Latihan Soal Menjelang Ujian Kedokteran

7/23/2019 Latihan Soal Menjelang Ujian Kedokteran

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Latihan Soal Menjelang Ujian (pilihan 04-09) by ime

1. During team conference, the therapists tell you that Mr. Y, a patient with 40% body surface area burns, fatiques quicly during therapy. !his islimiting the patient"s progress in rehabilitation. You tell the therapists # $D

A. This is most likely secondary to depression and you will prescribe anantidepressantB. This is most l ikely secondary to deconditioning, and they should work on

energy conservation and pacing issuesC. This is most l ikely secondary to pulmonary issues caused by inhalation

injury and you will consult pulmonologyD. Fatigue may be o multiactorial origin in burn patients, and you will

investigate what could be the cause in this case

&. !reatments for acute lateral epicondylitis may include all of the following,'()'*! # $ )

A. A orearm band ! counterorce brace "

B. Anti#inlammatory medicationC. $rogressive resistive e%ercisesD. &njection

+. hat nee bursitis condition is commonly seen in o-erweight women $) A. $repatellar B. &nrapatellar C. AnserineD. 'emimembranosus

4. /eliabilities of isoinetic dynamometer are affected by # $ D A. Total work

B. $eak tor(ueC. $reactivation isometricD. )ravity correction

1. Pain assessment must get infomation of !a. type of oigin"ogan a#e$te%b. intensity$.onsetd. a,b,c

&. Pain $lassi'$ation by type of oigin"ogan a#e$te% ae !

a. mus$oloseletal neuopati$ *is$eal psy$hogeni$ b. no$i$epti*e neuopati$ *is$eal mi+e% type c. nociceptive , neuropatic, mixed type, psychogenic

%. no$i$epti*e an% neuopati$

,. llo the $oe$t ules of / Step La%%e fo pain !a. mil% pain ! non opioi%b. mo%eate pain ! ea opioi%

c. severe pain : strong opioid +/- adjuvant%. ab$

4. M P 20 yo lung $an$e ith metastati$ at 3-h-L*etebaetetapaeti$ shap pain ( 5S ! 2-6) bun sensation tingling. 7ou pogam an% pes$iption !a. Tramadol 3 dd 5 mg + na diclo!enac 3 dd "5 mg +

amitriptiline " dd #/$ + anti emetic 3 dd % +mecobalamine 5 mcg " dd %+ & complex vit " dd %+'T( " dd %. (T : )* + exc !or all extremities +endurance exc !or cardiorespiration. T : sa!etrans!er and ambulation exc ith proper orthosis

b. Paasetamol , %% 1000 mg 8 pio+i$am , %% 10 mg 83abamaepin , %% : 8 amitiptilin & %% ; . . P ! <S 8 e+$fo loe e+temities 8 en%uan$e e+$ fo $a%ioespiation. ! safe tansfe an% ambulation e+$ ith pope othosis

$. ama%ol , %% 20 mg 8 $o%ein , %% ,0 mg 8 paasetamol ,%% 200 mg 8=a %i$lofena$ , %% 20 mg 8 amitiptine & %% 1"4 8antiemeti$ , %% > 8 La+a%in & %% 3> 8 neoo%e+ &+1 P&+1. . P ! <S 8 e+$ fo all e+temities 8 en%uan$e e+$ fo$a%ioespiation. ! tansfe an% ambulation e+$ ithothosis

%. Mophin imme%iate 4 %% 2 mg 8 etopofen , %% 20 mg 8gabapentin , %%> " amitiptiline & %% 1"4 8 aniti%in , %% > 8 neuo%e+ &+1P &+18 la+a%ine 1 %% 3>>. . P ! <S 8 e+$ fo alle+temities 8 en%uan$e e+$ fo $a%ioespiation. !

tansfe an% ambulation e+$ ith othosis

2. he most is of %e*eloping limphe%ema in beast $an$epatient!

#. 'xillary lymphatic ode issection&. 3hemotheapy

,. adiotherapy4. Simple maste$tomy

6. Most $an$e patients e+peien$e a loss of enegy an% animpotant of physi$al

pefoman$e fo many paents fatigue an% a$ti*ity limitingsymptom. >nte*ention to e%u$e the %egee of fatigue $oul%be !

1. >n$ease the amount of %aily est&. )nergy conservation techni0ue

,. ?on egulate thei le*el of %aily a$ti*ities4. 'erobic exercise adjusting to patient1s condition

@. 3ontain%i$ation fo massage an% e+tenal $ompessiongament pogam onlymphe%ema !

