O'Sullivan select Qs 100-150 Exam A

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O'Sullivan select Qs 100-150 Exam A
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2014-04-30 19:35:09
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Sullivan select Qs 100 150 Exam
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O'Sullivan select Qs 100-150 Exam A
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  1. A101 Pt has permanent dmg to basal ganglia what do you need to address
    1. motor paralysis with use of free weights to increase strg
    2. muscular spasms and hyperreflexia with the use of ice wraps
    3. impaired sensory organization of balance with the use of standing balance platform training
    4. motor planning with the use of guided and cued movement
    • 4. motor planning with the use of guided and cued movement
    • basal ganglia involvement  has problems with motor planning and scaling of movements and postures ie bradykinesia
  2. A103 Of the four below which isn't an US contra
    1. plastic implants
    2. infected tissue
    3. metal implants
    4. neoplastic lesions
    • 3. metal
    • metal is safe to use with US. There is no significant heating of the metal and the acoustical energy is dispersed
  3. A105 During postural drainage with an adolescent with CF suddenly pt experinces R chest pain and SOB. What do you do?
    1. continue tx its probably a mucus plug
    2. reposition pt with head of bed flat b/c position is causing SOB
    3. place the right lung in gravity dependent position to improve perfusion
    4. call emergency medical services as it may be pneumothorax
    • 4. call emergency medical services as it may be pneumothorax
    • the combined sns are those of a pneumothorax
  4. A108 What is considered high amount of cholestrol in total and high for LDL? What is low for HDLs?
    • >200 for total is high
    • >130 LDL is high
    • <40/50 men/women for HDL is low
  5. A110 Edema following mastectomy is best controlled by
    1. AROM and UE positioned in fxnal UE/hand position
    2. intermittent pneumatic compression, UE elevation and massage
    3. isokinetics, UE positioning in elevation and massage
    • 2. intermittent pneumatic compression, UE elevation and massage
    • exercising and positioning alone wouldn't provide the needed lymph drainage
  6. A111 s/p pt is receiving a postural drainage 3xday. The PTA suggests to reduce frequency if the tx
    1. consistency of sputum changes
    2. pt becomes febrile
    3. pt experiences decreased s/p pain
    4. amount of productive secretions decreases
    • 4. amount of productive secretions decreases
    • the other 3 don't provide a rationale to decrease freq.
  7. A114 A pt with spondylolysis at L4 is in for PT which exercise should you do
    1. abds working form neutral to full flexion
    2. multifidi working from neutral to full ext
    3. abds working from full ext to full flex
    4. multifidi working from full flex back to neutral
    • 4. multifidi working from full flex back to neutral
    • abd strengthening won't work on the necessary stability
    • lumbar extension beyond neutral and rotation will aggravate spondylolysis
  8. pt c/o of e-stim strging being too uncomfortable what should you consider adjusting
    1. pulse rate
    2. current intensity
    3. pulse duration
    4. current polarity
    3. pulse duration
  9. what is sundowning and what is it mostly related to
    • extreme restlessness, agitation, and wandering that typically occurs late in the afternoon
    • seen with alzheimers Stage 2
  10. A125 pt has 4year hx of NSAID use and has now been prescribed calcium blockers, what are expected sns
    1. increased sweating, fatigue, chest pain
    2. stomach pain, HTN, confusion
    3. wt increase, hyperglycemia, hypotension
    4. paresthesias, incoordination, bradycardia
    • 2. stomach pain, HTN, confusion
    • NSAIDs are associated with GI effects, peripherial edema, and easy bruising and bleeding. Also NSAIDs lessen the effect of anti-HTN drugs.
