Examination questions of rehabilitation professional knowledge -202 1 Tianjin medical and health (7-9)

A. Use abdominal breathing

B when exhaling, the abdomen contracts inward, increasing abdominal pressure and providing support and protection for the spine.

C it is required to contract the core muscles anytime and anywhere to protect the spine.

D ensure that the spine is in a neutral position when moving.

E. follow the principle of gradual progress.

2. Hand flexor exercises: ()

A. hook fist

B. straight fist

C. clench your fist

D. clench half your fist

E. compound boxing

3. Which of the following items does the superficial examination include: ()

A. Touch control

B. Pain sensation

C. Temperature perception

D. Vibration perception

E. two-point discrimination

4. The following criteria for evaluating the degree of clinical neurological deficit in stroke patients are correct: ()

A.0 ~ 15 was classified as mild neurological deficit.

B. 16 ~ 30 was classified as moderate neurological deficit.

C.3 1 ~ 45 is classified as severe neurological deficit.

D 46 ~ 60 is divided into very severe neurological deficit.

E.56 ~ 66 is divided into extremely severe neurological deficit.

5. Ways to improve muscle tension are: ()

A. small pieces

B. brush

C. vibration

D. ice bath

E. quickly pull and squeeze the affected limb.

6. The main scoring items of Glasgow Coma Scale include: ()

A.open your eyes

B. Cognitive function

C. Swallowing reaction

D. motor response

E. Oral response

Reference answer and analysis

1. Reference answer ABCDE. Analysis: This topic examines the training of core muscle groups in musculoskeletal rehabilitation. When training core muscles, we should pay attention to abdominal contraction during breathing and exhalation, increase abdominal pressure and provide support and protection for the spine. At any time and place, the core muscles should be required to contract to protect the spine (ABC pair), to ensure that the spine is in a neutral position (D pair), and the movements are continuous, slow, stable and smooth. The basic principle of training is to keep correct movements, be painless and step by step (E-pair).

2. Refer to ABCE's answer. Analysis: This topic examines the rehabilitation of hand injuries in musculoskeletal rehabilitation. Hand flexor exercises include hook boxing, straight boxing and complete clenched boxing (also known as compound boxing). Specific functions include hook practice: PIP and DIP joints are bent, while MP joints are straight, ensuring the maximum range of motion of flexor digitorum superficialis tendon and flexor digitorum profundus tendon (a pair). Straight fist exercise: MP and PIP joints are bent, while DIP joints are straight, which can make the flexor digitorum superficialis tendon get the maximum sliding range (B pair). Compound boxing exercise: flex MP, PIP and DIP joints to make the flexor digitorum superficialis tendon and flexor digitorum profundus tendon slide to the maximum (CE pair). Not including half-clenched fist training (D wrong).

3. refer to the answer ABC. Analysis: This topic examines the sensory function evaluation in rehabilitation function evaluation. Sensory examination: superficial sensation (sense of touch, pain and temperature) (ABC right), deep sensation (sense of movement, sense of position, sense of vibration and sense of pressure) (D wrong), compound sensation (sense of tactile orientation, sense of two-point discrimination and sense of body sensation) (E wrong).

4. refer to the answer ABC. Analysis: This topic investigated the grading standard of nerve function defect degree in nerve rehabilitation. Scoring standard of clinical neurological deficit in stroke patients This scale was compiled by Chinese scholars on the basis of Edinburgh and Scandinavia scoring scales, and it is one of the most widely used clinical neurological deficit assessment scales for stroke in China. Its score is 0 ~ 45 (DE error), 0 ~ 15 is mild neurological deficit (A pair), 16 ~ 30 is moderate neurological deficit (B pair), and 3 1 ~ 45 is severe neurological deficit (C pair).

5. Refer to ABCDE's answer. Analysis: This topic examines the methods to improve muscle tension in nerve rehabilitation. When the muscle tone is low, the following methods can be used to improve the muscle tone: ① pat the affected limb gently with your hand or wipe it with a soft brush (AB pair); ② Vibrating the affected limb with vibrator (C pair); (3) rapidly pulling and squeezing the joints of the affected limb to stimulate proprioception (E pair); ④ Short-term ice stimulation in the corresponding skin sensory area (D pair); ⑤ Low-medium frequency electrical stimulation and acupuncture were performed on the affected limb to induce muscle contraction and improve muscle nutrition.

6. refer to the answer ADE. Analysis: This topic examines the content of Glasgow coma scale in the evaluation of rehabilitation function. Glasgow coma scale: open eyes+movement+speech