#. thrombus or 2T

&. acute inamation3. tou$h pain4. s4in metastatation on aected extremity

A. Ms. S 22 yo beast $an$e ith left uppe e+temityBs

lymphe%ema. Management fo he left uppe e+temity !

a. measurement o! both extremities at 6rst therapyand periodically + 78 +/- external compressiongarment + rom 9 muscle exc + bandaging + elevasi+ %) : do 9 do not + / ;depend on patient1scomplain <

b. measuement of left e+temity 8 ML? 8 e+tenal$ompession gament 8 om C mus$le e+$ 8 ban%aging8 ele*asi 8 3>< ! %o C %o not 8 D" (%epen% on patientBs$omplain )

$. measuement of left e+temity 8 gentle massage 8e+tenal

$ompession gament 8 om C mus$le e+$ 8 ban%aging8 ele*asi 8 3>< ! %o

C %o not 8 D" (%epen% on patientBs $omplain )

%. measuement of both e+temities 8 massage 8 e+tenal$ompession

gament 8 om C mus$le e+$ 8 ban%aging 8 ele*asi 83>< ! %o C %o not 8

D" (%epen% on patientBs $omplain )

9. M 40 yo naso phayn+ $an$e post $hemoa%iationefe to you $ause% of tismus +eosthomia stomatitis an%pain 7ou pogam !a. S P D" fo pain ( %epen% on intensity C type of pain)

b. S an% D" fo pain (%epen% on intensity C type of pain )c. / !or pain ;=> step ladder+ type o! pain< +

symptomatic xerosthomia and stomatitis S ! ela+ation $oe$tion of poblem (tismus an%+eosthomia) P ! gentle massage C gentle e+$ fo ME

%. S !ela+ation $oe$tion of poblem (tismus an%+eosthomia)

P ! >DD8 <=SD" fo pain an% fo symptomati$ +eosthomia

10. Ms. M 20 yo $e*i$al $an$e metastatis to h 1& F L,

C lung. Paaplegi %yspnoe se*ee pain at ba$ C legimmobiliation. 7ou pogam !a. D" fo pain

P ! ot pa$ 8 <=S at pain aea

b. / !or pain Thoracolumbal brace /extention brace + lumbo

sacral corset (T : >ot pac4/% + T)* at pain area (T, 7 9 7uscle exc, espcecially at 8) T : sa!e gradual mobili?ation ith brace and

corset

$. D" fo painSpinal ba$e ! safe ga%ual mobiliation ith spinal ba$e

%. D" fo pain hoa$olumbal ba$e "e+tention ba$e P ! M/? 8 <=S at pain aea 3P DM C Mus$le e+$ esp$e$ially at L< ! safe ga%ual mobiliation ith spinal ba$e

11. n. ,0 yo >5 >?S positi*e ith to+oplasmosis inbain tetapaese *ey spasti$ aphasia global %ysphagi$ogniti*e %ysfun$tion immobiliation. istoy of seiue (4Ahous ago) 7ou pogam !

a. D" fo elease spasti$ityP S

b. D" fo elease spasti$ity i.e. %iaepam &-mg , %% > P ! e+$ to elease spasti$ity 8 DM C mus$le e+$ 8

S ! Management of aphasia global C %ysphagi ! $oe$tion of $ogniti*e %ysfun$tion Ga%ual mobiliation

$. D" fo elease spasti$ity P ! e+$ to elease spasti$ity 8 DM C mus$le e+$ 8 3P Ga%ual mobiliation S ! Management of aphasia global C %ysphagi

%. / !or release spasticity i.e. lioresal 3 dd % +eperison >l 3 dd %

(T : exc to release spasticity + 7 9 muscle exc

+ (T *T : 7anagement o! aphasia global 9 dysphagia

! $oe$tion of $ogniti*e %ysfun$tion 8 Ga%ualmobiliation ith pemission by neoologist about ga%e ofhea% ele*ation

Ga%ual mobiliation ith pemission by neoologist aboutga%e of hea% ele*ation

. hich of the following statements regarding the treatment of spasticity inassociation with spinal cord inury is false $ 2 A.Treatment is primarily with intrathecal bacloen using an implanted bacloen

pumpB.*erve or motor point blocks with phenol or botulinum to%in injections directly

into the muscle are options when e%cessive le%or tone o the biceps or hamstrings cause pain or unctional impairment

C. Treatment with oral doses o bacloen up to + mg (id with ti-anidine added

or synergistic eect, i needed, when spasticity#related pain and unctionalimpairment e%ist despite compliance with a prescribed stretching andpositioning program

D. Dantrolene, dia-epam, and clonidine are other options that can beconsidered as possibilities or oral treatment o spasticity

3. !he physician is often ased to mae a prognosis for functional reco-eryafter traumatic brain inury. hich one of the following assessment toolsis the most useful for e-aluate prognosis during the acute phase of traumatic brain inury # $ )

