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PT NBCE Passive Care Test 4
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Health Care
Professional
02/26/2013

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Term
1.       Mechanical supports include these 12 items.
Definition
1) STRAPPING, 2) TAPING, 3) BRACES, 4) CAST, 5) CORSETS, 6) CANES, 7) CRUTCHES, 8) COLLARS, 9) SLINGS, 10) SHOE LIFTS, 11) BANDAGES, 12) FOOT ORTHOTICS
Term
2.       Supports can be classified as these 4 methods of use.
Definition
1) IMMOBILIZATION, 2) SUPPORTIVE, 3) CORRECTIVE, 4) PROTECTIVE
Term
3.       10 physiological effects of mechanical supports.
Definition
1) RELIEVE OF WEIGHT BEARING, 2) LIMIT MOTION, 3) IMMOBILIZE, 4) RELIEVE MUSCLE SPASM AND PAIN, 5) DECREASE ABDOMINAL MUSCLE ACTIVITY, 6) DECREASE INTRADISCAL PRESSURE, 7) INCREASE INTRA-ABDOMINAL PRESSURE, 8) DECREASE MUSCLE ACTIVITY, 9) REVERSE OR CORRECT SPINAL CURVATURES, 10) CORRECT BIOMECHANICAL FAULTS OR WEAKNESS
Term
4.       13 indications for mechanical supports.
Definition
1) ACUTE IVD SYNDROME, 2) ACUTE SPRAINS/STRAINS, 3) DJD, 4) HYPERKYPHOSIS, 5) HYPERLORDOSIS, 6) JOINT INSTABILITY, 7) MUSCLE SPASM AND GUARDING, 8) POSTURAL BACKACHE, 9) SCOLIOSIS, 10) SPINAL FRACTURES, 11) EXTREMITY FRACTURES, 12) CONGENITAL WEAKNESS, 13) FOOT/ANKLE WEAKNESS
Term
5.       7 contraindications to the use of mechanical supports.
Definition
1) PROMOTING MUSCULAR ATROPHY, 2) PROMOTING WEAKNESS, 3) PROMOTING ADHESIONS OR FIBROSIS, 4) ISCHEMIA, 5) CONGESTION, 6) VASCULAR STASIS, 7) DEPENDENCE
Term
6.       _____ are mechanical supports used for heel spurs or plantar fasciitis.
Definition
HEEL CUPS
Term
7.       _____ are mechanical supports used for structural or functional short legs.
Definition
HEEL LIFTS
Term
8.       _____ are mechanical supports used for excessive foot pronation/supination.
Definition
ORTHOTICS
Term
9.       _____ are mechanical supports used for ankle sprains.
Definition
SOFT ELASTIC BRACES
Term
10.   _____ are mechanical supports used to prevent excessive ankle inversion/eversion.
Definition
HARD BRACES
Term
11.   _____ are mechanical supports used to generally support grade 1 MCL or LCL ligament and muscle strains.
Definition
SOFT KNEE BRACES
Term
12.   _____ is a coccyx mechanical support commonly used for the patient to sit on who has coccyodynia.
Definition
DOUGHNUT
Term
13.   _____ braces are used for lumbar sprain/strain injuries.
Definition
SOFT BRACES
Term
14.   _____ braces are used for lumbar IVD or sprains.
Definition
SOFT BRACES WITH RIGID STAYS
Term
15.   _____ braces are used for post surgery or scoliosis in the lumbar spine.
Definition
HARD OR RIGID BRACES
Term
16.   _____ braces are used for clavicular or AC joint injuries.
Definition
FIGURE 8 BRACE
Term
17.   _____ braces are used for nondisplaced rib fractures, pleurisy or intercostal neuralgia.
Definition
RIB BELTS
Term
18.   _____ are braces used for muscle strains, torticollis, or whiplash injuries in the cervical spine.
Definition
SOFT COLLARS
Term
19.   _____ are braces used for mild compression fractures, avulsion fractures, or ligamentous tearing in the cervical spine.
Definition
RIGID COLLARS
Term
20.   Slings should be used on the shoulder whenever the patient presents with any of these 5 injuries.
Definition
1) BURSITIS, 2) TENDONITIS, 3) AC SEPARATION, 4) ROTATOR CUFF INJURIES, 5) SPRAINS
Term
21.   _____ should be used on the elbow whenever a patient presents with bursitis, strain injuries, and tennis or golfers elbow.
