Sub acute Ortho content for final
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Questions and Answers

What types of assessments will be used in the subacute written exam?

Short and long cases, still images, and/or videos.

What type of questions can students expect in the exam?

  • Multiple choice
  • Short answer
  • True/false
  • All of the above (correct)

    • The exam will consist only of multiple choice questions.

    False

    What are some indications for doctor referral as a treating physiotherapist following different surgeries?

    <p>Progressive neurological symptoms, infection.</p> Signup and view all the answers

    Match the following conditions with their appropriate management options:

    <p>ACL injury = Surgical repair or conservative bracing Meniscal tear = Arthroscopy or conservative rehabilitation Achilles rupture = Surgical repair or conservative management Hip OA = Surgery or exercise therapy</p> Signup and view all the answers

    For an ACL reconstruction, autografts are preferred over ______.

    <p>allografts</p> Signup and view all the answers

    Surgery is always better than conservative treatment for ACL injuries.

    <p>False</p> Signup and view all the answers

    What is a major reason for choosing surgical intervention for an ACL injury?

    <p>Knee instability.</p> Signup and view all the answers

    What is the main purpose of rehabilitation after a meniscus repair?

    <p>To support the meniscus healing</p> Signup and view all the answers

    Match the following conditions with their absolute and relative indications:

    <p>Ankle fracture = Weber C – unstable syndesmosis ruptured Achilles rupture = Insertional tear Total Hip Replacement (THR) = Pain: OA, RA, Post-traumatic arthritis, Avascular necrosis Hip fracture = Displaced # + &gt; 60 yrs = THR or hemi Anterior Cervical Discectomy and Fusion (ACDF) = Progressive cervical myelopathy Lumbar Spine Fusion (LSF) = Similar to ACDF Shoulder surgery = Atraumatic, degenerative full thickness cuff tear</p> Signup and view all the answers

    What considerations should be made during rehabilitation for LSF?

    <p>Teach precautions, log roll, breathing techniques.</p> Signup and view all the answers

    What is a common risk factor for an ACL injury?

    <p>Female sex</p> Signup and view all the answers

    The surgical option for a midportion Achilles tendon tear is ___

    <p>Insertional surgery</p> Signup and view all the answers

    A hamstring autograft is considered a cost-effective option for ACL surgery.

    <p>False</p> Signup and view all the answers

    What is a management consideration for Weber A fractures?

    <p>Typically don’t need to be casted</p> Signup and view all the answers

    What is a primary exercise for early rehab in Grade 3 Achilles tendon rupture?

    <p>Toe scrunches</p> Signup and view all the answers

    Full weight-bearing is allowed immediately after Total Hip Replacement (THR).

    <p>False</p> Signup and view all the answers

    The main characteristic of non-displaced hip fractures is ___

    <p>internal fixation is required.</p> Signup and view all the answers

    Match the types of ACL surgeries with their characteristics:

    <p>Autograft = Tissue from patient's own body – more cost-effective Allograft = Tissue from a donor – most commonly used for revision surgery Patella tendon = Increased risk of patellofemoral pain and post-op stiffness Hamstring = Easier surgery, less post-op knee pain and stiffness</p> Signup and view all the answers

    Which of the following is NOT a risk factor for Osteoarthritis?

    <p>High physical activity</p> Signup and view all the answers

    What must be checked prior to seeing a patient on day 1 following surgery?

    <p>Surgeon's notes, baseline assessment prior to surgery, past medical history, contraindications/precautions, weight-bearing status, vital signs, and pain tolerance/medications.</p> Signup and view all the answers

    What type of management is typically more appropriate for extrascapular femoral fractures?

    <p>Casting</p> Signup and view all the answers

    What does modern evidence suggest about the effectiveness of traction following hip fractures?

    <p>Modern evidence suggests limited effectiveness of traction, favoring early surgical intervention for better outcomes.</p> Signup and view all the answers

    What are the recommendations to avoid surgical revision following total knee replacement (TKR)?

    <p>Pursue low-moderate intensity exercise such as walking and swimming, avoid high intensity exercise, and avoid running, contact sports, and heavy lifting.</p> Signup and view all the answers

    What is the purpose of TKR?

    <p>To allow resumption of normal activities</p> Signup and view all the answers

    Physical therapy after TKR is scheduled for 1 hour, 2 times a week for 12 weeks.

    <p>True</p> Signup and view all the answers

    In conservative management strategies for knee osteoarthritis without comorbidities, which of the following is NOT recommended?

    <p>Contact sports</p> Signup and view all the answers

    What are the precautions and instructions following ACDF surgery in the first two weeks?

    <p>Wearing a cervical collar if requested, consulting with a doctor for signs of complications, and avoiding lifting items heavier than 1.5L of milk.</p> Signup and view all the answers

    What are absolute indications for ACDF surgery?

    <p>Cervical myelopathy due to spinal cord compression.</p> Signup and view all the answers

    What is NOT a red flag indicating the need for further referral/testing?

    <p>Pain in the left leg</p> Signup and view all the answers

    List one factor that may influence the length of time for surgical precautions.

    <p>Cigarette smoking.</p> Signup and view all the answers

    What is the primary concern regarding excessive motion at the fusion site?

    <p>Leads to excessive callus formation</p> Signup and view all the answers

    What advice should be given to a patient struggling to perform movements?

    <p>BRP: Bend, roll, and push.</p> Signup and view all the answers

    What is a common cause of rotator cuff injury?

    <p>All of the above</p> Signup and view all the answers

    Younger patients generally recover faster after surgery.

    <p>True</p> Signup and view all the answers

    Why are scapula exercises important in rehabilitation?

    <p>They support movement, mobility, force, proprioception, and stability.</p> Signup and view all the answers

    What is the expected recovery time after TKR for younger patients?

    <p>Typically faster recovery and better function.</p> Signup and view all the answers

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