test 3b

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Author:
shmvii
ID:
279055
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test 3b
Updated:
2014-07-16 13:08:14
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license exam
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license exam
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  1. 5 criteria for reducing exercise intensity or terminating it, per American College of Sports Medicine
    • 1) mod to severe angina (min is ok)
    • 2) SBP > 240 a/o DBP > 110 (or over 260/115, depending where you look)
    • 3) > 1 mm ST depression, horiz or downsloping (or >2 elevation)
    • 4) increased frequency of ventricular arrhythmias
    • 5) 2nd or 3rd degree AV block

    also: drop in SBP, signs of exertional intolerance (pallor, cyanosis, cold/clammy skin, unusual SOB; CNS signs (ataxia, vertigo, visual or gait problems)
  2. rehab guidlines for arterial disease / claudication
    • intermittent walking w mod intensity and duration
    • 2-3x /day
    • 3-5 days/wk
    • up to point of cluadication pain (usually within 3-5 min), then rest
  3. WC seat heights
    • standard: 20 inches
    • hemiplegia or low-seat: 17.5 inches (lower than standard bc the pt wants to use the sound leg for steering and propulsion)
  4. compression rate for CPR for an adult
    • 100/min
    • compression to ventilation ratio -- 30:2
    • untrained rescuers should use compressions only
  5. when to use an automated external defibrillator?
    asap after beginning CPR
  6. angle of cervical facets
    thoracic facets
    lumbar
    • cervical: 45 degrees
    • thoracic: 60 degrees
    • lumbar: 90 degrees
  7. coupled motion in thoracic and lumbar spine (per Fryette)
    • in neutral spine, SB and rot are contralat
    • in flex or ext, SB and rot are ipsilat
  8. flex, ext,  rot, SB, -- open/close facets?
    • flex: open
    • ext: close
    • ipsilat rot: open
    • contralat rot: close
    • ipsilat SB: close
    • contralat SB: open
  9. atropine is what kind of drug
    does what?
    treats what?
    • anticholinergic (blocks action of acetylcholine at parasymp sites in smooth muscle, secretory glands, and CNS)
    • produces symp results: increased HR and contractility
    • sinus bradycardia, exercised induced bronchospasm
  10. xeroderma
    dry skin
  11. osteoporosis pts should avoid what trunk motions
    • trunk flexion or rotation exercises
    • they can cause compression fractures
  12. e-stim for decubitus ulcer, settings?
    • high-volt monophasic pulsed current
    • use neg charge for bactericidal effect
    • pos charge to promote wound healing
  13. burst current -- aka?
    beat current -- aka?
    • burst = Russian
    • beat = interferential
    • both are medium frequency biphasic currents
  14. best positioning for lumbar traction
    • best: prone
    • second best: prone w pillow under abdmomen
    • pt w spinal stenosis: supine, knees flexed
  15. extraoccular eye movements -- aka?
    which CN?
    • lateral eye movments
    • CN VI: abducens
  16. exercise tolerance test optimal time duration?
    8-12 min
  17. can calcium alginate facilitate autolytic debridement?
    yes. (nevermind an earlier card that leaves alginate off that list)
  18. skills of calcium alginate
    use on what kind of wound
    disadvantage
    • grade III ulcer with lots of exudate
    • maintain moist wound, absorb exudate, facil autolytic debridement, reduce pain, promote faster healing (reepithelialization)
    • permeable to bacteria, urine, etc
  19. use what kind of precautions with hepatitis B
    contact
  20. contact precautions
    describe
    for what pts?
    • gown & gloves
    • pts w infection that can be spread by contact w skin, wounds, vomit, feces, etc
    • ex: salmonella, scabies, pressure ulcers, hepatitis B
  21. droplet precautions
    when
    describe
    • for an infection that can be spread through close respiratory or mucous membrane contact with respiratory secretions
    • ex: flu, pertussis (whooping cough), rhinovirus (common cold)
    • mask, gown, gloves
  22. airborn precautions
    when
    describe
    • for a disease w small particles that can be spread over long distance
    • TB, chickenpox, measles
    • pt needs "airborn infection isolation room"
  23. when in gait are knee extensors maxiamally active
    heelstrike / initial contact, to stabilize the knee and counteract the flexion moment
  24. most effective mobilization for frozen shoulder, and positioning for this?
    • inf glide at 55 degrees abd
    • (think convex-concave...)
  25. most effective glide to improve GH ER?
    posterior
  26. capsule-ligamentous pattern for TMJ
    limitation on opening, lat dev greater to uninvolved side, dev on opening to involved side
  27. normal TMJ opening
    25-35 is functional, but 35-50 mm is normal
  28. normal jaw protrusion distance
    3-6 mm
  29. normal lat deviation of jaw distance
    10-15 mm
  30. weak lat pterygoid will present how?
    upon protrusion, jaw will deviate to contralat side
  31. capsular pattern of C-spine
    for upper, occiput -C2
    for lower c-spine, C3-T2
    • Upper: flex > ext
    • A/A jt: limits w rotation
    • Lower: (SB = rot) > ext ....flex isn't limited
  32. best arm pos for giving US to supraspinatus tendon?
    slight abd and IR to expose it from under the acromion process
  33. ABCDE of an atypical dysplastic nevus (a nevus is a common mole, this is a changing mole)
    • assymetry,
    • irregular borders
    • color variation
    • diameter > 6 mm
    • elevation
  34. typical presentation of LV failure
    • fatigue and dyspnea after mild activity
    • persistent spasmodic cough
    • orthopnea
    • elevated HR
    • mild edema in both ankles
    • anxious/agitated
    • S3 heart gallop
    • paroxysmal nocturnal dyspnea
    • pulmonary edema
  35. signs of pulmonary edema (these are seen w LV failure)
    • marked dyspnea, 
    • pallor
    • cyanosis
    • diaphoresis
    • tachypnea
    • anxiety/agitation
  36. typical presentation of RV failure
    • dependent edema of ankles (usually pitting)
    • wt gain w anorexia
    • fatigue
    • R upper quadrant pain
    • nausea
    • bloating, R sided S3 or4
    • cyanosis of nail beds
    • decreased urine output
  37. edema scale
    • +1 (Trace) Slight indentation, rapid return to normal 
    • +2 (Mild) 4mm indentation, rebounds in a few seconds 
    • +3 (Mod) 6mm indentation, 10-20 seconds to return to normal 
    • +4 (Severe) 8mm indentation, > 30 seconds to return to normal
  38. signs of pericarditis
    • substernal pain that may radiate to neck, upper back
    • difficulty swallowing
    • pain aggravated by coughing, relieved by leaning forward or sitting upright
    • history of fevers, chills, weakness, or heart disease
  39. pts w ant knee pain typically have what weaknesses in hips?
    • weak abd and ER
    • seen during a squat -- there'll be increased add and IR bc the abd and ER-ers aren't doing good ecc control
  40. deep partial-thickness burn w/o infection takes how long to heal?
    3-5 weeks
  41. scaphoid pad
    • goes under the navic to reduce inversion/pronation
    • (navic used to be named scaphoid)
  42. thomas heel
    • a heel that's longer on the medial side
    • brings the heel of the foot into varus to prevent depression in the region of the head of the talus

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