  11. A126 Pain, joint swelling, subcutaneous olecranon nodules and increased erythrocyte sedimentation rate are findings of
    1. RA
    2. fibromyalgia
    3. SLE
    4. OA
    • 1. RA
    • joint swelling combined with erythrocyte sedimentation rate and nodulosis separates it from the other choices 
    • SLE looks very similair but nodulosis doesn't occur
  12. A127 static exercises are expected to produce
    1. abnormal O2 uptake
    2. lower HR and arterial BP
    3. higher HR and arterial BP
    4. reduced normal venous return to heart and elevated BP
    • 3. higher HR and arterial BP
    • static/isom ex hinders blood flow producing higher HR and arterial BP
  13. A129 Need to US a 10x10cm area but have a 5cm head you should treat
    1. entire area in 5 mins
    2. entire area in 10
    3. each side 2.5min for each section
    4. each side 5 mins for each section
    • 4. each side 5 mins for each section
    • 2.5mins is too brief to heat tissue
    • increasing time for the entire section doesn't allow enough time on a side to heat tissue
  14. muscle weakness, fatigue, cramps, and hyporeflexia are sns of
    1. hyperkalemia
    2. hypocalcemia
    3. hyponatremia
    4. hypokalemia
    • 4. hypokalemia
    • these are sns of decreased potassium
  15. A132 typical manifestations of AIDS
    1. paraplegia/tetraplegia
    2. widespread sensory loss resulting in sensory ataxia
    3. motor ataxia and paresis with pronounced gait disturbances
    4. progressive rigidty and akinesia with severe balance disturbances
    • 3. motor ataxia and paresis with pronounced gait disturbances
    • AM, ataxia, paresis with gait disturbances, and lost of fine motor coordination
  16. A134 s/p C-section what exercises are appropriate for an active women wanting to get back to working out
    1. pelvic floor ex and refrain from all other ex and running for at least 6 to 8 weeks
    2. pelvic floor and gentle abd ex for first 4-6wks
    3. abd crunches with rtn to running after 1 mo
    4. a walking program progressing to running after 5 wks
    • 2. pelvic floor and gentle abd ex for first 4-6wks
    • s/p C section can include TENS, assisted breathing and coughing techniques, an gentle abd ex with incision supported by a pillow
  17. A135 it is reasonable to expect a young down syndrome child to
    1. walk by 6 or 7 years
    2. walk by age 2 or 3
    3. be unable to walk I
    4. keep up with developing peers with walking skills
    • 2. walk by age 2 or 3
    • children with downs achieve their gross motor skills but most often they're delayed
  18. A138 pt dx TOS c/o pain and tingling in B hands tx should focus on
    1. stretching pec major and rhombs
    2. stretching of scalenes and pec minor
    3. stretching of wrist/finger flexors
    4. stretching of biceps and brachialis
    • 2. stretching of scalenes and pec minor
    • these muscles are associated with compressing the nerves associated with TOS
  19. A139 dx LBP, GERD, and DDD c/o upset stomach and inability to sleep well, pt should
    1. avoid doing ex
    2. drink plenty of water thru day
    3. sleep in supine
    4. avoid eating large meals
    • GERD=gastroesophageal reflux disease
    • 4. avoid eating large meals
    • supine should be avoided
    • GERD pts should eat smaller meals and avoid eating before sleep or ex
  20. A140 obese pt w/ DM is in pt to participate in a conditioning program, pta should instruct pt to
    1. eat a carb balance snack at least 2h prior to program
    2. avoid eating foods for several hours prior to program
    3. inject insulin into large muscle groups prior to program
    4. participate in program when blood glucose levels are +300
    • 1. eat a carb balance snack at least 2h prior to program
    • insulin should be injected into muscles that won't be used heavily
    • ex program is contra'd if >300mg/dl or <70mg/dl
  21. A141 what is contra'd during first 8wks following central zone repair of a lateral meniscus
    1. full active knee ext
    2. muscle sets
    3. PWB 25%
    4. knee flexion >60-70
    • 4. knee flexion >60-70
    • flexion beyond 60/70 places posterior translation forces on the repaired meniscus increasing risk of displacement
  22. A142 pt appears confused, pale skin, and turgor is poor. Pt c/o intestinal upset for past few days with frequent vomiting and diarrhea
    1. monitor vital signs; if HR is not elevated get pt up and walking
    2. notify family, and insist that the pt not be alone till the illness is over
    3. cancel tx for the day, carefully document findings and notify physician
    4. give the pt water and notify the physician and pt immediately
    • 4. give the pt water and notify the physician and pt immediately
    • SnS of dehydration. Confusion is a red flag and requires immediate action
    • turgor is how well the skin flattens back out after being pulled up
  23. A144 pt s/p flexor tendon repair to fingers pt tx would begin
    1. after splint is removed 2-3wks to allow full active ROM of all affected joints
    2. after splint is removed 4-6wks to allow ample healing time for the repaired tendon
    3. within a few days following sx to preserve tendon gliding
    4. within a few days following surgery to allow for early initiation of strengthening ex
    • 3. within a few days following sx to preserve tendon gliding
    • early prom/arom promote collagen remodeling to allow free tendon gliding
  24. A145 pta gait training COPD pt when assessing pt's respiratory status the assistant should find
    1. thorax size decreased
    2. decreased rib excursion with respirations
    3. an uneven rise between the two sides of the thorax
    4. a decreased respiratory rate
    • 2. decreased rib excursion with respirations
    • thorax is normally found enlarged
    • uneven rising would be if asymmetrical lung condition
    • pts tend to have increased and more shallow respirations with COPD
  25. A146 tibial amp pt c/o numbness and tingling at big toe and dorsum of foot. Pt understand extremity is gone. PT suggests there is pressure on the peripheral nerve, which nerve?
    1. sural
    2. medial calcaneal
    3. tibial
    4. common peroneal (fibular) 
    • 4. common peroneal (fibular) 
    • sural, branch of tibial nerve, innervates back of LE and lateral side of foot and little toe
    • medial calcaneal, branch of tibial nerve, innervates heel and medial side of foot
  26. A150 Obese pt recovering from mild MI needs cardiovascular reconditioning the most appropriate ex for this pt is
    1. jogging 10min at 4mph
    2. walking intensity at 50% target heart rate
    3. walking intensity at 75% target hr
    4. swimming, intensity at 75% HR
    • 2. walking intensity at 50% target heart rate
    • jogging is too intense, orthopedic problems would be a concern
    • higher intensity 75%+ should be initially avoided

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