February 2008--Physical rehabilitation.NB: Please note that manual completion of CPD CPD citrate phosphate dextrose; see anticoagulant citrate phosphate dextrose solution, under solution. Cephalopelvic disproportion (CPD) questionnaires will only be possible for the January and February editions of CME CME See: Chicago Mercantile Exchange CME See Chicago Mercantile Exchange (CME). . these questionnaires must be submitted by the end of March and April respectively. After this the answers will be available online and, if you have not submitted your questionnaires, you will not be credited with any points for these two months. Go to www.cpdonline.co.za for future CME CPD questions. REHABILITATION ASSESSEMENT IN GENERAL PRACTICE--WHY GENERAL PRACTITIONERS SHOULD KNOW ABOUT DISABILITY 1. The outcome of rehabilitative intervention does not depend on (choose one): A. The diagnosis B. The pre-morbid history C. Family support structures D. The presence of complications E. Ongoing maintenance by a therapist. 2. The GP's role in managing persons with disabilities includes (choose one): A. Treating all possible problems that may arise B. Only prescribing chronic repeat medications C. Focusing on the illness D. Identifying all possible problems that may arise E. Boarding the patient as soon as possible after the disabling event. 3. Choose the correct statement: A. Patients with sacral bedsores Bedsores Definition Bedsores are also called decubitus ulcers, pressure ulcers, or pressure sores. These tender or inflamed patches develop when skin covering a weight-bearing part of the body is squeezed between bone and another body part, or a bed, must be sat up three times a day B. Diarrhoea may be a symptom of faecal loading C. An ophthalmology referral for refraction is indicated in a person with a hemianopia hemianopia /hemi·an·o·pia/ (-an-o´pe-ah) defective vision or blindness in half of the visual field of one or both eyes; loosely, scotoma in less than half of the visual field of one or both eyes. after a stroke D. In a hemiplegic stroke patient, squeezing a stress ball is a good way to improve power E. Pregnancy is contraindicated in disabled female persons. MANAGEMENT OF CHRONIC PAIN IN PERSONS WITH NEUROLOGICAL DISABILITY 4. True (A) or false (B)--fill in only block A or B: Neuropathic pain is usually chronic and can rarely be totally cured. 5. True (A) or false (B)--fill in only block A or B: Regarding pharmacotherapeutic interventions in mild to moderate nociceptive no·ci·cep·tive adj. 1. Causing pain. Used of a stimulus. 2. Caused by or responding to a painful stimulus. pain, it is accepted practice to always start with simple analgesics (paracetamol paracetamol see acetaminophen. acetaminophen, paracetamol an analgesic and antipyretic drug in dogs. It is contraindicated for cats because of serious side-effects which include intravascular hemolysis, methemoglobinemia and hepatic necrosis. ) in adequate doses. 6. True (A) or false (B)--fill in only block A or B: Surgical interventions should not be regarded as a last resort but should be offered early on in the treatment of intractable neuropathic pain. ISSUES IN THE LONG-TERM MANAGEMENT OF STROKE 7. Management of post-stroke shoulder pain should NOT include (choose one): A. Shoulder positioning protocols to protect the limb B. Exercise to improve range of motion C. Use of overhead pulleys to improve bed mobility D. Functional electrical stimulation Functional electrical stimulation (commonly abbreviated as FES) is a technique that uses electrical currents to activate nerves innervating extremities affected by paralysis resulting from spinal cord injury (SCI), head injury, stroke or other neurological disorders, E. Strapping of the limb. 8. Which one of the following is INCORRECT: A. Up to 50% of stroke survivors have dysphagia B. Aspiration is an important cause of post-stroke mortality C. Speech therapist evaluation is recommended for all patients with dysphagia D. Nasogastric tube feeding is superior to percutaneous endoscopic gastrostomy percutaneous endoscopic gastrostomy See PEG. feeding in the first month after stroke E. A normal gag reflex is a useful test to determine whether swallowing will be safe. 9. True (A) or false (B)--fill in only block A or B: Stroke care should be conducted in the setting of an organised stroke unit by a multidisciplinary team. INTRODUCTION TO TRAUMATIC BRAIN INJURY Traumatic brain injury (TBI), traumatic injuries to the brain, also called intracranial injury, or simply head injury, occurs when a sudden trauma causes brain damage. TBI can result from a closed head injury or a penetrating head injury and is one of two subsets of acquired brain 10. True (A) or false (B)--fill in only block A or B: A patient in a coma may be aroused by a strong external force. 11. The FIM/FAM scale (choose one): A. Is a measure of a patient's acute medical condition directly after a TBI TBI 1. Thyroxine-binding index 2. Total body irradiation B. Measures the functional status of neurologically impaired patients C. Evaluates a patient on 8 levels of cognitive functioning D. Cannot be used to evaluate a patient suffering from a progressive neurological disease E. Is not useful in assessing patients with communicative disorders. ACUTE NEUROREHABILITATION--AN INTRODUCTION 12. True (A) or false (B)--fill in only block A or B: An interdisciplinary rehabilitation team is driven by the attending physician. 13. A patient's inability to walk following a stroke is termed his/ her (choose one): A. Life participation restriction B. Disability C. Activity limitation D. Impairment E. Incapacity. 14. Symptoms of autonomic dysreflexia include (choose one): A. Chronic cough B. Oedema oedema see edema. C. Aspiration D. Fever E. Spasticity. SUPPORT GROUPS IN REHABILITATION 15. The main benefit of support groups is (choose one): A. Their cost B. The opportunity to form new friendships C. The learning environment that they create D. The respite they provide to carers E. There is no real benefit. 16. True (A) or false (B)--fill in only block A or B: Support groups form an integral part of the rehabilitation continuum. BLADDER MANAGEMENT AFTER SPINAL CORD INJURY Spinal Cord Injury Definition Spinal cord injury is damage to the spinal cord that causes loss of sensation and motor control. Description Approximately 10,000 new spinal cord injuries (SCIs) occur each year in the United States. 17. True (A) or false (B)--fill in only block A or B: The early urological management of SCI (Scalable Coherent Interface) An IEEE standard for a high-speed bus that uses wire or fiber-optic cable. It can transfer data up to 1GBytes/sec. (hardware) SCI - 1. Scalable Coherent Interface. 2. UART. patients is with an indwelling indwelling /in·dwell·ing/ (in´dwel-ing) pertaining to a catheter or other tube left within an organ or body passage for drainage, to maintain patency, or for the administration of drugs or nutrients. urinary catheter, regardless of the level of the injury. 18. True (A) or false (B)--fill in only block A or B: Renal failure is no longer the leading cause of death among SCI patients. BOWEL MANAGEMENT AFTER SPINAL CORD INJURY 19. True (A) or false (B)--fill in only block A or B: An upper motor neurone bowel is best managed by reflex emptying after suppositories suppositories, n.pl solid capsules made of materials that melt at body temperature and are used to deliver medicinal substances into the rectum. or digital stimulation. 20. True (A) or false (B)--fill in only block A or B: Faecal impaction is the most common cause of autonomic dysreflexia in spinal cord injury. |
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