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PCCM Midterm Flashcards | StudBud
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PCCM Midterm
PCCM Midterm
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Practice quiz
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Questions
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Answers
1
Which one of these demonstrates bradycardia ?
50-120 BPM
40-50 BPM
110-130 BPM
60-100 BPM
2
Which one of these demonstrates tachycardia ?
40-50 BPM
60-100 BPM
50-120 BPM
110-130 BPM
3
Patient performs less than 15% of the activity
dependent
minimal assistance
moderate assistance
maximal assistance
4
Which of the following is in hypertensive crisis? table 3.5 p58
160-179/ 100-109
140-159/90-99
>180/>110
120-139/80-89
5
MMT: cannot move through full ROM against gravity, no resistance and full ROM in gravity eliminated position
4
2
3
5
6
Systolic pressure is:
BP at the time of the rest period of the heart
the bottom number for BP
BP at the time of contraction of left ventricle
BP at the time of right ventricle contraction
7
Which one: half squat, feet parallel behind object?
Power lift
Traditional
Deep squat
straight leg lift
8
Rolling to prone from supine
elbows straight
palms up tucked under pelvis
elbows bent
palms down under pelvis
9
Burns and grafts: what is NOT true about body positioning?
keep tension on the wound or graft
only passive exercises should be performed
avoid prolonged flexed positions of the joints
allow for positions of comfort
10
What affects BP?
Stress
Hydration levels
Caffeine
Medication
11
Posterior view plumb line should be through:
between calcaneus processes
gluteal cleft
midline of knee
Spinous processes
12
Spinal cord injuries, during transfers, should avoid:
using restraints
log roll
distracting and rotational forces
moving the patient downwards by pulling on affected side
13
Funnel chest
chest protrudes outwards
scoliosis
pectus excavatum
Pectus carinatum
14
Patient has >3/5 strength in legs and one leg is affected
sliding board
dependent lift
standing dependent pivot
standing assisted pivot
15
Which is abnormal adult respiration rates?
Over 20
12-18
30-40
Under 10
16
What level of assistance: pt. moves from supine -> sit only using trapeze bar?
minimal assistance
dependent
modified independent
contact guarding
17
partial skin loss, exposed dermis, open wound that is pink and moist, may have a blister
Stage 4 pressure injury
Stage 2 pressure injury
Stage 1 pressure injury
Stage 3 pressure injury
18
Which of the following methods should you use to screen for patient tolerance of pressure on the skin?
press gently with one or two fingers for 15 seconds and then release
press firmly for 30 seconds and then release
press gently with one or two fingers and then quickly release
press firmly for 5 seconds and then release
19
Which of the following is NOT true of prolonged bed rest & the digestive/urinary systems?
increased risk of infection
decreased bowel movements
increased hunger
dehydration
20
Korotkoff Sounds: which one is true?
Phase 3: diastolic pressure, crisp and loud sounds
Phase 2: systolic pressure, murmur and swishing
Phase 1: systolic pressure, clear tapping sound
Phase 5: diastolic pressure, abrupt muffling of sound
21
Faces pain scale is used in
Children ages 4-16
in a pediatrician’s office only
to ask about radiating pain
adults with cognitive impairment
22
MMT: moves through full ROM, and moderate resistance
2
4
5
3
23
Center of gravity is at
T12
L4
C0
S2
24
Patient has >3/5 strength in legs and both legs are affected
standing dependent pivot
standing assisted pivot
dependent lift
sliding board
25
Bone pain is:
deep, nagging, dull
cramping, dull, aching
sharp, severe, intolerable
sharp, bright, lightning-like
26
Pidgin chest
pectus excavatum
scoliosis
funnel chest
Pectus carinatum
27
Total hip replacement surgery, what are the precautions?