A. )lasgow utcome 'cale !)'"B. /ancho 0os Amigos 'cale !/0A'"

C. )lasgow Coma 'cale !)C'"D. )alveston rientation and Amnesia Test !)AT"

. 2 baby of months old shows a symmetrical 5M6 weaness, no sensorydeficits, pro7imal muscles weaer than the distal, abdominal breathing.!he strong possibility of diagnosis is # $8

A. 1ugelberg#wellander diseaseB. 2erdnig#3omann diseaseC. $oliomyelitisD. Duchene4s 5usc. Dystrophy

9. !he questionnaires for Disease :pecific ;ealth /elated <uality of 5ife inchronic pulmonary disease problem are, '()'*! # $2

A. 'hort#Form 67 (uestionnaireB. Chronic respiratory Disease (uestionnaireC. 't. )eorge respiratory (uestionnaireD. Breathing $roblem (uestionnaire

=. !he trainer for *eople ith Disability $*D in )8/ area is # $2 A. FamilyB. CadresC. Formal leader D. Community

10. >ne of the statements below in )8/ are true, that is for self sur-ey, it

should be done after # $2 A. Training CB/ cadres

B. 8illage mini workshopC. Dissemination inormation at provincial levelD. &mplementation o CB/ manuals

#. /hat is the natual position $ause% by the esting mus$le tension

of the han%H. /ist Ie+e% meta$apophalangeal (M3P) joint Ie+e% po+imalintephalangeal (P>P) joint Ie+e% %istal intephalangeal (?>P) joint Ie+e%J. /ist e+ten%e% M3P e+ten%e% P>P Ie+e% ?>P Ie+e%3. /ist Ie+e% M3P e+ten%e% P>P Ie+e% ?>P Ie+e%?. /ist e+ten%e% M3P e+ten%e% P>P e+ten%e% ?>P e+ten%e%". /hat is the Ksafe position of the han%H. /ist e+ten%e% meta$apophalangeal (M3P) joint Ie+e% po+imalintephalangeal (P>P) joint

e+ten%e% %istal intephalangeal (?>P) joint e+ten%e%J. /ist Ie+e% M3P Ie+e% P>P Ie+e% ?>P Ie+e%3. /ist e+ten%e% M3P e+ten%e% P>P e+ten%e% ?>P e+ten%e%?. /ist Ie+e% M3P e+ten%e% P>P Ie+e% ?>P Ie+e%'3. /hi$h hand pattern is useful fo $aying hea*y obje$tsH) Poe gaspJ) ppositional pin$h3) oo patten?) Pe$ision gasp

$. patient pesents ith ist pain. e has pain hen gipping a$up han%le. 7ou noti$e apositi*e inelstein test. /hat ba$e oul% you e$ommen% fo thispatientH. 5ola ist splintJ. Da%ial ne*e palsy splint3. Desting han% splint?. humb spi$a splint

5. /ith 'nge spains hat is the best position fo the %igitsH) Po+imal intephalangeal joint (P>P) Ie+e% alloe% %istalintephalangeal joint (?>P) Ie+ionJ) P>P e+ten%e% alloe% ?>P Ie+ion3) P>P Ie+e% ?>P '+e% e+ten%e%?) P>P e+ten%e% ?>P '+e% e+ten%e% J

@. /hat is the longest leg length %is$epan$y that oul% not nee%$oe$tionH. 1"4 in$h

J. 1"& in$h3. 1 in$h

?. & in$h &

A. patient ith a leg length %is$epan$y nee%s a 1-in$h heel lift.o high shoul% theoute sole beH

. 1"4 in$hJ. 1"& in$h3. ,"4 in$h?. 1 in$h &

B. /hi$h of these %e*i$es assists ith planta Ie+ionH. nteio stopJ. Posteio stop3. nteio sping?. Posteio sping C. /hi$h of the folloing is an anle foot othosis () ith thefootplate set in slight planta Ie+ion

to help ith stability at the nee %uing full e+tension fopatients ith ea Nua%i$epsH. Posteio assist J. Posteio stop 3. nteio stop ?. Goun% ea$tion

#. ' patient has a ea4ened peroneus longus muscles.