Definition
SOFT COMPRESSIVE SUPPORTS
Term
22.   _____ should be used for strain injuries of the wrist.
Definition
SOFT COMPRESSIVE SUPPORT
Term
23.   _____ is a brace that should be used for carpal tunnel syndrome.
Definition
COCK-UP SPLINT
Term
24.   _____ is the name of a cervical collar.
Definition
PHILADELPHIA COLLAR
Term
25.   2 names for thoracic braces.
Definition
1) JEWETT BRACE, 2) KNIGHT TAYLOR
Term
26.   4 different lumbar and sacroiliac braces.
Definition
1) CHAIRBACK BRACE, 2) WILLIAMS BRACE, 3) KNIGHT SPINAL BRACE, 4) TROCHANTERIC BELT
Term
27.   A _____ brace should be used when one has scoliosis.
Definition
MILWAUKEE BRACE
Term
28.   3 different types of extremity braces.
Definition
1) LOUISIANA BRACE, 2) LENNOX-HILL BRACE, 3) COCK-UP SPLINT
Term
29.   Kinesio taping involves taping over and around muscles in order to either _____ or to _____.
Definition
ASSIST AND GIVE MUSCLE SUPPORT; OR TO PREVENT OVER CONTRACTION OF THE MUSCLES
Term
30.   _____allows the practitioner the opportunity to actually give support with full ROM that enables the individual to participate in physical activity with functional assistance.
Definition
KINESIO-TAPING
Term
31.   The overcontraction prevention aspect of kinesio-taping is most commonly used during the _____.
Definition
ACUTE STAGE OF REHAB
Term
32.   Kinesio-tape can also be used in conjunction with these 4 other therapies.
Definition
1) CRYOTHERAPY, 2) HYDROTHERAPY, 3) MASSAGE THERAPY, 4) ESTIM
Term
33.   These are the 3 main taping techniques recognized in the united states.
Definition
1) WHITE ATHLETIC TAPING, 2) MCCONNELL TAPING TECHNIQUE, 3) KINESIO TAPING
Term
34.   _____ is the most commonly used taping technique in the US. It involves the use of a pre-wrap and is used for acute and preventative injuries. It is generally left on for a short period of time and it is typically applied immediately prior to activity and taken off thereafter.
Definition
WHITE ATHLETIC TAPING
Term
35.   White athletic taping causes skin irritation due to these 3 conditions.
Definition
1) TRAPPING OF MOISTURE, 3) HIGH LATEX CONTENT, 3) HIGH COMPRESSION TO THE UNDERLYING TISSUES
Term
37.   _____ is a bracing or strapping technique using a super-rigid cotton mesh, highly-adhesive tape. It is most commonly used for patellofemoral, shoulder subluxation, lumbar, foot and hip impingement.
Definition
MCCONNELL TAPING
Term
38.   McConnell taping is left on the person for no more than _____ hours due to in-adverse skin reactions.
Definition
18 HOURS
Term
39.   McConnell taping technique is primarily used for _____ of the affected condition, and is widely accepted by the medical community.
Definition
NEUROMUSCULAR RE-EDUCATION
Term
40.   _____ is a taping technique that uses a highly specific designed tape that works with the body allowing full ROM, and in most cases improves ROM. It will not affect biomechanics of the patient. There is also no latex in the product making it skin sensitive and safe to use from pediatric to geriatric populations.
Definition
KINESIO-TAPING
Term
41.   Since kinesio-taping does not compress skin, it is safe to wear over a _____ day period.
Definition
3-5 DAY
Term
42.   Kinesio-taping works with the lymphatic system to _____ in order to rehabilitate and relieve pain. It can also be used for virtually all clinical conditions.
Definition
INCREASE CIRCULATION OF BLOOD/LYMPH
Term
45.   How does kinesio-taping affect skin functions (endohenous analgesic system)?
Definition
IT RELIEVES PAIN OR ABNORMAL FEELING ON THE SKIN AND MUSCLES
Term
46.   How does kinesio-tape affect the muscle functions?
Definition
SUPPORTS THE MUSCLES IN MOVEMENT, AND THE ELASTIC PROPERTIES OF THE TAPE REPLICATES AND ENHANCES MUSCLE FIBERS AND TENDONS
