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Exam (elaborations)

NPTE Test Questions with Correct Answers

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NPTE Test Questions with Correct Answers cemented THR - Answer-Immediate WBAT (weight bearing as tolerated). May require more bone tissue removal and may experience loosening of the prosthesis Non cementental THR - Answer-TTWB for up to 6 wks. longer life expectancy than cemented. Allows a larger amt of bone tissue to remain intact. Allows for continued tissue growth Post op complications associated w/THR - Answer-DVT, dislocation/subluxation, pulmonary embolus, infection, heterotopic ossification, sciatic n injury, periprosthetic fracture Post op TKR complications - Answer-DVT, chronic jt effusion, infection, periprosthetic fracture, restricted ROM, pulmonary embolus, peroneal nerve palsy PT intervention: TKR - Answer-early gt training w/immobilizer, CPM, initiate stregth w/isometrics, initiate PROM, compression stockings, wean from immobilizer once pt gains quad control CPM progress - Answer-approximately 10 degrees per day Osteoarthritis pathogenesis - Answer-articular cartilage becomes soft and damaged. Osteophytes form, subhondral bone thickens, synovitis is mild to mod osteoarthritis clincal presenation - Answer-pn at jt, increased pn post exercise, jt enlargement, jt crepitus, jt stiffness > 15 min, Bouchard/herberden's nodes, increased pn w/weather changes Rheumatoid arthritis - Answer-systemic autoimmune disorder of unknown etiology. chonic inflammatory rxn in the synovial tissues of a jt that results in erosion of cartilate and supporting structures within the capsule. Women 3x more than men. 30-55 yrs. Hand, foot, wrist, ankle. exacerbation/remission presentation of RA - Answer-warm jts, boutonniere deformity (DIP extension), PIP flexion, Swan neck deformity (DIP flexion), PIP hyperextention, morning stiffness > 1 hr, increased fatigue and decreased appetite Avulsion fracture - Answer-portion of a bone becomes fragmented at the site of tendon attachment from a traumatic and sudden stretch of the tendon closed fracture - Answer-break in a bone where the skin stays intact

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