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PM&R Oral Boards Exam 1 Questions AND Correct Answers

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PM&R Oral Boards Exam 1 Questions AND Correct Answers

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PM&R Oral Boards Exam 1 Questions AND Correct Answers

Causes of shoulder pain post-stroke - ✔✔spasticity
CRPS
shoulder subluxation
brachial plexopathy
bicipital tendonitis
rotator cuff tear
HO
edema
DVT


common infections associated with bell's palsy? - ✔✔herpes zoster, epstein
barr, lyme disease


describe the post-op rehabilitation plan after ACL reconstruction - ✔✔no
precautions. weight-bearing as tolerated. go to increase knee range of motion,
improved strength and proprioception. teach home program and gradually
increase to skiing activities. modalities include ice, heat, and start scar massage
when two weeks post surgery. frequency three days a week for 6 weeks.


describe the rehabilitation program for myasthenia gravis - ✔✔1) treat with
mestidon or pyridostigmine
2) refer to neuromuscular specialist to consider immunosuppressants
3) physical and occupational therapy with precautions to avoid exercise
intensity greater than moderate or 60 to 70% of maximum.
4) annual EKGs and echoes every two years to check for cardiac complications

, 5) pulmonary function test to monitor function prior to steroid treatment
6) thymus ultrasound and discussion of a thymectomy


differential for shoulder pain in baseball player - ✔✔Rotator cuff tendinitis,
subacromial bursitis, bicipital tenosynovitis, labrum injury, AC joint injury,
thoracic outlet syndrome, cervical myofascial pain, suprascapular neuropathy,
infection, tumor, proximal humerus epiphysitis


differential for sudden onset back pain - ✔✔vertebral fracture, spontaneous
pneumothorax, muscle strain, facet syndrome, spinal stenosis, herniated disc,
metastatic cancer, osteoporosis


how can bilateral Baker's cysts cause pain with ambulation? - ✔✔(hangs more
when
standing produces pressure sensation or sciatic compression


how can you assess severity of PAD? - ✔✔severity can be
better determined with segmental pressures pre and post exercise or
EMG if possibility of coexisting conditions.


how do you interpret ankle-brachial index? - ✔✔0.9 or less: PAD
1-1.4: no PAD
>1.4: cannot be interpreted due to stiff arteries


How do you test for thoracic outlet syndrome? - ✔✔Adon's test = positive test if
radial pulse weakens or disappears

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