CONCEPT INTEGRATION (D5 PT APPS)

35問 • 1年前

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A PT is evaluating the gait of a 5-year-old girl. PT notices that the child is unsteady and has a wide base support. She appears to lurch at times with minimal truncal bobbing in an anterior and posterior position. The child cannot maintain standing position with the feet placed together for more than 5 seconds. The area of the brain MOST LIKELY affected is the

cerebellar atmosphere

A TBI injured patient is sometimes disoriented to time and place, has poor memory for recent events and almost no carry over for new learning. The MOST important goal in this case is

daily structure to reduce distraction

An injury of the median nerve at the level of the wrist and hand can cause the following functional loss EXCEPT

flexion of the little finger

Patients with peripheral nerve injury demonstrate optimal peripheral nerve integrity and muscle performance over the course of months.

4-8 months

A 54 year old female bank executive was referred to the clinic after right breast lumpectomy with axillary lymph node dissection. PT noted that scapular control is poor when upper extremity flexion or abduction isbegan. Given the limitation, the PT intervention at this time should focus on .

Gravity-assistive right upper extremity exercises to promote scapular control following damage to the long thoracic nerve

A child stimulated for negative support reaction will respond positive through increased .

Flexor tone in lower extremities

Ultrasound vibrations propagated through the housing of the applicator into the hand of the PT are called…

Parasitic vibrations

In comparing the clinical features of cerebral artery thrombosis with cerebral embolism, the former

has the most common site of occlusion in the internal carotid artery

A patient is on immune suppressants following renal transplantation was referred to the clinic for mobility training using crutches. Initial evaluation revealed paresthesia in both lower extremities with peripheral weakness in both hands and feet. PT suspects that patient is MOST LIKELY experiencing

peripheral neuropathy

The correct sequence in the hierarchy of the criteria of a profession is

lifetime commitment, representative organization, specialized education, service to clients, autonomy of judgment

A PT working in the provincial hospital was asked to cover an interscholastic football league competition. During a game, a player is knocked down on the field. The PT rushed to the scene and determines that the player is unconscious. What should be the NEXT action of the PT?

Check breathing and if it is impaired, clear the airway, and if necessary

A PT is preparing a 45-year-old female patient for treatment. The latter asked if she could go to the comfort room. Wondering why patient has not returned to the treatment area after several minutes, PT checked and found patient slumped on the floor face down. The appropriate course of action the PT should take is:

check level of response, call for help, establish airway and assess breathing

A 63-year-old male CVA patient was applied functional electrical stimulation on the affected ankle dorsiflexors in conjunction with her gait training program. The rationale for the application of FES for this case is _____________.

used as an orthotic device

On initial standing, a patient with a chronic stroke is pushing strongly backward, displacing the center of mass at or near the posterior limits of stability. The MOST LIKELY cause of this is ________.

spasticity, of the gastrocnemius soleus

The following impairments may result in patients with a lesion in the temporal lobe of the brain, EXCEPT:

emotional liability

A newborn with whole arm paralysis resulting from a traction injury at birth was referred to physical therapy. The initial plan of care for the patient should include

partial immobilization of the limb across the abdomen, followed by gentle ROM after immobilization

The functional outcome reporting method of writing notes must be ___________.

meaningful, utilitarian, sustainable

This is a tool to asses and treat balance dysfunction but does not assist to diagnose the cause of balance dysfunction. It consists of eight test conditions used in the battery with each leg measured on two counts, the time spent in each test position and the number of steps that a patient are performed

Fregley Graybiel Ataxia Test Battery

A 58-year-old female is recovering from a surgical resection of an acoustic neuroma and presents with symptoms of dizziness, vertigo, horizontal nystagmus and postural instability. To manage these problems, the program should include

repetition of movements and positions that provoke dizziness and vertigo

What is the FIRST step in controlling organizational behavior in a PT Department?

determine types of jobs and skills needed

A 75-year-old male patient with persistent balance difficulty and a history of recent falls (2 in the past month) is referred for evaluation and management. During the initial session, it is important to examine the

sensory losses and sensory organization of balance

A 64-year-old female patient who underwent a minimally invasive total knee replacement was referred to PT. The referring physician stated in the chart that patient ha stage 1 Alzheimer's disease. The PT will therefore NOT expect to find

profound communication deficits

The following are guidelines during vestibulo-ocular retraining EXCEPT

The center of gravity is allowed to move at each stage of treatment

This inner ear disease that affects balance has the following symptoms: intense vertigo, occasionally unilateral deafness, buzzing or ringing in the ear.

Meniere's disease

The primary objective for record keeping in the PT clinic is:

Betterment of patient care

In a person with normal balance, the fastest sensory system to provide balance information is the:..

Somatosensory system

A patient with multiple sclerosis has dysmetria in both upper extremities. The BEST intervention for this problem is

PNF patterns with dynamic reversals with carefully graded resistance

While a patient recovering from a spinal cord injury was attending his exercise session, he declared that he will walk again. Which of these injuries would make functional ambulation MOST unrealistic?

complete T9 paraplegia

If a patient has diagnosis of anterior interosseus syndrome, the activity that will be most difficult to perform is

pinching together the tips of the index finger and thumb

Which modality causes the greatest increase in tissue temperature?

Diathermy

The ideal temperature of the water in the whirlpool when treating a patient with severe arterial insufficiency is ___.

92-96 degrees Fahrenheit

A CP spastic diplegia patient exhibits weak hip abduction. Which activity will LEAST LIKELY strengthen his abduction?

Supine to prone

A patient with multiple sclerosis has dysmetria in both upper extremities. The BEST intervention for this problem is

PNF patterns with dynamic reversals with carefully graded resistance

A PT is evaluating a 50-year-old housewife with vestibular problems. Patient is asked to assume a long sitting position with the head turned to the left side. PT then moves the patient backward so that the head is extended over the end of table about 30 degrees below horizontal. This maneuver causes severe dizziness and vertigo. A special test with the head turned to the right produces no symptoms. PT document the results as a positive ___________.

left Dix-Hallpike test

A small company with 15 employees is considering changing the chairs of the work area. In ergonomics, it is important to be able to adjust any chair to meet the basic anthropometric dimensions of the worker. The guiding principles in the selection of seating are as follows, EXCEPT:

The seat surface should be 3 to 5 cm above the fold of the knee when the worker is standing

CONCEPT INTEGRATION (D1 PT APPS)

Danielle psalm Abaya · 38問 · 1年前

CONCEPT INTEGRATION (D1 PT APPS)