=hat 4ind o! !oot orthotic should beplaced in his shoe to prevent his an4le !rom rollingD'. 7edial edge&. 8ateral edge. >eel cushion. oc4er bar &

1. 2 motor unit consists of # $ 2 A. A single anterior horn cell and all the muscle ibers that are innervated by its

a%onB. A single anterior horn cell and a single muscle iber

C. *umbers o anterior horn cells that innervated each muscleD. All o the above

&. /eliabilities of isoinetic dynamometer are affected by # $ D 9. Total workF. $eak tor(ue). $reactivation isometric3. )ravity correction

+. !he statements below are special e7amination to mae e7act 2)5 inurydiagnosis, '()'*! # $8

A. 0achman testB. Distraction testC. Drawer testD. $ivot shit test

4. )ontraindication on using water as physical agent for an athlete that needstrenghthening e7ercise in water is # $ D A. 'kin gratB. Cardiac ailureC. 9pilepsiD. All o the above

. !he e7act type of stress testing that will be gi-en to the athlete is # $ 2 A. 5onark steady method testB. : meters walking testC. 'tep testD. 7 minutes walking test

3. 8ody Mass ?nde7 )lassification $ 2sia *asific for obesity grade ? is # $ ) A. ;<,= > ++,?B. +6, > +:,?

C. @+=, > +?,?D. @ 6

. !he waist circumference -alue for obesity of men is # $ ) A. @ <+ cmB. @ ?+ cmC. @ ;+ cmD. @ ;;+ cm

9. !he e7act intensity of training that should be gi-en for obesity grade ?with 6?DDM type ??, + years old is # $ 8

A. = > 7 dari 5a% 3/

B. 7 > dari 5a% 3/C. 7 > <= dari 5a% 3/D. > <= dari 5a% 3/

=. !he e7act type of stress testing that should be gi-en to an obesity patientwith >2 nee @ 6?DDM type ?? is # $ D

A. 'tep TestB. 'i% 5inutes 2alking TestC. : 5eters 2alking TestD. 9*Cycle 'ymptom 0imited Test

10. 2ll of the following statements are correct regarding the

Coordination exercise, '()'*! # $D A. ne o the methods is Frankel e%erciseB. To perorm constant repetitive movementsC. To apply sensory inputsD. To strengthen progressively the particular muscles

(hysical 7odalities(lease choose the ord or phrase that best completes the!olloing statements.

#. /hat is iontophoesisH. Using ultasoun% to %i*e topi$al me%i$ations into tissue

J. Using ele$ti$ $uent to %i*e me%i$ations into tissue3. Using massage to %i*e topi$al me%i$ations into tissue?. Using $ol% spay to numb a painful aea &". /hi$h of the folloing theoies is $ommonly a$$epte% as theme$hanism of a$tion of

tans$utaneous ele$ti$al ne*e stimulation (<=S)H. <le$ti$ theoyJ. Jlast theoy3. ?esensitiation theoy?. Gate theoy

3. /hi$h of the folloing me$hanisms is best %es$ibe% as thetansfe of enegy beteento bo%ies at %i#eent tempeatues though %ie$t $onta$tH. 3on*e$tionJ. 3on%u$tion3. 3on*esion?. 3i$um%u$tion &

$. /hi$h of the folloing me$hanisms is best %es$ibe% as tansfeof heat by Iui% $i$ulationo*e the sufa$e of a bo%yH. 3on*e$tionJ. 3on%u$tion3. 3on*esion?. 3i$um%u$tion '

5. /hi$h of the folloing is a $ontain%i$ation to heat theapyH. Mus$le spasmJ. 3honi$ inI ammation3. thitis?. S$a tissue @. /hi$h of the folloing best %es$ibes the pla$ebo e#e$t on theme$hanism of pain $ontolin tans$utaneous ele$ti$al ne*e stimulation (<=S)H. hee is no pla$ebo e#e$t in <=S

J. Pla$ebo e#e$t a$$ounts fo 90O of pain elief in <=S3. Pla$ebo e#e$t a$$ounts fo 20O of pain elief in <=S?. Pla$ebo e#e$t a$$ounts fo ,0O of pain elief in <=S

A. /hi$h of the folloing is the most e#e$ti*e type oftans$utaneous ele$ti$al ne*e stimulation (<=S) stimulatoH. igh feNuen$y high intensityJ. igh feNuen$y lo intensity

3. Lo feNuen$y high intensity?. Lo feNuen$y lo intensity &

B. /hy is heat theapy not appopiate fo s$a tissueH) S$a tissue is i$h in $ollagen 'be tissueJ) S$a tissue has ina%eNuate *as$ula supply

3) S$a tissue has ina%eNuate $ollagen 'be?) eat %e$eases tissue metabolism J

C. ll of the folloing ae $ontain%i$ations to the use of shota*e%iathemy except!. Metal implants in$lu%ing pa$emaesJ. 3onta$t lenses3. Seletal matuity?. Ga*i% o menstuating uteus

#. >n hi$h of the folloing aeas $oul% mi$oa*e %iathemy beuse%H) <%ematous tissueJ) lui%-'lle% $a*ities3) Depo%u$ti*e ogans?) Mus$le ith spasm ?

