2025 ACTUAL ANSWERS.
Qualifying factors for acute rehab - Answer - ability to tolerate 3 hours of therapy per day
-do not need to be able to shower themselves
Which patient population do best in acute rehab? - Answer - stroke
- total joint
- hip fractures
- head injuries
Tertiary prevention: - Answer treating the complications of a disease
HMO: - Answer A group plan offering prepaid medical care to its members. Negotiated fees, paid by
diagnosis
LTAC Medicare reimbursement criteria: - Answer Patients who have been in the ICU at least 3 days and
will be on the vent at the LTAC for 96 hours
Hospice medicare reimbursement - Answer Most people only qualify for home hospice, but medicare
will only cover intermittent care, comfort related medications
Respite care - Answer a type of care provided for caregivers of homebound ill, disabled, or elderly
patients. 1 week per benefit period.
Red flag for spinal injury - Answer - Incontinence
- Altered sensation to extremities
compartment syndrome - Answer 4 P's
, - pain
- pallor
- pulselessness
- paresthesia
Example of pathological fracture - Answer CA - tumor causing bone to break
Frailty fracture - Answer osteoporosis
What chronic comorbidity is very common and often associated with bone demineralization and frailty
fractures? - Answer CKD
- hyperparathyroidism causes bone demineralization and frailty fracture
- Hypercalcemia = calcification of vascular system (coronaries, valves)
Should geriatric patients with fractured hip wait to see ortho? - Answer NO, hip fractures are urgent.
Early stabilizations improves outcomes
Fibromyalgia - Answer diffuse pain
Fibromyalgia comorbidities - Answer psych / depression
Fibromyalgia treatment - Answer antidepressants, NSAIDs, physical therapy, trigger point injections
(Opiates contraindicated)
How does spinal stenosis present? - Answer Neurogenic claudication (legs hurt on ambulation/
worsening pain when standing = compression)
Symptom management for osteoarthritis medication: - Answer - Acetaminophen: safest in elderly
adults with HTN, GI bleed, or CKD
- NSAIDs: works better but higher risks