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PCM III, EXAM QUESTIONS AND ANSWERS
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PCM III, EXAM QUESTIONS AND ANSWERS
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PCM III, EXAM QUESTIONS AND ANSWERSExam review:
Touch on Lab values
Medications
Unit 1: Stroke pathology, impairments and presentation. L sided- focused but R sided
will be discussed too
Review Outcome Measures of Stroke.
Questions to refer out of therapy
**Know kidney disease, and stages of renal failure. Medical processes of renal failure
Know BORG and RPE scale, especially with medications, why you would use BORG
over HR.
Selecting best intervention based on primary complaint
Unit 2: Exam findings meaning for effects of COPD and CHF. Know stages of COPD
and CHF.
Know different types of HF. Hallmark signs of HF.
Pharmacology of HF.
Know medical classifications and stages of each
Know the LAB VALUES FOR EACH
Unit 3: Know pain complaints, Origins of pain, descriptions of pain. Is it phantom limb
pain, neuropathic pain, burning pain. Diabetes, CPRS,
Know what causes diabetes and everything about diabetes. Know hypoglycemia and
the causes and sym - Answers -Get goin'
What are the main features to get during the medical chart subjective examination? -
Answers -Medical Diagnoses
PMH--
Risk factors
Hospitalizations
Surgical History
Medications Review
Chief complaint
Living Enviornment (home, support, barriers, participation roles)
general health status
,AD
Goals
What 6 systems should be review in your objective exam in when meeting a patient in a
hospital setting? - Answers -Cognition/Mental status
Cardiopulmonary
Neuromuscular
Musculoskeletal
Integumentary
Urogenital
List some potential body structure/function impairments with a stroke patient - Answers -
Flexibility restrictions (ROM)
Hemiplegia (MMT)
Sensation
Pain
Spasticity
Balance
List some potential body structure/function impairments with pt who has kidney failure -
Answers -Sensory Neuropathy
Motor neuropathy
Pain
SOB
Decreased functional capacity (usually 60-70% decrease)
HR usually unreliable w/exertion due to medications***
What are some good tests and measures to get a good idea of activity limitations for a
patient with a stroke? - Answers -Bed mobility
,transfers
Gait
Endurance
ADL's
Task analysis
Wh - Answers -
What are some good tests and measures to get a good idea of activity limitations for a
patient with kidney failure? - Answers -Endurance
Functional status
(Bed Mobility, Transfers, Gait)
Describe the Level of assistance terminology - Answers -Independent: Doesn't need
verbal cues/manual assist
Modified Independent: Requires verbal cues or AD
Stand by Assist: Requires verbal or tactile cues from someone who is close by
Contact Guard Assist: Requires manual contact or gait belt from person assisting.
Min assist: Performs >75% of activity w/manual assist
Mod assist: Performs 50-74% of activity with manual assist
Max assist: Performs 25-49% of activity with manual assist
Dependent: Requires total physical assistance or special equipment
When would you classify someone in terms of level of assistance as, independent? -
Answers -Independent: Doesn't need verbal cues/manual assist
When would you classify someone in terms of level of assistance as, Modified
independent? - Answers -Modified Independent: Requires verbal cues or AD
When would you classify someone in terms of level of assistance as, Stand by Assist
(SBA)? - Answers -Stand by Assist: Requires verbal or tactile cues from someone who
is close by
, Define transitional mobility, which is 1 of 4 main categories of motor control - Answers -
Moving from one posture to another
BOS and/or COM are changing
Define Static postural control, which is 1 of 4 main categories of motor control - Answers
-Postural ability to hold (co-contract)
Maintain postural stability
Body not in motion
BOS is fixed
Define Dynamic postural control, which is 1 of 4 main categories of motor control -
Answers -Movement within postures
Weight Shifting
Unloading
BOS is fixed
Define Skill, which is 1 of 4 main categories of motor control - Answers -Coordinated
sequencing of UE and LE movement for functional activity
Locomotion. (rolling, scooting, walking)
COM and BOS are changing.
What are a couple of questions we would ask ourselves about the initial condition of a
task analysis? - Answers -Initial BOS? Starting position/alignment?
What are a couple of questions we would ask ourselves about the preparation of a task
analysis? - Answers -Response time?
Preparatory activities before task initiation
What are a couple of questions we would ask ourselves about the Initiation of a task
analysis? - Answers -Where is movement initiated?
Direction of WS?
Speed and direction of movement?
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