EXAM STUDY MATERIALS 8/7/2024 11:29 AM
Rehab Exam #2 Exam Questions With
Correct Answers.
General blood flow through the body EXTERNAL to the chest
- Arterial
- Venous
- Lymphatic - answer✔✔Peripheral Vascular System consists of....
Circulatory system disease EXTERNAL to the heart d/t
- Disturbance of structure or function
Pathologies
- Occlusion
- Inflammation
- Neoplasms or radiation - answer✔✔Peripheral Vascular Disease (PVD)
disease of the arteries in the arms and legs, resulting in narrowing or complete obstruction of the
artery - answer✔✔Peripheral Artery Disease (PAD)
- Thickening/ hardening/ loss of elasticity of arteriole walls
- Decreased blood flow - answer✔✔Arteriosclerosis Obliterans (ASO) / Arteriosclerotic
Vascular Disease (ASVD)
Narrowing of vessel wall from cholesterol "fatty" plaque buildup (CAD) -
answer✔✔Atherosclerosis
Activity specific - pain d/t inadequate blood supply - ischemia - answer✔✔Intermittent
Claudication - symptom of PAD
- Skin discoloration -> Pallor
, EXAM STUDY MATERIALS 8/7/2024 11:29 AM
- Reactive Hyperemia -> bright red appearance to skin when LE is moved to dependent position
- Tropic Changes -> Shiny waxy appearance, decreased hair, & dryness
- Skin Temperature -> cool to touch
- Ulceration -> decreased nutrients, WB areas / bony prominences - answer✔✔Integumentary
Changes with PAD
- Sensory Disturbances
- Paresthesia
- Intolerance to heat/ cold
- Diminished / absent LE pulse
- Muscle weakness/ atrophy d/t disuse
- Pain @ rest d/t increasing ischemia - answer✔✔Manifestations of PAD
1. Promote postures / activities that increase blood flow to extremities through collateral
circulation
2. Decrease pain
3. Maintain/ improve function
4. ROM/ strengthening
5. Endurance training
6. Prevent/ to ulcers - answer✔✔Goals of Tx for pt with PAD
1. Graded exercise -> focus on circulation & decreased claudication
2. Graded exercise -> focus on promotion of distal circulation
3. Warm up & cool down
4. Improve tolerance by increasing time between claudication onset
5. Promote vasodilation
6. LE DEPENDENT postures -> gravity influences on circulation -> forces blood to reach distal
LE
7. AROM -> increase local circulation better than PROM
8. EDUCATION HEP -> Foot/skin care ; positioning - answer✔✔Tx options for pt with PAD
- Femoral
- Popliteal
, EXAM STUDY MATERIALS 8/7/2024 11:29 AM
- Dorsalis
- Pedis
*pt supine & TEST BILATERALLY* - answer✔✔Pulse Examination Assessments
0 = Absent
1 = Diminished
2 = Normal
3 = Bounding - answer✔✔Grading scale for Pulse examination
Indirect measure of peripheral perfection - systolic BP ankle / systolic BP brachium
- Normal ABI measurement is 0.9 - 1.19
- *Lower ABI indicate arterial insufficiency - answer✔✔Ankle Branchial Index (ABI)
Noninvasive test used to indirectly assess arterial flow in the LE
1. Place the pt in supine *note color of plantar surface*
2. Elevate pt LE 60° for 1 minute *Note color of plantar surface*
- *Normal arterial flow will show MIN to no color change with elevation
- * Arterial sufficient limbs will become PALE with elevation
3. Return LE to start position & record time for return to original color - answer✔✔Rubor of
Dependency
Pts with peripheral artery insufficiency disease
- Intended to improve circulation to the LE & Feet
- Exercises are repeated 3-6 times at each sitting & done several times a day -
answer✔✔Buerger-Allen exercises is used for
- Pt lies in supine
- legs elevated
- 45-60°
- Keep for 1-3 minutes or until blanching occurs - answer✔✔Buerger-Allen Position #1
- Pt sits in dependent position -> legs dangling
- Pt is to actively dorsiflex, plantarflex & circumduct the feet for 5 minutes or as long as it takes
for Rubor to appear - answer✔✔Buerger-Allen Postion #2
Rehab Exam #2 Exam Questions With
Correct Answers.
