exam 2

Question 1

purpose of a tilt table

Answer 1

to assess pt tolerance in upright position

Question 2

inversion tables are good for what pathologies

Answer 2

SCI

Question 3

tilt tables are especially good for __pts

Answer 3

bariatric

Question 4

gait, balance, strength are all examples of

Answer 4

tests and measures

Question 5

Berg, TUG, Bruce, RASS are all examples of

Answer 5

outcome measures (names)

Question 6

Risks of tilt tables

Answer 6

fear of pts, nausea, ortho responses may be poor

Question 7

the step before ambulation should almost always be

Answer 7

parallel bars

Question 8

parallel bar ht is where on pt

Answer 8

GT

Question 9

what part of wheel chair should be on the ramp in the bars

Answer 9

casters

Question 10

good out come measure result for sit to stand to show a good indicator of ambulation readiness

Answer 10

5xs

Question 11

3 subdivisions of walking

Answer 11

1. Forward progress
2. Single limb
3. Limb length adjustments

Question 12

Forward progress includes what 3 subdivisions

Answer 12

shock absorption
momentum control
forward propulsion

Question 13

factors effecting shock absorption

Answer 13

shoes, ground, length, ROM, speed

Question 14

synergy activity is crucial during which phase of forward progress

Answer 14

momentum control

Question 15

Normal gait, feet are ___ inches apart

Answer 15

3

Question 16

it’s normal to have valgus stress at ___ and ___ during walking

Answer 16

knee and ankle

Question 17

Which leg works harder stance or swing

Answer 17

stance

Question 18

If you are using tilt table with a NWB extremity, what can you do

Answer 18

get a block and use it on good side

Question 19

initial stopping to assess vitals with tilt table occurs at

Answer 19

30 degrees

Question 20

hold position for how long before checking vitals tilt table

Answer 20

3-5 min

Question 21

check vitals every ___ degrees of mvmt with tilt table

Answer 21

15

Question 22

When lowering tilt table, decrease it to level of ____ above end

Answer 22

15-20

Question 23

a must for use of bars

Answer 23

full WB UE

Question 24

which gait pattern is good for a NWB limb

Answer 24

3 pt

Question 25

2 MMT to do before doing bars

Answer 25

quads, triceps

Question 26

in bars, have pt turn to ___ side

Answer 26

strong

Question 27

how pt gets out of wc in bars

Answer 27

pushes from wc, not pull with bars

Question 28

progression of WB status

Answer 28

NWB to TTWB to WBAT to FWB

Question 29

PWB is

Answer 29

30- 50%

Question 30

always demo how

Answer 30

sit to stand to sit

Question 31

bilateral weakness or unstability, which gait pattern

Answer 31

4 pt

Question 32

how to document gait training

Answer 32

``` device used balance observed WB status Endurance gait pattern used ```

Question 33

never gait train

Answer 33

barefoot

Question 34

explain 3 pt gait pattern

Answer 34

device or bars, then impaired, then good | DIG

Question 35

walkers use which pattern

Answer 35

3 pt

Question 36

which pattern is not efficient with only 1 crutch

Answer 36

3 pt

Question 37

crutches should be ___-___ fingers below axilla

Answer 37

2-3

Question 38

Sit to stand with crutches, where do they go

Answer 38

both on good side

Question 39

with stairs and crutches, both crutches

Answer 39

will always go at same time

Question 40

crutches with stairs with railing

Answer 40

crutches to 1 side, up with good down with bad

Question 41

cane us places on ___ side

Answer 41

good

Question 42

pattern with cane

Answer 42

cane, bad, good

Question 43

to use a cane, pt must be

Answer 43

WBAT

Question 44

the K in a pyramid cane goes

Answer 44

out

Question 45

for platform walker, pt must be

Answer 45

WB to UE

Question 46

3 straps on tilt table go

Answer 46

axilla, abs, knees

Question 47

2 straps on tilt table go

Answer 47

knees, abs

Question 48

knee injury with tilt table, strap goes

Answer 48

behind

Question 49

7 roles of a PT in gait

Answer 49

1. Assess 2. Recognize strengths and weaknesses 3. Determine deficits 4. Determine cause 5. Intervention 6. Devices 7. Document A R D D I D D

Question 50

hemi cane and a frame cane is aka

Answer 50

pyrymid

Question 51

which walker is better with cardio resp issues

Answer 51

wheeled

Question 52

Most common gait pattern with MSK issues

Answer 52

3 pt

Question 53

