National Physical Therapy Trivia Exam – Flashcards
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Joint Receptor: Golgi-Mazzoni corpuscles
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Compression of joint capsule, Ex: knee
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Pacinian corpuscle
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vibration, high velocity change in joint position
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Ruffini
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Stretch of joint capsule, amplitude and velocity of joint position
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Muscle spindle
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Muscle length and/or rate of change in length. Important in controlling posture
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GTO
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Sensitive to tension, especially when produced by muscle contraction; tension and rate of change
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Radiohumeral: Loose packed, closed packed
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LP: full extension, supination; CP: 90 degrees flexion, 5 degrees supination
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Ulnarhumeral: Loose packed
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70 degrees elbow flexion, 10 degrees supination
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Tibiofemoral: loose packed
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25 degrees of flexion
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Q angle: male, female
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Male: 13 degrees, Female: 18 degrees
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Lateral carrying angle of elbow
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Male: 5 degrees, Female: 15 degrees
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Tibial torsion
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12-18 degrees (medial malleoli anterior to lateral)
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Hip angle of inclination
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125 degrees (Adults)
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Humeral angle of inclination
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135 degrees
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Angle of anteversion
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8-15 degrees
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Lumbosacral angle
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30 degrees
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Lumbopelvic rythm
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40 degrees lumbar flexion, 70 degrees hip flexion
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Scapula landmarks (in relation to spine)
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Sup angle: T2; Inf angle: T7; medial border: 5-6 cm from spine
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Kienbock's fx
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AVN of lunate
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Ape hand (nerve?)
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Median
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Volkman's ischemic contracture (nerve?)
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Ulnar nerve, claw hand
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Thoracolumbar ROM
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Flex: 80 degrees; Ext: 25 deg; SB: 35 deg; Rot: 45 deg
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Cadence (adult norm)
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110 steps/min
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Toe out
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Average 7 degrees
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Allen test
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Radial and ulnar artery
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Reciprocating gait orthoses (Pt pop?)
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Paraplegia
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Milwaukee orthosis (Dx?)
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Scoliosis
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Fasiculus cutaneous
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Ascending: Sensory for trunk, neck, UE proprioception, vibration, 2-point discrimination, graphesthesia
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Fasciculus graciis
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Ascending: Sensory for trunk and LE proprioception, 2-pt discrimination, vibration, graphesthesia
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Spinocerebellar (dorsal)
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Ascending: Sensory to cerebellum for ipsilateral subconcious proprioception, tension in muscles, joint sense, posture of trunk and LE's
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Spinocerebellar (ventral)
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Ascending: Sensory to cerebellum for ipsilateral subconcious proprioception, tension in muscles, joint sense, and posture of the trunk, UE's, and LE's
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Spino-olivary
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Ascending: to cerebellum and relays information from cutaneous and proprioceptive organs
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Spinoreticular
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Ascending: afferent pathway for the reticular formation that influences levels of conciousness
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Spinotectal
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Ascending: sensory tract providing afferent information for spinovisual reflexes and assists with movement of the eyes and head towards the stimuli
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Spinothalamic (anterior)
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Ascending: Sensory tract for light touch and pressure
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Spinothalamic (lateral)
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Ascending: Sensory for pain and temperature sensation
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Corticospinal (anterior)
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Descending: pyramidal motor tract responsible for ipsilateral voluntary descrete and skilled movmenets
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Corticospinal (lateral)
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Descending: pyramidal motor tract responsible for contralateral voluntary fine movement
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Reticulospinal
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Descending: extrapyramidal motor tract responsible for facilitation or inhibition of voluntary and reflex activity through the influence of alpha and gamma motor neurons
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Rubrospinal
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Descending: extrapyramidal motor tract; motor input of gross postural tone, facilitating activity of flexor muscles and inhibiting the ctivity of extensor muscles
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Tectospinal
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Descending: extrapyramidal motor tract responsible for contralateral postureal muscles tone associated with auditory/visual stimuli
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Vestibulospinal
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Descending: extrapyramidal motor; responsible for ipsilateral gross postural adjustment subsequent to head movements, facilitating activity of the extensor muscles and inhibitng activity of flexor muscles
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Reflex grading
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0: no response; 1+: diminished; 2+ normal; 3+: brisk/exagerated; 4+: hyperactive
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Hypercalcemia s/s
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Lethargy, nausea, altered mood, anorexia; complications of SCI
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Wallenberg's syndrome
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Similar to Pusher's syndrome, but propulsion towards side of lesion (the "good side")
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ALS (genetic cause)
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Mutation on SOD1 gene on chromosome 21
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ICP norm
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4-15 mm Hg
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ATNR (integrated?)
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6 months
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STNR (integrated?)
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6-8 months
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Tonic Labyrinthe Relfex (reflex and integration?)
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In supine: body and extremities are held in extension; in prone, body and extremities are held in flexion; 6 months
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Galant (integration?)
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2 months
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Palmar grasp (integration?)
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4 months
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Plantar grasp (integration?)
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9 months
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Rooting reflex (integration?)
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3 months
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Moro reflex (integration?)
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5 months
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Startle reflex (integration?)
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5 months
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Positive support reflex (integration?)
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2 months
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Walking (stepping) reflex (Integration?)
