Joan Thomas, age 55, sustained a stroke involving the right side of her body.  She is presenting with a flexion synergy in the U.E. and an extension synergy in the L.E.  The PT has delegated positioning to the PTA to counteract the spasticity.  How would the PTA position the patient in supine?      1. Scapular retraction, shoulder internal rotation, elbow flexion and forearm pronation      2. Scapular protraction, shoulder external rotation, elbow extension and forearm supination      3. Pelvic retraction, hip and knee extension and ankle dorsiflexion      4. Pelvic protraction, hip and knee flexion and ankle dorsiflexion

Knee hyperextension during stance is a common gait deficit in patients who have sustained a CVA. This is common due to all of the following impairments EXCEPT:

       Identifications:                   Choose Five of the following key terms & write One paragraph (or bulleted list) identifying each term you choose. Only Choose Five. No credit will be awarded for attempting more than 5 terms. William Jennings BryanGreat Railroad Strike of 1877Eugene DebsKnights of LaborThe Dawes ActThe Dakota WarFrontier ThesisChief JosephBirth of a NationWilliam “Boss” TweedHenry GradyLost Cause MythWilliam McKinleyChinese Exclusion ActU.S.S. MaineGreat White FleetBull Moose PartyMuckrakersJane AddamsW.E.B. DuboisThe Zimmerman TelegramArchduke Franz FerdinandRMS LusitaniaThe Schlieffen Plan

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General Medicine Note: 3/10/25 Nadine Everett                       DOB: 2/16/1955 CC: “I’m here to see my new primary care physician and get my prescriptions refilled.” S: HPI: 70-year-old female who presents for evaluation and follow-up of her medical problems. She has no particular complaints today. She feels “okay” today and would like to establish care to get her prescriptions refilled. Patient monitors her blood pressure at home a few times per week using appropriate technique. Takes medication regularly; has not missed a dose of any of them in the last month. Denies side effects from all medications. Recent home BP readings – obtained from home automatic cuff: Date2/242/283/53/9 Blood pressure (mmHg)142/90146/84144/86146/82 PMHObesityHypertensionHyperlipidemia SH Tobacco: smokes 1 pack per day Alcohol: drinks 1-2 glasses of wine every night of the week to unwind Exercise: She walks to the mailbox, about 5-10 minutes/day Salt: She does not pay attention to sodium content of foods. She cooks most of her dinners, and she usually adds table salt to her foods. She eats fast food for lunch (McDonalds, Subway, and Wendy’s) most days of the week. Caffeine: Does not drink caffeine FH Mother had type 2 diabetes, heart disease and died of myocardial infarction at age 72 Father had HTN and hyperlipidemia and died of “old age” at age 88  Allergies/intolerances: amlodipine (leg swelling) Medications:Lisinopril 40 mg daily (started ~3 years ago)Rosuvastatin 10 mg daily (started ~3 years ago)   O: ROSStates that overall, she is doing “okay”. Denies chest pain, SOB at rest, hemoptysis, N/V/D or blood in stool. Physical ExamGen: The patient is a WDWN, obese female in NAD.VS: BP = 140/82 (sitting), HR 70 (regular), RR 16, T 37.1 C, Ht. 63″, Wt. 83 kgHEENT: NCAT, PERRLA, EOMI. TMs clear throughout and without drainage; sclerae without icterus. Normal fundoscopic exam.Neck: Supple without masses or bruits, no thyroid enlargement or lymphadenopathyLungs: CTA bilaterally; No crackles or wheezing heardHeart: RRR; S1 and S2 present, no S3 or S4.ABD: Soft NTND; no masses, bruits, splenomegaly, hepatomegaly. Normal BS.Rectal/GU: Heme (-) stool.Ext: No clubbing, cyanosis, or edema. Neuro: No gross motor-sensory deficits present. CN II-XII intact. Negative Babinski. Labs (drawn 3/10/25 at 0716) Chem Panel (fasting) 10-yr ASCVD risk: 25.8% (3/10/25)BMI = 32.3   A/P: Will defer to medication management clinic pharmacist for plan moving forward for hypertension and lipid management. Please see information above and indicate assessment/plan in your note. I will review your assessment and plan, as well as orders you have placed. Thank you! Dr. Esposito, MDSigned:  3/10/25  10:42:00

What is Osteoporosis? What are the three types of Osteoporosis, and what population does each type occur in? Name one important fact about each type of osteoporosis. What is the traditional treatment for Osteoporosis?