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- What is a positive vertebral artery sign and what might be an appropriate immediate response when it is elicited clinically? (question edited).
- When is it appropriate to use an ISOKINETIC machine for ACL repairs? I have a patient in clinic who is s/p 8 months ACL repair and every few months she has been going for isokinetic testing as she wants to return to playing college lacrosse. From my understanding, isokinetic machines can be set at a constant speed in which the limb has to move throughout the ROM. Is the purpose of the machine just for strengthening and to assess something like quads/hamstrings ration?
- For interventions, what is the correct progression: should you have a patient perform closed chain exercises or open chain exercises first? My initial thought was that you should do open chain first then progress to closed chain. Exceptions would be ACL surgery where open chain is contraindicated. For example, what would be the best intervention for a patient who has fair strength after long thoracic nerve injury. Would I be correct to chose the open chain activity of supine arm overhead with weights instead of closed chain activities such as standing wall push-ups?
- How do I treat patients with conversion or psychosomatic type conditions? Or should I refuse to treat them and refer to a psychologist?
- After taking other review courses and studying integ, I learned that with a venous stasis ulcer, you should NOT use intermittent compression due to it increasing the risk of causing a pulmonary embolism. I learned that more so, if the patient’s ABI is > .7 or 70% blood flow, and they have good capillary refill, normal foot temp, and a good dorsalis pedius pulse, an Unna boot or stationary compression is more so indicated. I recently took a practice test which basically said that intermittent compression was NOT a contraindication to a venous stasis ulcer and that you could use intermittent compression with a venous stasis ulcer. Do you know for a fact if intermittent compression is a contraindication to a venous stasis ulcer?
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- What is the difference between Upper UTI vs Lower UTI besides the location of it? The signs and symptoms both seem similar including Low back pain, frequency, and blood in urine.
- What is the main difference between a patient presentation in septic versus hypovolemic shock? To my understanding, the main difference is fever and warm, dry skin present in septic shock, while no fever and cool dry skin in hypovolemic. Am I correct?
- For selection of a dressing for a wound, what criterion would hold more priority, the type of dressing or the cost of it?
- What are the causes if menstrual cycle is disturbed? Increased LH and FSH level or decreased LH and FSH level? I know that will affect this cycle but I don’t know the exact cause.
- How do we identify to select an assistive device for a patient rehabilitating from TBI, SCI, etc.? There are lots of options that we can take it like cane, axillary crutch, and walker. How do I distinguish between them?
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