CONCEPT INTEGRATION (D8 APK)

38問 • 1年前

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A patient with a C6 spinal cord injury is evaluated in the clinic. Which objective finding is the strongest indication that the spinal cord injury is NOT complete?

Diminished sensation on the hypothenar eminence

The following statements describe the “Screw-Home Mechanism” of the knee EXCEPT when _______. i. Seated and a person flexes his knee, the tibia goes into internal rotation to unlock the knee. ii. Standing from a seat the femur goes into internal rotation during the last few degrees of flexion. iii. Standing from a seat the femur goes in external rotation during the last few degrees of extension iv. Seated and a person flexes his knee, the femur goes into external rotation at the last few degrees of extension.

II and III

The following are expected in a C4 lesion, EXCEPT:

Can assist with all transfers

Despite the presence of third cranial nerve paralysis, it was determined upon examination, that the eye is able to rotate inward, indicating that the superior oblique muscle is intact. This indicates that cranial nerve

IV is intact.

Which of the following statements describe Horner's syndrome? i. Pupil of the eye on injured side is miotic due to dilator paralysis ii. Partial ptosis due to denervation of levator palpebrae superioris iii. Anhidrosis and vasodilation on affected side iv. Complete ptosis and vasodilation on unaffected side

I, II and III

The following are true of the femoral artery EXCEPT

palpable just superior to the inguinal ligament, at a point halfway between the anterior superior iliac spine and the pubic tubercle.

Nerve primarily responsible for ankle plantar flexion

Tibial

Which of the following statements is true concerning muscles acting in hip flexion?

The hip flexors are inactive during abdominal sit ups

Which of the following are treatment philosophies of neuropathic arthropathy (or Charcot’s joint)? i. Treatment is mainly palliative ii. Immobilization and joint protection are two important principles of treatment iii. Where conservative management fails, joint replacement is performed iv. Where conservative management fails, surgical fusion is recommended v. Whenever possible, the underlying neurologic disorder should be treated

II, IV and V

Which of the following statements is true in motions of the knee?

Terminal rotation of the knee is a locking mechanism observed during the last 20 degrees of knee extension

A patient is unable to extend the knee in the sitting position or perform straight leg raising when supine. This may be due to weakened or paralyzed ________.

Quadriceps femoris

LD is a 35-year-old male who came in for weakness and pain of the left lower extremity of one-week duration. Past medical history is unremarkable except for (+) history of poliomyelitis at age 7 years. Pertinent physical examination revealed (+) left lower atrophy with note of leg length discrepancy. What is the most likely diagnosis? (KRISTAN)

Post-polio syndrome

The following findings are compatible with a left hemisection of the T10 cord level EXCEPT

absent pain and temperature sensation on the left side of the trunk at the level of the umbilicus

In the foot, the contribution of the first metatarsal head to weight bearing is

2/6

Sensation to the middle finger is supplied by neurologic level

A client with a confirmed posterior cruciate ligament tear is able to return to full dynamic activities following rehabilitation. The following serve as a secondary restraint to the posterior cruciate ligament EXCEPT

iliotibial band.

The following statements describe the pelvic girdle and femur EXCEPT:

Gliding and cartilaginous joints allow no movement whatsoever in both sexes

These muscles are supplied by branches of 7th cranial nerve EXCEPT ______.

Levator palpebrae superioris

An example of telereceptor

The ear

For the anterior and lateral spinothalamic tract, _______________.

The third order neuron of both tracts will have its cell body at the thalamus

During heavy exercise, there is an increase in sympathetic activity. This would result in vasoconstriction of the blood vessels in the following organ/s EXCEPT:

Skeletal muscle

What is the average length of the spinal cord in the adult?

43-45 cm

Which statement explains why visceral pain is referred to a somatic structure?

The pain is referred to the somatic structure with the same embryonic origin

Which of the following nerves is NOT a true peripheral nerve, but an evaginated fiber tract of the diencephalons?

Optic

Fracture of the second lumbar vertebra will involve which spinal cord segment?

A T10 female with complete paraplegia will

Still be capable of having children

In central cord syndrome, ______________.

Associated with congenital narrowing of the spinal canal

In a C6 lesion, the following may be expected of the client, EXCEPT:___________.

Involves the deltoid, biceps, rhomboids, supinator and supraspinatus

Which is a characteristic of the intrinsic muscles of the foot?

Their major function include supporting the arches in walking and running

Which objective finding is the strongest indication that a C6 spinal cord injury is not complete?

Diminished sensation on the hypothenar eminence

What dermatome is used to test C7?

Middle finger

Sensation in the anterolateral aspect of the thigh is innervated by what nerve?

Lateral femoral cutaneous

Sensation to the middle finger is supplied by neurologic level __________.

In a C5 lesion, the following may be expected of the client, EXCEPT: _____________.

Can assist with limited transfers due to involved musculature

While there are eight nerves that exit the cervical spine, there are only seven cervical vertebrae. Where does the first thoracic nerve exit?

Below the first thoracic vertebra

Which of the following statement is NOT true of the knee joint?

Requires co-contraction of front and back muscles to support the body weight in the erect position

The quadriceps muscle represents the _________ myotome.

Chiasmal lesions could result in the following visual field defects EXCEPT:

Chiasmal lesion produces bitemporal hemianopsia

CONCEPT INTEGRATION (D1 PT APPS)

Danielle psalm Abaya · 38問 · 1年前

CONCEPT INTEGRATION (D1 PT APPS)