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PTA
Physical Therapy Assistant
85
Other
Undergraduate 2
10/11/2011

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Cards

Term
Following a complete and successful healing precoss. You expect the newly formed scar tissue to be??
Definition
Weaker and Less durabality than the original tissue
Term
How does ORIF relate to bone healing?
Definition
It is a type of stabilization to keep bone fragments in contact for healing
Term
The stages of normal bone healing include what?
Definition
Hematoma, Soft Callus, Hard Callus
Term
A condition caused by the loss of blood supply to a bone, that can be a complication of bone healing, is called?
Definition
Avascular Necrosis
Term
Full thickness articular cartilage injuries heal better than superficial injuries because?
Definition
The Inflammatory response is stimulated.
Term
What is the pattern of immature collagen fibers?
Definition
Random
Term
What are the three phases of tissue healing in order?
Definition
Phase 1 Inflammation, Phase 2 Repair, Phase 3 Remodeling.
Term
Which of the following characteristics of pain would indicate that phase 1 of healing has resolved?
Definition
Pain at the end of available range.
Term
Total Knee Arthroplasty poses a risk to what artery?
Definition
Popliteal Artery
Term
What are some effects of immobilization?
Definition
Contracture, Atrophy, Decreased Bone Mass
Term
A sprain is the term for a damaged what?
Definition
Ligament
Term
What are the cardinal signs of inflammation?
Definition
Loss of function, Pain, Redness,and Swelling,
Term
What is the firat stage of bone healing?
Definition
Hematoma / Clot Formation
Term
What is stage 2 of bone healing?
Definition
Soft Callus / Bridges fragment ends with poor alignment
Term
What is stage 3 of bone healing?
Definition
Hard Callus / Unification of bone ends in anatomical alignment, osteoblast activity.
Term
What is stage 4 of bone healing?
Definition
Remodeling / callus reabsorbed
Term
Why is reinjury common during fibroplasia phase of healing?
Definition
People return to activity before healing has been compleated.
Term
What happens during the inflammatory phase of healing?
Definition
Capillary Sprouting, Clot Formation, and Phagocytoses.
Term
What are causes of erosion of hyhaline cartilage?
Definition
Trauma, Immobilization, and Joint Instability.
Term
A positive Homan's sign would indicate?
Definition
Possiable DVT
Term
What does ORIF stand for?
Definition
Open reduction internal fixation
Term
Heat, Massage, and vigorous exercise should be avoided in the treatment of acute/subacute muscle injuries due to risk of what?
Definition
Myositis Ossificans
Term
Phase 2 of healing is characterized by what?
Definition
Collegen Formation
Term
In what stage of soft tissue healing would you increase strength, function, and ROM?
Definition
Remodeling
Term
In what phase of soft tissue would you want to protect and promote ROM and strength?
Definition
Repair
Term
In what stage of soft tissue healing would you want to use protection, decrease edema, and use pain managment?
Definition
Inflammation.
Term
One of the principle purposes of macrophages in the inflammatory process is?
Definition
Removal of cellular debris.
Term
The muscle most likely to be found in a shortened position with a diagnosis of trochanteric bursitis is?
Definition
Tensor Fascia Lata
Term
Normal quad / hamstring muscular ratio is considered to be?
Definition
3:2
Term
A surgical procedure that involves replacement of the Femoral head and Acetabulum is referred to as?
Definition
Total Hip Replacement
Term
The signs and symptoms of a PCL injury are?
Definition
Joint effusion, Muscle guarding, and Pain
Term
Godfrey's 90/90 tests for?
Definition
PCL injury
Term
McMurral's tests for?
Definition
Meniscus injury
Term
Thompson's test checks for?
Definition
Achilles Tendon Rupture
Term
Anterior Drawer tests for?
Definition
ACL
Term
When the middle 1/3 of ones own patellar tendon is used for reconstruction of ones own ACL or PCL it is called?
Definition
An Autograft
Term
What muscles are involved in ankle pumps?
Definition
Tibialis Anterior, Gastroc, and Soleus
Term
Elevated tissue pressure within a closed fascial space resulting in a neurovascular compromise refers to what condition?
Definition
Compartment syndrome
Term
A patient post medial menisectomy who has had persistent effusion in the knee since surgery complains of anterior knee pain when coming down stairs. This, most likely, would indicate that the patient has developed what complicating condition?
Definition
Patellofrmoral Syndrome
Term
What represents a Grade 2 lateral ankle sprain, according to Nicholas and Hershman?
Definition
Partial disruption or stretching of any ankle ligament with some loss of function
Term
Posterior Lachman's tests for?
Definition
PCL
Term
Talar Tilt test's for?
Definition
Ankle instability
Term
Pivot Shift test's for?
Definition
ACL
Term
Valgus Stress test is for?
Definition
MCL
Term
Varus Stress test is for?
