PT Final Exam. July 2018 Core Content Review 6 Presented by Mark. Copyright 2018 PT Final Exam

Transcription

1 PT Final Exam July 2018 Core Content Review 6 Presented by Mark

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7 A 34 year old male comes to your clinic with reoccurring hamstring tears. Upon examination, the therapist is able to achieve 130 degrees flexion at the hip with the knee flexed. With the knee extended, the therapist can only achieve 80 degrees of hip flexion. What is this limitation the result of? 1. Grade II hamstring tear Active insufficiency Passive insufficiency Sciatica

8 A 34 year old male comes to your clinic with reoccurring hamstring tears. Upon examination, the therapist is able to achieve 130 degrees flexion at the hip with the knee flexed. With the knee extended, the therapist can only achieve 80 degrees of hip flexion. What is this limitation the result of? 1. Grade II hamstring tear Active insufficiency Passive insufficiency Sciatica

9 Tendonitis No pain if complete tear Severe weakness Very tender to touch No pain with PROM Pain with resistance at end range -Pain during activity - Pain from repetitive strain Bursitis Swelling, redness Friction Pain Weakness Crunch, pop Pain AROM & PROM decreased Not in capsular pattern

10 Strong Normal X Mild Tendonitis X Weak Painless Painful X X Moderate Severe Tendonitis X Complete Tear X Bursitis X Nerve Issue X X X X X

11 A 46 year old male just finished a renovation project which included painting and carpentry. He reports pain along the front and side of his shoulder. He is hesitant to move his arm actively, he presents with weakness and difficulty elevating his arm past 90. Your examination shows tenderness with palpation, full passive range of motion and pain at end range. Tendonitis? Bursitis?

12 26 year old female runner complains of pain in her calcaneus. She has been training for a marathon, and during her runs her pain does not bother her. The pain is at it s worst in the morning or when she gets up in the night to walk to the bathroom.

13 Achilles Tendonitis Burning aching in the heel TTP Pain with activity Swelling Thickening Morning stiffness Weakness due to pain

14 Plantar Fasciitis TTP at insertion Heel spur Pain worse in the morning or after prolonged inactivity Difficulty with prolonged standing Pain when walking bare feet

15 Achilles Tendonitis Burning aching in the heel TTP Pain with activity Swelling Thickening Morning stiffness Weakness due to pain Plantar Fasciitis TTP at insertion Heel spur Pain worse in the morning or after prolonged inactivity Difficulty with prolonged standing Pain when walking bare feet Morning stiffness

16 78 year old male admit with bilateral swollen legs. He presents with redness, pain and itching. WBC s are 6,000 and his temperature is 37.2 C. What could be the cause?

17 Fever Cellulitis Red Edema Pain Warm Tender Swollen Glands Chills

18 Dermatitis No fever Red Edema Pain Itchy Open sores

19 Dermatitis No fever Red Edema Pain Itchy Open sores Cellulitis Fever Red Edema Pain Warm Tender Glands Chills

20 A high school basketball player is in clinic with complaints of anterior knee pain, no history of trauma. His pain gets worse with prolonged sitting. What could be the cause?

21 MCL Tear Pain, swelling Antalgic gait Decreased ROM, Instability Valgus force

22 Patellofemoral syndrome chondromalacia patella Anterior knee pain Pain with prolonged sitting Swelling Crepitus Pain with stairs

23 Osgood Schlatter Point of tenderness over the patella tendon and tibial tuberosity Antalgic gait Pain with increased activity

24 MCL tear Medial knee pain Swelling Antalgic gait Decreased ROM, Instability Trauma Osgood schlatter Anterior knee pain Pain often subsides with rest and activity modification. TTP over the tibial tuberosity Antalgic gait Pain with increased activity Patellofemoral syndrome Anterior knee pain Pain with prolonged sitting Antalgic gait Swelling Crepitus Pain with activity Progressive

25 Trigger points Myalgia Hypothyroidism Increased bone density Cold intolerance Paresthesia Dyspnea Bradycardia CHF Decreased peripheral circulation Angina Increased cholesterol

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27 Insomnia Atrophy Hyperthyroidism Heat intolerance Flushed skin Hyperpigmentation Increased hair loss Palpitations Increased resp Increased BP Arrhythmias Hyper metabolism

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29 Graves (Hyperthyroidism) Enlarged thyroid (goiter) Heat intolerance Nervousness Weight loss Tremor palpations

30 Parathyroid Gland The parathyroid glands are four tiny glands, located in the neck, that control the body's calcium levels. The parathyroid glands produce a hormone called parathyroid hormone (PTH).

31 Hypoparathyroidism Decreased bone reabsorption Hypocalcaemia Elevated serum Phosphate levels Shortened 4th and 5th metacarpals Compromised breathing due to intercostal and diaphragm spasm Cardiac arrhythmias Potential heart failure

32 Increased bone resorption Hypercalcemia Hyperparathyroidism Decreased serum phosphate levels Osteitis fibrosa Subperiosteal resorption Arthritis Bone deformities Renal hypertension Renal damage Nephrocalcinosis

33 Adrenal Glands Produce hormones that help the body control blood sugar, burn protein and fat, react to stressors like a major illness or injury, and regulate blood pressure. Two of the most important adrenal hormones are cortisol and aldosterone.

34 Addisons

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