NPTE study guide 2023
Most common thumb deformity in patients with RA - ANS-Boutonniere deformity -
metacarpophalangeal joint flexion with
... [Show More] interphalangeal hyperextension.
Chronic synovitis associated with RA eventually forces MCP into forced flexion, placing
tension on the IP extensor mechanism, resulting in hyperextension.
Maximum amt of knee flexion required to for gait - ANS-0-60 degrees, the greated
amount being from initial to midswing.
Transtibial amputation changes in stance and swing phase for:
1. Prosthetic limb
2. intact limb - ANS-1. Shortened swing phase, longer step length, shortened single leg
support time
2. extended stance time, shortened swing time, longer single leg support
Acetic acid
1. uses
2. polarity
3. current used for administration - ANS-1. used with iontophoresis to treat myositis
ossificans (calcium deposits)
2. acetic acid has negative polarity, so a negative pole is used to deliver the medication.
3. low-amp direct current is always used with iontophoresis.
Pancreas dysfunction
1. symptoms
2. exacerbations
3. referral pattern - ANS-1. epigastric pain. Possible nausea, fever, abdominal
tenderness
2. pain worsens after eating or when in supine
3. pain may radiate into the back
Liver dysfunction
1. symptoms
2. exacerbations
3. referral pattern - ANS-1. Dull/cramping pain. Nausea, vomiting, restlessness if more
severe.
2. N/A
3. referred to abdomen, right lower thoracic, right upper trap, right shoulder pain
Gallbladder dysfunction
1. symptoms
2. exacerbations
3. referral pattern - ANS-1. General Pain
2. digesting foods high in refined carbs and sat fats.
3. Right shoulder, between scapulae, over right 10th rib, right upper quadrant epigastric
area.
Kidney dysfunction
1. symptoms
2. exacerbations
3. referral pattern - ANS-1. vague to severe cramping, possible accompanying fever and
chills
2. N/A
3. flank pain radiating anteriorly or to lower abdominal quadrant
Which of these diseases affect deep tendon hyperreflexia
1. Addison's disease
2. Anklyosing spondylitis
3. Graves disease
4. Cushing's syndrome -
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