Clinical Reasoning II FCS Review

Only missing UE normal ROM

Hip FLEX needed for most ADLs

120

Hip ABD needed for most ADLs

20

Hip ER needed for most ADLs

20

Knee FLEX needed for most ADLs

110

Standing Knee EXT

0

Standing Hip EXT

0

Hip FLEX needed for squatting, tying shoelaces, or sit-to-stand

110-120

Hip ABD needed for squatting, tying shoelace, and sit-to-stand

20

Knee FLEX needed for squatting, tying shoelaces, and sit-to-stand

117

Hip FLEX needed to ascend stairs

67

Knee FLEX needed for ascending stairs

83-105

Ankle DF needed for ascending stairs

21-36

Ankle PF needed for ascending stairs

23-30

Hip FLEX needed for descending stairs

36

Knee FLEX needed for descending stairs

86-107

Ankle DF needed for descending stairs

14-27

Ankle PF needed for descending stairs

24-31

Hip FLEX needed for sit-to-stand from standard chair

98-101

Ankle DF needed for sit-to-stand from standard chair

28

Hip FLEX needed for stand-to-sit in standard chair

104

Hip FLEX needed for sitting in a standard chair

84

Knee FLEX needed for sitting in a standard chair

117

Hip ABD needed to sit cross-legged or kneel

30-40

Hip IR needed for cross-legged sitting or kneeling

45

Knee FLEX needed for cross-legged sitting or kneeling

135-157

Ankle PF needed for cross-legged sitting and kneeling

26-29

Knee FLEX needed to use the bath

135

Knee EXT needed to use a brake pedal

0

Hip IR needed for gait

5

Hip ER needed for gait

9

Knee tibial rotation needed for gait

13

hip ADD needed during stance of gait

5

Ankle DF needed during stance of gait

10-15

Knee EXT needed for initial contact during gait

0

Ankle eversion needed for loading response during gait

5

Hip EXT needed for terminal stance during gait

20-30

MTP EXT needed for terminal stance during gait

60

Ankle PF needed for pre-swing during gait

15

MTP DF needed during pre-swing of gait

90

Hip ABD needed during initial swing during gait

7

Knee FLEX needed during terminal swing of gait

30

Hip FLEX needed for running

65

Hip EXT needed for running

20

knee FLEX needed for running

11-103

ankle PF needed for running

30

ankle DF needed for running

20

Shoulder FLEX needed for using spoons and drinking cups

5-45

Shoulder ABD needed for using spoons/drinking cups

5-30

shoulder IR needed for using spoons/drinking cups

5-25

Elbow FLEX needed for using spoons/drinking cups

45-136 (85 with compensations)

Elbow pronation needed for using spoons and drinking cups

47

Elbow supination needed for using spoons and drinking cups

59

wrist FLEX needed for using spoons and drinking cups

3

wrist EXT needed for using spoons and drinking cups

35

wrist ulnar deviation needed for using spoons/drinking cups

20

radial deviation needed for using spoons and drinking cups

5

Shoulder EXT needed to reach up the back

43-69

Shoulder ER needed to reach up the back

90

Shoulder EXT needed for reaching perineum

28-48

Shoulder ER needed for reaching perineum

90

Shoulder ER needed for combing hair/clasping a necklace

90

Elbow FLEX needed for combing hair/clasping a necklace

85

Elbow FLEX needed to use a telephone

135-145

Elbow FLEX needed to tie a shoe

16

Elbow FLEX needed to get up from a chair

15

Elbow pronation needed to use a mouse and keyboard

65

Elbow FLEX needed to complete most ADLs

30-130

Elbow Supination/pronation needed to complete most ADLs

50

C-spine FLEX/EXT/ROT needed to complete most ADLs

13

C-spine Lateral FLEX needed to complete most ADLs

10

C-spine lateral rotation needed to drive in left-side car

36 L and 43 R

C-spine EXT needed to drink from champagne flute

40

C-spine EXT needed to drink from a saucer cup

0

Lumbar FLEX needed to touch your toes

40

Finger width needed for most functional TMJ ADLs to be acheived

2-3 finger widths @ the PIP joints

Indication for pain at McBurney’s point

appendix

Indication for positive Kehr’s sign

spleen

Indications for Psoas test

pelvic pathology or appendix

Normal BP value

<120/80 mmHg

Elevated BP value

Systolic 120-129 and diastolic <80

Stage 1 BP value

systolic 130-139 OR diastolic 80-89

Stage 2 BP value

Systolic 140+ OR diastolic 90+

Hypertensive crisis BP value

systolic >180 and/or diastolic >120

Red flag BP value

systolic >250

diastolic >115

Systolic drop >10 mmHg from baseline

failure of systolic pressure to increase with increasing workload

Adult normal temperature value

98.6

Adult normal HR value

60-100

Adult normal RR value

12-20

Symptoms that indicate need for vital signs measurement

dyspnea, fatigue/syncope, chest pain, irregular heart beat, feeling cold/hot, intermittent leg pain, edema

Symptoms that indicate emergency situation

resting HR >100bpm, resting RR >30bpm, sudden change in mentation, facial pain with intractable headache, abdominal rebound tenderness, new presence of black tarry or bloody stools

Horizontal seated transfers

scoot pivot, sliding board, anterior-posterior transfer

where is the primary action occuring during a seated horizontal transfer

the hips

What pt populations would benefit from a slide board transfer?

bilateral/unilateral NWB, double whammy, when pt safety is a concern, bilateral amputee

Horizontal standing transfer

stand pivot, squat pivot

where does the primary action occur during a standing horizontal transfer?

at the feet

what is the requirement to be able to do a standing horizontal transfer?

at least one LE

Independent transfer level

pt can complete activities without additional time or equipment

Mod I transfer level

can do activity independently with extended time and/or equipment

What is the extended length of time for a pt to be considered Mod I

3 times the normal length to do a task

Supervision/Stand-by-Assist (SBA) transfer level

Needs verbal cues, but no physical assistance

Contact Guard Asssist (CGA) transfer level

pt can perform activity without physical assist but requires clinician maintain contact with pt. to be able to provide assistance immediately