Inpatient 2
When transferring a patient with pusher syndrome, which side will this patient likely fall towards if not assisted correctly?
will push towards the side of weakness
What end feel would be expected for a painful joint?
empty
You are seeing a patient who suffered from a recent frontal lobe CVA. The frontal lobe is primarily responsible for:
executive function
How long should ice massage be applied?
5 minutes
When seeing a patient following a total hip replacement procedure performed with posterior approach, what are three actions/positions typically recommended to avoid?
Hip flexion >90, hip IR, hip adduction
PT and OT are co-treating a patient in the acute care setting 1 day following a bowel resection procedure. Patient states she has refused to walk with nursing staff to this point and is complaining of right lower leg pain and warmth. What is the best course of action at this time?
Further assess for DVT / notify nurse and/or physician of DVT risk / hold tx until further assessment
Patient presents with tenderness of the anterior shoulder, pain with shoulder flexion, and positive speeds test. What specific tissue is most likely the source of pain?
long head of biceps
Hypertension and aneurysms can cause this type of stroke
hemorrhagic
This wound healing phase can be associated with edema, erythema, heat and pain and may last up to 6 days
inflammatory phase
Name 3 contraindications for use of therapeutic ultrasound?
Over acute infection, fracture, metal implants, metastatic lesions, eyes, pacemaker, pregnancy, etc
A 35 year old patient with a complete T5 spinal cord injury is working on supine to sit transfers on the mat table when he suddenly appears flushed and complains of his heart pounding. Upon examination, his blood pressure is 180/100 and he has a pounding headache. The most appropriate INITIAL course of action is:
sit patient up and notify physician
Patient presents with PT/OT Rx 3 weeks following a FOOSH injury, with diagnosis of “wrist pain eval and treat.” Patient reports negative x-ray the day after injury. Current symptoms include radial wrist pain, tenderness at the anatomical snuff box, each not improving over the past 1-2 weeks. What is the appropriate course of action for this patient?
refer out for further imaging suspect of scaphoid fracture
A patient presents with complaints of a dry right eye and demonstrates drooping of the right side of the face. What diagnosis is likely present and which cranial nerve is affected with this condition?
Bell's Palsy, CN VII (facial)
A patient underwent a standard total shoulder replacement procedure without rotator cuff repair. How long is this patient typically expected to wear a sling?
1-2 weeks
Patient reports shoulder pain most notably with full overhead reaching activities. What special test is most likely to be positive in this patient?
Neer
A patient presents to the inpatient rehabilitation unit who has suffered a vertebro-basilar CVA and has difficulty adducting and depressing his eyes. Which cranial nerve is the MOST likely cause of this impairment?
CN IV - trochlear
A patient presents with weakness and pain through the right shoulder. You notice significant muscle wasting directly over the posterior aspect of the scapulae. Which nerve is most likely implicated?
suprascapular nerve
A patient scores 12/56 on the Berg Balance Scale. What is the most appropriate assistive device for this patient to use at this time for daily mobility?
wheelchair
A patient has damage to the epidermis and upper dermis after being out in the sun too long without any sunblock. What type of burn does this patient present with?
superficial partial thickness
Which PNF pattern includes a combination of shoulder flexion, abduction, and ER with supination, radial deviation, and wrist/finger extension?
D2 flexion
A patient is in an acute care setting following a right CVA. The nursing staff reports the patient commonly bumps into the wall on their left side when ambulating with the nursing staff. What change could be made to the patient’s bed in their room to help improve the impairment demonstrated?
Place the patient’s bed so that their right side is close to the wall, forcing them to improve left neglect
67+% of patients who present with rotator cuff dysfunction also present with what related impairment?
scapular dyskinesia
You are evaluating a patient following a spinal cord injury. He demonstrates poor bilateral upper extremity function, most notably of the hands, with mild sensory deficit and mild gait ataxia. He most likely has what diagnosis?
A patient presents to an outpatient setting wearing a forearm-based thumb spica. He has had pain in the lateral wrist over the past few months, but recently worsened while playing tennis, leading him to seek MD treatment. What two structures are likely producing pain in this patient?
Abductor pollicis longus (APL) and extensor pollicis brevis (EPB)
You are evaluating a patient in an acute care setting and notice the following signs: weak pulse, quick respiration, dry mouth, acetone breath, and nausea. What condition is likely occurring?
Hyperglycemia