stuff I got wrong on practice exams

What is uterine prolapse pain aggravated by?

increased abdominal pressure, lifting, prolonged standing

What upper quarter mms are important to strengthen for crutch use?

shoulder depressors & extensors, elbow extensors

Pt with reduced shoulder elevation & ER has been in PT. Recovery’s been good, but pt still c/o being unable to reach the upper shelves. What is the goal of manual therapy?

anterior glide, as it will help increase ER which is a component of full elevation

What position should you place the pt in that would help break up obligatory LE synergy patterns?

out-of-synergy positions (e.g. kneeling with hip fully extended)

Why can’t you provide specific health information about a pt to their social worker?

healthcare providers can communicate info relevant to mutual pts, but not communicate info that is irrelevant to another provider’s care (e.g. pt’s specific health condition is irrelevant to a social worker)

How can you reverse atelectasis?

facilitate deep breathing, pain reduction

What is the Fugl-Meyer Assessment of Motor Performance used for?

Gold standard for measuring sensorimotor function & recovery in stroke pts

What is the NIH Stroke Scale used for?

evaluates neuro impairment across multiple domains (visual, motor, sensory, cerebellar, language)

What are the foot care precautions for pts with diabetic polyneuropathy

• use pumice stone to gently file calluses, not w/ anything sharp or w/ chemicals

• examine footwear for proper fit to prevent callus formation

• don’t moisturize b/w toes, as it will lead to skin maceration

• buy shoes at the end of the day when the feet are larger

• hot packs are contraindicated

A pt taking NSAIDs is scheduled for a platelet rich plasma (PRP) injection. How should they adjust their NSAID use?

discontinue prior to PRP injection

What is the most significant prognostic indicator of early wound healing for a diabetic foot ulceration?

reduced surface area of the wound in the first month

A gymnastic is in PT with c/o a nagging, localized pain in the anterior L lower leg that is consistently present at night and increases during activity with swelling. What is the most likely condition?

stress fx

If a pt presents with hemosiderin staining and increased LE edema, what dx are these changes consistent with?

chronic venous insufficiency

What are the normal max inspiratory pressure (MIP) & max expiratory pressure (MEP)?

• MIP: 60-100 cmH2O

• MEP: 100-150 cmH2O

Does myopathy typically affect proximal or distal mms?

proximal

What meds are a risk factor to developing myopathy?

cholesterol lowering drugs (statins)

What is jersey finger?

rupture or avulsion fx of the FDP tendon at the distal phalanx d/t forceful DIP ext during max contraction of the FDP → unable to flex DIP

• ring finger commonly affected

What is an MSK complication of cystic fibrosis?

reduced BMD

What orthotic should a pt with abnormal lateral patellar tracking use?

patellar stabilizing brace w/ a lateral buttress

What structure other than the ACL do the pivot shift test look for?

anterolateral ligament of the knee (anterolateral rotary instability, ALRI)

What is the best way to monitor the intensity of exercise for a pt limited mostly by claudication?

sustaining pain levels of at least 2/4 on the claudication scale during exercise, enough to generate collateral circulation

What is the normal Q angle for men & women?

• men: 10-15°

• women: 15-20°