Definition
LCL
Term
A deformity characterized by MTP hyperextension, PIP flexion, and Dip flexion.
Definition
Claw Toe
Term
The main focus of rehabilitation from a calcaneal fracture is in regaining ROM and strength of what muscle groups?
Definition
Plantar Flexors
Term
The most common ankle sprain involves?
Definition
Forced plantar flexion with inversion of the foot and ankle
Term
Open chain knee extension from 30 degrees to 0 degrees in contraindicated for rehabilitation in the early phase of which sergical repair?
Definition
ACL
Term
O'Donohue's unhappy triad involves what structures?
Definition
ACL, MCL, Medial Meniscus
Term
Why is open chain hamstring strenthening contrindicated in the early stages of PCL rehabiliation?
Definition
The hamstrings cause posterior transulation of the tibia
Term
A patient reports he injured his knee by combined tibial internal rotation, with valgus stress while the knee was hyperextended and the foot was planter. What was the most likely knee injury?
Definition
ACL
Term
Your patient complains of "locking" of his knee when he attempts to extend it. What impairment would you expect?
Definition
Meniscus
Term
Which of the following functional impairments would a patient S/P THR probably experience?
Definition
Transfers to/from a low chair
Term
What would you expect to find with a diagnosis of patellofrmoral pain syndrome?
Definition
Q angle increased on affected extremity, Pain with sitting for long periods of time, Vastus Medialis weakness, and Iliotibial Band tightness.
Term
When you patient describes their foot pain is characterized by excrucuating pain with the first steps out of bed each morning, what common diagnosis would you suspect?
Definition
Plantar Fascitis
Term
The anterior drawer test of the ankle is designed to test the continunity of which of the following structures?
Definition
Anterior talofibular ligament
Term
The weight bearing status of an unstable Pelvic fracture immediately post operative would likely be?
Definition
NWB bil
Term
The diagnosis most highly assiciated with risk of Acascular Necrosis?
Definition
Femoral Neck Fracture
Term
An ACL injury tends to be associated with a greater amount of localized effusion compared to am MCL injury. Why is this?
Definition
ACL is found within the capsule of the knee
Term
How is the process of shaping the residual linb after amputation accomplished?
Definition
By post-operative dressings
Term
An AFO can control ankle motion by?
Definition
Assisting DF with posterior leaf spring
Term
What is the importance of "shaping" the residual limb of a patient status post transtibial amputation?
Definition
In order to shape the limb for a prosthetic limb
Term
The distance between right heel strike to left heel strike is called?
Definition
Step Length
Term
Paraplegics above which level are not expected to achieve functional ambulation?
Definition
T11
Term
An unsteady wide based gait that's jerky is called?
Definition
Ataxia
Term
A gait pattern caused by quad weakness.
Definition
Recurvatum
Term
Gait psttern caused by adductor weakness?
Definition
Scissor
Term
Gait pattern caused by tibialis nterior weakness
Definition
Steppage
Term
Gait pattern caused by hip abductor weakness
Definition
Trendelenberg
Term
Gait pattern characterized by small shuffling steps
Definition
Parkinson's
Term
A patient's newly fit temporary LE prosthetic limb is longer than his other remaining limb. What gait deviation would you most likely see?
Definition
Circumduction
Term
What is the primary role of the gluteus medius and other postural muscles during the entire gait cycle?
Definition
Eccentric control of the pelvis ti maintain a level pelvis/trunk during gait.
Term
The moment in which the entire foot is in contact with the ground and the ankle is plantarflexed best describes which phase of gait?
Definition
Foot flat
Term
You are observing a subject with no notable pathology, and a normal gait pattern. What type of muscle control in the theigh would you expect to see occuring just after toe off?
Definition
Concentric Hamstring contraction
Term
Which term using the Rancho Los Amigos nomenclature means the same as heel strike?
Definition
Initial contact
Term
What can a KAFO do?
Definition
Provide a corrective force for genu valgum, Stabilize knee extension, and Eleminate weight bearing on one side, using a shoe lift on the opposite side.
Term
Children with spastic CP or adults with spastic hemiplegia may be perscribed what?
Definition
Tone-reducing orthosis
Term
If a patient has a leg length discrepancy of 7/8 inch or 2.3 cm, the most effective modification would be?
Definition
External shoe lift
Term
Which AFO method prevents knee hyperextension?
Definition
Posterior Stop
Term
What braced cabe used to treat scoliosis?
Definition
Wilmington brace, Milwaukee brace, and Boston brace.
Term
Which tem using Rancho Los Amigos nomenclature means the same as toe off?
Definition
Pre Swing
Term
What device can accommodate for a rigid pes varus deformity?
Definition
Medial Heal wedge
Term
Which orthotic allows hemiplegics to walk with increased stride an cadence?
Definition
Solid ankle foot orthosis
Term
What orthotic device can realign a flexiable pes valgus deformity?
Definition
Medial heel wedge
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