hip adduction past midline
hip extension past 20 degrees
hip internal rotation past midline
Hip flexion past 90
28
Sway back has:
forward shifted pelvis, hyperextended hips and knees, trunk shifts back
neutral pelvic tilt, neutral hips and knees
posterior pelvic tilt, slight hyper ext of hips and knees
anterior pelvis tilt, slight hyper extension of knees
29
Lifting and twisting should always be used when picking up heavy objects
True
False
30
Patient has <3/5 strength in legs and <3/5 strength in arms
sliding board
dependent lift
standing assisted pivot
standing dependent pivot
31
Fracture pain is:
cramping, dull, aching
deep, nagging, dull
sharp, bright, lightning-like
sharp, severe, intolerable
32
Sympathetic nerve pain:
burning, pressure-like,stinging, aching
sharp bright, lightning- like
Sharp, shooting
throbbing diffuse
33
Transtibial amputation body positioning: which is true?
always put in a position of comfort
patient should not stand or go recumbent
elevating limb, sitting with knee extended should not exceed 40 mins/hr
prolonged hip and knee flexion is good for the patient
34
MMT: moves through full ROM, but no resistance
4
3
5
2
35
MMT: moves through full ROM, and maximal resistance
3
2
5
4
36
patient is walking with caregiver, and is only placing a hand on their pelvis
modified independent transfer
Contact guard assist
dependent lift
standby assistance
37
Which lift should be used for light/ small objects?
traditional
one-leg stance lift
deep squat
power lift
38
Hemiplegia body positioning: which is NOT true?
keep the affected limb at or above heart level
avoid: prolonged shoulder adduction and internal rotation, hip & knee flex.
extremities should be exercised several times per day
use a sling for comfort
39
Borgs scale
is a perceived exertion scale
is originally scored 0-10
is not required for billing purposes
study’s pain
40
Patient leads the transfer, giving concise commands
False
True
41
Diastolic pressure is:
BP at the time of contraction of the right ventricle
BP at the time of contraction of the left ventricle
top number of BP
BP at the time of the rest period of the heart
42
palpable bone, tendon, fascia, ligament, cartilage or muscles
Stage 3 pressure injury
Stage 2 pressure injury
Stage 1 pressure injury
Stage 4 pressure injury
43
Which one uses a deep squat, but first lifts the object with UE and thenLE to raise the body?
Power lift
straight leg lift
Deep squat
Traditional
44
Muscle pain is:
deep, nagging, dull
cramping, dull, aching
sharp, bright, lightning-like
sharp, severe, intolerable
45
Which of the following is NOT true for proper body mechanics
reduces stress on the body
conserves energy
safety in movements
decreases respiration and cardiopulmonary function
46
Direct contact is the most common method of transmission.
False
True
47
Hand rubbing with an alcohol-based, antiseptic is most effective technique to decontaminate when washing isn’t required.
False
True
48
Patient performs 40% of the activity
moderate assistance
minimal assistance
maximal assistance
dependent
49
Prior to taking blood pressure, want to make sure the patient does not have:
metastatic cancer on that side
mastectomy on that side
dialysis port
open wound
50
Which one is hips below knees?
Deep squat
Power lift
Traditional
straight leg lift
51
Patient performs 60% of the activity
minimal assistance
moderate assistance
maximal assistance
dependent
52
Lateral view plumb line for posture:
greater trochanter
lobe of ear
slightly anterior of knee, and lateral malleolus
spinous processes
53
What potential adverse effects of placing a bolster under the knees of a supine patient?
increased pressure on ASIS
iliopsoas and hamstring contractures
quads and gluteus contractures
increased comfort
54
Take Systolic/Diastolic BP with Karotkoff Sounds 1 & 4
False
True
55
Patient performs more than 75% of the activity
dependent
minimal assistance
maximal assistance
moderate assistance
56
private room, gloves and gown before entering
Droplet precautions
airborne precautions
Contact precautions
standard precautions
57
What is the most common cause of painful soft tissue syndromes affecting the body?
bad posture
genetics
working out too much
car accidents
58
Intact skin, nonblanchable erythema
Stage 1 pressure injury
Stage 2 pressure injury
Stage 3 pressure injury
Stage 4 pressure injury
59
Rheumatoid arthritis: what is true?
watch for shortened contracted positions
protect bony prominences
contracture is not possible
frequent activity should be performed
60
N-95 mask, negative airflow required
Contact precautions
standard precautions
airborne precautions
Droplet precautions
61
How long do you wash your hands?