General blood flow through the body EXTERNAL to the chest
- Arterial
- Venous
- Lymphatic - answer✔✔Peripheral Vascular System consists of....
Circulatory system disease EXTERNAL to the heart d/t
- Disturbance of structure or function
Pathologies
- Occlusion
- Inflammation
- Neoplasms or radiation - answer✔✔Peripheral Vascular Disease (PVD)
disease of the arteries in the arms and legs, resulting in narrowing or complete obstruction of the
artery - answer✔✔Peripheral Artery Disease (PAD)
- Thickening/ hardening/ loss of elasticity of arteriole walls
- Decreased blood flow - answer✔✔Arteriosclerosis Obliterans (ASO) / Arteriosclerotic
Vascular Disease (ASVD)
Narrowing of vessel wall from cholesterol "fatty" plaque buildup (CAD) -
answer✔✔Atherosclerosis
Activity specific - pain d/t inadequate blood supply - ischemia - answer✔✔Intermittent
Claudication - symptom of PAD
- Skin discoloration -> Pallor
, EXAM STUDY MATERIALS 8/7/2024 11:29 AM
- Reactive Hyperemia -> bright red appearance to skin when LE is moved to dependent position
- Tropic Changes -> Shiny waxy appearance, decreased hair, & dryness
- Skin Temperature -> cool to touch
- Ulceration -> decreased nutrients, WB areas / bony prominences - answer✔✔Integumentary
Changes with PAD
- Sensory Disturbances
- Paresthesia
- Intolerance to heat/ cold
- Diminished / absent LE pulse
- Muscle weakness/ atrophy d/t disuse
- Pain @ rest d/t increasing ischemia - answer✔✔Manifestations of PAD
1. Promote postures / activities that increase blood flow to extremities through collateral
circulation
2. Decrease pain
3. Maintain/ improve function
4. ROM/ strengthening
5. Endurance training
6. Prevent/ to ulcers - answer✔✔Goals of Tx for pt with PAD
1. Graded exercise -> focus on circulation & decreased claudication
2. Graded exercise -> focus on promotion of distal circulation
3. Warm up & cool down
4. Improve tolerance by increasing time between claudication onset
5. Promote vasodilation
6. LE DEPENDENT postures -> gravity influences on circulation -> forces blood to reach distal
LE
7. AROM -> increase local circulation better than PROM
8. EDUCATION HEP -> Foot/skin care ; positioning - answer✔✔Tx options for pt with PAD
- Femoral
- Popliteal
, EXAM STUDY MATERIALS 8/7/2024 11:29 AM
- Dorsalis
- Pedis
*pt supine & TEST BILATERALLY* - answer✔✔Pulse Examination Assessments
0 = Absent
1 = Diminished
2 = Normal
3 = Bounding - answer✔✔Grading scale for Pulse examination
Indirect measure of peripheral perfection - systolic BP ankle / systolic BP brachium
- Normal ABI measurement is 0.9 - 1.19
- *Lower ABI indicate arterial insufficiency - answer✔✔Ankle Branchial Index (ABI)
Noninvasive test used to indirectly assess arterial flow in the LE
1. Place the pt in supine *note color of plantar surface*
2. Elevate pt LE 60° for 1 minute *Note color of plantar surface*
- *Normal arterial flow will show MIN to no color change with elevation
- * Arterial sufficient limbs will become PALE with elevation
3. Return LE to start position & record time for return to original color - answer✔✔Rubor of
Dependency
Pts with peripheral artery insufficiency disease
- Intended to improve circulation to the LE & Feet
- Exercises are repeated 3-6 times at each sitting & done several times a day -
answer✔✔Buerger-Allen exercises is used for
- Pt lies in supine
- legs elevated
- 45-60°
- Keep for 1-3 minutes or until blanching occurs - answer✔✔Buerger-Allen Position #1
- Pt sits in dependent position -> legs dangling
- Pt is to actively dorsiflex, plantarflex & circumduct the feet for 5 minutes or as long as it takes
for Rubor to appear - answer✔✔Buerger-Allen Postion #2
