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Robin, I agree with Ian on the first question... intermittent compression is the answer. As with the second question, it basically comes out of your first aid course. As Ian said, we must assume a few things... but if the person is unconscious and is not breathing, we must open the airways using cervical extension. From the first aid course, human life is more important than cervical extension damage. Remember, you must assess and stabilize his/her condition before calling 911. So i will have to agree with the PT examiner - cervical extension - but the question was not well put. Henry*** >From: "Ian Hutchinson" <[log in to unmask]> >Reply-To: [log in to unmask] >To: <[log in to unmask]> >Subject: Re: Disagree with 2 questions on practice PT exam >Date: Sat, 7 Oct 2000 19:22:29 -0230 > >Hi Robin > >I would choose the intermittent compression. the other compression >treatment look to be "stockings!"... and she has edema of the arm! > >The sports question is a little presumptive, I think. I would not attempt >to open an airway in an unconcious person without having first ascertained >that that they were in fact NOT breathing. So I am thinking look listen >and feel for signs of respiration first, then if absent, i would be >making a decision regarding opening the airway. I would not use c/spine >extension as 1st choice, as I apparently do not know the mechanism causing >unconciousness. if it was a blow to the head, (quite possible in sports) I >would be expected to consider the possibility of concurrent cervical injury >and the modified jaw thrust technique, would be the method attempted first >to open airway . So given these issues, i think to call 911 may actually >be the most correct answer.... >Just my .02cents > >Ian > ----- Original Message ----- > From: Tim & Robin Farley > To: pther ; physio > Sent: Saturday, October 07, 2000 8:42 AM > Subject: Disagree with 2 questions on practice PT exam > > > > I'm putting out these questions because I disagree with answers on >practice exams for licensing. I hope someone could tell me what they think >the answer is and more importantly why. I have taken the exam 5 times and >have lost my license in the state of new york. Do I overanalyze the >question; is it that I'm "thinking" the wrong way. I have missed passing >on the average of 5-10 questions and I'm trying to relearn my test taking >skills. Thanks in advance for the imput. > Here goes: > 1. A pt.with a history of mastectomy has edema on her arm; what is the >most likely treatment for this position? > a. the edema will decrease in time > b. high compression stockings > c. intermittent compression > d. constant compression stockings. > > > 2. You are the physical therapist in charge of a school sports program >one of the players has an accident during the game and falls to the floor >unconscious. You should first... > a. ask for help to stabilize the neck > b. stabillize the neck > c. open the airway using neck ext. > d. ask a police officer to call 911. > > > 1. my answer: constant compression stockings > key answer: intermittent compression I remember a therapist during my >clinicals using JOBST on lower extremity lyphdema, but an OT at my >clinical who just took a lymphodema course was practicing wrapping on me >using constant compression for s/p mastectomy lyphodema. > > > 2. my answer: ask a police officer to call 911. > key answer: open the airway using neck ext. Reason the key says ABC's, >but I was taught after determing the patient unconscious, call 911. > > Any sugestions? > Robin, Aspiring PT > > _________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com. Share information about yourself, create your own public profile at http://profiles.msn.com. %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%