Final Quiz Questions

C6

wrist extensors

C7

elbow extensors (triceps)

C5

elbow flexors (biceps)

T1

intrinsic muscles of the hand

C8

long finger flexors

Describe (What activity was it designed for) 4 of the activity specific terminal devices that Professor Vulcan showed in class.

1. Device to assist pool cue. 2. Device to hold onto a golf club. 3. Device to ride a bike. 4. Device to grip a barbell.

Conceptual Practice Models

Broad theoretical systems that explain the value of occupation in peoples lives and inform the general practice of occupational therapy.

Approaches to Intervention (OTPF-4)

Describe the intent and purpose of our interventions (answers the question, What are we trying to do for this client?)

Which intervention is NOT considered part of OTs role in burns? a. medical management of a wound b. PROM/AROM c. patient/caregiver training d. Orthotic management and positioning

a. medical management of a wound

Intervention Models (Frames of Reference)

Specific theoretical systems that inform the design of our interventions and explain how they work (answers the questions, How?)

The state Department of Rehabilitation refers many clients to OT for help with the transition from school to work. What would be an appropriate goal for a student with paraplegia who wants to be a teacher? a. Any goal made collaboratively with the student, rehabilitation counselor, and the OT practitioner b. Increase upper extremity strength to within normal limits c. Independence with using a computer and a projector to put lessons on the board. d. Independent with all dressing skills

a. Any goal made collaboratively with the student, rehabilitation counselor, and the OT practitioner

You are seeing a client who works as a hairdresser. She has been experiencing some early symptoms of carpal tunnel syndrome and right shoulder pain that is limiting her work performance. Which of the following ergonomic risk factors is least likely to contribute to her symptoms. a. Forceful Lifting b. Sustained or awkward static postures c. Exposure to vibration d. Frequent or repetitive motions

a. Forceful Lifting

During the occupational interview, which question would be the most important to ask a client in order to set goals for increasing independence in sexual activity/intimacy? a. How would you like to be able to express love to your partner in the future? b. What kinds of sexual activities have you participated in prior to your injury? c. Are you married? d. Are you interested in participating in penetrative intercourse with your partner?

a. How would you like to be able to express love to your partner in the future?

An OT constructs a splint for a person who incurred full thickness facial and anterior neck burns. The therapist splints the neck in the position of: a. Neutral to slight extension b. 10 degrees flexion c. 30 degrees hyperextension d. 15 degrees hyperextension

a. Neutral to slight extension

Clients with spinal cord injuries are often at risk for pressure ulcers due to poor sensation below the level of injury. What sleeping position reduces the likelihood of developing of pressure sore due to less present bony prominences and helps to prevent development of hip flexion contractures? a. on their stomach b. on their back c. on their side d. horizontally a crossed the bed

a. on their stomach

Neuromuscular electrical stimulation (NMES) is commonly used to facilitate all of the following outcomes EXCEPT a. Management of edema b. Pain control c. Management of abnormal tone d. Muscle strengthening

b. Pain control

A client with a brain injury has developed a right wrist flexion contracture as a result of an increase in tone. The physician is planning to perform a nerve block to help address the hypertonicity and is planning to refer the patient to OT for splinting with the intent to remediate the contracture that has developed. Which of the following approaches would be the least effective? a. Static progressive splinting b. Static splinting c. Serial Casting d. Dynamic progressive splinting

b. Static splinting

A patient with a complete injury of the spinal cord at the C5 level completed inpatient rehabilitation which concentrated on increasing independence in activities of daily living. In the discharge documentation, the OT would be likely to include a statement that the client is able to: a. Brush teeth using a tenodesis splint. b. Button buttons using a button hook. c. Use mobile arm supports for feeding. d. tie shoes.

c. Use mobile arm supports for feeding.

A condition that causes fluid retention in the abdomen, legs, feet or lungs due to difficulty of the heart muscle to pump blood efficiently is called ___________________________. a. myocardial infarction b. cellulitis c. congestive heart failure d. lymphedema

c. congestive heart failure

While observing an individual who has just been admitted to the rehabilitation unit after a right CVA with left hemiplegia, the OT practitioner notices that the individual's left arm lies limply by his side. This MOST likely indicates: a. subluxation b. spasticity c. flaccidity d. normal UE function

c. flaccidity

Which answer below is NOT an expected benefit of interventions for scar management. a. to decrease pain during movement b. to prevent a contracture c. to lengthen the muscle tissue d. to increase range of motion in a joint

