PCE Certified Breastfeeding Counselor Exam Questions
and Answers
Is time of day a risk factor for MI - ANSWERyes
more common early in the morning
Do MI's have a seasonal pattern - ANSWERyes
occurs more in the winter for some reason
Do respiratory tract illnesses create a risk for MI's - ANSWERyes
Is Angina more common in men or women - ANSWERmen
Does Angina last for hours - ANSWERno
What is the mechanism of injury for an anterior shoulder dislocation - ANSWERER +
Abduction
may have anterior directed force
What is a bankart lesion - ANSWERavulsion of the anterior part of the labrum
How do bankart lesions occur - ANSWERrepeated anterior shoulder
dislocations/subluxations
What is a bankart repair - ANSWERRepairs bankart lesion
generally minimally invasive
What movements do you want to avoid post bankart repair and for how long -
ANSWERAvoid stress on anterior capsule for 6weeks
- Horizontal Abduction
- Extension
- External Rotation
Eccentric or concentric exercises strengthen non-contractile tissues -
ANSWEREccentric
Bicipital tendinosis involves which head of the bicep - ANSWERlong head
Is the biceps a humeral depressor - ANSWERyes
FITT for cardiac rehab - ANSWERHRmax 55-70%
,BORG 12/20
What is normal ejection fraction - ANSWER55 or higher
50 or lower is reduced
How do you calculate ECG rhythm - ANSWERTwo P-P or R-R intervals
Slightly - less than or equal to 0.04 (1 box)
Markedly - greater than 0.04 (1 box)
What can enlarged P waves indicate - ANSWERheart failure
What can no P waves indicate - ANSWERheart block
What can a deep/wide WRS indicate - ANSWERMI
What can inverted T waves indicate - ANSWERMyocardical ischemia
What does ST depression greater than 1mm indicate - ANSWERmyocardial injury
What is the terrible triad for ischemia - ANSWERQ wave duration + amplitude:
- Greater than 0.04s duration
- Greater than 2mm amplitude
- Greater than 25% of of the depth of QRS
Is pneumothorax a contraindication for manual airway clearance techniques -
ANSWERyes
Which ligament provides primary support to the foot - ANSWERspring ligament
Spring ligament attachments - ANSWERnavicular to calcaneous
Ankle ROM required for normal gait - ANSWERDF: 10deg
PF: 20deg
McMurray Test - ANSWERMedial - ER + valgus
Lateral - IR + varus
Anterior cord syndrome - ANSWERMotor and pain/temp loss
PCML in tact
What SCI level require a power w/c - ANSWERC1-4
,Can a C5 SCI lesion use a w/c - ANSWERyes but only with propulsion aids
SCI injury level that can have independence - ANSWERC7
Common GI/abdominal side effect of NSAIDs and Asprin - ANSWERGastritis
GERD side effects - ANSWERheartburn, dysphagia, neck/jaw pain
occurs immediately following meals
What is a diaphragmatic hernia - ANSWERhernia in diaphragm
exacerbated by muscle relaxants/Ca channel blockers
What is Achalasia - ANSWERfailure of smooth muscle of the GI to relax
aggravated by stress and tension
can cause backflow within esophagus
What exercise movement pattern do you avoid with osteoporosis -
ANSWERcombined flexion + rotation
Risk factors for secondary osteoporosis - ANSWERsystemic corticosteroid
prolonged immobilization (also primary)
long term immunosuppressants
Osteochondritis Dissecans - ANSWERFragment of cartilage and underlying bone is
detached from articular surface.
Arthrogryposis Multiplex Congenita - ANSWERinvolves multiple joint contractures
and stiffness
Osteogenesis imperfecta - ANSWERbrittle bone disease
genetic disorder
Is osteomyelitis more common in males ore females - ANSWERmales
Botulism - ANSWERneurotoxin
cranial nerves are especially susceptible
weakness spreads to respiratory and trunk muscles
, Frozen shoulder pattern - ANSWERER --> ABD --> IR
Ultrasound 3 vs 1 MHz - ANSWER3 superficial (0-2cm)
1 deep (2-5cm)
Ultrasound w/cm - ANSWERacute: 0.1-0.5
subacute: 0.5-0.8
chronic: 1.0-2.5
What is pubalgia - ANSWERsports hernia
muscle strain rather than actual hernia
Functional requirements for stand step around transfer - ANSWER2 strong legs at
least grade 3
Neurotmesis - ANSWERcomplete severance of nerve and connective tissue
Neuropraxia - ANSWERcompression of myeline/connective tissue
Axonotmesis - ANSWERaxon severance but connective tissue in tact
Postural changes with pregnancy - ANSWERIncrease in L/C spine lordosis
shoulders rounded
weight shift towards heels
pelvic floor drops
Anterior cerebral artery syndrome - ANSWERThis artery supplies the anterior 2/3
(67%) of the medial cerebral cortex. Occulusions produces:
- Contralateral sensory loss and hemiparesis, with leg more involved than arm (Leg >
Arm)
- emotional changes
Is elevated intracranial pressure common after CVA - ANSWERyes
results from cellular necrosis and widespread rupture of cellular membranes
Signs and symptoms of elevated intracranial pressure - ANSWERdecrease LoC
