ICS 2 Final Studyguide

Following Robert's ultrasound, you plan to have Robert work on active dorsiflexion combined with using dorsiflexion assisted facilitation via neuromuscular electrical stimulation.

Which of the following choices of frequency options would be the BEST TO START WITH in order to facilitate the greatest influence on dorsiflexion activation, WITH THE LEAST RISK OF FATIGUE?

35-50 pps.

3 multiple choice options

Which of the following tissues is an example of contractile tissue?

Muscle

3 multiple choice options

Robert...From your examination you have decided that the Achilles tendon is a limiting factor for dorsiflexion. You have decided to use ultrasound directly to the Achilles tendon to increase extensibility. Which of the following parameters would be MOST appropriate?

3 MHz, 100% Duty Cycle, 1.0 W/cm2

3 multiple choice options

Maria (she/her) is 65 y.o. diagnosed with Parkinson's Disease 2 years ago, with increasing pain in both hips from osteoarthritis, especially left. She lives with her son's family in a two story home with three steps to enter.

She exhibits bradykinesia in movements of her extremities and in functioal mobility activities such as gait.

Considering the pathophysiology of Parkinson's Disease, which of the following best describes the reason why she may have bradykinesia?

Degeneration of dopamine producing neurons in Substantia Nigra

2 multiple choice options

Maria (she/her) is 65 y.o. diagnosed with Parkinson's Disease 2 years ago, with increasing pain in both hips from osteoarthritis, especially left. She lives with her son's family in a two story home with three steps to enter.

She does not report having fallen, but you would like to objectively assess fall risk using a measure that reliable and valid for a person with Parkinson's Disease, given potential difficulty making turns. Which of the following measures would be the best choice?

Timed-up-and-Go

3 multiple choice options

Robert's Sp02 at rest is 88%. In general, an SpO2______is a relative indication for stopping exercise in programs for people with cardiovascular - respiratory health conditions.

<85%

3 multiple choice options

Sarah is transitioning from sit to stand as seen in the picture. What suggestion should she follow to increase efficiency of this activity?

Push off with arms on armrest

3 multiple choice options

If Maria is suspected to have hip osteoarthritis, which of the following test will MOST likely be positive?

Scour test

3 multiple choice options

Which of the following tests would MOST likely assess the integrity of the calcaneofibular ligament (CFL)?

Inversion talar tilt test

3 multiple choice options

Robert reports general weakness in the ankle region. Which of the following tests will be MOST appropriate to confirm this finding?

Have patient perform heel walk

3 multiple choice options

Sarah is taking insulin for type 2 diabetes. At the beginning of physical therapy her blood glucose level is 325 mg/dl, heart rate is 80 bpm, and blood pressure in 140/80 mmHg. How should Sarah proceed?

Check her ketone level; if negative, she should proceed with exercise monitoring her blood glucose every 15 minutes. If her blood glucose rises, she should stop exercise.

3 multiple choice options

Robert has hypertension and COPD that is mild to moderate in severity. Robert's medications include albuterol. Which of the following correctly describes albuterol and considerations for physical therapy.

Albuterol is a short acting beta-2 agonist and should be taken 5 to 20 minutes prior to exercise to prevent breathlessness.

3 multiple choice options

Sarah scored Fair on two tests of functional muscle strength: the Unilateral Step-Down Test and the Lower Abdominal Muscle Strength Test. Which of the following is the best choice for the intensity (load) required for Sarah to improve her muscle strength?

a load equal to 8-12 RM determined using the multiple repetition maximum method.

3 multiple choice options

Robert is a 60yo African American male (he/him) who arrives to physical therapy following cast removal and now with healed fracture of the malleoli and is full-weightbearing on that leg. He injured himself when he inadvertently stepped into a pothole. Robert has a history of hypertension and chronic obstructive pulmonary disease (COPD). He is in the military and would like to get back to his duties.

He has a limitation in light touch sensation in a peripheral nerve distribution. What spinal cord tract carries light touch sensation, after the peripheral nerve brings the information into the spinal cord via the dorsal root and dorsal root ganglion?

Dorsal Column-Medial Lemniscus

3 multiple choice options

Maria is suspected to have tight hip flexors. Which of the following tests will MOST likely confirm this finding?

