UNIVERSITY OF THE WESTERN CAPE FINAL ASSESSMEN’ NOVEMBER 2019 MODULE NAME. APPLIED PHYSIOTHERAPY 303 (Paper 1) MODULE CODE PHT303 DURATION : 2hours 15 min TOTAL MARKS 18 Examineris : Dr Farhana Karachi, Mr Tak Wing Yu, Ms Vuyolwethu Madasa Internal moderator : Mrs Danelle Hess and Mrs Shamila Gamiet External moderator Departmental chairperson EXAMINER'S INSTRUCTIONS: (Please indicate and specify whether students are allowed to have and use any special materials or equipment, number of questions to be answered per section, ete.) GENERAL INSTRUCTIONS: This examination paper consists of 4 printed pages (including cover sheet); please ensure that you have all of them. Please ensure that your Student Number is clearly printed on the examination answer booklets and. that you have completed the attendance form (control form). Also ensure that your student number is correctly captured on the multiple choice answer sheet should you be required to complete one. ‘You may not have any books, writing paper, notes, manuscripts, electronic media (cellphones, smart devices, laptops, etc.) in your possession, unless otherwise stipulated in this examination question paper. Please ensure that your answer booklet and question paper are collected by an invigilator at the end of the examination session. Examination answer booklets must be intact when collected by the invigilator. No stapled, paper clipped or glued booklets will be accepted. Please answer all questions (unless indicated otherwise). It is in your interest to write in a legible ‘manner, _[Cardiopulmonary rehabilitation (25 marks) - _] Question 1: A 55 year old male is day two post sternotomy for a coronary artery bypass graft (CABG). On examination Subjective: He has a history of Angina. Married, lives with wife and daughter in a flat on the fourth floor. He is the breadwinner and works as a sales representative for an insurance company and drives. He is a smoker and has diabetes. He likes to watch television and read the newspaper. He is on an oxygen mask and is awake and alert. On auscultation he has reduced air entry mid and basal lobes bibasally with fine crepitations in the right middle and basal lobes. He is unable to clear secretions. 1.1 Describe two (2) modifiable and two (2) non modifiable risk factors for angina. (2+2=4) 1.2 Discuss your treatment or management of this patient in the following phases of recovery: a, Acute Phase (6) b. Intermediate Phase 6) ¢. Long-Term Phase (Post- Discharge). ) 1.3 Describe three (3) precautions during the physiotherapy management of this patient. (x1=3) 1.4 List one (1) participation restriction (4), one (1) personal barrier (14), one (1) personal facilitator (¥4) and one (1) environmental barrier (14) for this patient in terms of his, recovery. (4x 2= 2)Orthopaedics (25 marks) 1. Describe the three (3) grades of nerve injury. (GXx3-9) 2. Discuss the physiotherapy management post total hip replacement from day to discharge. (12) 3. Describe the management of Erb’s Palsy. 4) [Paediatrics (25 marks) - ] 1) Define Spinal Muscle Atrophy. 2) 2) Mrs. X gives birth to a baby and on examination the following signs are observed on the infant. A. Cavus B. Adductus C. Varus D. EquinusFor office use only Based on the abovementioned signs what is the health condition of this baby? a) b. Describe the abovementioned (4) patterns of spasticity. 2 c. Describe the most common treatment for the above condition. Motivate your answer. (7) [4] 3) List the causes of Down's syndrome. 4) Name the clinical condition that a person with damaged anterior hom motor cells will suffer from. 4 a. Describe the Physiotherapy management of a patient with this condition (5)