1. && yeas ol% young man e$ei*e% an injuy as a esult of

being ta$le% in a football game. fte the game he felt

eaness in his left am. t the hospital as foun% that he$oul% not neithe ab%u$t an% otate his left am at the

shoul%e no Ie+ the elbo an% e+ten% the ist. uthe

e+amination e*eale% %epession of the bi$eps eIe+ of his

limb but the eIe+ a$ti*ity in*ol*ing the othe limbs as

nomal. /hi$h of the folloing is the most liely site of the

injuyHa. Pe$ental gyusb. 5ental hon $ells at 32c. erve roots o! 5-@%. 32 an% 36 spinal segmentse. =e*ous me%ianus po+imal site

&. olloing a o a$$i%ent a ,, yea-ol% male %e*elope% a

$omplete Ia$$i% paalysis an% loss of sensation of the loe

limbs. fte a ee the patient egaine% mo*ement of the

limbs but at the time e+peien$e% pain in the egion of the

loe limbs $ouple% ith bla%%e %ysfun$tion. ll this

symptoms ae most liely the esult of hi$h of the folloing

$auseHa. 3ompession of the %osal oots at L&

b. ompression o! the spinal cord at 8"$. 3ompession of the %osal $olumns at L&%. 3ompession of the lateal funi$ulus at L&e. anse$ting lesion of $oti$o-spinal ta$t at 1

,. >n testing fo moto %ysfun$tion as foun% an upa%mo*ement of the patientBs toe hen the planta sufa$e of his

foot as s$at$he%. his esponse is in%i$ati*e of a lesion of a

pat of the ne*ous system. /hi$h of the folloing is line% to

this esponseHa. E7 lesionb. LM= lesion$. utonomi$ ne*e lesion%. Peipheal ne*es lesione. Seletal mus$le lesion

4. M. S &4 yeas as efee% to the ehabilitation $lini$ ith the%iagnosis post stabiliation %ue to taumati$ $ompessionfa$tue L& fou ees ago. fte e+amination the physi$ianstate% that he su#ee% of >S 3 spinal $o% injuy ithneuologi$al le*el at L,./hat is you pognosis fo mobiliation of this patientH

a. /heel$haib. ith bilateal $ut$hesc. 'F ith bilateral crutches%. /alee. /ithout mobility ai%

The anser o! the !olloing 0uestions is: if 1 & an% , ae tueJ if 1 an% , ae tue3 if & an% 4 ae tue? if only 4 is tue< if all anses ae tue

2. M. Q &1 yea-ol% as efee% to the me%i$al ehabilitationith paaplegia %ue to 1& bust fatu afte he has ha%

moto $y$le a$$i%ent. he opeati*e PPS/ stabiliation as%one & ees ago an% no as she me%i$ally stable. nphysi$al e+amination you foun% that the *ital signs an%geneal health status ee ithin nomal limit. /hat shoul%you e+amine hen you ant to %etemine se*eity of hisinjuyH1. ll of the moto ey mus$les&. Light tou$h an% pin pi$ sensations on both si%e fom 3&

to S4-2,. nal sensation an% *oluntay anal $onta$tion4. no$utaneal an% bulbo$a*enous eIe+es

Gaaban: '

6. n futhe e+amination you foun% that the stength an% thesensation of the uppe e+temities ee all nomal thestength of hip Ie+o an% nee e+tenso ee fai %oso-Ie+oof anle an% e+tenso of big toe ee poo planta-Ie+o ofthe anle ta$e. 7ou foun% that the pinprick an% light tou$h

ee still nomal at the me%ial femoal $on%yle abo*e thenee, be$ome less sensation until sphin$te anal aea. heeas a ea *oluntay $onta$tion of anal sphin$te.no$utaneal an% bulbo$a*enous eIe+es ee negati*e.3onsi%eing of these e+aminations hi$h statement is tueH1. he absent of ano$utaneal an% bulbo$a*enous eIe+es

means that the patient is still in the spinal sho$&. =euologi$al le*el of this patient is L&,. he %iagnosis is >S 34. he %iagnosis is >S ?

Gaaban: &

@. he patient as sin$e & ees on in%elling $athete (?3)./hi$h folloing statement(s) is (ae) tueH1. 3lean self intemittent $atheteiation shoul% be taine%

soon&. She shoul% on ?3 as long as the eIe+es ae still absent,. Uine an% bloo% laboatoy shoul% be teste% eely until

the patient $an uinate spontaneously4. Steile intemittent $atheteiation pogam %oing by nuse

in this $ase is the best *oi%ing metho%

Gaaban:

#. )lectrophysiologic studies o! peripheral nerve !unctionare sensitive, reliable and can de6ne and 0uantitatenerve dys!unction some o! the statement belo is nottrue, that is : ; <