Thomas Test

3 multiple choice options

In a patient with limited open-chain ankle plantarflexion, which of the following joint play tests will MOST likely reveal hypomobility?

Talocrural joint anterior joint play

3 multiple choice options

Maria's score on the 30 Second Chair Sit to Stand is 10 repetitions (15th percentile). Which of the following is the BEST recommendation for Maria to improve her functional lower extremity strength.

Do one to six sets of ten squats in standing. Rest 1-1.5 minutes between sets.

3 multiple choice options

Maria (she/her) is 65 y.o. diagnosed with Parkinson's Disease 2 years ago, with increasing pain in both hips from osteoarthritis, especially left. She lives with her son's family in a two story home with three steps to enter.

The following question will be based on her score for the following item on the Unified Parkinson's Disese

Rating Scale (UPDRS)

Over the past week, do you usually have trouble turning over in bed? Her score was 1--Slight: I have a bit of trouble turning, but I do not need any help.

Which of the followng is a domain of the IC that this item would be classified?

Activity Limitation

3 multiple choice options

Sarah (she/her) is a 45yo Caucasian female who arrives to physical therapy with a healed ankle sprain.

Patient reports she fell from a ladder at home. Sarah has a history of diabetes mellitus and has smoked 1 pack/day for the last 20 years. She lives alone in a mobile home with 4 steps to enter and bilateral railing.

She works full-time as a cashier and would like to get back to work and regain full mobility.

Examination reveals decrease sensation in a stocking distribution of both sharp/dull and light touch sensations. Which of the following best describes the structures in the nervous system that would cause this pattern of loss.

Peripheral nerves

3 multiple choice options

In a patient with limited open-chain ankle dorsiflexion, which of the following joint play tests will MOST likely reveal hypomobility?

Talocrural joint posterior joint play

3 multiple choice options

Sarah is performing gait in the clinic. Based on the video, which of the following statements is true regarding her observed stance time?

Increased stance time on right leg and decreased stance time on left leg

3 multiple choice options

Maria (she/her) is 65 y.o. diagnosed with Parkinson's Disease 2 years ago, with increasing pain in both hips from osteoarthritis, especially left. She lives with her son's family in a two story home with three steps to enter.

With her diagnosis of Parkinson's Disease, she is experiencing a loss of dopamine from the substantial nigra compacta (SNc). Which of the following best represents the result of this loss, regarding the direct and indirect pathways of the basal ganglia?

Hypoactivity of the direct pathway and hyperactivity of the indirect pathway

3 multiple choice options

Maria is performing gait in the clinic. Based on the video above, which of the following patterns does she demonstrate with stepping?

Foot flat initial contact

3 multiple choice options

Sarah's cardiovascular fitness was re-examined using a Single Stage Treadmill lest. Her estimated VO2max is now 30 ml/kgxmin which is the 65th percentile (Good) for her age. Which of the following is an appropriate exercise intensity for Sara?

Target heart rate = 11.8 to 136 beats/min

3 multiple choice options

With Sarah, you have decided to use NMES to augment active strengthening for both dorsiflexion and eversion for enhanced lateral stabilization of the ankle. Below is the picture of your electrode placement.

Maria is taking Sinemet (levodopa and carbidopa) for the management of her Parkinson disease. The drug is beneficial until the disease progresses beyond the capabilities of the drug to manage the sumptoms with dopamine. The general time frame for Sinemet to continues to be helpful is which of the following?

Five to six years

3 multiple choice options

Which of the following tests would MOST likely assess the integrity of the anterior talofibular ligament (ATFL)?

Ankle anterior drawer test

3 multiple choice options

Maria is attempting to transition from sit to stand. Which of the following motions must occur to successfully complete this activity?

Closed chain knee extension

1 multiple choice option

Sarah's medication for hypertension is Lisinopril. Which of the following correctly describes Lisinopril?

It is an ACE inhibitor. Its mechanism of action is to lower blood pressure by reducing constriction (resulting in relaxation) of blood vessels.

3 multiple choice options

Sarah reports general weakness in the ankle region. Which of the following tests will be MosT appropriate to confirm this finding?

Have patient perform toe walk

3 multiple choice options