test 3c

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shmvii
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279064
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test 3c
Updated:
2014-07-17 18:42:26
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license exam
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  1. SCI -- level where you get an UMN/spastic bowel vs LMN/flacid bowl, and the primary removal method for each
    • UMN/spastic: at T11 and above
    • intact spinal defecation reflexes, so the primary method is digital anal stim
    • LMN/flacid: T12 and below -- manual removal may be required
  2. most effective screening ages for girls and boys for scoliosis
    • girls: 9-11
    • boys: 11-13
    • bc you want to catch them just before the pubescent growth spurt
  3. excessive subtalar pronation is associated with what in talus?
    in tibia, femur, pelvis?
    • talus: adduction, inversion, PF
    • tibia, femur, pelvis: IR
  4. ER of tibia, femur, pelvis is associated with what in subtalar
    supination
  5. how to make estim (the kind that's creating a muscle contraction) more comfortable without compromising the therapy?
    • decrease the pulse duration
    • could reduce intensity, but that will reduce therapeutic effect
    • decreasing the pulse rate would decrease quality of contraction
  6. esophageal pain refers pain to where
    mid back, head, neck
  7. spleen refers pain where?
    • L shoulder or abdomen
    • diaphram can also refer pain t shoudler
  8. colon or appendix refers pain where?
    lower back, pelvis, or sacrum
  9. gallgbladder refers pain where?
    mid back and R scap
  10. vestibulocerebellum aka
    • archicerebellum
    • proprioception, VOR, contol muscle tone in response to vestibular stim
    • coordinates muscle actions to maintain postural coordination and balance control along with eye muscle control
  11. spinocerebellum / paleocerebellum controls what?
    muscle tone and synergistic mvmnts of ipsilat extremities
  12. basal gangila deficits present as
    rigidity, bradykinesia, tremor, postural instability
  13. usually the earliest indication of peripheral arterial disease (PAD)
    • intermittent claudication
    • usually in in calf, but can be in thigh, hip, or butt
  14. constipation can refer pain to
    • ant hip, groin, or thigh
    • and there'll be abdominal pain and tenderness
  15. if there's a lesion in the brainstem, tell me about the facial signs
    they'll be contralat to limb signs
  16. L2 nerve root compression pain is where?
    back and front of thigh to knee
  17. pain in butt, thigh, and post leg is characteristic of what nerve root compression
    S1
  18. pain in bladder can refer where?
    medial thigh and leg
  19. C spine coupled motions
    • occiput - C2: SB and rot contralat
    • C2-C7: SB and rot ipsilat (regardless of bent/neutral)
  20. 2 tests for pronator teres syndrome
    • PT passively supinates
    • pt pronates against resistance
    • either can compress the nerve
  21. ankylosing spondylitis - what, who, when
    • inflam disease of axillary skeleton --> spinal fusion
    • men in their 2nd or 3rd decade
  22. 4 sequellae to long toerm steroid use
    • decreased bone density
    • intercostal muscle wasting
    • BP > 140/90
    • barrel chest (which is seen in emphysema, not asthma)
  23. after a meniscal repair, how long should a pt be nonweight bearing?
    3-6 weeks
  24. bruits are heard with
    • atherosclerosis
    • peripheral vascular disease
    • I think any narrowing of artery or vein?
  25. slipped capital femoral epiphysis vs legg-calve-perthes presentation
    • SCFE: 10-16 y/o, m:f 3:1, painful limited ER and abd, worse in wt bearing
    • LCP: 3-12 y/o, m:f 4:1, painful limited ER and abd, worse in wt bearing
  26. oligoarticular juvenile rheumatoid arthritis (JRA)
    • aka pauciarticular JRA
    • some combo of knees, ankles, wrists, elbosw are affected
    • hips are usually spared
  27. AKA pt, a prosthetic knee set too far anterior to the trochanter-to-knee line will result in what at the knee
    buckling
  28. AKA pt, a prosthetic knee set too far posterior to the trochanter-to-knee line will result in what at the knee
    too much stability ... difficulty flexing it
  29. gait in  Berg vs Tinetti?
    • Berg doesn't look at it
    • Tinetti examines it
  30. name a red flag for aortic aneurysm
    throbbing LBP that occurs only w activites that increase HR
  31. Lhermitte's sign
    how
    sign of what
    • flexion of neck --> electric shock-like pain running down spine and into LEs
    • posterior column damage in the spinal cord
    • seen in MS
  32. paresthesia vs dysesthesia
    • para: abnormal sensations like numbness, prickling, tingling
    • dys: abnormal and unpleasant sensations like burning or pins/needles
  33. Uthoff's sign/phenomen/syndrome
    • adverse reaction to heat
    • worsening of neuro symptoms
    • seen w MS
  34. thoracic spine rule of 3
    • T1-3: SPs at level of TPs
    • T4-6: SPs half level below
    • T7-9: SPs full level below
    • T10: full
    • T11: half
    • T12: same

    when SPs are lower, PA pressures on them will just make them glide into and compress the SP bellow, so no arthrokinematic glide will occur
  35. Oppenheim's test
    • run a fingernail along the tibial crest
    • pos: DF of halux (like Babinski)
    • indicates damage to pyramidal tract
    • (Babs is for spinal cord, brain, UMNL)
  36. extrapyramidal system -- 4 functions
    • (1) selective activation of movements and supression of others
    • (2) Initiation of movements
    • (3) setting rate and force of movements
    • (4) coordinating movements.
    • Damage to the extrapyramidal system, but especially damage to the basal ganglia, will result in movement disorders known as dyskinesias.
  37. stereognosis
    ability to recognize objects placed in the hand
  38. involvement of CN IX --> what
    • slight dysphagia
    • loss of tast in post 1/3 of tongue
    • loss of gag reflex
  39. deglutition
    act or process of swallowing
  40. involvement of CN XI --> what
    • minor problems in swallowing/deglutition and phonation
    • weakness in ipsilat trap and SCM
  41. facial repercussions of impaired CNX
    • dysphagia,
    • hoarseness
    • paralysis of soft palate
  42. hematocrit norms (these are right, the other card is wrong)
    • women: 37-48%
    • men: 45-52%
  43. impetigo
    staphlococcal infection w small macules (unraised spots) or vesicles (small blisters)

    • contagious skin infection, produces blisters
    • usually in preschoolers, also seen in older athletes in contact sports
  44. forward trunk lean in gait compensates for what weakness
    quads
  45. backward trunk lean in gait compensates for what weakness
    hamstrings
  46. excessive hip flexion in gait can be a compensation for what?
    foot drop
  47. hyaluronidase is used via iontophoresis for what?
    edema reduction
  48. when to use wide spacing of biofeedback electrodes
    • looking for a motion (shoulder elev) rather than activation of one specific muscle (use narrow spacing for a specific muscle, even if it's a big one like the quads)
    • a muscle that has decreased ability to recruit MUs or has a decreased number and size of MUs, use wide spacing and high sensitivity
  49. L face and R body loss of pain and temp -- lesion is where?
    • L posterolateral medulla
    • sensory tracks (fascic cuneatus/gracilis) cross in medulla, so a lesion sup would have entirely contralat symptoms
  50. female athlete triad
    • osteopenia
    • amenorrhea
    • disordered eating habits
    • common in females 14-20 y/o
  51. isometric vs dymanic exercise --- changes in HR and arterial BP
    isometric exercise raise them more bc dynamic exercises facil circulation while static exercise hinders blood flow

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