. Moto ne*e $on%u$tion is monito by the amplitu%e of $ompoun% mus$lea$tion potentials

J. >n %iabeti$ polineuophaty the S=P ae e%u$e%

3. 3lini$al e*i%en$e of %istal symmeti$ polineuopathy must bethee

?. <MG of %istal loe e+temities shos e*i%en$e of %ene*ationsu$h aspositi*e shap a*es an% 'bilations

<. =one of the abo*e

". 'll o! the treatments belo are recommended !or T* atthe initial stage,only: ; & <

. 5ola splint of the ist to meta$apal phalangeal joint in

neutal position%uing night

J. Sugi$al elease of $apal ligament3. en%on an% ne*e gli%ing e+e$ise?. Ulta soun% mo%alities<. =one of the abo*e

3. %n cases ith de6nite sensory or motor de!ects in T*,surgery to release

transverse carpal ligament is the treatment o! choice.'!ter surgery some

rehabilitation techni0ue that should not be done is :; ' <

. Post opea*ite ehabilitation afte elease is to mobilie% fo &ees

J. Gentle sele$ti*e ten%on gli%ing e+e$ise is to pe*ent a%hesion3. Positi*e tinel sign an% phalen sign is an in%i$ation of 3S?. 5ibatoy pe$eption an% light tou$h may be $he$ ith

Semmes F /einsteinMono'lament test

<. =one of the abo*e

$. *ome o! this electrodiagnostic 6nding are !ound inhich brachial plexus lesion occur such as only onestatement is uncertain : ; <. Pesisten$e of S=P if the lesion is po+imal to the %osal oot

ganglionJ. ?ene*ation shoul% be pesent in the <MG e$o%ing

3. Positi*e shap a*es sho that %ene*ation %oes o$$u?. Sloing in $on%u$tion *elo$ity $an not be foun%<. =one of the abo*e

5. =hich o! the !olloing is T related to the carpaltunnel syndromeD : ;&<. inelBs signJ. ypothena atophy3. Pain in the thumb?. My+e%ema<. Jilateality

@. ' motor unit consists o!: ;'<. a single anteio hon $ell an% all the mus$le 'bes that ae

inne*ate% by its a+onJ. a single anteio hon $ell an% a single mus$le 'be3. numbes of anteio hon $ells that inne*ate ea$h mus$le?. all of the abo*e<. none of the abo*e

A. %n a patient ith syringomyelia ho has severe atrophyo! the hand associated ith numbness, sensory nerveconduction o! the median nerve is : ;<. mae%ly sloJ. slightly slo

3. not e$o%able?. nomal<. none of the abo*e

B. 7on4ey1scan not per!orm 6ne movements o! their handssuch as: ;'<1. 'nge tip pin$h&. lateal pin$h,. palmapehension4. $ylin%i$alpehension

C. The explanation belo arereguired !or constraint-induced movement therapy ;%7T<, as: ;'<1. a minimum &0 %egee of *oluntay e+tension of the ist 10

%egee ab%u$tion of the tumb&. e#e$t of 3>M taining ae impotant an% $an be e+plaine% by

leane% monuse e#e$t,. ten %egee e+tension of the to 'nge4. a igi% poto$ol of 3>M taining is a must

#. %n this !olloing disease;s< the position sense could be

abnormal : ; ' <1. Jon-SeNua% Syn%ome&. abes%osalis,. Saba$ute $ombine% %egeneation4. nteio $o% syn%ome

##. The statement belo describe the common types o! aphasia that occur a!ter stro4e : ;)<1. /eni$Bs aphasia hi$h lea% to e%u$tions in $ompehension

ith spee$h that is Iuent but often non sensi$al&. Spee$h in non Iuent ith a e%u$tion in e+pession in

Jo$aBs aphasia,. /eni$Bs aphasia may sho a loss of epetition ability ith

pese*ation of e+pession

4. Global aphasia sho that it has loss its e+pession abilityan% $ompehension

#". The !olloing is / are the appropriate bedside clinicalexamination !or a person dysphagia : ; ) <1. Language&. bility to mobiliation

,. Postue4. Ruality fo espiation

#$. )vidence o! denervation in the rhomboid musclesindicates the lesion is: ;<

1. in the uppe tun of the ba$hial ple+us&. in the me%ial $o% of the ba$hial ple+us,. in the supas$apula ne*e4. po+imal to the tun of the ba$hial ple+us

#5. The cavitation in syringomyelia may extend intoadjacent areas o! the cord and may involved such asareas as the central cord and ventral horns, this maygive all this symptom, )H)(T : ; <

. Jilateal loss of pain an% tempeatue sensation on theshoul%e

J. Jilateal eaness of mus$les of shoul%e am3. Jilateal eaness of mus$les of the ne$ aea?. Jilateal loss of pain an% tempeatue of the am foe

am an% han%

1. hese ae goals in Dehabilitation pes$iption fo 3P?

