Rehab Quiz

Patient transferred from hospital (medicine floor) and admitted to inpatient rehabilitation following an acute cerebral infarction with left-sided upper extremity hemiparesis and dysphasia. Patient was status post TPA with Actiavse infusion for Cerebral left middle artery occlusive infarct. Patient has history of Left sided DVT 6 months ago, and continues with Lovenox IV daily. Patient was seen by rehab/physical therapist for general physical rehabilitation general dexterity and fine motor focus on the hemiparesis, bed mobility care, and gait training for safe ambulation. Select the correct Principal Diagnosis for this case:

Patient transferred from hospital (medicine floor) and admitted to inpatient rehabilitation following an acute cerebral infarction with left-sided upper extremity hemiparesis and dysphasia. Patient was status post TPA with Actiavse infusion for Cerebral left middle artery occlusive infarct. Patient has history of Left sided DVT 6 months ago, and continues with Lovenox IV daily. Patient was seen by rehab/physical therapist for general physical rehabilitation general dexterity and fine motor focus on the hemiparesis, bed mobility care, and gait training for safe ambulation. Select the correct  Secondary Diagnoses for this case:

Patient transferred from hospital (medicine floor) and admitted to inpatient rehabilitation following an acute cerebral infarction with left-sided upper extremity hemiparesis and dysphasia. Patient was status post TPA with Actiavse infusion for Cerebral left middle artery occlusive infarct. Patient has history of Left sided DVT 6 months ago, and continues with Lovenox IV daily. Patient was seen by rehab/physical therapist for general physical rehabilitation general dexterity and fine motor focus on the hemiparesis, bed mobility care, and gait training for safe ambulation. Select the correct Procedures for this case:

Patient is admitted to rehabilitation from surgery floor status post left total knee replacement, for  Osteoarthritis left knee.  Patient had the right knee replaced last year.  Patient lives in a two story home with 5 steps to enter house and 12 steps to gain access to the second floor bedroom. Patient ordered to have  fitting and training of  CPM motorized flexion device. Walker fitting and training up and down stairs. Patient will be discharged after safe transfer and ambulation has been established with planned home physical therapy. Patient was found to have a fever/dysuria on the day of admission with 100,000 colonies of E-coli bacteria found. Patient was given 500mg P.O.  Bactrim for UTI.  Select the correct Principal Diagnosis for this case:

Patient is admitted to rehabilitation from surgery floor status post left total knee replacement, for  Osteoarthritis left knee.  Patient had the right knee replaced last year.  Patient lives in a two story home with 5 steps to enter house and 12 steps to gain access to the second floor bedroom. Patient ordered to have  fitting and training of  CPM motorized flexion device. Walker fitting and training up and down stairs. Patient will be discharged after safe transfer and ambulation has been established with planned home physical therapy. Patient was found to have a fever/dysuria on the day of admission with 100,000 colonies of E-coli bacteria found. Patient was given 500mg P.O.  Bactrim for UTI.  Select the correct Secondary Diagnoses for this case:

Patient is admitted to rehabilitation from surgery floor status post left total knee replacement, for  Osteoarthritis left knee.  Patient had the right knee replaced last year.  Patient lives in a two story home with 5 steps to enter house and 12 steps to gain access to the second floor bedroom. Patient ordered to have  fitting and training of  CPM motorized flexion device. Walker fitting and training up and down stairs. Patient will be discharged after safe transfer and ambulation has been established with planned home physical therapy. Patient was found to have a fever/dysuria on the day of admission with 100,000 colonies of E-coli bacteria found. Patient was given 500mg P.O.  Bactrim for UTI.  Select the correct Procedures for this case:

This is a rehabilitation admission following a prolonged poorly healed traumatic closed fracture of the base of neck of the left femur after she slipped on ice crossing the street in December.  The patient is status post revision of internal fixation device for malunion of the fracture.  It was also identified during  surgery that there was a dislodged posterior screw in the proximal femur due to the  broken screw cap on the posterior plate. The patient has atrophy of the quadriceps muscle on the left. Requires short term rehab to monitor weight bearing with increased progression of ambulation  with walker to promote union of the fracture. Daily ADL training.  General physical therapy for motor improvement. The patient is debilitated.  Select the correct Principal Diagnosis for this case:

This is a rehabilitation admission following a prolonged poorly healed traumatic closed fracture of the base of neck of the left femur after she slipped on ice crossing the street in December.  The patient is status post revision of internal fixation device for malunion of the fracture.  It was also identified during  surgery that there was a dislodged posterior screw in the proximal femur due to the  broken screw cap on the posterior plate. The patient has atrophy of the quadriceps muscle on the left. Requires short term rehab to monitor weight bearing with increased progression of ambulation  with walker to promote union of the fracture. Daily ADL training.  General physical therapy for motor improvement. The patient is debilitated.  Select the correct Secondary Diagnoses for this case:

This is a rehabilitation admission following a prolonged poorly healed traumatic closed fracture of the base of neck of the left femur after she slipped on ice crossing the street in December.  The patient is status post revision of internal fixation device for malunion of the fracture.  It was also identified during  surgery that there was a dislodged posterior screw in the proximal femur due to the  broken screw cap on the posterior plate. The patient has atrophy of the quadriceps muscle on the left. Requires short term rehab to monitor weight bearing with increased progression of ambulation  with walker to promote union of the fracture. Daily ADL training.  General physical therapy for motor improvement. The patient is debilitated.  Select the correct Secondary Diagnoses for this case: