NPTE Misc. (From TherapyEd And PEAT) - Questions
With Correct Solutions
L HF S/S Right Ans - Reduced CO
Tachycardia
Cold intolerance
Increased pulmonary artery pressures and pulmonary edema with dyspnea
on exertion
Orthopnea
Fatigue
R HF S/S Right Ans - Reduced venous return
Increased pulmonary artery pressures with peripheral edema
Venous HTN and stasis
Weight gain
Fullness in abdomen
Fatigue
pursed lip breathing purpose regarding changing RR Right Ans - slows RR
glossopharyngeal breathing purpose Right Ans - Used in patients who have
high-level tetraplegia to improve respiratory capacity and increase VC
Environments where exercise induced asthma or bronchospasm is
exacerbated vs blunted Right Ans - Exercise-induced asthma or
bronchospasm is exacerbated in cold and dry environments and is blunted
when exercising in a humid environment.
Heart valve locations Right Ans - APT M 2245
aortic 2nd intercostal space right sternal border
pulmonary second intercostal space left sternal border
tricuspid fourth intercostal space left sternal border
mitral vole fifth intercostal space along midclavicular line
referred pain from liver Right Ans - R shoulder, upper back, chest
referred pain from pancreas Right Ans - Epigastric and L UQ
,referred pain from gallbladder Right Ans - R shoulder, upper back, chest
referred pain from dissecting aortic aneurysm Right Ans - Abdomen and
low back
Cholelithiasis Right Ans - presence of gallstones
Biliary colic Right Ans - gallstone gets lodged in neck of gallbladder
Cholecystitis Right Ans - blockage of gallstones in cystic duct causing
infection or inflammation of gallbladder
Cholangitis Right Ans - gallstones lodged in common bile duct
Diverticular disease Right Ans - Mucosa of colon balloons out through
weakened areas in wall
Diverticular disease S/S Right Ans - Asymptomatic in 80%, episodic or
constant LLQ pain, pelvic pain, bloody stools, constipation alternating with
diarrhea
Appendicitis S/S Right Ans - N/V, fever, pain in waves at first, becomes
steady and is aggravated with movement, periumbilical and/or epigastric
pain, RLQ pain, R testicular pain, coated tongue and bad breath, abdominal
muscular rigidity, positive McBurney's point (TTP between umbilicus and R
ASIS)
Crohn's Disease Right Ans - Chronic lifelong disorder affecting any segment
of intestinal tract and tissues in other organs
Ulcerative Colitis Right Ans - Chronic inflammatory disorder of mucosa and
submucosa in a continuous order
Rales (crackles) Right Ans - Discontinuous sounds heard primarily during
inspiration
Could be result of air bubbles in secretions or movement of fibrotic tissue
L HF
,Rhonchi Right Ans - Continuous low-pitched sounds most prominent
during expiration
Could be result of air passing through airways narrowed by inflammation,
bronchospasm, or secretions
Asthma and chronic bronchitis
Stridor Right Ans - Continuous sound of inspiration associated with upper
airway obstruction
Wheezes Right Ans - Continuous songs that are high-pitched, sibilant, and
musical
Asthma
Friction rub Right Ans - Caused by rubbing of pleural surfaces against one
another, usually a result of inflammation or neoplastic processes
HR in UE vs LE exercise Right Ans - higher for UE
SV in UE vs LE exercise Right Ans - higher for LE
SBP in UE vs LE exercise Right Ans - higher for UE
RPP in UE vs LE exercise Right Ans - higher for UE
alveolar ventilation Right Ans - Refers to the volume of air that participates
in gas exchange
inspiratory capacity Right Ans - Refers to the largest volume of air that can
be inspired in one breath from the resting expiratory level, and it can easily be
measured with an incentive spirometer.
minute ventilation Right Ans - Refers to the total volume of air inspired or
expired in 1 minute without discrimination between lung expansion or
increase in RR
The patient's heart rate is sustained at 160 bpm during standing exercise with
no other obvious symptoms. The physical therapist should INITIALLY take
which of the following actions? Right Ans - Have the patient perform a
Valsalva maneuver.
, The patient has known supraventricular tachycardia which causes the heart
rate to go above 150 bpm. Patients can attempt a Valsalva maneuver to
reconvert to a normal rhythm
normal INR Right Ans - 2-3.5
Tracheal deviation Right Ans - A tracheal shift occurs away from the side of
the abnormality when there is an increase in volume
rule of 9s Right Ans - Head and neck = 9%
Upper Ex = 9% each
Lower Ex = 18% each
Front trunk = 18%
Back trunk = 18%
Genitals = 1%
epidermal burn nerves affected Right Ans - Only impact superficial free
nerve endings, which correspond to pain and itch sensation. Temperature
detection, sharp/dull discrimination, pressure, and vibration would all be
intact
superficial partial thickness burn nerves affected Right Ans - Impact the
epidermis and the papillary layer of the epidermis. The patient will have
extreme pain and be highly sensitive to temperature changes and light touch
deep partial thickness burn nerves affected Right Ans - Include damage
through the epidermis and the papillary layer of the dermis but the deep
reticular layer of the dermis that holds the Pacinian corpuscles would be
intact. Damage to the epidermis and papillary layer of the dermis would
destroy the sensory receptors for pain, itch, superficial touch, warmth, and
cold but would spare the sensory receptors for vibration and pressure, which
are located deeper in the reticular dermis
full thickness burn nerves affected Right Ans - the epidermis and dermis
layers are destroyed, and there is some damage to the subcutaneous fat layer.
All nerve endings will be destroyed and the burn will be insensate
With Correct Solutions
L HF S/S Right Ans - Reduced CO
Tachycardia
Cold intolerance
Increased pulmonary artery pressures and pulmonary edema with dyspnea
on exertion
Orthopnea
Fatigue
R HF S/S Right Ans - Reduced venous return
Increased pulmonary artery pressures with peripheral edema
Venous HTN and stasis
Weight gain
Fullness in abdomen
Fatigue
pursed lip breathing purpose regarding changing RR Right Ans - slows RR
glossopharyngeal breathing purpose Right Ans - Used in patients who have
high-level tetraplegia to improve respiratory capacity and increase VC
Environments where exercise induced asthma or bronchospasm is
exacerbated vs blunted Right Ans - Exercise-induced asthma or
bronchospasm is exacerbated in cold and dry environments and is blunted
when exercising in a humid environment.
Heart valve locations Right Ans - APT M 2245
aortic 2nd intercostal space right sternal border
pulmonary second intercostal space left sternal border
tricuspid fourth intercostal space left sternal border
mitral vole fifth intercostal space along midclavicular line
referred pain from liver Right Ans - R shoulder, upper back, chest
referred pain from pancreas Right Ans - Epigastric and L UQ
,referred pain from gallbladder Right Ans - R shoulder, upper back, chest
referred pain from dissecting aortic aneurysm Right Ans - Abdomen and
low back
Cholelithiasis Right Ans - presence of gallstones
Biliary colic Right Ans - gallstone gets lodged in neck of gallbladder
Cholecystitis Right Ans - blockage of gallstones in cystic duct causing
infection or inflammation of gallbladder
Cholangitis Right Ans - gallstones lodged in common bile duct
Diverticular disease Right Ans - Mucosa of colon balloons out through
weakened areas in wall
Diverticular disease S/S Right Ans - Asymptomatic in 80%, episodic or
constant LLQ pain, pelvic pain, bloody stools, constipation alternating with
diarrhea
Appendicitis S/S Right Ans - N/V, fever, pain in waves at first, becomes
steady and is aggravated with movement, periumbilical and/or epigastric
pain, RLQ pain, R testicular pain, coated tongue and bad breath, abdominal
muscular rigidity, positive McBurney's point (TTP between umbilicus and R
ASIS)
Crohn's Disease Right Ans - Chronic lifelong disorder affecting any segment
of intestinal tract and tissues in other organs
Ulcerative Colitis Right Ans - Chronic inflammatory disorder of mucosa and
submucosa in a continuous order
Rales (crackles) Right Ans - Discontinuous sounds heard primarily during
inspiration
Could be result of air bubbles in secretions or movement of fibrotic tissue
L HF
,Rhonchi Right Ans - Continuous low-pitched sounds most prominent
during expiration
Could be result of air passing through airways narrowed by inflammation,
bronchospasm, or secretions
Asthma and chronic bronchitis
Stridor Right Ans - Continuous sound of inspiration associated with upper
airway obstruction
Wheezes Right Ans - Continuous songs that are high-pitched, sibilant, and
musical
Asthma
Friction rub Right Ans - Caused by rubbing of pleural surfaces against one
another, usually a result of inflammation or neoplastic processes
HR in UE vs LE exercise Right Ans - higher for UE
SV in UE vs LE exercise Right Ans - higher for LE
SBP in UE vs LE exercise Right Ans - higher for UE
RPP in UE vs LE exercise Right Ans - higher for UE
alveolar ventilation Right Ans - Refers to the volume of air that participates
in gas exchange
inspiratory capacity Right Ans - Refers to the largest volume of air that can
be inspired in one breath from the resting expiratory level, and it can easily be
measured with an incentive spirometer.
minute ventilation Right Ans - Refers to the total volume of air inspired or
expired in 1 minute without discrimination between lung expansion or
increase in RR
The patient's heart rate is sustained at 160 bpm during standing exercise with
no other obvious symptoms. The physical therapist should INITIALLY take
which of the following actions? Right Ans - Have the patient perform a
Valsalva maneuver.
, The patient has known supraventricular tachycardia which causes the heart
rate to go above 150 bpm. Patients can attempt a Valsalva maneuver to
reconvert to a normal rhythm
normal INR Right Ans - 2-3.5
Tracheal deviation Right Ans - A tracheal shift occurs away from the side of
the abnormality when there is an increase in volume
rule of 9s Right Ans - Head and neck = 9%
Upper Ex = 9% each
Lower Ex = 18% each
Front trunk = 18%
Back trunk = 18%
Genitals = 1%
epidermal burn nerves affected Right Ans - Only impact superficial free
nerve endings, which correspond to pain and itch sensation. Temperature
detection, sharp/dull discrimination, pressure, and vibration would all be
intact
superficial partial thickness burn nerves affected Right Ans - Impact the
epidermis and the papillary layer of the epidermis. The patient will have
extreme pain and be highly sensitive to temperature changes and light touch
deep partial thickness burn nerves affected Right Ans - Include damage
through the epidermis and the papillary layer of the dermis but the deep
reticular layer of the dermis that holds the Pacinian corpuscles would be
intact. Damage to the epidermis and papillary layer of the dermis would
destroy the sensory receptors for pain, itch, superficial touch, warmth, and
cold but would spare the sensory receptors for vibration and pressure, which
are located deeper in the reticular dermis
full thickness burn nerves affected Right Ans - the epidermis and dermis
layers are destroyed, and there is some damage to the subcutaneous fat layer.
All nerve endings will be destroyed and the burn will be insensate