patients )H)(T ! (3). ptimie beathing $ontol aiays se$etion

eliminationJ. >mpo*e en%uan$e by e+e$ise taining3. De%u$e me%i$ation %eli*ey an% o+ygen utiliation in

se*ee 3P??. De%u$e %yspnea an% an+iety impo*e selfFesteem<. >n$ease aling $apabilities an% in%epen%en$e

fun$tioning

&. he pupose of 3lini$al <+e$ise esting is ! (). o po*i%e ma+imum o loa% in e+e$ise pes$iptionJ. o $hoose the best metho% to measue o+ygen

$onsumption3. ?o$ument patient pogess in %isability?. o $ombine impaiment $ause% by $a%ia$ an%

pulmonay %isease

<. o %ete$t exercise-induced bronchospasm $ause% by

asthma o 3P?

,. he folloing te$hniNue(s) ae nee%e% fo maintaining aiay

$leaan$e in patient ith $honi$ pulmonay %isease )H)(T!

(3). Postual %ainage along ith the manual $hest theapyJ. $ti*e $y$le beathing te$hniNue3. Jeathing $ontol e+e$ise along ith segmentalbeathing te$hniNue?. lutte an%"o a$apella<. Positi*e <n%-<+piatoy Pessue an% utogeni$%ainage

4. he $auses of hypo+emia in$lu%es all of the folloing

)H)(T! (<). l*eola hypo*entilationJ. ?i#usion impaiment3. Pulmonay shunting?. 5entilation-pefusion mismat$hing in lungs<. 3hange in altitu%e that %e$ease inspie% o+ygen

$on$entation in nomal an% healthy peson.

2. ype(s) of e+e$ise appopiate fo pulmonay impaiment

in%i*i%uals ith minimal pulmonay ese*es is"ae! ()1. Eoint mobility maintenan$e e+e$ises&. Mus$le stengthening e+e$ises,. 3oo%ination e+e$ises4. Ma+imal %ynami$ e+e$ises

6. spe$ts in asthma management to pe*ent e+a$ebations aesu$h of the folloing )H)(T! (?)

. Patient e%u$ationJ. bje$ti*e measue of lung fun$tion3. 3ompehensi*e phama$ologi$ theapy

?. <+e$ise taining as nee%e% ith toleable %osage<. <n*ionmental $ontol measue to e%u$e allegens

@. he pefe$t position fo using the in$enti*e spiomete is"aebelo! (3)

1. Patient must be in Ie+e% foa% tun position.&. he in$enti*e spiomete must be in upight position

to sho a$$uate *olume an% Io.,. Patient must e+hale to ma+imum e+piatoy *olume

befoe inspiation.4. Patient put mouthpie$e in his o he mouth an%

inhale sloly.

A. +ygen theapy is"ae in%i$ate% fo the folloing

$on%ition(s) <3<P! (J). $ute hypo+emia (Pa& TA0 mmg o Sa&T90O)J. 3honi$ hypo+emia (Pa3&20O)3. o %e$ease the o of beathing

?. o %e$ease myo$a%ial o<. 3P? ith esting nomo+ia (Sa& AAmmg ho

tansiently %esatuate %uing e+e$ise

9. lalosis epiatoy $ause% by ! ()1. 3ental espiatoy failue&. Despiatoy stimulation *ia peipheal

$hemoe$eptos,. >ntapulmonay $auses4. 5enous P3& as %op

10. Pone positioning is e$ommen%e% fo patient ith thispoblems ! ()

1. <aly D?S&. Pulmonay e%ema,. $ute lung insuV$ien$y in hi$h Pa& is *ey lo

elati*e to i&4. 3eebal hypetension unesponsi*e to theapy

#. 'ccording to the guidelines on cardiac rehabilitation by

the section o! exercise rehabilitation, cardiac

rehabilitation !olloing myocardial in!arction !or

second stage is : . Lifelong late outpatient ehabilitationJ. >n hospital ehabilitation in the >3U3. Last 4 F 1& ees an% may $ompise in hospital ehabilitation?. 3a%iology o geneal me%i$al a%s<. Post opeati*e sugi$al units

". 7ost o! the activities o! daily living in the home

environment re0uire less than : . & metsJ. , mets3. 4 mets?. 2 mets<. 6 mets

3. 'bsolute contraindication to exercise testing !or

patient ith cardiac problem : ). Mo%eate *al*ula heat %isease

J. 5enti$ula aneuysm3. 3a%iomyopathy

?. <le$tolyte abnomalities<. Suspe$te% o non %isse$ting aneuysm

$. )xercise !or the cardiac patient should speci!y the type

o! exercise, the intensity, duration and !re0uency.