c. to lengthen the muscle tissue

When creating a resting hand orthosis or a thumb spica orthosis, in order to maintain the web space of the hand in a functional position, it is important to maintain which of the following positions of the carpometacarpal joint of the thumb - a. Radial abduction b. Adduction c. Extension d. Palmar abduction

d. Palmar abduction

After an orthopedic fracture, it is important for the client to participate in passive range of motion as soon as possible (a.k.a as soon as the orthopedist recommends the client begin PROM) in order to ____________. a. to promote inflammation b. preserve strength in the joint c. avoid active range of motion d. preserve mobility in the joint

d. preserve mobility in the joint

The purpose for evaluating joint vs musculotendinous tightness is to ____________________. a. provide PROM b. know what type of physician you need to refer your client to. c. determine the type of splint the client needs d. provide the appropriate treatment for the condition

d. provide the appropriate treatment for the condition

Please list up to 4 potential psychosocial barriers that can interfere with successful work re-integration for injured workers.

-Fear of Re-Injury -Uncertainty Regarding Safe Limitations -Strained Relationship with Employer -Potential Schedule Changes

The ABC candy company requires workers to perform packaging of 1-pound boxes at a standing workstation. What is the best height for this type of workstation? a. 34 to 37 inches: slightly below elbow b. 37 to 43 inches: above elbow height c. 28 to 35 inches: heavy work d. This task should be done while sitting

a. 34 to 37 inches: slightly below elbow

You are working with a client who has a complete spinal cord injury at the level of C6. Which of the following shower/commode options is most appropriate for them to use to complete their bowel management program and bathing routines. a. A padded tilt-in-space shower/commode chair b. A padded shower bench c. A padded shower chair that can be self propelled. d. A drop arm commode that be positioned over the toilet.

a. A padded tilt-in-space shower/commode chair

LD sustained a spinal cord injury (SCI) at the T-11 level resulting from a car accident. Before his injury he worked as a service manager at a car dealership. He would like to return to this job. What type of vocational evaluation would provide the most information to help him return to his previous job? a. A specific vocational evaluation b. A general vocational evaluation c. Work hardening d. Valpar 9 Total Body Range of Motion test PreviousNext

a. A specific vocational evaluation

As the OT consultant on a corporation's ergonomics team, you notice increased incidence of work-related musculoskeletal disorders in workers in the payroll department. What do you present to your team to increase awareness of the problem and generate possible solutions? a. A summary of the scope of injuries in that focused area and the effects on production, workers' compensation, and associated costs to the company b. The names of all the employees with injuries in the past year OT practitioners on a corporate ergonomics team must be careful to protect the confidentiality of individual workers. c. A suggestion for an aggressive company-wide education program involving all employees d. A suggestion that all the injured workers complain to management

a. A summary of the scope of injuries in that focused area and the effects on production, workers' compensation, and associated costs to the company

What are the INITIAL client-driven occupation-based treatments typically provided by OT's for someone that has a lower spinal cord injury (paraplegia)? a. ADL functional transfers and basic ADLs such as dressing b. UE strengthening c. sexual activity education d. driving with hand controls PreviousNext

a. ADL functional transfers and basic ADLs such as dressing

When teaching an individual with a spinal cord injury at the level of T4 how to complete depression lift transfers, which of the following points of emphasis in not applicable. a. Avoid composite extension of the wrist and fingers when propping with the arms b. The importance of maintaining the toes in front of the knees to prevent falling forward c. The relationship between head and hip movement d. Proper setup and positioning of the wheelchair.

a. Avoid composite extension of the wrist and fingers when propping with the arms

The OT in a spinal cord injury unit evaluates a client for bowel and bladder training. The client and therapist set a goal of independence in all aspects of bowel and bladder care, including skin inspection by the time they discharge in 4 weeks. The client would most likely have a complete spinal cord injury at the level of: a. C8 b. C6 c. C5 d. C4

a. C8

In the outpatient setting, your client is 5 days status post(s/p) TSA. They complain of a tolerable amount of pain in the shoulder but also pain in the elbow and wrist stating that they were told "not to move the arm with exception of pendulum exercises" until seen by therapy. In addition to treating the shoulder joint, what other intervention is important to provide today? a. PROM and AROM to elbow, wrist, and hand b. provide massage to the elbow, wrist, and hand c. provide heat modalities to the elbow, wrist, and hand d. continue to focus on pendulum exercises for the shoulder

a. PROM and AROM to elbow, wrist, and hand

A young child with reoccurring headaches and decreased gross and fine motor skills is hospitalized on an acute care unit for a diagnostic work-up. Just prior to the occupational therapist evaluation, the parents are told that their child has cancer. The parents are upset when they bring their child to the evaluation session. Which are the best actions for the therapist to take in response to their situation? a. Recommend the parents speak to their spiritual advisor for the social worker and proceed with the OT session. b. Recommend the parents speak to their spiritual advisor or social worker and reschedule the OT session for later in the week. c. Cancel the OT session and recommend the parents speak to their spiritual advisor or the social worker. d. Spend the OT session providing support to the parents and addressing the parents' acceptance of the diagnosis.

a. Recommend the parents speak to their spiritual advisor for the social worker and proceed with the OT session.