15-30 seconds
40-60 seconds
10-15 seconds
2 rounds of happy birthday
62
Frequent hand washing, PPE, and assume/treat all body fluids as if they contain transmissible infectious agents
Contact precautions
airborne precautions
standard precaution
Droplet precautions
63
MMT: moves at least 50% against gravity
2+
2-
3+
3-
64
Fat visible, full-thickness skin loss, rolled edges
Stage 2 pressure injury
Stage 3 pressure injury
Stage 1 pressure injury
Stage 4 pressure injury
65
How do you find the occlusion point?
radial pulse + 20mmHg
when the radial pulse disappears
when you hear the systolic pressure
when you feel the pulse
66
Which one is: knees slightly flexed, upper extremity are parallel to grasp object (eg: groceries out of car)
Power lift
Deep squat
straight leg lift
Traditional
67
Patient is receiving total assistance from caretaker
standby assistance
dependent lift
Contact guard assist
modified independent transfer
68
A drop of greater than 20 systolic, and 10 diastolic leads us to believe it is orthostatic hypotension?
False
True
69
T or F: when taking BP the arm should be level with the bellybutton?
True
False
70
What is a factor that does NOT affect balance
pregnancy / body composition
height
aging
poor posture
71
Which is normal adult respiration rates?
12-18
Under 10
Over 20
30-40
72
may require verbal cues or assistive equipment
dependent lift
standby assistance
modified independent transfer
Contact guard assist
73
Which is normal children/infant respiration rates?
Over 20
12-18
30-40
Under 10
74
Normal BPM for HR in an adult
60-100 BPM
40-50 BPM
50-120 BPM
110-130 BPM
75
Pes cavus is a low/flat arch
False
True
76
Too small of a cuff size gives too high of a BP reading?
False
True
77
O2 sat for the typical adult population should be 95-99.5
True
False
78
How to change patient’s center of gravity
adding an assistive device
Leaning/ reaching
standing on one foot
adjusting base of support
79
Visual analogue scale is used for pain assessment of the typical adult
True
False
80
verbal or tactile cues, close but not touching
dependent lift
Contact guard assist
modified independent transfer
standby assistance
81
Select the elements in the cycle of infection
entry (infection), exit
method of transmission, susceptible host
infectious agent, reservoir
systemic resistance, healed wound
82
The cuff should take up what width?
1/3rd
2/3rds
40%
50%
83
Nerve pain is:
sharp, bright, lightning-like
sharp, severe, intolerable
cramping, dull, aching
deep, nagging, dull
84
prolonged bed rest can cause:
has a greater effect on long bones and vertebrae
skeletal deformities
bone atrophy
10-15% is lost in the first week
85
Transfemoral amputation body positioning:
Avoiding prolonged: hip flexion, hip abduction
elevated on a pillow at least 40 minutes per hour
never put in prone
permitted to sit for no more than 20 minutes per hour
86
The length of the bladder should take up what percent of the arm?
100%
80%
whatever you have available
70%
87
Patient has <3/5 strength in legs and >3/5 strength in arms
dependent lift
sliding board
standing dependent pivot
standing assisted pivot
88
Too large of a cuff size gives high BP reading
True
False
89
private room, gloves/gowns and masks
Contact precautions
airborne precautions
standard precautions
Droplet precautions
90
Which of the following is NOT true of kypholordotic posture?
possible causes: habit, pregnancy, obesity, weak abdominals
short: hip flexors, SCOM, upper traps, pecs and lats
short: abdominals, hamstrings, thoracic erector spinae
elongated: abdominals, hamstrings, thoracic erector spinae
