Sjukgymnastikprovet

...vi har ju äntligen fått lite studiemateriel i form av 5 patientfall/10 frågor som är exempel tagna ur tidigare prov (detta är det enda vi fått från sjukgymnastförbunder), samt att vissa som skrivit provet tidigare och på något sätt lyckats få med sig en kopia av frågorna nu tagit mod till sig och skickat ut dessa till oss andra. Vissa frågor är tack och lov enkla men de allra flesta är väldigt svåra och känns knappt ens sjukgymnastikrelaterade. Jag har tyvärr inte alltför stora förhoppningar om att jag kommer klara detta prov kan jag säga... Ett exempel kommer iaf här:

Mrs D is a 62 year-old lady admitted to hospital with a 5 day history of increased

shortness of breath and marked swelling of both legs. She smokes between 25 and 30

cigarettes/day and has done so since she was 16 years old. She had a total hip

replacement 2 years ago. She lives alone in a first floor unit. Mrs D does most of her

own housework.

On admission Mrs D’s arterial blood gases (ABGs) (breathing room air) were:

pH 7.34

PaCO2 60 mmHg

PaO2 51 mmHg

HCO3_ 32 mmol/l

Other observations:

 blood pressure (BP) 100/60mmHg

 respiratory rate (RR) 26 breaths/min

The physical examination revealed that she was overweight and appeared cyanotic.

Her skin was mottled and her legs were purplish with blanching. Three heart

sounds were audible. Decreased breath sounds throughout both lungs were heard

on auscultation and no added sounds were audible. Her legs had significant pitting

oedema to the mid-calf level.

Chest X-ray findings were consistent with chronic obstructive pulmonary disease

(COPD) with hyperinflation, flattened diaphragm, hyperlucent lung markings, and

prominent pulmonary artery. The heart was enlarged.

Physiotherapy examination revealed that Mrs D was breathless, not productive of

sputum and had reduced exercise tolerance.

9. Which of the following statements about Mrs D’s signs is TRUE?

a) the enlarged heart shown on the chest X-ray is indicative of hypertrophy of

the left ventricle

b) the prominent pulmonary artery shown on the chest X-ray is unlikely to be

associated with cor pulmonale

c) Mrs D may be found to have increased jugular venous pressure

d) cor pulmonale is caused by Mrs D’s ischaemic heart disease

10. In establishing a physiotherapy problem list on admission for Mrs D, which of

the following would NOT be included?

a) her breathing pattern

b) her total hip replacement and its consequences

c) her decreased exercise tolerance

d) her airflow limitation