MPM Exam 3 Update Final Questions With Complete Solutions (480 Questions and Answers)

MPM Exam 3 Update Final Questions With Complete Solutions (480 Questions and Answers) ._____ muscles are typically incised as part of spina lsurgery - Answer-Deep stabilizing ._______ and ________ are continuous, so overactivity or under activity in one indicates dysfunction in the other - Answer-TA; levator ani ._______ may be effective in early onset scoliosis (EOS) - Answer-Serial casting (casts change every 2-3 months) ._______ pound(s) pressure used to palpate for TMJ tenderness - Answer-1 .________ and ________ are continuous with the pelvic floor - Answer-Piriformis; obturator internus. (both are hip rotators of the lower support system) .________ curves have a greater risk for progression than ________ curves - Answer-Double; single ._________ curves are not directly linked to a disease process as they are more likely to have an underlying neurologic cause - Answer-Left thoracic .__________ allows for friction reduction with lumbar mechanical table traction - Answer-Split table .__________ of TMJ not responsive to other modalities of treatment - Answer-Inflammatory arthritis .__________ scoliosis is the highest percentage of scoliosis - Answer-Adolescent .___________ are associated with more post-op complication, contraindications, and longer healing times compared to ______________ - Answer-Spinal fusions; discectomy .____________ is considered the gold standard scoliosis procedure (many options for instrumentation) - Answer-Posterior Spinal Fusion (PSF) ._____% of back pain is mechanical - Answer-98% .A _________ curve at diagnosis is a better prognosis for scoliosis - Answer-lower .A child is defined as the ages from _________ - Answer-2 years to puberty .A correction of _________ degrees is considered significant for scoliosis. Pain is more significant in curves greater than _________ degrees - Answer->7º; 45º curve size related to disability, QoL, and psychological well being .A progressive cure is a sustained increase of_________ + on two or more consecutive examinations occuring at _______ intervals - Answer-5 deg; 4-6 month .Absolute contraindications to exercise during pregnancy - Answer-Hemodynamically significant heart disease Restrictive lung disease Incompetent cervix/cerclage Multiple gestation at risk for premature labor Persistent second or third-trimester bleeding Placenta previa after 26 weeks of gestation Premature labor during the current pregnancy Ruptured membranes Preeclampsia/pregnancy-induced hypertension .Absolute contraindications to traction (3-5) - Answer-Structural disease (tumor, infection, fracture) Osteoporosis with > 45% DEXA loss Surgical rods .Acute PT treatment post-op for scoliosis - Answer-Bed mobility, incision care, activities of daily living Orthosis management Walking .Acute, severe pain, high FABQ traction duty cycle - Answer-1:2 duty cycle Typical times include 15s:30s .Adam's forward Bend - Answer-Scoliosis special test: -Shoulder height/symmetry, shoulder blade prominence -Head centered over pelvis -Iliac crest height/symmetry -Rib cage symmetry -Waist line -Rib hump with remain after surgical intervention .Additional SIJ assessment tests - Answer-FABER ASLR .Adolescent - Answer-Onset of puberty to cessation of growth, epiphyseal closure, attainment of adult stature .Adolescent Scoliosis (AIS) - Answer-10+ years 80% -----Male: Female----- - 10 deg curve 1:1 - 10-20 deg curve 1:5 - >30 deg curve 1:10 Higher rate of progression in females 1º deg per month .After _________ minutes you can't relocate a jaw back without anesthesia - Answer-60 minutes .After repeated movements abbreviations B: W: NB: NW: NE: C: Periph: - Answer-B: Better W: Worse NB: No Better NW: No Worse NE: No Effect C: Centralizes Periph: Peripheralizes .Anal triangle muscles - Answer-Internal anal sphincter External anal sphincter .Anterior Cervical Discectomy and Fusion absolute indications - Answer-Progressive cervical myelopathy .Anterior Cervical Discectomy and Fusion post-op complications - Answer-Infection in up to 6% (erythema, edema, purulent wound drainage, fever, increased pain) Dysphagia in up to 51% (1 month), 31% (2 months), and 15% (6 months) Nerve injury in up to 11% (recurrent laryngeal nerve), 0.6% (nerve root), and 0.4% (spinal cord) Vascular complications in up to 6% (5 Ds) Graft failure in up to 60% with multilevel fusions (increasing neck pain and difficulty swallowing or breathing 6 months after surgery) .Anterior Cervical Discectomy and Fusion post-op PT protocol: Phase 1 timeline and eval - Answer-Weeks 4-8 (initiation of OP PT) Eval: -History -Posture -CROM at week 8 -UE flex/MMT below 90 deg GH elevation -thoracic segmental mobility -neurological testing (ULTT)