A factory worker on an assembly line has been referred to occupational therapy (OT) for treatment of his right biceps tendonitis, which is prohibiting him from performing at a productive level because of his high pain levels. What risk factor must be closely assessed in a job analysis? a. Repetitions of tasks within a time period b. Cold temperatures c. vibration d. Contact stress

a. Repetitions of tasks within a time period

An individual recovering from a TBI is assessed to be at a Level VI of the Rancho Level of Cognitive Functioning scale. The OT implements treatment by using: a. Simple meal preparation tasks such as making a sandwich. b. Sensory stimulation activities such as moving to music. c. Repetitive self-care tasks such as brushing hair d. Community re-entry activities such as taking a bus.

a. Simple meal preparation tasks such as making a sandwich.

During an occupational therapy intervention session, a client with a left CVA demonstrates decreased visual skills to the right and a tendency to ignore items on the right side requiring frequent verbal cues. When documenting this behavior what should the therapist report? a. Unilateral inattention b. Agnosia c. Poor visual scanning d. Poor right/left discrimination

a. Unilateral inattention

You are working with a young woman who recently sustained an amputation of the left arm, just above (proximal to) the elbow. What is the most appropriate terminology to use then describing this amputation. a. an acquired trans-humeral amputation of the left arm b. Left above the elbow amputation c. Congenital left arm amputation d. Acquired trans-radial amputation

a. an acquired trans-humeral amputation of the left arm

In the outpatient setting, you are meeting a new client today with a diagnosis of osteoarthritis (OA) and during their general OT evaluation they complain that their hands and elbows often hurt midday through work at their accounting firm. After you complete a basic analysis of their underlying physical capacities, next you decide to __________________. a. complete an ergonomic assessment to evaluate what postures and functional grasping can be modified b. provide modalities to reduce inflammation c. provide hand orthoses d. provide a home exercise program to strengthen their functional grasp

a. complete an ergonomic assessment to evaluate what postures and functional grasping can be modified

A client with fibromyalgia complains of persistent fatigue. Which intervention would be LEAST appropriate to recommend. a. delegate most daily tasks to housemates and relatives b. prioritizing activities c. improving sleep hygiene d. pacing during activities

a. delegate most daily tasks to housemates and relatives

What are the INITIAL client-driven occupation-based treatments typically provided by OT's for someone that has a cervical spinal cord injury in the rehabilitative stage? a. focus on basic ADLS like feeding and grooming and maintain or improve UE function b. hand strengthening c. ADL functional transfers d. caregiver training

a. focus on basic ADLS like feeding and grooming and maintain or improve UE function

The formal assessment to determine a person's current functional limitations regarding work related activities is called: a. functional capacity evaluation b. job analysis c. Labor and Industries claim d. functional neurological screen

a. functional capacity evaluation

A systematic evaluation of a work occupation that identifies specific demands of a job is called: a. job analysis b. functional capacity evaluation c. return to work analysis d. Burwash Work Practice Analysis

a. job analysis

As an industrial rehab OT overseeing a work conditioning program, the least appropriate intervention for this context is: a. manual therapy to reduce pain symptoms b. educating the patient on proper body mechanics c. patient education to improve insight regard safe functional limitations d. education on proper pacing and energy conservation

a. manual therapy to reduce pain symptoms

Which intervention is NOT considered part of OTs role in burns? a. medical management of a wound b. PROM/AROM c. Orthotic management and positioning d. patient/caregiver training PreviousNext

a. medical management of a wound

In an outpatient hand clinic, you complete a treatment with a client that has a Colle's fracture s/p 6 weeks after injury. The cast is getting removed today. You begin to treat the joint with 15 minutes in a paraffin bath, 15 minutes of joint mobilizations and PROM, and 25 minutes of repetitively picking up kitchen items that weigh at least 2 lbs and placing them into the cupboards and drawers. What codes would you use to bill? a. paraffin bath, manual therapy techniques, therapeutic activities b. paraffin bath, manual therapy techniques, self-care/home management c. paraffin bath, manual therapy techniques, work hardening d. paraffin bath, manual therapy techniques, therapeutic activities that focus on cognition

a. paraffin bath, manual therapy techniques, therapeutic activities

A home health client with a recent THA complains of difficulty getting off the toilet without help from their wife due to their restriction of 90 degrees of hip flexion. What intervention would NOT be appropriate in this situation? a. recommending adaptive clothing for increased independence with clothing management b. transfer training using adaptive body positioning c. recommending installation of grab bars d. recommending a raised toilet seat with arm rests

a. recommending adaptive clothing for increased independence with clothing management

