CONCEPT INTEGRATION (D13 PT APPS)

40問 • 1年前

問題一覧

A patient with vascular problem develops an infected skin ulcer on the left heel. The modality that would NOT be applied for this patient is

hot moist pack

Which ultrasound treatment parameter is recommended for a stage 2 chronic dermal wound?

3 MHz at .2-1 watt/cm2

Electrical stimulation of spastic muscles has been proven to effectively reduce spasticity. The following are parameters to apply EXCEPT

duty cycle: 1:2

Ohm's Law describes the relationship among

voltage, resistance and amperage

A PT will apply electrical stimulation to a patient with venous stasis ulcer on the right lower extremity. The correct type of electrical stimulation to promote wound heating is

direct

In electrotherapy, the frequencies generated by high voltage units are usually no greater than 100 to 140 Hz while that produced by low voltage units are ________ Hz.

1,000 - 2,000

Patient is a 16 year old female student with idiopathic scoliosis. PT plans to apply bipolar or quadripolar electrodes over the overstretched and weakened muscles. He can select the following parameters EXCEPT

pulse rate: 50 pes

In electrotherapy, if the peak pulse duration in high voltage generators ranges from 50-100 usec, for low voltage generators it is msec. (Possible Ref: Michlovitz 6th Ed Chapter 9 pp. 278-9)

.03-500

Pt applies ultraviolet treatment to a female patient who the day after complained of peeling and itching. These disappear after 3 days. The dosage received was dose.

First degree erythemal

The major advantage of using red-glass in heat lamp is _____________.

there is less light glare

A PT applies 3.0 MHz ultrasound at 1.5 w/cm2 to treat a patient with Carpal Tunnel Syndrome. Majority of the ultrasound energy will be absorbed within a depth of ______ centimeters.

1 – 2

According to the temperature law of Vant Hoff, for every rise of 10 degrees C the rate of oxidation is increased how many times?

2.5

These statements on reflex heating are TRUE, EXCEPT:

The effect is felt after several hours

A PT checks the water temperature of the hot pack machine after several patients report the heat being very strong. Which of the following temperatures would be acceptable?

71 degrees Celsius (160 degrees F)

Erb's Law states that ____________.

Cathode currents are more effective than anodal in causing normal depolarization

In the reeducation and facilitation of muscles, electrical stimulation is used as a guide to improve proprioceptive and visual sense of the motions and activities being facilitated. When bipolar electrodes are placed over the large muscles or muscle groups, you select the following parameters, EXCEPT:

pulse rate: lesser than 60 pps biphasic pulses to produce tetanic muscle contractions

A 65-year-old with breast cancer underwent a surgical removal of the mass followed by 12 weeks of chemotherapy and 8 weeks of radiation. PT program is directed towards mobilization of her upper extremity. An important guideline to the PT when treating a patient after radiation is _____.

observe skin care precautions

Pulsed ultrasound is applied to a patient diagnosed with rotator cuff tendonitis. The statement about pulsed ultrasound that is MOST consistent when compared with continuous ultrasound is:

The average intensity of output over time for pulsed ultrasound is reduced

Froment's sign is a test used to determine function of the

ulnar

Laser radiation is commonly used for .

Accelerate wound healing

complication that may result from excess ultraviolet radiation is .

all of these

The current leakage from an electrode intended for direct patient connection should NOT be more than microamperes.

PT records the parameters of an electrical stimulation treatment in a patient's medical record. The standard unit of measure when recording alternating current frequency is

hertz

The following are approaches of electrical stimulation to control spasticity EXCEPT

none of these

This test, also known as Ritchie or Trillart, is the BEST indicator of injury to the anterior cruciate ligament especially the posterolateral band.

Lachman

This is a special test that conforms lateral epicondylitis. Patient reports pain as the therapist resist the attempt to make a fist, pronate the forearm, radially deviate and extend the wrist.

Cozen’s

This is a test for a rotator cuff pathology or shoulder impingement where patient is positioned in sitting or standing. Then therapist flexes the patient’s shoulder to 90 degrees and medially rotates the arm. A positive test is indicated by pain and may be indicative of shoulder impingement involving the supraspinatus tendon.

Supraspinatus

The duration of the faradic impulse is approximately

0.001 of a second

In electrical stimulation this current mode is described as a time period with a gradual rise of the current intensity which is maintained at a selected level for a given period of time followed by a gradual or abrupt decline in intensity.

ramped

The PT of an elderly patient with a stage III decubitus ulcer on the plantar surface of the right foot is applying electrical stimulation after trying conservative treatment without much success. The BEST choice for electric current in this condition is

high voltage monophasic pulsed

All of the following apply to reaction of degeneration, EXCEPT:

Stages of reaction of degeneration denote the etiology of the lesion

To maximize reduction of lymphedema following mastectomy in the upper extremity by means of massage, it is MOST important that the ___________.

upper arm be massaged before the forearm

A PT gives pre-operative instruction to a patient who is to undergo hip arthroplasty surgery. Part of the session includes discussion on the importance of preventing deep vein thrombosis following surgery. Which is the BEST indicator that the patient is at minimal risk of acquiring a deep vein thrombosis?

ability to ambulate on frequent schedule

A 67-year-old female is referred to PT because of severe claudication occurring after walking more than 200 feet, muscle fatigue and cramped of both calf muscles. A closer look yielded a pale and shiny skin with some trophic nail changes. The BEST strategy is

begin with interval walking exercising just to the point of pain

A PT working in an acute hospital evaluates a patient recovering from surgery. Apart from diabetes, patient has no other significant past medical history. Which of the following would most merit IMMEDIATE medical attention?

signs of confusion and lethargy

A patient with left piriformis syndrome is referred to PT. Two years ago patient underwent a left total hip arthroplasty. Because of this, the modality which will require extra precaution when applied to the patient is:

Continuous ultrasound

A PT applies ultraviolet treatment to a female patient who the day after complained of peeling and itching. These disappear after 3 days. The dosage received was .

First degree erythemal dose

A patient with a long-standing rheumatoid arthritis of the MP and IP joints is referred to PT. Upon evaluation, therapist observed that patient can flex IP when MCP is in neutral position but cannot flex IP when MCP is hyperextended. The MOST LIKELY cause of this is

intrinsic muscle tightness

This is a test for posterior shoulder instability. The patient lies supine with the shoulder abducted to 100 degrees and laterally rotated 90 degrees and with the elbow flexed to 90 degrees so that the arm is horizontal. The examiner stabilizes the scapula with one hand palpating the posterior humeral head with the fingers and stabilizes the upper limb by holding the forearm and elbow at the elbow. The examiner then brings the arm into forward flexion. The test is known as

Norwood stress

The following are tests to assess manual dexterity and coordination, EXCEPT:

Grind

CONCEPT INTEGRATION (D1 PT APPS)

Danielle psalm Abaya · 38問 · 1年前

CONCEPT INTEGRATION (D1 PT APPS)