Arthrokinematics?

Back 41

Movement that occurs between the joint surfaces and is not visible to the observing eye

-roll

-slide/glide

-spin

Front 42

What is osteokinematics?

Back 42

Movement that occurs between two bones ( one joint) and is visible to the observing eye

Front 43

From the connective tissue lecture; what is found in the cellular components and what is found in the extracellular components?

Back 43

Cellular components= fibrblasts

Extracellular components= Interfibrillar (ground substance)

Fibrillar ( collagen, elastin, and reticular fibers)

Front 44

Define Grade I jt. mobilizations for maitland?

Back 44

slow, small-amplitude oscillations parallel to the joint surface at the beginning of range; For pain reduction

Front 45

Define Grade II joint mobilizations for Maitland?

Back 45

Slow, Large-amplitude oscillations parallel to the joint surface within the free range; For pain reduction and does not move into resistance or limit of free range

Front 46

Define Grade III joint mobilizations for Maitland?

Back 46

Slow, Large-amplitude oscillations parallel to the joint surface from the middle to the end range; to increase mobility

Front 47

Describe Grade IV joint mobilizations for Maitland?

Back 47

Slow, small-amplitude oscillations parallel to the joint surface at the limit of range; To increase mobility

Front 48

How would you describe petrissage?

Back 48

deeper more aggressive strokes ( compression and rolling of the tissue to separate fascia)

Front 49

What is capsular pattern for the shoulder?

Back 49

The greatest restriction of passive motion in a lateral rotation, followed by some restriction in abduction and less restriction in medial rotation

Greatest loss of ER

Moderate loss of Abduction

Some loss of IR

Front 50

What is the capsular pattern for Hip?

Back 50

Greatest loss of IR and flexion

Some loss of Abduction

Slight loss of extension

Front 51

What is capsular pattern for the forearm?

Back 51

Equal loss of both supination and pronation

Front 52

What is capsular pattern for elbow?

Back 52

Loss of flexion is greater than loss of extension

Front 53

What is abnormal end feel?

Back 53

Abnormal= not what you want to feel

Soft=boggy thick sensation in a joint

Firm=springy sensation indicating abnormal

Hard=abrupt stop to motion when rough joint surfaces contact one another

Springy Block=Rebound effect is felt indicating soft tissue derangement

Empty=patients pain causes motion to cease before the true joint end feel is acheived

Front 54

Why would you want to use cross friction massage?

Back 54

For scar inflammation

Front 55

How should cross friction be performed?

Back 55

Across muscle fibers ( Needs to be in slight tension)

Front 56

Convex Concave rule-- does it change with open chain

Back 56

yes

Open Chain:

convex on concave= opposite

concave on convex= same

Closed chain:

convex on concave= same

concave on convex= opposite

Front 57

What is capsular pattern and what does it indicate?

Back 57

Capsular Patter: Pathology limits all or most joint motion directions-restrictions of a certain pattern

Indicates: joint capsule is tight

Front 58

What is Hunting Reflex and when does it occur?

Back 58

Body's mechanism to protect itself from tissue damage

During extreme change in temperature

Front 59

What are the major categories for NAGI disablement model ?

Back 59

pathology: interruption of normal cellular process

Impairment: abnormality at the tissue, organ, or body system level - ROM, Manual Muscle Test, pain scale

Functional Limitation: restriction in an individuals performance of a task

disability: inability to perform socially-defined roles

Front 60

Medicare categorizes Functional Tests in what type of categories?

Is this different from the APTA categories seen on the web site link?

Back 60

Medicare categorizes as:

Performance Based Instruments

Patient Self Report Instruments

APTA:

Pathology

Diagnosis

Functional limitation.... etc

Front 61

Which categories of NAGI are testing with functional tests?

Back 61

Impairment, functional limitation, and disability

Front 62

What modalities would be used for chronic swelling?

Back 62

Deep Thermal Agents

Ultrasound

Moist Heat

Diathermy

Phonophoresis

Front 63

How long can shortwave Diathermy be left on the patient?

How does this compare to other thermotherapy?

Back 63

Can be left on for 30-60 minutes ( longer than any other thermotherapy)

Can be either continuous or pulsed

Used on large areas

Front 64

What are Precautions for massage?

Back 64

Autoimmune disease

osteoporosis

Skin allergy

Low BP

Front 65

What are contraindications for massage?

Back 65

Over arteries

Active illness

cardiovascular condition

DVT

Structural abnormalities

Acute trauma

active bleeding

Front 66

What are precautions for ultrasound?

Back 66

Sensitivity to pressure

sensation deficits

appropriate speed and movement of soundhead

appropriate settings

Front 67

What are indications for Cryotherapy?

Back 67

Decrease Edema

Muscle spasms

Pain

Acute burns

Transverse friction massage

athletics

Neurologic sensitivity

Front 68

What are Contraindications for Ultrasound?

Back 68

Pacemaker

Pregnancy

Tumors

Thrombophlebitis

Spinal Cord Laminectomy

growth Plates

Reproductive organs

Cement on prosthetics

Front 69

How often does ultrasound machine get calibrated?

Back 69

1 time a year

Front 70

In ultrasound, what mHz is used for deep and what mHz is used for superficial?

Back 70

Deep= 1 mHz

Superficial= 3.3 mHz

Front 71

Vapocoolant cools by ?

Back 71

Evaporation

Front 72

How long can you perform ultrasound?

Back 72

Time depends on the size of the area

ultrasound is done 5 minutes for every two sound heads

to be billable must be done for at least 8 minutes

Front 73

When should Functional test be administered?

Back 73

Evaluation

Re-evaluation

Discharge

Every 10 visits for Medicare

Front 74

Can Intensity on ultrasound be changed ?

Back 74

Yes

.5 to 2.0 w/cm squared

Front 75

How often is the filter cleaned for fluidotherapy?

Back 75

After every use !!!