O'Sullivan Select Qs Exam B 1-75

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amills1
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O'Sullivan Select Qs Exam B 1-75
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2014-05-01 19:54:17
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Sullivan Select Qs Exam 50
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O'Sullivan Select Qs Exam B 1-75
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  1. B2 Pt has weakness w/ elbow flexion but pronation and supination are normal which requires strging
    1. brachialis
    2. biceps brachii
    3. brachioradialis
    4. coracobrachialis
    • brachialis
    • brachioradialis assists in pronation
    • biceps assists in supination
  2. B3 what position would the UE and LE be with symmetrical tonic neck flex if the pt held there chin up
    UE extended LE flexed
  3. B6 6wk s/p MI is in phase 2 cardiac rehab program what exercise should predominantly focus on
    1. low-level wt training using a starting weight at one rep max
    2. circuit training using various UE resist devices
    3. continuous aerobic activities using large muscle groups
    4. recreation activities such as jogging or swimming
    • 3. continuous aerobic activities using large muscle groups
    • P2 cardiac rehab fxnal work capacity should be between 4-6 METs.
    • Jogging/swimming are 6-8 METs
    • Resisted UE ex are contra'd at this stage
  4. B8 pt dx CHF on digitalis meds such as Digoxin, pta should be alert for digitalis toxicity, adverse reactions could affect the
    1. GI and CNS systems
    2. gentiourinary and endocrine systems
    3. pulm and genitorurinary systems
    4. GI and integumentary systems
    • 1. GI and CNS systems
    • other systems are not involved with adverse digitalis reaction
  5. B10 AWhich is more common at the hand/wrist with RA, ulnar or radial drift?
    ulnar
  6. B11 Pt on meds for venous thrombosis may present areas of ecchymosis on skin secondary to what med
    1. heparin
    2. hydrocortisone
    3. dilantin
    4. digoxin
    • 1. heparin; a blood thinner
    • digoxin is used to increase cardiac muscle contractility and decreases HR
    • dilantin is used to decrease seizures
    • hydrocortisone is used to decrease effects of psoriasis and other skin disorders
  7. B14 Sinemet is a drug used with Parkinsons which affects
    1. alpha motor neuron excitability
    2. transmission of impulses within the SC
    3. synapic transmission at the neuromuscular synapse
    4. neurochemical imbalances in the basal ganglia
    • 4. neurochemical imbalances in the basal ganglia
    • works like L-Dopa
  8. B15 TBI pt has a convulsive seizure during tx with all extremities involved and loses consciousness, pta's best response is to
    1. position pt in side-lying, check to see if airway is open, immediately call for emergency assistance
    2. initiate CPR
    3. position in supine with head supported with pillow and wait out the seizure
    4. use straps to secure the limbs so pt can't be harmed
    • 1. position pt in side-lying, check to see if airway is open, immediately call for emergency assistance
    • to prevent aspiration¬†
  9. B16 pt has dmg to lower branches of femoral nerve, pta should expect pt to have most difficulty 
    1. ascending stairs
    2. walking on level surfaces
    3. descending stairs
    4. performing bridging ex
    • 3.descending stairs
    • quad weakness would result and eccentric control of quads are needed when descending stairs
  10. B18 s/p ORIF pt has metastatic carinoma of lung. During tx pt c/o sharp pain in right hip which frequently causes a loss of sleep
    1. continue assuming pain to increased use of pain during tx
    2. suggest use of heat and monitor response at next visit
    3. modify tx to avoid walking
    4. recommend pt seeing physician asap
    • 4. recommend pt seeing physician asap
    • night pain is a red flag for possible metastasis to a new site
  11. B19 pt who is providing tx for a pt following radiation tx for prostate cancer identifies that pt is developing edema in RLE. A secondary effect of the radiation tx that can cause edema is
    1. lymphatic obstruction
    2. disuse atrophy
    3. orthostatic hypoTN
    4. onset of CHF
    • 1. lymphatic obstruction
    • Radiation for prostate cancer makes pt a candidate for developing lympathic disease secondary to the dmg to the lymph system from radiation
  12. B24 Phys ed teacher asks a PT how to incorporate ex with a down syndrome child, which is contra'd
    1. jumping jacks
    2. batting during softball
    3. long distance running
    4. forward rolls during gymnastics
    • 4. forward rolls during gymnastics
    • atlanto-axial instability due to ligamentous laxity at C1/C2 junction is common down syndrome concern, a forward roll would present a high risk SCI
  13. B25 While gait training a cardiac pt they become hypoTN, pta should
    1. immediately contact the PT
