Disintegrating into the Abyss

Poppin' Pills

100

1. What is the med used to emergency hypoglycaemic episodes where the patient goes unconscious?

glucagon

200

what does cART stand for (HIV)?

combined antiretroviral therapy

300

What is DMARDS? List 2 conditions it's used for?

disease modifying antiheumatic drugs 

-JIA and RA

400

Main concern for someone taking glyburide? What population? 

insulin secretagogues, concern of hypoglycaemia

common in T2D

500

Describe antibody mediated acute rejection? What medication would you use with it? 

rare, where the antibodies attack the transplant

plasmapheresis

Room-a-toyed

100

Explain how joint deformities occur in RA compared to acute injury

its due to the chronic inflammation and joint destruction

200

What are the 4 sections of the classification criteria for RA

joint distribution, serology, symptom duration, and acute phase reactants (blood work)

300

The order of assessment for active joint count

1. effusion

2. joint lint tenderness

3. stress pain

400

Cite the specific exericse prescription for isometric exercises in an acute inflammation stage of RA

DAILY DOUBLE

1-2xday, daily

submax. unresisted, not going to fatigue

6 second hold, 1-3 reps

500

Describe periarticular signs in RA for the following (generally)

1. ocular

2. neurologic

3. hematologic

1. inflammation and dry eyes

2. compression neuropathy, polyneuropathy, myelopathy

3. anemia

Wii-FITT

100

What is one physiotherapy intervention you can recommend with DMD and not SMA/CMT(Charcot Marie tooth) 

DAILY DOUBLE

you can complete stretching in DMD, but not in the others due to nature of the disease

200

general PA guidelines for obesity

30-60 minutes of moderate to vigorous intensity activity most days of the week

300

ROM guidelines for burn patients

stretch slow and gradual

3 mins at end range, 2-3 times a day

static, active or AAROM preferred

400

Provide examples of WB exercises for person with an amputation

weight shift (scale), side step, stool stepping, standing with sound foot placed on unsable surface (soccer ball)

500

OP Multicomponent exericse components and frequency

2X balance training

2X functional/mobility training

2X progressive strength traiing

all per week

The DiaBeatles

100

Describe the Dawn phenomenon 

• Normal, during sleep, hormones are released and stimulae glucose release to counter the fasting during night (self balance)
  • People with diabetes lack sufficient insulin to counter rise in BS = hyperglycemia at down

200

Exercise Guidelines for DM 

150 minutes of aerobic activity

2-3 session resistance activity per week

300

When does DKA occur? what are some S/S

Diabetic ketoacidosis (esp in T1DM): where extreme hyperglycemia (>20), when you don't have insulin, so carbs can't get used and start to use fatty avids, releases ketones (acidic)

s/s: kussmaul repiration, acetone-ordered breath, N/V, ABDOMINAL PAIN

400

List examples of micro and macro complications of hyperglycaemia 

Micro: retinopathy, neuropathy, nephropathy

Macro: CAD, PAD, CVA (primary cause of death in diet)

500

Define IAH and  What are risk factors 

• IAH: no autonomic/neurogenic warning signs of hypoglyemia, increased risk of severe episodes (more common in type 1)
• 
  
  • Risk factors: frequency, recurrent hypos, long diabetes duration, geneic factors, diabetic neuropathy

I Plant Organs

100

Skeletal muscle fibres change from ____ to ____ as a pre transplant consideration

type 1 to type 2b

200

What would you use to measure intensity in post heart transplant vs post lung transplant

heart: NOT HR, RPE< vo2peak, BORG

lung: HR, BORG

300

3 key physiological changes post lung transplant (not denervation)

1. no protective cough/impaired mucocilary clearance

2. airway hyperrepsonsivness

3. altered vent. repose to hypercapnia

400

What are the 3 highlighted side effects of the other 2 drugs in immunosuppressive therapy (not corticosteroids)

DAILY DOUBLE

infection

HTN

diabetes

500

KEY signs of acute rejection for post heart transplant vs lung transplant

heart: hypotension/signs of heart faliure

lung: ↓FEV1 >10 over 2 days