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What is an objective measure of endurance, if the patient is doing a low-level exercise test on a treadmill?
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Respiration rate
(it is an objective measure that can be used as a gross method to assess endurance. Normal respiration rate in an adult is 12-18 breaths per minute. Respiration rate tends to increase proportionately with increases in exercise intensity)
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Which laboratory test is useed to assess a patient's present renal function?
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Blood urea nitrogen
(an increase level can be indicative of dehydration, renal failure or heart failure. a decrease level can be indicative of malnourishment, hepatic failure, or pregnancy)
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If you have a patient that sustained burns to the lower extremities, therefore, you need to place this patient in a tank that will allow the patient to extend the LE's. Which tank would you utilize?
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Lowboy tank
(used for immersion of larger body parts. and it permits a patient to fully extend the LE's)
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When is a highboy tank used for?
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For immersion of larger body parts. It does not permit the patient to fully extend the LE's, however, its depth permits immersion to the midthoracic region.
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Which muscles are innervated by the axillary nerve?
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Teres minor (laterally rotates the shoulder joint), and deltoid
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This muscle is innervated by the lower subscapular nerve, its action is to medially rotate, adduct, and extend the shoulder joint.
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Teres major
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This muscle is innervated by the upper and lower subscapular nerve, and its action is to medially rotate the shoulder joint and stabilize the head of the humerus.
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Subscapularis
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What type of aseptic equipment should you use, when applying a topical agent to a wound of a patient?
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Sterile gloves
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What is essential during all transfer activities?
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Proper guarding technique in order to adequately protect the patient.
(specific guarding activities should be selected after assessing the patient's balance, coordination, strength, and endurance)
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What are the items that are typically documented when using ultrasound?
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-area of body treated
-duration
-frequency
-intensity
-duty cycle
-patient response to treatment
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How does the femoral head slide during hip flexion, hip add, hip abd, and hip ext.?
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-Hip flex: posteriorly and inferiorly on the acetabulum. Normal ROM is 0-120 degrees
-Hip add: superiorly on the acetabulum. Normal ROM is 0-30 degrees
-Hip Abd: inferiorly on the acetabulum. Normal ROM is 0-45 degrees
-Hip ext: anteriorly and superiorly on the acetabulum. Normal ROM is 0-30 degrees
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What is the most appropriate instruction for the patient when performing the two-point discrimination test?
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-ask the patient to indicate if he feels one or two points
(it is often impaired with a peripheral nerve injury, parietal lobe lesion or central pathway lesion)
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What is typically associated with Guillain-Barre Syndrome?
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-it is an acute polyneuropathy causing rapid, progressive loss of motor function. Although mild sensory loss can be evident, absent sensation is extremely rare.
-They may experience respiratory compromise if the respiratory muscles become too weak.
-The pattern of weakness initiates in the LE's, progressing to the UE's, and then to the muscles of respiration.
-deep tendon reflexes would be significantly impaired or absent during the early course
-typically present with a rapid progression of muscle weakness due to the breakdown of Schwann cells. Symmetrical weakness (or paralysis) if often seen, and often accompanied by paresthesias and pain.
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When would modified plantigrade position be used?
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-to prepare the pt for ambulation activities
-it allows for postural stability and dynamic control of the trunk and all four extremities. Weight bearing through the UE and LE allows for proprioceptive feedback while maintaining balance and control.
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What is tall kneeling used for, and what does it require?
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-used to work on weight shifting, balance training, and trunk control.
-requires proximal control and balance to maintain kneeling without UE support
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