Questões de Concursos Fisioterapia

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In a study of more than 100,000 people, researchers found that those with less healthy lifestyles were more likely to reduce their risk of colorectal cancer with regular aspirin use than those with healthier behaviors (JAMA Oncol 2024 Aug 1). Regular aspirin use was defined as two or more 325 mg tablets a week or a daily 81 mg dose; less healthy lifestyles were characterized by higher body mass index, smoking, greater alcohol consumption, less physical activity, and poorer diet. Those with the unhealthiest lifestyles had a 3.4% chance of developing colorectal cancer if they didn’t take aspirin regularly, whereas those who did had a 2.1% chance of developing the disease. In contrast, people with the healthiest lifestyles had a 1.5% chance of developing colorectal cancer if they took aspirin regularly and a 1.6% chance if they didn’t. This result suggests that physicians can pursue a nuanced approach when prescribing aspirin for disease prevention.

(https://aacrjournals.org. 26 de julho a 01 de agosto 2024. Adaptado)

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In a study of more than 100,000 people, researchers found that those with less healthy lifestyles were more likely to reduce their risk of colorectal cancer with regular aspirin use than those with healthier behaviors (JAMA Oncol 2024 Aug 1). Regular aspirin use was defined as two or more 325 mg tablets a week or a daily 81 mg dose; less healthy lifestyles were characterized by higher body mass index, smoking, greater alcohol consumption, less physical activity, and poorer diet. Those with the unhealthiest lifestyles had a 3.4% chance of developing colorectal cancer if they didn’t take aspirin regularly, whereas those who did had a 2.1% chance of developing the disease. In contrast, people with the healthiest lifestyles had a 1.5% chance of developing colorectal cancer if they took aspirin regularly and a 1.6% chance if they didn’t. This result suggests that physicians can pursue a nuanced approach when prescribing aspirin for disease prevention.

(https://aacrjournals.org. 26 de julho a 01 de agosto 2024. Adaptado)

Leia o texto para responder à questão.

In a study of more than 100,000 people, researchers found that those with less healthy lifestyles were more likely to reduce their risk of colorectal cancer with regular aspirin use than those with healthier behaviors (JAMA Oncol 2024 Aug 1). Regular aspirin use was defined as two or more 325 mg tablets a week or a daily 81 mg dose; less healthy lifestyles were characterized by higher body mass index, smoking, greater alcohol consumption, less physical activity, and poorer diet. Those with the unhealthiest lifestyles had a 3.4% chance of developing colorectal cancer if they didn’t take aspirin regularly, whereas those who did had a 2.1% chance of developing the disease. In contrast, people with the healthiest lifestyles had a 1.5% chance of developing colorectal cancer if they took aspirin regularly and a 1.6% chance if they didn’t. This result suggests that physicians can pursue a nuanced approach when prescribing aspirin for disease prevention.

(https://aacrjournals.org. 26 de julho a 01 de agosto 2024. Adaptado)

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Seventeen of 34 types of cancer have become more common in younger generations in the United States, the broadest study of its kind to date has found. The analysis, published in August 2024 in The Lancet Public Health, examined data from 23.7 million people born between 1920 and 1990 and diagnosed with cancer between 2000 and 2019. It found, for example, that people born in 1990 were 2.6 to 3.6 times more likely to develop cancers of the small intestine, kidney, and pancreas than those born in 1955, and 2.6 times more likely to develop endometrial cancer than someone born in 1930. The findings suggest people are increasingly being exposed to carcinogens during early life or young adulthood. However, younger birth cohorts were at the same or lower risk of death from most types of cancer than older ones.

(www.science.org. Agosto de 2024. Adaptado)

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Seventeen of 34 types of cancer have become more common in younger generations in the United States, the broadest study of its kind to date has found. The analysis, published in August 2024 in The Lancet Public Health, examined data from 23.7 million people born between 1920 and 1990 and diagnosed with cancer between 2000 and 2019. It found, for example, that people born in 1990 were 2.6 to 3.6 times more likely to develop cancers of the small intestine, kidney, and pancreas than those born in 1955, and 2.6 times more likely to develop endometrial cancer than someone born in 1930. The findings suggest people are increasingly being exposed to carcinogens during early life or young adulthood. However, younger birth cohorts were at the same or lower risk of death from most types of cancer than older ones.

(www.science.org. Agosto de 2024. Adaptado)

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A.G., 7 anos, encaminhada ao serviço de fisioterapia para avaliação, apresenta diagnóstico de Paralisia Cerebral (PC). Ela nasceu prematura, aos 5 meses e 3 semanas de idade gestacional, com peso de 1.300g. A paciente é capaz de passar de sentada para em pé com apoio à frente e de permanecer sentada sem apoio por 10 segundos. Ela utiliza cadeira de rodas para locomoção ou marcha com andador, com supervisão ou com o apoio das mãos em uma pessoa. Além disso, usa o engatinhar para sua locomoção no domicílio. No exame físico: na goniometria, limitação para extensão e abdução de quadril e, também, para dorsiflexão dos tornozelos. Verificou-se, ainda, tônus aumentado nos flexores e adutores de quadril, nos flexores de joelho e nos flexores plantares. Em pé, com apoio à frente, observou-se tendência à flexão dos joelhos, principalmente à esquerda, com adução de quadril. Na marcha, com apoio e rotação medial e adução dos MMII. Constatou-se, ainda, leve aumento de tônus em MMSS, principalmente à esquerda, sobretudo nos flexores de cotovelo e punho. O membro superior esquerdo apresentou aumento de tônus durante as atividades gráficas, e o membro superior direito, com rotação medial de ombro. Porém, verificou-se a capacidade de realizar o alcance manual, embora com diminuição de força muscular.

Leia o Caso Clínico 1 para responder à questão.

A.G., 7 anos, encaminhada ao serviço de fisioterapia para avaliação, apresenta diagnóstico de Paralisia Cerebral (PC). Ela nasceu prematura, aos 5 meses e 3 semanas de idade gestacional, com peso de 1.300g. A paciente é capaz de passar de sentada para em pé com apoio à frente e de permanecer sentada sem apoio por 10 segundos. Ela utiliza cadeira de rodas para locomoção ou marcha com andador, com supervisão ou com o apoio das mãos em uma pessoa. Além disso, usa o engatinhar para sua locomoção no domicílio. No exame físico: na goniometria, limitação para extensão e abdução de quadril e, também, para dorsiflexão dos tornozelos. Verificou-se, ainda, tônus aumentado nos flexores e adutores de quadril, nos flexores de joelho e nos flexores plantares. Em pé, com apoio à frente, observou-se tendência à flexão dos joelhos, principalmente à esquerda, com adução de quadril. Na marcha, com apoio e rotação medial e adução dos MMII. Constatou-se, ainda, leve aumento de tônus em MMSS, principalmente à esquerda, sobretudo nos flexores de cotovelo e punho. O membro superior esquerdo apresentou aumento de tônus durante as atividades gráficas, e o membro superior direito, com rotação medial de ombro. Porém, verificou-se a capacidade de realizar o alcance manual, embora com diminuição de força muscular.