    2. terminate activity and sit pt down and elevate LEs
    3. offer a drink of OJ
    4. decrease speed of walking
    2. terminate activity and sit pt down and elevate LEs
  14. B27 pt with GBS is being receiving tx, what would you expect as sns
    1. symmetrical distribution of extremity weakness with possible involvement of the lower cranial nerves
    2. asymmetrical weakness with hyperreflexia
    3. unilateral facial paralysis
    4. sensory loss with minor loss of fxn
    • 1. symmetrical distribution of extremity weakness with possible involvement of the lower cranial nerves
    • GBS has rapid progressive muscle weakness typically symmetrical and ascends the body (LE, than trunk, than UE, and finally CNs)
  15. B34 when assessing a child with spina bifida (myelomeningocele) a characteristic the PTA should not expect to find is
    1. increased tone in the LEs
    2. inadequate bladder emptying
    3. sensory impairment in the LEs
    4. disturbances of bone growth and development
    • 1. increased tone in the LEs
    • for the most part spina bifida presents as LMNL, only occasionally exhibiting UMNL sns
    • SB normally is around lumbarsacral area resulting in bladder issues and sensory impairments to the LEs
  16. B36 pt with Alzheimers is becoming frustrated in master a skill during tx, pta should
    1. move pt to a quiet less distracting room
    2. end tx session and try later in the day
    3. redirect pt to a less challenging skill
    4. increase time and demonstrations of skill
    • 1. move pt to a quiet less distracting room
    • should not end tx on a negative or frustrating task
  17. B42 pt with spastic diplegia with hip flexor hypertonicity will have a gait pattern of
    1. excessive hip and knee flexion with decreased stride length
    2. excessive hip and knee flexion with increased stride width
    • 1. excessive hip and knee flexion with decreased stride length
    • due to excessive hip add and IR with spastic diplegia stride length is shorter
  18. US to a 15day s/p musculotendinous jxn most effective application would be
    1. stretching following by continuous US
    2. pulsed US followed immediately by gentle stretching, than AAROM of muscle in its new range
    3. active ex followed by gentle static stretch to end range with pulsed US
    4. continuous US followed by active ex within avail ROM
    • 2. pulsed US followed immediately by gentle stretching, than AAROM of muscle in its new range
    • injury still considered acute and tissue extensibility is the greatest following US and is has been demonstrated will best remain at lengthened state if used in new ROM
  19. B50 pt has radial nerve involvement what should you expect the pt to demonstrate
    1. inability to flex fingers
    2. impaired sensation to volar surface of hand
    3. inability to flex the MCP joints
    4. deviation of wrist to ulnar side
    • 4. deviation of wrist to ulnar side
    • radial nerve innervates ERC and abductor pollicis
    • inability to flex fingers would be ulnar and median nerves as is impaired volar sensation
    • inability to flex MCP joints would be ulnar
  20. what type of bias is spinal stenosis
    flexion
  21. B56 pt dx ankylosis of B subtalar joints will have most difficulty walking 
    1. on uneven terrain
    2. up ramps
    3. rapidly
    4. down stairs
    • 1. on uneven terrain
    • subtalar joints are responsible for frontal movement and ankylosis means stiffness or possibly fused
  22. first step in participation with EMS when alone is to
    1. establish an open airway
    2. immediately begin rescue breathing
    3. call emergency response before administering care
    4. being one-person CPR for 1min
    3. call emergency response before administering care
  23. which motion causes shoulder anterior arthrokinematics
    ER or IR
    ER
  24. B61 TBI tx of PROM what position is best for treating hip flexor tightness and decreased knee ext
    1. sitting
    2. prone
    3. supine
    4. side-lying
    • 4. side-lying
    • being prone with TBI can result in labryinthine reflex
  25. whats hypovolemic and the sns
    • lack of blood volume, dehydration is a potential cause
    • sns restlessness, anxiety, and confusion
  26. B66 pt hx of htn and hyperlipidemia presents sns of sob and generalized weakness this is signs of
    1. mental changes indicative of early Alzheimers
    2. potentially experiencing unstable angina
    3. presenting with early signs of MI
    4. forgetting to take htn meds
    3. presenting with early signs of MI
  27. B72 These two drugs are used with ionto for pain
    1. Calcium or magnesium
    2. Lidocaine or xylocaine
    3. copper and hydrocortisone
    2. Lidocaine or xylocaine
  28. B73 t/f fair balance is enough for a pt to safely use axillary crutches
    false
  29. B74 when is it best to schedule tx for ms patients in the day?
    • morning
    • ms pts fatigue toward the afternoon

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