opposites going at same time describes what gait

Answer 53

2pt

Question 54

most stable device

Answer 54

walker

Question 55

elbow should be ___-___ degrees with walkers

Answer 55

20-30

Question 56

medicare requires what for wheeled walkers

Answer 56

UE dx

Question 57

In order to use hemi walker, pt must have

Answer 57

full WB both legs

Question 58

platform walkers contraindicated with

Answer 58

UE fxs or injury

Question 59

EKG L2 is ___ plane

Answer 59

frontal

Question 60

EKG L5 is ___

Answer 60

intercostal60

Question 61

cardiac monitors usually read

Answer 61

L2, L5, MAP, PAC, O2 sat

Question 62

Swan monitors pressure in

Answer 62

heart

Question 63

No PT if MAP is under

Answer 63

60

Question 64

Chest tubes to get rid of air are placed at

Answer 64

3,4,5

Question 65

chest tubes to get rid of fluid are placed at

Answer 65

6,7,8

Question 66

what's important about placement of drainage sxs

Answer 66

always below incision pt

Question 67

route for a vent through the po

Answer 67

ET

Question 68

pro and con of ET

Answer 68

pro- less infections | con - secretions get stuck

Question 69

modes of vents are ___ or ___ pre set

Answer 69

pressure or volume

Question 70

NG tube is for

Answer 70

gastric drainage or temp feeding

Question 71

HOB should be at ___ with NG tube (or any feeding tube)

Answer 71

30

Question 72

If you MUST supine with feeding tube pts, you MUST do what

Answer 72

put machine on hold first

Question 73

issue with G tubes

Answer 73

easiliy dislodges

Question 74

PUM

Answer 74

progressive upright mobility | start with HOB 30, then 60, then dangle feet

Question 75

way you can increase endurance in bed

Answer 75

ergometers

Question 76

SPO2 should not decrease more than ___% with ICU pt

Answer 76

4

Question 77

contraindications to move ICU pts

Answer 77

high vent issues, untreated DVT's, abnormal vitals

Question 78

What to consider when writing goals

Answer 78

audience, behavior, details and numbers, time, functional

Question 79

A line and PICC are considered

Answer 79

peripheral

Question 80

3 central lines

Answer 80

SWAN, CVP, PAC (central venous pump, pulmonary artery cath)

Question 81

PICC goes where

Answer 81

SVC

Question 82

what to wait for with PICC pts

Answer 82

ok from radiology about placement

Question 83

no BP where for PICC Pts

Answer 83

in PICC arm

Question 84

avoid what motions with PICC arm

Answer 84

flex and abd of shoulder

Question 85

transducers with A lines must be

Answer 85

at heart level

Question 86

outcome measures (names) for balance

Answer 86

berg, tenetti, tug, best

Question 87

What is CDP

Answer 87

computer dynamic posturgraphy

Question 88

what do PTs look for when studying standing balance

Answer 88

magnitude of sway velocity of sway strategies uses

Question 89

what do PTs look for when assessing gait

Answer 89

speed toe clearance time in each stance

Question 90

our main roles in the ICU

Answer 90

decrease secondary issues restore function decrease length of stay education

Question 91

only open drain

Answer 91

penrose

Question 92

never place a foley where

Answer 92

on you

Question 93

Long term wound drain

Answer 93

Jackson pratt

Question 94

endurance, cognition, arousal are

Answer 94

tests and measures for ICU

Question 95

2 parts of consciousness

Answer 95

arousal, content

Question 96

RASS

Answer 96

Richmond agitation sedation scale for LOC

Question 97

cognition includes 2 things

Answer 97

awareness and judgement

Question 98

readiness is

Answer 98

arousal

Question 99

delirium is usually

Answer 99

short term and dt med condition

Question 100

3 types of delirum

Answer 100

hyper, hypo, mixed

Question 101

consciousness is the ____ and RASS is the___

Answer 101

test and measure, Rass is outcome measure

Question 102

4 plus on RASS is

Answer 102

most combative (5 minus is comatose like)

Question 103

CPP is

Answer 103

cerebral profusion pressure

Question 104

what things make up CPP

Answer 104

MAP - ICP

Question 105

ICP should be at

Answer 105

4-15 (20 = no touch)

Question 106

CPP should be at

Answer 106

70-80

Question 107

what drains CSF

Answer 107

EVD

Question 108

what is tPA

Answer 108

tissue plasma activator - dissolves a clot (tx for stroke)

Question 109

precautions with tPA

Answer 109

BR for 24 hours