Term
47.   How does kinesio-tape affect lymphatic function?
Definition
REMOVES CONGESTION OF LYMPHATIC FLUID OR HEMORRHAGES UNDER THE SKIN. IT ALSO STIMULATES THE MOVEMENT OF LYMPHATIC AND INTERSTITIAL FLUIDS
Term
48.   How does kinesio-tape affect joint function?
Definition
IT CORRECTS MISALIGNMENT OF THE JOINT AND IMPROVES THE ALIGNMENT OF STRUCTURE THROUGH ITS AFFECT ON THE MUSCLE/FASCIA AND PAIN
Term
1.       These are the 3 arches of the foot.
Definition
1) ANTERIOR TRANSVERSE ARCH, 2) LATERAL LONGITUDINAL ARCH, 3) MEDIAL LONGITUDINAL ARCH
Term
2.       Which arch in the foot s the most problematic?
Definition
MEDIAL LONGITUDINAL ARCH
Term
3.       When the medial longitudinal arch fails, it causes foot _____.
Definition
PRONATION
Term
4.       If the lateral longitudinal arch fails, it causes foot _____.
Definition
SUPINATION
Term
5.       If the anterior transverse arch fails, the patient will be prone to developing _____
Definition
MORTON’S NEUROMA AND METATARSALGIA
Term
6.       If the medial and anterior transverse arch fail, the patient will be prone to developing _____.
Definition
BUNIONS
Term
7.       When the medial longitudinal arch fails the navicular will displace _____.
Definition
INFERIOR
Term
8.       This muscle test should be utilized to determine the effectiveness of the medial longitudinal arch.
Definition
ILIOPSOAS
Term
9.       If the lateral longitudinal arch fails, the cuboid will fixate _____.
Definition
SUPERIORLY
Term
10.   These 2 muscles should be tested to determine the effectiveness of the lateral longitudinal arch.
Definition
GLUTEUS MEDIUS AND MINIMUS
Term
11.   If the anterior transverse arch fails, the metatarsals will displace _____.
Definition
INFERIORLY
Term
13.   6 steps in testing if the patient needs foot orthotics.
Definition
1) ADJUST THE BONES CORRESPONDING TO THE WEAK MUSCLE TEST, 2) RE-TEST THE MUSCLE, 3) HAVE THE PATIENT STAND, 4) RE-TEST THE MUSCLE, 5) REPEAT, 6) TAPE FOOT
Term
14.   What does the acronym laser stand for?
Definition
LIGHT AMPLIFICATION STIMULATED EMISSION RADIATION
Term
15.   Light is measured in wavelength units called _____.
Definition
NANOMETERS
Term
16.   Laser wavelengths between _____nm optimize the depth of penetration.
Definition
600-1300NM
Term
17.   Laser output refers to the _____ of the laser.
Definition
INTENSITY
Term
18.   Laser output/intensity is measured in _____.
Definition
WATTS
Term
19.   Laser output can be increased or decreased affecting the intensity of the laser without changing the _____.
Definition
WAVELENGTH
Term
20.   The _____ is the amount of energy administered to a surface area of tissue in a given time.
Definition
DOSE
Term
21.   Lase dose energy is measured in _____.
Definition
JOULES
Term
22.   _____ lasers are the most common types of lasers in the medical field today. They are used to destroy, cut, and cauterize tissue.
Definition
SURGICAL LASERS
Term
23.   Surgical lasers are referred to as _____ lasers.
Definition
HOT
Term
24.   _____ lasers do not have a thermal effect, and are used to stimulate biological function.
Definition
COLD LASERS
Term
25.   Class 1 lasers are low-powered laser devices with <_____mW of output.
Definition
<0.5Mw
Term
26.   Class 2 lasers are low-powered laser devices with up to _____mW of output.
Definition
1mW
Term
27.   Class 3 lasers are mild powered laser devices with _____ to _____mW of output.
Definition
1-500mW
Term
28.   Class 4 lasers are high powered laser devices with over _____mW of output.
Definition
500mW
Term
29.   5 contraindications to the use of laser.
Definition
1) DIRECTLY OVER EYES, 2) HEMORRHAGING REGIONS, 3) LOCALLY TO THE ENDOCRINE SYSTEM, 4) ABDOMINAL REGION DURING PREGNANCY, 5) OVER RED AND ORANGE TATTOO INK
Term
30.   13 precautions to the use of lasers.