increased HR
and Answers
Is time of day a risk factor for MI - ANSWERyes
more common early in the morning
Do MI's have a seasonal pattern - ANSWERyes
occurs more in the winter for some reason
Do respiratory tract illnesses create a risk for MI's - ANSWERyes
Is Angina more common in men or women - ANSWERmen
Does Angina last for hours - ANSWERno
What is the mechanism of injury for an anterior shoulder dislocation - ANSWERER +
Abduction
may have anterior directed force
What is a bankart lesion - ANSWERavulsion of the anterior part of the labrum
How do bankart lesions occur - ANSWERrepeated anterior shoulder
dislocations/subluxations
What is a bankart repair - ANSWERRepairs bankart lesion
generally minimally invasive
What movements do you want to avoid post bankart repair and for how long -
ANSWERAvoid stress on anterior capsule for 6weeks
- Horizontal Abduction
- Extension
- External Rotation
Eccentric or concentric exercises strengthen non-contractile tissues -
ANSWEREccentric
Bicipital tendinosis involves which head of the bicep - ANSWERlong head
Is the biceps a humeral depressor - ANSWERyes
FITT for cardiac rehab - ANSWERHRmax 55-70%
,BORG 12/20
What is normal ejection fraction - ANSWER55 or higher
50 or lower is reduced
How do you calculate ECG rhythm - ANSWERTwo P-P or R-R intervals
Slightly - less than or equal to 0.04 (1 box)
Markedly - greater than 0.04 (1 box)
What can enlarged P waves indicate - ANSWERheart failure
What can no P waves indicate - ANSWERheart block
What can a deep/wide WRS indicate - ANSWERMI
What can inverted T waves indicate - ANSWERMyocardical ischemia
What does ST depression greater than 1mm indicate - ANSWERmyocardial injury
What is the terrible triad for ischemia - ANSWERQ wave duration + amplitude:
- Greater than 0.04s duration
- Greater than 2mm amplitude
- Greater than 25% of of the depth of QRS
Is pneumothorax a contraindication for manual airway clearance techniques -
ANSWERyes
Which ligament provides primary support to the foot - ANSWERspring ligament
Spring ligament attachments - ANSWERnavicular to calcaneous
Ankle ROM required for normal gait - ANSWERDF: 10deg
PF: 20deg
McMurray Test - ANSWERMedial - ER + valgus
Lateral - IR + varus
Anterior cord syndrome - ANSWERMotor and pain/temp loss
PCML in tact
What SCI level require a power w/c - ANSWERC1-4
,Can a C5 SCI lesion use a w/c - ANSWERyes but only with propulsion aids
SCI injury level that can have independence - ANSWERC7
Common GI/abdominal side effect of NSAIDs and Asprin - ANSWERGastritis
GERD side effects - ANSWERheartburn, dysphagia, neck/jaw pain
occurs immediately following meals
What is a diaphragmatic hernia - ANSWERhernia in diaphragm
exacerbated by muscle relaxants/Ca channel blockers
What is Achalasia - ANSWERfailure of smooth muscle of the GI to relax
aggravated by stress and tension
can cause backflow within esophagus
What exercise movement pattern do you avoid with osteoporosis -
ANSWERcombined flexion + rotation
Risk factors for secondary osteoporosis - ANSWERsystemic corticosteroid
prolonged immobilization (also primary)
long term immunosuppressants
Osteochondritis Dissecans - ANSWERFragment of cartilage and underlying bone is
detached from articular surface.
Arthrogryposis Multiplex Congenita - ANSWERinvolves multiple joint contractures
and stiffness
Osteogenesis imperfecta - ANSWERbrittle bone disease
genetic disorder
Is osteomyelitis more common in males ore females - ANSWERmales
Botulism - ANSWERneurotoxin
cranial nerves are especially susceptible
weakness spreads to respiratory and trunk muscles
, Frozen shoulder pattern - ANSWERER --> ABD --> IR
Ultrasound 3 vs 1 MHz - ANSWER3 superficial (0-2cm)
1 deep (2-5cm)
Ultrasound w/cm - ANSWERacute: 0.1-0.5
subacute: 0.5-0.8
chronic: 1.0-2.5
What is pubalgia - ANSWERsports hernia
muscle strain rather than actual hernia
Functional requirements for stand step around transfer - ANSWER2 strong legs at
least grade 3
Neurotmesis - ANSWERcomplete severance of nerve and connective tissue
Neuropraxia - ANSWERcompression of myeline/connective tissue
Axonotmesis - ANSWERaxon severance but connective tissue in tact
Postural changes with pregnancy - ANSWERIncrease in L/C spine lordosis
shoulders rounded
weight shift towards heels
pelvic floor drops
Anterior cerebral artery syndrome - ANSWERThis artery supplies the anterior 2/3
(67%) of the medial cerebral cortex. Occulusions produces:
- Contralateral sensory loss and hemiparesis, with leg more involved than arm (Leg >
Arm)
- emotional changes
Is elevated intracranial pressure common after CVA - ANSWERyes
results from cellular necrosis and widespread rupture of cellular membranes
Signs and symptoms of elevated intracranial pressure - ANSWERdecrease LoC
increased HR