The best way to address momentary sexual inappropriateness with a client that has significant cognitive deficits is to: a. redirect the client to a new task b. clearly state your boundaries as a clinician c. report to the physician that the client in sexually inappropriate d. tell the client to stop what they are doing immediately

a. redirect the client to a new task

OT's role in bowel and bladder management is ___________________. a. to educate the client on bowel and bladder function and to provide adaptations so that the client can perform their bowel and bladder programs independently b. to make sure the client's bowel and bladder is emptying properly c. to provide a raised toilet seat d. to check for a complete or incomplete injury

a. to educate the client on bowel and bladder function and to provide adaptations so that the client can perform their bowel and bladder programs independently

Chronic lung diseases can be adapted for in terms of meaningful occupations, though the condition is irreversible. a. true b. false

a. true

People with cervical spinal cord injuries are more likely to have respiratory dysfunction than lower spinal cord injuries. a. true b. false

a. true

A pressure sore that blanches is at what stage? (Refer to the PPT not Pedretti. Box 36.1 on page 909 in Pedretti is incorrect) a. unstageable b. stage 1 c. stage 2 d. stage 3

a. unstageable

A patient who had a CVA has difficulty using his left upper extremity for reaching activities because of abnormal muscle tone. The Neurodevelopmental Treatment (NDT) approach emphasizes the importance of. . . a. using physical handling to prevent abnormal patterns of movement b. Utilizing sensory inputs such as neutral warmth to inhibit tone c. repeating diagonal movement patterns to develop more functional movement d. using reflexive movement as a foundation for learning normal movement

a. using physical handling to prevent abnormal patterns of movement

A client with male genitalia is concerned about his inability to produce a penile erection. You explain to the client that there are several interventions that help to produce a reflexive erection, except: a. viewing pornography b. stuffing technique c. vibrator to the shaft of the penis d. tugging on the pubic hair

a. viewing pornography

A client you are seeing in industrial rehab developed bilateral carpal tunnel syndrome requiring surgical intervention to release the median nerve. The client has been participating in work conditioning for the past 3 months though has not gained enough strength in the wrist and hands to perform their job tasks. What program would you recommend the client participate in following work conditioning? a. work hardening b. outpatient hand therapy services c. structure intensive multidisciplinary program d. vocational rehab

a. work hardening

A client is participating in an occupation-based intervention that involves balancing their credit card statement with their checking account funds. When exiting the credit card mobile app, and entering the checking account bank app, the client is having difficulty remembering the balance on their credit card that they need to pay. What time of memory is this individual having difficulty with? a. working memory b. procedural memory c. implicit memory d. long-term memory

a. working memory

Your client sustains a deep partial-thickness burn on their right hand and wrist. What position should their resting hand splint be in? a. wrist 30 degrees extension, MCPs 70 degrees flexion, thumb in palmar abduction b. wrist 30 degrees extension, MCPs 70 degrees flexion, thumb in radial abduction c. wrist 30 degrees extension, MCPs 70 degrees extension, thumb in palmar abduction d. wrist 30 degrees flexion, MCPs 70 degrees flexion, thumb in palmar abduction

a. wrist 30 degrees extension, MCPs 70 degrees flexion, thumb in palmar abduction

True or False: Hospice can be requested to come on board for the treatment and care of the client as soon as a diagnosis is given. a. True b. False

b. False

Which of the following thermal modalities relies on convection to deliver heat to tissue a. Paraffin b. Fluidotherapy c. Ice d. Moist Heat/Hot packs

b. Fluidotherapy

A construction worker had a crush injury to his hand. No bones were broken and the skin was left intact, but there was extensive soft tissue trauma that has now resulted in a stiff hand 4 weeks later. Your goal is to improve AROM. Which of the following modalities would be the best choice for allowing and improving AROM? a. Ultrasound, 3 MHz, 1 cm2 ERA, 0.8 w/cm2, 8 min, p50% duty cycle with direct coupling b. Fluidotherapy with temperature set at 113 degrees F with AROM for 20 minutes c. Continuous passive motion, 30 minutes daily d. Paraffin dip and wrap with 8 dips, removing the paraffin after 10 minutes