Definition
1) EPILEPSY, 2) FEVER, 3) MALIGNANCY, 4) LOWER BACK DURING PREGNANCY, 5) EMBRYO OR FETUS, 6) OVER THE GONADS, 7) AREAS OF DECREASED SENSATION, 8) INFECTED TISSUE, 9) PACEMAKER, 10) SYMPATHETIC GANGLIA, 11) VAGUS NERVE, 12) CARDIAC REGION, 13) PATIENTS WITH HEART DISEASE
Term
31.   Lasers increase ATP production by stimulating _____, especially in nervous tissue.
Definition
MITOCHONDRIA
Term
32.   7 effects of low level laser.
Definition
1) CELLULAR EFFECTS, 2) ALTERED NERVE CONDUCTION AND REGENERATION, 3) VASODILATION, 4) WOUND AND FRACTURE HEALING, 5) MUSCULOSKELETAL DISORDERS, 6) PAIN MANAGEMENT, 7) STIMULATION OF ACUPUNCTURE POINTS
Term
33.   5 cellular effects of low level laser.
Definition
1) INCREASE ATP AND RNA PRODUCTION, 2) MACOPHAGE STIMULATION, 3) PHAGOCYTE STIMULATION, 4) INCREASED CELL PROLIFERATION, 5) FIBROBLAST STIMULATION TO INCREASE COLLAGEN PRODUCTION
Term
34.   6 tissue effects of low level laser.
Definition
1) ACCELERATED FIBROBLAST PROLIFERATION, 2) INCREASES FIBROPLASIA, 3) INCREASES ANGIOGENESIS, 4) INCREASES COLLAGEN SYNTHESIS, 5) INCREASES LYMPHATIC FUNCTION, 6) REDUCED INFLAMMATORY RESPONSE
Term
35.   The 1st thing laser was approved for by the FDA was _____.
Definition
CARPAL TUNNEL
Term
36.   Laser can be used on these 10 musculoskeletal conditions.
Definition
1) ARTHRITIS, 2) RA, 3) CARPAL TUNNEL, 4) INCREASE ROM, 5) RESTORING NEUROLOGICAL FUNCTION, 6) MYOFASCIAL SYNDROMES, 7) TENDONITIS, 8) AK, 9) ACUPUNCTURE POINTS, 10) PAIN MANAGEMENT
Term
37.   The lower the nM of the laser, the more _____ it will penetrate.
Definition
SUPERFICIAL
Term
38.   The higher the nM of the laser, the _____ it will penetrate.
Definition
DEEP
Term
39.   Superficial lasers are found between the wavelength of _____nM, and should be used for skin problems.
Definition
400-650nM
Term
40.   Deep lasers are found between the wavelength of _____nM and should be used for ligaments and tendons.
Definition
700-800nM
Term
42.   _____ joules should be used for the treatment dose of open wounds.
Definition
0.6-1 JOULE
Term
43.   _____ joules should be used for the treatment dose of most musculoskeletal conditions.
Definition
2-4 JOULES
Term
44.   _____ joules should be the total treatment dose per treatment.
Definition
8-40 JOULES
Term
45.   How do you calculate the treatment dose when using laser.
Definition
DOSE (J) = [OUTPUT X TIME]/AREA TREATED
Term
46.   _____% of the total laser dose is lost when treating through clothing.
Definition
70.00000%
Term
47.   7 general treating guidelines when using laser.
Definition
1) DO NOT TREAT THROUGH CLOTHING, 2) IT IS BETTER TO USE 3-4 TREATMENTS PER WEEK WITH MODERATE DOSE THAN USING A HIGHER DOSE WITH LESS TREATMENTS, 3) ACUTE PROBLEMS USUALLY RESPOND WITH A FEW TREATMENTS WHICH CAN BE CLOSELY SPACED, 4) CHRONIC CONDITIONS ARE USUALLY BEST HANDLES WITH MORE WIDELY SPREAD TREATMENTS, 5) YOU SHOULD TREAT AT CLOSER INTERVALS IN THE BEGINNING AND LONGER INTERVALS AT THE END OF TREATMENT, 6) CHOOSE THE FREQUENCY AND DOSE APPROPRIATE FOR THE PATIENTS CONDITION, 7) SOME RESPONSE SHOULD BE OBSERVED IN 4-5 SESSIONS
Term
49.   The _____ laser is used specifically for diabetic neuropathy, and it stimulates vasodilation of capillaries and nerve regeneration.
Definition
ANODYNE
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