Gas Exchange
Musculoskeletal Problems
Fractures
Miscellaneous
100

Causes of obstructive lung disorders. 

Obstructive (resistance to expiration) or the air can't get out.  Asthma, COPD, and Chronic bronchitis. Cystic fibrosis. If there is obstruction anywhere in the airways it will be difficult for air to get out. A) Mechanical obstruction (foreign body; tumor; chronic mucus plugging (chronic bronchitis). B) increased resistance in the airway d/t thickening from inflammation. C) Increased tendency for airway closure i.e. asthma and emphysema. Examples COPD, asthma, emphysema. 

Obstructive = OUT problem 

100

The difference between osteoporosis, osteomalacia, and osteomylitis. 

Osteoporosis is decreased bone density (‘porosis = porous bones). Osteomalacia is soft bones due to Vitamin D. Deficiency resulting in poor mineralization. Osteomyelitis is a bone infection (often staph)

100

The difference between an open and a closed fracture. 

What is with an open fracture the skin has been pierced by the bone but with a closed fracture the skin is intact.

100

Cause shortness of breath in someone with anemia. 

What is lack of hemoglobin. 

200

Causes of restrictive lung disorders. 

Air can't get IN. Reduced lung capacity. Lungs become stiff. 

  • Pulmonary Fibrosis
  • Acute Respiratory Distress Syndrome
  • Pneumonia
  • Sarcoidosis
  • Severe obesity
  • Neuromuscular disorders (e.g., muscular dystrophy)
200

Cause of muscular dystrophy. 

MD is a genetic disorder causing progressive muscle weakness d/t muscle fibers being replaced by fat. Duchenne’s MD is an X-linked disorder. Symptoms include a ‘Gowers’ sign where children use hands to stand.

200

The difference between a compression fracture and a comminuted fracture. 

What is with a Compression fracture the bone collapses, while a comminuted fracture the bone has been shattered into multiple pieces.

200

Body compensation to maintain homeostasis in a person with altered gas exchange. 

What is increased respiratory rate. 

300

The purpose of pulmonary function tests. 

What is to measure how well the lungs are working by assessing:

  1. How much air the lungs can hold
  2. How quickly air can move in and out
  3. How well oxygen moves from the lungs into the blood

Pulmonary Function Tests help determine whether a patient has an obstructive disease (difficulty getting air out) or a restrictive disease (difficulty getting air in) by measuring airflow and lung volumes.

300

Results of immobility. 

What are 

  • educed osteoblast activity resulting in bone loss
  • reduced muscle tone resulting in muscle atrophy
  • connective tissue shortening and thickening, causing contractures or muscle deformities
  • metabolic issues, causing increased serum nitrogen and calcium due to bone and muscle breakdown (a precursor to kidney failure) 
300

Symptoms of a fat  embolism. 

What is SOB, neuro changes, and petechiae. A PE is a blood clot that travels to the lungs with s/s of SOB, chest pain, and tachycardia.

300

The difference between a sprain and a strain. 

What is an injury to a ligament (bone to bone connection) that happens around a joint, which is a sprain and an injury to a muscle or tendon (muscle to bone) injury which is a strain.

400

The difference in PFT results for obstructive lung problem versus restrictive lung disorder. 

1) Obstructive Disease (COPD, Asthma) 

Problem: Air can't get out

  • FEV₁ ↓↓↓
  • FVC normal or ↓
  • FEV₁/FVC ratio ↓ (<70%)

Example:
Patient takes a deep breath but struggles to exhale quickly because narrowed airways trap air.

2) Restrictive Disease (Pulmonary Fibrosis, ARDS)

Problem: Air can't get in

  • FEV₁ ↓
  • FVC ↓↓↓
  • FEV₁/FVC ratio normal or ↑

Example:
Patient has stiff lungs and cannot take a full breath, so overall lung volume is reduced.

400

Complications of a neck spinal cord injury. 

What are 

autonomic dysreflexia 

urinary retention 

pressure ulcers 

400

The time it takes for a fat embolism to occur. 

What is 24-72 hours for a long bone fracture and is made up of bone marrow fat. 

400

Injuries that occur with tendon or ligament. . 

What are tearing, rupturing, and inflammatory response

500

Condition that results from a total or partial airway obstruction during an asthma attack. 

What is hypoxia. 

500

Symptoms of autonomic dysreflexia. 

What are 

  • Distended bladder 
  • Urinary retention
  • Kinked Foley catheter
  • Bowel impaction
  • Pressure ulcers
  • Tight clothing
  • Fractures or injuries
  • Surgical procedures
  • Menstrual cramps

Autonomic Dysreflexia (AD) is a medical emergency that occurs in patients with a spinal cord injury at or above T6. It happens when a painful or irritating stimulus below the level of the injury triggers an exaggerated sympathetic nervous system response, causing severe hypertension.

500

Complications of immobility. 

What are 

  • reduced heart conditioning, leading to fatigue
  • changes in oxygen requirements and ability to compensate, causing elevated heart rate
  • reduced blood flow (especially in the legs), leading to blood clots
500

Types of immobility. 

What are 

  • monoplegia (one limb)
  • paraplegia (two limbs)
  • quadriplegia (four limbs)
  • hemiplegia (two limbs on one side of the body)
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