)xercise !or cardiovascular conditioning should be : '. >sotoni$ hythmi$ aeobi$ lage mus$le massesJ. >sotoni$ anaeobi$ hythmi$ lage mus$le masses3. Lage isometi$ $omponent isotoni$ aeobi$ hythmi$?. naeobi$ isotoni$ lage isometi$ $omponent<. Lage mus$le masses hythmi$ lage isometi$ $omponent

5. *pesi6c activity scale !or patients cardiac per!orm to

completion any activity that re0uires I or J " and K 5

mets :

. =7 3lass >J. =7 3lass >>3. =7 3lass >>>?. =7 3lass >5<. =one all abo*e

@. Type o! exercise that have been shon to be sa!e and

eective method !or improving strength and

cardiovascular endurance in lo ris4 patient : &. eobi$ a$ti*ityJ. Desistan$e e+e$ise3. Nuati$ e+e$ise?. Lage isometi$ $omponent e+e$ise

A. &ene6t derived !rom long term outpatient cardiac

rehabilitation : ). >n$ease% o+ygen e+ta$tion an% smalle 5& %i#een$e

J. ?e$ease% ma+imal o+ygen $onsumption (5& ma+) o aeobi$$apa$ity

3. Less o+ygen fom enteing bloo% supply?. ?e$ease% stoe *olume at est subma+imal an% ma+imum

o<. >mpo*e% utiliation of o+ygen by a$*ti*e mus$le esulting

fom in$ease% o+i%ati*e enymes an% numbe of

mito$hon%ia in the mus$les

B. (atient diagnosed ith the !olloing conditions should

be excluded !rom resistance training :

1. Systoli$ bloo% pessue T 140 mmg o %iastoli$ bloo%

pessue 100 mmg&. 3,. 3ontolle% ahythmias4. Un$ontolle% hypetension

C. )ect o! extended bedrest or immobili?ation to cardiac

is : '1. De%u$tion in bloo% an% plasma *olumes&. ?e$ease% stoe *olume,. De%istibution of bo%y Iui%s lea%s to postual hypotension4. ?e$ease% 3oagulability

#. Traditionally, outpatient cardiac rehabilitation,

the period o! rehabilitation hen )L monitoring

occurs only i! signs and symptom arrant, althoughendurance training and ris4 !actor modi6cation

continue : &1. Phase >>>&. Phase >5,. >nteme%iate4. Maintenan$e

#. This period the convalescent stage !olloing a hospital

discharge. The length is partly determined by ris4

satis!action and monitoring need. &y de6nition this period

is the most closely monitored phase o! rehabilitation :&'. Phase >&. Phase >>. Phase >>>. Phase >5

". utcomes o! cardiac rehabilitation services, the most

substantial bene6ts : )#. >mpo*ement in e+e$ise tolean$e". >mpo*ement in bloo% lipi% le*els3.De%u$tion of $igaette smoing$. >mpo*ement in symptoms

3. 7ost o! the activities o! daily living in the home environment

re0uire lessthan :

'.12 mets&.& mets

., mets. 4 mets

$. elative contraindication !or exercise testing : '. ,% %egee F 5 blo$

&. $ute infe$tion. 5enti$ula aneuysm. Signi'$ant emotional %istess (psy$hosis)

5. *pesi6c activity scale, patient can per!orm to completion

any activity that re0uires I or J " mets and K 5 mets in

cardiac !unctional 9 classi6cation : '. =7 3lass >&. =7 3lass >>. =7 3lass >>>

. =7 3lass >5

@. Type o! exercise !or cardiovascular conditioning should be :

''. >sotoni$ hythmi$ an% aeobi$&. Lage isometi$ $omponent hythmi$ isotoni$. Lage mus$le masses hythmi$lage isometi$ $omponent. naeobi$ lage mus$le masses hythmi$

A. Type o! exercise that have been shon to be a sa!e and

eective method !or improving strength and cardiovascular

endurance in lo ris4 patient : '. eobi$ e+e$ise&. Dhythmeti$ e+e$ise. >someti$ e+e$ise. Desistan$e e+e$ise

B. The Framingham study, three !actors as playing possible

roles in this mar4ed decreased in those ith ' : '#. Loe $holesteol

". Loe bloo% pessue3. Jette hypetension management$. 3iggaette smoing

C. 'bsolute contraindication !or entry into inpatient and

outpatient exercise training : &#. Mo%eate to se*ee aoti$ stenosis". Signi'$ant %op (&0mgg) in esting systoli$ bloo% pessue fom

the patientBsa*eage

3. hombophelebity$. Desting S %ispla$ement (T, mm)

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