Your 80-Year-Old Patient Fractured His Distal Radius and Ulna 6

question 11

Multiple Choice

Your 80-year-old patient fractured his distal radius and ulna 6 weeks ago.He wore a cast during this period, extending from the mid-humerus to, but not including, the metacarpophalangeal joints.His cast was removed yesterday because of evidence of clinical union, and he has been cleared to begin exercise.ROM is limited (wrist flexion and extension, thumb flexion, forearm supination, and elbow extension) .Which type of exercise is contraindicated at this time?

• A)Grade II distraction of the humeroulnar joint
• B)Active ROM of all limited joints
• C)Passive stretching to increase wrist, forearm, and elbow ROM
• D)Grade III joint mobilization (gliding technique) to increase flexion of the thumb

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Definitions:

Trypsin

An enzyme produced in the pancreas that helps digest proteins by breaking them down into amino acids.

Acinar Cells

Glandular cells found in acinous glands, such as the salivary and pancreatic glands, that secrete substances into ducts.

Mastication

The process of chewing food in preparation for digestion, involving the breakdown of food into smaller pieces by the teeth and saliva.

Chemical Digestion

The breakdown of complex food substances into simpler forms that the body can absorb, involving enzymes and other substances.