6。復健科

28 flashcards · Other · by Wanying Koh

1. Age for prosthesis in children with missing limb / amputation: 1) upper limb 2) lower limb

   1) 6-7mo 2) 9-12mo

2. COPD breathing techniques - 2 kinds

   - diaphragmatic breathing - pursed lip breathing

3. most common ankle ligament tear

   ant. talofibular lig.

4. most common reason for amputation in 1）兒童/年輕人 2）老人

   1）trauma 2）vascular disease, DM

5. most important action when 1) sitting to standing or 2) climbing stairs

   ankle dorsiflexion

6. pain in medial knee, distal to sartorius insertion Diagnosis?

   pes anserine bursitis

7. Pediatric milestone: 1) supine to prone rolling 2) crawling 3) jumping in one spot 4) jumping forward 5) tricycle

   1) supine to prone rolling - 6mo 2) crawling - 8mo 3) jumping in one spot - 24mo 4) jumping forward - 30mo 5) tricycle - 3y

8. Pediatrics milestone age: use of chopsticks

   3y/o (5y/o to master)

9. Pediatrics milestone age: use of spoon

   2y/o

10. Side lying pressure sore 最常見於

    Greater trochanter

11. Supine pressure sore 最常見於

    Sacrum

12. Syme amputation: 1) amputate where 2) function

    1) remove ankle joint below the tibia/fibula 2) to remove diseased part, keep heel so pt don't need prosthesis

13. Trans-tibial amputation keep how much of remaining limb (%)

    20-50% (~15cm)

14. 1) what is pseudohypertrophy 2) what diseases

    1) atrophy of muscles, and replaced by fat 2) Duchenne muscular dystrophy, Becker's muscular dystrophy

15. Winged scapula 1) caused by what muscle dysfunction? 2) innervated by?

    1) serratus anterior 2) long thoracic n.

16. what nerve innervates: interossei & adductor pollicis

    deep branch of ulnar n.

17. complex regional pain syndrome type 1 affects which areas shoulder hands wrist elbow

    all except elbow "shoulder-hand syndrome / reflex sympathetic dystrophy" occurs after stroke, trauma, MI, malignancy

18. erection // ejaculation PNS or SNS what nerves

    erection - PNS pelvic n. S2-4 ejaculation - SNS hypogastric n. T11-12 PNS - C/S SNS - T/L

19. autonomic dysreflexia occurs when which spinal injury 以上 will occur what induces

    6mo after injury - 1 year 之間 T6 以上 complete SCI 刺激 from 漲尿，便秘，壓瘡 記得 6

20. osgood-schlatter dz occurs at which part fragmentation of any part?

    tibial tuberosity and patellar lig. 交界點 , overuse causing inflammation fragmentation of the tubercle

21. ASIA scale A B C D E

    A: complete SCI - S4-5 也失去感覺/運動功能 B: sensory incomplete - motor complete, S4-5 保有感覺 C: motor incomplete - >50% of key muscles muscle power 1-2 D: motor incomplete - >50% of key muscles muscle power 3-5 E: normal

22. discogenic disc pattern cervical at which level

    C5-6 most common degenerative disc dz 椎間盤病變 神經根壓迫 lumbar - L4-5 椎間盤突出，滑脫

23. overtraining syndrome duration for dx

    athlete rested for 2 weeks 依然 s/s still persist

24. opioids 都是 GPCR? types of receptors for opioids morphine causes 呼吸抑制 when bound to which R

    yes - controls GABA NT kappa, mu, delta, sigma mu2-R binding

25. MAC

    Minimum alveolar concentration (MAC) defines the anesthetic depth for inhaled agents at which 50% of patients respond to painful stimulus with movement

26. PONV RF

    females NON-smokers - smokers have CYP540 inducer that can 加速 anesthetic 代謝 hx of PONV

27. patient controlled analgesics inc or dec total analgesic use only suitable for morphine? is a negative feedback loop?

    decrease other opioids can also use yes