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2 months
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Motor milestone: roll prone to supine
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2-3 months
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Motor milestone: visually follow through 180 degrees
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2-3 months
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Motor milestone: bears weight on extended arms, prone pivot
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4-5 months
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Motor milestone: rolls from supine to side
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4-5 months
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Motor milestone: grasps and releases toys
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4-5 months
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Motor milestone: lifts head in pull to sit, sit independantly
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6-7 months
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Motor milestone: gets into hands and knees position
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8-9 months
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Motor milestone: sits without hand support for longer periods of time
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8-9 months
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Motor milestone: stands at furniture, pulls to stand
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8-9 months
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Motor milestone: crawls forward, cruises
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8-9 months
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Motor milestone: stands without support briefly
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10-11 months
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Motor milestone: creeps or hitches up stairs
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12-15 months
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Motor milestone: kicks and throws ball
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16-24 months
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Motor milestone: walks on tip toes, runs
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2 years
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Motor milestone: skips, gallops, hand preference evident
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5-8 years
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Motor milestone: jumps up to 2 feet, jumps over 12 in obstacle, runs fast
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3-4 years
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Down's syndrome (genetic abnormality?)
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extra 21st chromosome (trisomy 21)
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Prader-Will syndrome (genetic abnormality?)
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partial deletion of chromosome 15; more prone to childhood obesity
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Stroke volume (norm?)
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60-80 ml
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Tetralogy of Fallot (4 features?)
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1. Ventricular septal defect 2. Pulmonary stenosis 3. R ventricular hypertrophy 4. Aorta overriding the ventricular septal defect
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Cystic fibrosis (genetic?)
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Chromosome 7
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Blood pH (norm?)
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7.4
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PaCO2 (norm?)
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40 mm Hg
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PaO2 (norm?)
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97 mm Hg
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Bicarbonate (norm?)
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24 mEq/L
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V3 heart sound
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ventricular gallop; can be normal in children, abnormal in adults; associated with acute heart failure
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V4 heart sound
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abnormal; associated with HTN, stenosis, heart disease, MI; artial gallop
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Pulse grading
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0: absent; 1+: small, reduced; 2+: normal; 3+: bounding
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Breathing pattern: Biot's
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irregular associated with increased ICP or damage to the medulla
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Breathing pattern: Bradypnea
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associated with neurological or electrolyte disturbance, infection, or high levels of cardiovascular fitness
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Breathing pattern: Cheyne-Stokes (periodic)
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decreased rate and depth with periods of apnea, d/t CNS damage
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Breathing pattern: Kussmaoul's
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deep and fast breathing, associated with metabolic acidosis
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Dressing that enables autolytic debridement
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Hydrocolloid
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Wilson's disease
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defect in ability to metabolize copper
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Addison's disease
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Adrenal hypofunction S/S: hypoTN, weakness, anorexia, weight loss, altered pigmentation
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Cushing's syndrome
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Adrenal hyperfunction S/S: hyperglycemia, growth failure, obesity, "moon" shaped face, "buffalo hump", weakness, acne, HTN
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Hypothyroidism S/S
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fatigue, weakness, dec HR, weight gain, constipation, delayed puberty, retarded growth and development
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Hyperthyroidism S/S
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inc nervousness, excessive sweating, weight loss, inc BP, myopathy, risk of rhabdomyolysis
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Grave's disease
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MC in women over age 20, autoimmune, over-active thyroid gland S/S: same as hyperthyroidism including heat intolerance, weight loss, tremor, palpitations
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Post-pardum thyroiditis
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Initial hyperthyroidism followed by hypothyroidism S/S: tachycardia, unexplained weight loss, anxiety, irritability, fatigue, heat sensitivity
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Hypoparathyroidism S/S
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hypocalcemia, neurological symptoms (seizures, cognitive defects, short stature, tetany/muscle spasms, muscle pain, cramps)
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Hyperparathyroidism S/S
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renal stones, kidney damage, depression, memory loss, muscle wasting, bone deformity, myopathy
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Blood glucose (norms?)
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Fasting: 70-130 mg/dL After meal: < 180 mg/dL
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Hyperglycemia S/S
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dyspnea, fruity breathe odor, dry mouth, nausea, vomiting, confusion, LOC
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Hypoglycemia s/s
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Hunger, sweating, dizziness, clumsiness, HA; may have LOC if too low
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Klinefelter's syndrome
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Male hypogonadism; deficiency in testosterone
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Turner syndrome
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female hypogonadism
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Baden-walker system
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classification of uterine prolapse
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Ionto indication and polarity: Acetic acid
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calcific deposits, myositis ossificans; negative
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Ionto indication and polarity: Calcium chloride
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scar tissue, keloids, muscle spasm; negative
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Ionto indication and polarity: Copper sulfate
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fungal infections; positive
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Ionto indication and polarity: dexamethasone
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inflammation; negative
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Ionto indication and polarity: Iodine
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scars, adhesive capsulitis; negative
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Ionto indication and polarity: Lidocaine
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analgesia, inflammation; positive
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Ionto indication and polarity: Magnesium sulfate
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muscle spasms, ischemia; positive
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Ionto indication and polarity: Salicylates
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muscles and joint pain, plantar warts; negative
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Ionto indication and polarity: zinc oxide
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healing, dermal ulcers, wounds; positive
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Ejection fraction (norm?)
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60%