test 1d

  1. Q angle
    • angle btwn a line from ASIS to central patella & central patella to tibial tubercle
    • norms: 13 for men, 18 for women
  2. things that increase Q angle
    • weak vastus medialis
    • tibial ER
    • femoral anteversion
    • genu valgum
    • tight lateral retinaculum
  3. dull, aching pain travels in which tract
    anterior (paleo)spinothalamic tract
  4. discriminative (is a stim sharp or dull) pain travels in which tract
    lateral (neo)spinothalamic tract
  5. discriminative touch (2 pt discrim) is in which tract
    proprioceptive pathways (fasciculus gracilis/cuneatus, medial lemniscus)
  6. post MI pts (recent MI), what's the rec for how to judge exercise
    HR < 120 and rate of perceived exertion < 13
  7. resting HR plus 30 is a good guide for exercising what pts?
    postsurgical pts
  8. cycolosporine is what
  9. DM and ischemia?
    • pts w DM can have silent ischemia -- they may not feel any angina
    • so, monitor them with 12-lead EKG if you're concerned
  10. which kind of foam or gel cushion is used to relieve IT pressure
    high density (not low)
  11. when to use low vs high detection sensitivity in biofeedback
    • low: for spasticity, or any condition where there's too much contraction¬†
    • high: when you want to pick up subtle, small contractions
  12. adolescent female knee pain -- what are the normal positions of her hip, knee, tibia, foot for someone who developed this pain?
    • femor: IR
    • pes planus
    • lateral tibial torsion
    • genu valgum
  13. hip ER is associated with what at the knee?
    genu varum
  14. oscillopsia
    visual disturbance where objects seem to oscillate --> N/V
  15. Meniere's symptoms
    • N/V
    • episodic vertigo
    • full sensation in ear
    • low frequency hearing loss
  16. which CN does tongue protrusion
    • hypoglossal CN XII
    • and other tongue movements
  17. rise and fall of larynx during swallowing -- which CN
    CN XI accessory
  18. best test for CN 9 and 10?
    elicit gag reflex
  19. semi-fowler's position
    high fowler's
    • semi: supine but with head of bed raised 30 degrees
    • high: hob up at 90 degrees (long sit)
  20. for a pt w/o abdominal musculature to return diaphragm to high-domed position for exhalation, what's the best pos in bed for breathing?
    supine, flat
  21. ideational apraxia
    • inability to perform ¬†purposeful motor act both automatically and on command
    • failure in conceptualization of the task
  22. cognitive inattention
    inability to select and attend to a specific stim while simultaneously suppressing extraneous stim
  23. most kids with Down syndrome walk by when
    24 months
  24. serratus ant stabilizes scap when scap is where?
    > 90 abd
  25. basal ganglia does what
    problems here --> ?
    • converts general motor activity into specific, goal directed action plans
    • problems in motor planning, scaling of mvmnts and postures
  26. paralysis, hypertonicity, hyperreflexia -- which tract is involved?
    corticospinal tract
  27. vagus nerve involvement --> what in uvula and gag reflex?
    • uvula deviates to one side
    • decreased gag reflex (I think CN IX can get this too)
  28. Kaposi-Stemmer sign (or just Stemmer's sign)
    • inability or difficulty lifting or pinching skin over dorsal proximal fingers or toes
    • indicates lymphedema
  29. continuous passive motion (CPM) on a knee following a TKR best assists __
    active knee flexion
  30. ultrasound can be performed over implants made of what material
    metal, not plastic
  31. trendelenburg position
    supine, but tilted with feet 15-30 degrees higher than head
  32. pneumothorax
    • collapsed lung
    • symptoms included 1 sided chest pain, SOB, no breath sounds on that side,
  33. CT vs MRI
    • CT: use x-rays, better at bones¬†
    • MRI: use magnets, better at soft tissue like the brain
  34. PD pt normal UE posture
    • elbow flexion, shoulder add
    • flexed, stooped posture
  35. soft callus phase of bone healing (visible on radiograph) is when?
    2-6 weeks
  36. when can you say a fracture is nonunion
    • if there's no sign of bone repair for 3 consecutive months
    • (no bridging, no callus)
  37. ankylosing spondilitis
    • long term arthritis in spine, usually at the base
    • can lead to fusion of vertebra and a hunched posture
    • first symptom: painful red-eye, light sensitivity, blurred vision
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test 1d
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