Pedes and Med Rehab

Pediatrics

100

Most common congenital lower limb deficiency 

Fibular Hemimelia 

200

In a lower limb deficiency, when can they be fitted for a prosthetic? 

9-12 months or when they can pull to stand

300

for a patient with Erb's palsy who has less than antigravity strength after 6 months, what is the recommended treatment? 

Surgical Referral 

400

Reproduce the Galeazzi test on Bryan Lebron and describe its purpose. 

flex hips and knees b/l looking at the level of knee, if one knee is lower it indicates hip dysplasia 

500

A 3 year old child burned entirety of his left arm, dorsal aspect of right leg, his entire back, what is the estimated BSA affected? 

9+16+7.5= 32.5%

UE: 9 each

LE: 15 each

Trunk: 32

Groin: 1

Head: 19

CP

100

#1 risk factor for developing CP

Prematurity 

200

Name the 5 spastic types of CP

Spastic Monoplegia, Spastic Diplegia (most common), spastic triplegia, spastic tetraplegia, spastic hemiplegia

300

Name a surgical procedure for CP patients who is not responding to conversative measures as well as oral medication for spasticity

Selective Dorsal Rhizotomy 

400

describe the 5 stages of gross motor classification system

1) walks without limitation

2) use cane or side rail to walk

3) use walker

4) wheelchair (independently uses them)

5) wheelchair (someone else pushes them)

500

Which nerve blocking agent can cause permanent dysesthesia? explain its MOA

Phenol, denatures protein and causes nerve destruction with axonal degeneration. 

Cardiac Rehab

100

After cardiac transplant, what happens to resting HR and maximum HR

resting HR increase, Max heart rate decrease

200

Which phase of cardiac rehab is associated with close outpatient monitoring? 

phase II

300

patient had a MI 1 week ago, as his rehab doctor and bestie, he is inquiring to you about when he can do the deeds again? what to do you tell him? describe the met equivalent of doing the deeds

Wait at least 2 weeks, MET equivalent is similar to walking 2 flights of stairs. 

400

What is the term used to measure the maximum oxygen consumption that an individual can achieve during exercise? State the formula 

VO2 max. Fick equation, VO2 max= CO*AVO2 difference

fyi: CO= HR*SV

500

for phase 1 of cardiac rehab, what is the BORG scale you target for your patients? 

11-13,

as you improve can get to 12-16. 

Pulm Rehab

100

in Obstructive lung disease, what happens to TLC?

it goes up 

200

Normal Rate of FEV1 decrease per year

30 mL

300

in a SCI, which is only lung value that goes up 

Residual volume

400

In restrictive lung disease what happens to 

TLC

VC

FEV1

decrease, decrease, normal

500

Describe the 5 stages of Moser classification 

1) dyspnea on strenuous exertion

2) Dyspnea on stairs (normal with ADLs)

3) Dyspnea with certain ADLs

4) dyspnea with minimal exertion 

5) dyspnea at rest

Cancer Rehab

100

what is the most common site of metastasis for breast cancer?

Bone

200

Name this stage of lymphedema: fibrosis starts to develop 

stage 2

300

Usage of busulfan, bleomycin can lead to which organ damage, and which condition 

Lungs, pulmonary fibrosis

400

based on Denis criteria, when is a spine considered unstable? 

Damage to middle column or 2 out of 3 column is damaged

Also, more than 20 degrees of angulation 

500

General indications for surgical treatment of metastatic bone disease

name at least 3 to get the points

1) intractable pain

2) pathologic fracture

3) impending pathologic fracture

4) neuro deficit