Which intervention would be the LEAST appropriate for managing the wound in the image?
Compression
Wearing appropriately sized shoes and socks
Elevating the limb
Rest
4. Rest
You are creating a POC for your patient who has GERD. Which would be the BEST activity to choose for bilateral hip abduction strengthening?
Sidelying clamshells with resistance bands around the thighs
Standing hip abduction with resistance bands around the thighs
Sidelying hip abduction with ankle weights
Hip abduction with ankle weights while hanging upside down
2. Standing hip abduction with resistance bands around the thighs
A female patient who has just entered menopause comes to you for an initial evaluation for hip pain. What are some factors that this patient is NOT at risk of?
Osteoporosis
Endometriosis
Heart disease
Stroke
2. Endometriosis
How awesome is Sean Harvey's mustache? (answer in applause and standing ovation)
1. Wow.
2. WOW.
3. WOowWOWOow.
4. Out of this world wow.
4. Out of this world wow.
Name something that follows the word "pork".
-cupine
A 1 y.o. presents to the ER with a burn after knocking over a pot of hot cooking oil. The pt had burns to his face, R UE (front and back), stomach/ chest, and R LE (front). What percentage of the pt’s body sustained burns?
42.75
40.5
54
51.75
1. 42.75
What should we include in our patient education for patients who have IBS (Irritable Bowel Syndrome)?
Elevation of the lower extremities can help decrease constipation
It is best to use “The Thinker” position when going to the bathroom
Eating 5 lbs of kale daily has been a proven treatment of IBS
Physical activity can assist with bowel function
4. Physical activity can assist with bowel function
An 85 year old male patient that has been seeing you for generalized pain states that he is noticing blood in his urine and has been experiencing erectile dysfunction. You notice that he has lost a lot of weight recently. What diagnosis would you consider?
Benign prostatic hyperplasia
Renal cancer
Parkinson’s disease
Prostate cancer
4. Prostate cancer
Which of the following is NOT true regarding the hormone cortisol?
1. Suppress immune function
2. Increases blood sugar in blood stream
3. Increases blood pressure
4. Is released by the pituitary
4. Is released by the pituitary
What is NOT true regarding systemic lupus erythematosus?
1. Is more common in females than males
2. Numbness and tingling are often reported as an early symptom
3. Symptoms include fatigue, fever, and kidney problems
4. Associated with an increase in ANA levels
2. Numbness and tingling are often reported as an early symptom
!!! DAILY DOUBLE !!!
Which form of dressing would be the most appropriate to use for managing an arterial insufficiency ulcer?
Salad dressing
Hydrogel dressing
Foam Dressings
Hydrocolloid dressing
2. Hydrogel dressing
You are about to see a patient with hepatitis A in the acute setting. Before you enter the hospital room, what type of precautions should you take?
Airborne
Contact
Droplet
None
2. Contact
!!! DOUBLE JEOPARDY !!!
A 70 year old female patient comes into the clinic and states that she is experiencing an increase in urinary frequency and a burning sensation during urination. Which of the following symptoms would signify a lower UTI?
Positive Murphy’s percussion sign and back pain
Cloudy and foul-smelling urine
Fever and chills
Nausea and vomiting
2. Cloudy and foul-smelling urine
Which of the following are symptoms of high blood sugar?
Pallor, tachycardia, sweating
Weakness, dry mouth, fruity odor to breath
Rapid pulse, flushed, nausea/vomiting
Headache, blurry vision, bradycardia
Pallor, tachycardia, sweating
All of the following conditions can cause tachycardia if when untreated or poorly managed?
Hyperthyroidism
Hyperparathyroidism
Anemia
Hypothyroidism
4. Hypothyroidism
Why is diarrhea hereditary?
It runs in your genes (This is poor for wound healing as it may lead to maceration)
A patient with gallstones will complain of pain in which region?
RUQ
QLQ
LUQ
LLQ
RUQ
A patient who is in her third trimester of pregnancy comes into your clinic with right sacroiliac pain that has been increasing throughout her pregnancy. What of the following is the BEST piece of advice to give the patient to reduce her right SI pain?
Avoid wearing a support belt
Start a new exercise program that will reduce SI joint pain
Avoid single leg weight bearing when possible
Lay down in prone to unweight SI joints
3. Avoid single leg weight bearing when possible
What are common signs and symptoms of hyperparathyroidism?
1. Sharp and burning pain
2. Edema and increased hair growth
3. Fractures and GI changes
4. Moon shaped face and weight gain
3. Fractures and GI changes
What red flag is important to note with regard to a pt who has had radiation therapy to treat breast cancer?
Weight loss
Neuropathy with rapid motor weakness occurring years after therapy
Fluid retention
Phabitis
2. Neuropathy with rapid motor weakness occurring years after therapy
A 85 y.o. female presents to OP PT following a TKR. The pt is also being seen by the wound clinic for management of a venous insufficiency ulcer on her L lateral calf. The pt is febrile and the wound is warm to the touch with redness and swelling. Which of the following is the most appropriate action?
It is likely dermatitis so the PT should continue with POC and report findings to PCP
Stop treatment and contact the PCP immediately
Educate the pt on proper wound care
This is typical for venous ulcer; Continue with POC
2. Stop treatment and contact the PCP immediately
What is Popeye's favorite food?
1. Carrots
2. Steak
3. CHICKEN
4. Spinach
4. Spinach
A patient who has controlled diabetes and history of kidney stones is in your clinic for back pain. Halfway through the session, they suddenly start to vomit, appear confused, and start itching everywhere. The patient stated at the beginning of the session that they ate an hour before they came. What should you do?
Stop the session and get a snack for the patient; hypoglycemia is suspected
Refer to the ED; acute renal failure is suspected
Refer to the endocrinologist; chronic renal failure is suspected
Stop the session and sit with the patient until they feel better; hyperglycemia is suspected
2. Refer to the ED; acute renal failure is suspected
28 year old female presents to PT evaluation for left hip pain. She describes an atraumatic cause beginning 6 months ago. She works as a 4th grade teacher and reports pain is temporarily alleviated while swimming, which she does for exercise 2-4 times a week. The patient reports being diagnosed with Grave’s disease 2 weeks ago after her PCP referred her to an endocrinologist, after which she was prescribed anti-thyroid medication.
While working with this patient, what would be most important to monitor?
A. Pain levels
B. Bilateral carpal tunnel syndrome
C. Vitals
D. Decreased appetite
C. Vitals
A 55 year old female presents to PT evaluation for bilateral knee pain. Patient describes pain as achy that has worsened over the past year but denies numbness and tingling. You see on her medical record the diagnosis of fibromyalgia and lupus. When inquired, patient reports both conditions are monitored by her rheumatologist. In creating a POC, what do you keep in mind to avoid triggering?
Butterfly type rash on face
Fever
Increased burning pain
DOMS
4. DOMS