ANP 650 FINAL EXAM LATEST ACTUAL EXAM
Qualifying factors for acute rehab - ANSWER: - ability to tolerate 3 hours of therapy
per day
-do not need to be able to shower themselves
Which patient population do best in acute rehab? - ANSWER: - stroke
- total joint
- hip fractures
- head injuries
Tertiary prevention: - ANSWER: treating the complications of a disease
HMO: - ANSWER: A group plan offering prepaid medical care to its members.
Negotiated fees, paid by diagnosis
LTAC Medicare reimbursement criteria: - ANSWER: Patients who have been in the
ICU at least 3 days and will be on the vent at the LTAC for 96 hours
Hospice medicare reimbursement - ANSWER: Most people only qualify for home
hospice, but medicare will only cover intermittent care, comfort related medications
Respite care - ANSWER: a type of care provided for caregivers of homebound ill,
disabled, or elderly patients. 1 week per benefit period.
Red flag for spinal injury - ANSWER: - Incontinence
- Altered sensation to extremities
compartment syndrome - ANSWER: 4 P's
- pain
- pallor
- pulselessness
- paresthesia
Example of pathological fracture - ANSWER: CA - tumor causing bone to break
Frailty fracture - ANSWER: osteoporosis
What chronic comorbidity is very common and often associated with bone
demineralization and frailty fractures? - ANSWER: CKD
- hyperparathyroidism causes bone demineralization and frailty fracture
- Hypercalcemia = calcification of vascular system (coronaries, valves)
Should geriatric patients with fractured hip wait to see ortho? - ANSWER: NO, hip
fractures are urgent. Early stabilizations improves outcomes
, Fibromyalgia - ANSWER: diffuse pain
Fibromyalgia comorbidities - ANSWER: psych / depression
Fibromyalgia treatment - ANSWER: antidepressants, NSAIDs, physical therapy,
trigger point injections (Opiates contraindicated)
How does spinal stenosis present? - ANSWER: Neurogenic claudication (legs hurt on
ambulation/ worsening pain when standing = compression)
Symptom management for osteoarthritis medication: - ANSWER: - Acetaminophen:
safest in elderly adults with HTN, GI bleed, or CKD
- NSAIDs: works better but higher risks
When do you consider joint replacement for osteoarthritis? - ANSWER: After failed
conservative management
Would you promote someone with severe COPD to have a hip replacement? -
ANSWER: No, they wouldn't have improved mobilization or quality of life
How do you tell the difference btw osteoarthritis and inflammatory arthritis: -
ANSWER: - Bilateral significant inflammation in inflammatory arthritis
_ Inflammatory is worse in the morning, whereas worse in the night for
osteoarthritis
Term for boney abnormalities associated with osteoarthritis: - ANSWER: Herberden:
most distal
Bouchard: pip joints
What medicine can cause musculoskeletal disease? - ANSWER: - Steroids:
demineralization of bone
- ABX: tendon rupture (quinolones)
- Statin: myopathy
Allopurinol v Colchicine - ANSWER: Allopurinol criteria: 2 gout flares per year
Colchicine: acute gout flare
Example of adjuvant therapy: - ANSWER: Tricyclic antidepressants (TCAs) for pain
management
Differential list for shoulder pain: - ANSWER: - Cardiac (MI)
- GI (gallbladder)
- Cervical spine (radiating cervical spine stenosis)
- Rotator cuff injury
What musculoskeletal complication is associated with Crohn's disease: - ANSWER:
Ankylosing Spondylitis (spinal fusion)
Qualifying factors for acute rehab - ANSWER: - ability to tolerate 3 hours of therapy
per day
-do not need to be able to shower themselves
Which patient population do best in acute rehab? - ANSWER: - stroke
- total joint
- hip fractures
- head injuries
Tertiary prevention: - ANSWER: treating the complications of a disease
HMO: - ANSWER: A group plan offering prepaid medical care to its members.
Negotiated fees, paid by diagnosis
LTAC Medicare reimbursement criteria: - ANSWER: Patients who have been in the
ICU at least 3 days and will be on the vent at the LTAC for 96 hours
Hospice medicare reimbursement - ANSWER: Most people only qualify for home
hospice, but medicare will only cover intermittent care, comfort related medications
Respite care - ANSWER: a type of care provided for caregivers of homebound ill,
disabled, or elderly patients. 1 week per benefit period.
Red flag for spinal injury - ANSWER: - Incontinence
- Altered sensation to extremities
compartment syndrome - ANSWER: 4 P's
- pain
- pallor
- pulselessness
- paresthesia
Example of pathological fracture - ANSWER: CA - tumor causing bone to break
Frailty fracture - ANSWER: osteoporosis
What chronic comorbidity is very common and often associated with bone
demineralization and frailty fractures? - ANSWER: CKD
- hyperparathyroidism causes bone demineralization and frailty fracture
- Hypercalcemia = calcification of vascular system (coronaries, valves)
Should geriatric patients with fractured hip wait to see ortho? - ANSWER: NO, hip
fractures are urgent. Early stabilizations improves outcomes
, Fibromyalgia - ANSWER: diffuse pain
Fibromyalgia comorbidities - ANSWER: psych / depression
Fibromyalgia treatment - ANSWER: antidepressants, NSAIDs, physical therapy,
trigger point injections (Opiates contraindicated)
How does spinal stenosis present? - ANSWER: Neurogenic claudication (legs hurt on
ambulation/ worsening pain when standing = compression)
Symptom management for osteoarthritis medication: - ANSWER: - Acetaminophen:
safest in elderly adults with HTN, GI bleed, or CKD
- NSAIDs: works better but higher risks
When do you consider joint replacement for osteoarthritis? - ANSWER: After failed
conservative management
Would you promote someone with severe COPD to have a hip replacement? -
ANSWER: No, they wouldn't have improved mobilization or quality of life
How do you tell the difference btw osteoarthritis and inflammatory arthritis: -
ANSWER: - Bilateral significant inflammation in inflammatory arthritis
_ Inflammatory is worse in the morning, whereas worse in the night for
osteoarthritis
Term for boney abnormalities associated with osteoarthritis: - ANSWER: Herberden:
most distal
Bouchard: pip joints
What medicine can cause musculoskeletal disease? - ANSWER: - Steroids:
demineralization of bone
- ABX: tendon rupture (quinolones)
- Statin: myopathy
Allopurinol v Colchicine - ANSWER: Allopurinol criteria: 2 gout flares per year
Colchicine: acute gout flare
Example of adjuvant therapy: - ANSWER: Tricyclic antidepressants (TCAs) for pain
management
Differential list for shoulder pain: - ANSWER: - Cardiac (MI)
- GI (gallbladder)
- Cervical spine (radiating cervical spine stenosis)
- Rotator cuff injury
What musculoskeletal complication is associated with Crohn's disease: - ANSWER:
Ankylosing Spondylitis (spinal fusion)
