The patient is a 38 year old male plant manager and
new long distance runner presenting with complaints of left
anterolateral hip and thigh pain. He was referred to physiotherapy
from his orthopedist, who diagnosed him with greater trochanteric
bursitis.
His onset of symptoms was 6 weeks prior to the initial evaluation,
after running a marathon (26.2 miles). By the end of the race, he
was in intense, constant pain, rated at a 5/10 that remained
constant for 3 days after. His symptoms became intermittent, and
have not changed much since that time. His plan was to run 4
marathons in the next year, but he has stopped running completely,
as every time he runs the pain comes back to the same intensity it
was immediately after the race.
Since becoming symptomatic he has tried many stretches and
strengthening exercises he researched on the internet. He has also
received advice from his massage therapist. However, the same pain
comes back when he runs. He has good shoes, and changes them every
250-300 miles, per industry recommendations. Because of all of his
research, he is concerned that this is an issue that is going to
keep him from running altogether.
When asked if the patient had any imaging, he replied “only an
xray”. Then he said, “Why, do you think I need an MRI?” Sensing
fear of life-altering structural damage, the patient was assured
that one of the goals of physiotherapy is to determine the right
place for them. With a careful assessment over 2-3 visits, we
should know if further testing is necessary.
1. Given the history, anatomy and function of the hip, which
structures are you going to examine? Explain why and how you will
perform the examination of these structures.
2. What functional activities would you assess and how would you
establish these functional baselines. How
vigorous can you be in your examination?
3. What examination tests would you use, and why would you use
them?
4. What other subjective information would you get from this
runner?
In: Anatomy and Physiology
Describe and illustrate the action potentials in a contractile ventricular myocardial cell and a cardiac nodal cell. Show how the ANS can affect the nodal cell action potential. Physiology
In: Anatomy and Physiology
Does increasing the voltage of the stimulus result in an increasing force of contraction? Discuss why.
- please do not include neuromuscular junctions and motor neurons, they were not used in the experiment
In: Anatomy and Physiology
Anatomy and Physiology ll
What happens to metabolism if you only have 1 lung; give 2 specific examples?
In: Anatomy and Physiology
4.
Proteins primary functions include all of the following EXCEPT:
Select one:
a. Storage of energy
b. Making antibodies
c. Building muscle and bone
d. Making enzymes and hormones
10.
Which of the following statements about BMR is TRUE?
Select one:
a. It is directly controlled by the hormone, Glucagon
b. It supports basic body processes
c. It is lowered in the presence of a fever
d. It is not affected by lean tissue
11.
How many calories are in a food that contains 20 grams of carbohydrate, 8 grams protein, and 5 grams of fat?
Select one:
a. 258
b. 157
c. 378
d. 232
15.
Karen is interested in speeding up her basal metabolic rate to promote fat loss; you would advise her to:
Select one:
a. Fast at least one day each week
b. Participate in endurance and strength-building exercise daily
c. Start smoking
d. Follow a low carbohydrate diet
In: Anatomy and Physiology
The voltage-gated Na+ channels are ---------;
|
Single-gated |
||
|
Double-gated |
||
|
Open upon Acetylcholine binding |
||
|
Allow fast influx of Na+ ions |
||
|
All of the above |
||
|
Only #2 and #4 |
||
|
Only #2, #3 and #4 |
In: Anatomy and Physiology
30. Q: On the basis of what you have learned about muscle fiber types and metabolism, predict what variation in structure would you find among these athletes:
A 7-ft. 2” tall, 325-pound basketball player
A 5-ft. 10” tall, 180 pound steer wrestler
A 5-ft. 7” tall, 130-pound female figure skater
A 4ft. 11” tall, 80-pound female gymnast
In: Anatomy and Physiology
Explore the role of phosphatases in the MAPK system
a) If the phosphatases in the cascade have very low activity
b) If the phosphatases in the cascade have very high activity.
In: Anatomy and Physiology
Which is an example of an antagonistic muscle group?
a) Latissimus dorsi and pectoralis major
b) Biceps brachii and brachioradialis
c) Gastrocnemius and tibialis anterior
d) Semitendinosus and semimembranosus
In: Anatomy and Physiology
1)What are some common ethical issues for forensic scientists?.
2)What are the arguments against euthanasia?
In: Anatomy and Physiology
In: Anatomy and Physiology
Under what circumstance would the heart produce significant levels of adenosine?
Under what circumstance would the heart produce significant levels of adenosine?
| Myocardial hypoxia |
| Aerobic exercise |
| Increased heart rate |
| Bradycardia |
In: Anatomy and Physiology
In: Anatomy and Physiology
Write the word or phrase that best completes each statement or answers the question.I
f solute A is actively transported across the basolateral membrane into the epithelial cell and then passively crosses the apical membrane, then is A (reabsorbed / secreted) across this epithelium.
In: Anatomy and Physiology
Why do we need oxygen?
Select one:
a. It is the final electron acceptor in the electron transport chain
b. It is needed to change the blood's pH
c. It activates pepsinogen into pepsin
d. Bacteria require it to break down plant products in large intestine
e. It is needed for glycolysis to occur
In: Anatomy and Physiology