test 1c

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Author:
shmvii
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277504
Filename:
test 1c
Updated:
2014-06-24 14:49:26
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license exam
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license exam
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  1. ketoacidosis symptoms
    • (often seen in DM 2/2 hyperglycemia)
    • GI problems
    • neural problems - weakness, malaise, confusion
    • cardiovascular - peripheral vasodilation, decreased HR, cardiac dysrhytmias
    • skin - warm, flushed
    • breath - faster deeper

    pt needs insulin, fluid, electrolyte replacement
  2. FEV1/FVC ratio below __ is indicative of COPD
    70%
  3. "moderate intensity" is __ to __ % of VO2 max
    40-60%

    high intensity is 60-80%
  4. medical manageent for DVTs
    • antigoagulants (eg heparin)
    • thrombolytic agents  (eg streptokinase)
    • ambulation and mobility after 1 dose of low molecular wt heparin
    • compression stockings (> 30-40 mmHG) - reducte pain and risk of post thrombolytic syndrome
  5. best way to manage longstanding flexion contractures?
    • prolonged mechanical stretching
    • 30 min to several hours
    • low intensity force - 5-15 lbs
  6. response orientation
    ability to select correct movement in response to a stimulus
  7. what PT activity can aggravate CRPS?
    passive manipulation and ROM

    AROM in pain free range, stress loading using compression, elevation, massage to reduce edema, these are all helpful for CRPS
  8. uncinate processes / joints of Luschka -- located where? if DJD, what motion is impaired
    • lateral c-spine bodies
    • side bending
  9. asia scale grades A-E
    • A - complete (no sensory or motor in S4-5)
    • B - sensory incomplete
    • C - motor incomplete, < half the key muscles below neurological level have <3/5
    • D - motor incomplete > half the key muscles below neurological level have > 3/5
    • E - normal

    neuro level -- lowest level where B motor and sensory are normal
  10. pubourethral lig does what?
    • maintains pos of urethra rel to urinary bladder
    • if it's loose --> bladder prolapse or herniation
  11. cystocele
    describe
    does what
    • bladder bulges into vagina
    • causes difficulty initiation voiding
  12. disorientation - sign of respiratory acidosis or alkalosis?
    acidosis (seen in COPD)
  13. tingling, numbness of extremities - sign of respiratory acidosis or alkalosis?
    alkalosis (decrease of CO2, like after hyperventilation)
  14. dizziness or lightheadedness - sign of respiratory acidosis or alkalosis?
    alkalosis
  15. hyperreflexia - sign of respiratory acidosis or alkalosis?
    alkalosis
  16. elavil
    • a tricyclic antidepressant 
    • reduces alertness, slows central processign --> falls risk
  17. some med types that increase falls risks
    • psychotherapeutic drugs such as tricyclic antidepressants
    • antihypertensives (esp vasodilators)
    • antiarrhytmics
    • diretics
    • analgesics (esp opiods)
  18. raloxifene is for what
    prevention/treatment of osteoporosis
  19. how long must a pt be on antituberculin drugs before non-infections
    • 10-14 days
    • however, meds are continued for 9-12 months
  20. what kind of hospital room for a pt just diagnosed with active primary TB?
    private, negative-pressured
  21. treatment for Osgood-Schlatter
    • edu on controlling knee-loading activities (squatting, jumping)
    • iontophoresis using dexamethasone -- antiinflam
  22. absolute contraindication for joint mobs
    empty end feel
  23. spinal stenosis pt should avoid what position
    continuous spinal extension (like swimming with a crawl stroke)
  24. legg-calve-perthes
    osteochondrosis of fem head --> painful hip, limited ROM in abd and IR

    osteochondrosis is interrupted blood supply, necrosis, regrowth
  25. characteristics of slipped capital femoral epiphysis
    • glut med gait
    • restricted AROM in abd, flex, IR
  26. gag reflex is controlled by which nerves
    • glossopharyngeal (CN IX)
    • vagus (X)
  27. arthrogryposis
    • congenital joint contractures in two or more areas of the body
    • so do a lot of PROM and stretching
  28. TUG standards
    • stand, walk 3 m, turn, return, sit
    • 11-20 is norm for frail elderly. 
    • > 30 indicate high falls risk
  29. sensation for venous ulcers
    describe skin
    • dull aching pain
    • thin, shiny, cyanotic

    arterial ulcers -- severe pain, and skin is cool, pale, shiny
  30. with e-stim electrodes, what placement to get the current to go deeper and therefor stim more deep muscle fibers?
    wide apart
  31. what skin marking is indicative of venous insufficiency
    hemosiderin staining -- bc hemosiderin, the by-product of red cell hemolysis, is leaking in presence of blood stasis and incompentant valves
  32. Kernig's sign
    • indicates meningitis
    • w hip flexed to 90 can't straighten knee 2/2 hamstring tightness
  33. Brudzinski's sign
    • indicates meningitis
    • passive neck flexion --> hip and knee flexion
  34. neurapraxia
    • mild peripheral nerve injury / conduction block ischemia --> transient loss of function
    • reversed within 2-3 weeks
    • ex: Saturday night palsy
  35. recommended time duration for endotracheal suctioning
    • 10-15 seconds
    • go longer and risk hypoxemia (low level of O2 in blood)
    • shorter and it'll be ineffective

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