b. Fluidotherapy with temperature set at 113 degrees F with AROM for 20 minutes

There is a group treatment on your schedule today. You retrieve two clients from their acute care hospital rooms. Client A is alert and has no significant impairments with their UEs. Client B is having difficulty keeping their eyes open and presents with severe R UE hemiparesis. Do you feel that both of your clients are appropriate for group therapy? a. Yes, because you are able to adapt the exercises for client B b. No, because client B appears to be in the early stages of recovery

b. No, because client B appears to be in the early stages of recovery

An adult who incurred a severe traumatic brain injury is entering the second week of care at a long term TBI rehabilitation center. The person's family visit regularly and frequently asks multiple questions of the treatment team. A team and family conference is planned to address family concerns. Which is the most important information for the team to share with the family? a. A full list of home equipment b. Realistic and clear information about the individual's current status and care plan c. Instructions on how to do PROM d. Each team member's expert option about the expected prognosis and discharge recommendations.

b. Realistic and clear information about the individual's current status and care plan

You are working with a client who sustained a trans-tibial amputation of the right leg following a motor vehicle accident 3 months ago. They complain of a persistent cramping sensation in the right foot that is no longer present. Which of the following interventions would be the least appropriate to help address this issue. a. Mirror box therapy b. Sensory re-education using a rice bin c. Ask the person to close their eyes and visualize moving the right foot and ankle d. Use of a computer app to practice left/right discrimination

b. Sensory re-education using a rice bin

You are working with a client who has persistent muscle pain in the low back. Which of the following modalities would be the most appropriate for you recommend for them to use in the morning to achieve the long lasting pain relief throughout the work day? a. Application of ice for analgesic cold effects b. TENS - Lower frequency/Higher intensity for endorphin release c. TENS - Higher frequency/Lower intensity for gate control d. Application of hot pack to improve tissue extensibility

b. TENS - Lower frequency/Higher intensity for endorphin release

What treatment approach would you use as your primary approach with a client that has sustained traumatic bilateral upper extremity amputations 2 weeks ago? a. prosthetic training b. adaptive/compensatory c. remedial d. caregiver training

b. adaptive/compensatory

What is the best position to place a client's arm in after an anterior elbow and forearm burn? a. elbow extension and pronation of the forearm b. elbow extension and neutral forearm c. elbow flexion of 10 degrees d. elbow flexion of 90 degrees

b. elbow extension and neutral forearm

It is recommended that clients with spinal cord injuries turn in bed how often? a. every hour b. every 2 hours c. every 4 hours

b. every 2 hours

After a patient sustains a burn, it is NOT important to address ADL function because once their burn has healed they should return to their prior level of function. a. true b. false

b. false

Autonomic dysreflexia is a life-threatening condition that affects people with spinal cord injuries at the T6 level of injury and above. AD should be treated by laying the client down in order to prevent stroke. a. true b. false

b. false

A mother of four who was diagnosed with a right CVA is receiving home care OT services to improve left upper extremity function and sitting and standing balance. The MOST appropriate activity for the OT to recommend would be: a. stacking cones b. folding laundry c. door pulley exercises to improve L UE strength d. throwing a ball

b. folding laundry

A client feeling tickling in a limb that is no longer there is experiencing _____________________________. a. hyperesthesia b. phantom limb sensation c. sympathetic sensation d. phantom limb pain

b. phantom limb sensation

A custom wrist cock-up orthosis that needs to allow full grasp of digits 2-5 should be trimmed ____________________. a. distal to the wrist creases b. proximal to the MCP creases (distal palmar crease) c. proximal to the PIP creases d. distal to the MCP creases (distal palmar crease)

b. proximal to the MCP creases (distal palmar crease)

What is an effective way to tell if your client is adhering to their lower extremity weight bearing precautions? a. ask them to estimate how much weight they are putting down b. put a scale under their foot c. manual muscle testing their hip extensors d. put a mouse under their foot

b. put a scale under their foot

For a client with a persistent pain syndrome like complex regional pain syndrome (CRPS), what would be the MOST appropriate treatment option? a. PROM b. structured desensitization protocol c. massage d. ultrasound

b. structured desensitization protocol

What is the primary utility of preparatory interventions (interventions to support occupations) in occupational therapy? a. to reduce pain b. to prepare tissues or joints for functional activities c. to bill the client's insurance d. to increase range of motion to a joint

b. to prepare tissues or joints for functional activities

Which splint is most appropriate for a client with carpal tunnel syndrome (median nerve neuropathy) or surgery? a. thumb spica b. wrist cock-up c. resting hand splint d. wrist cock-up with thumb spica

b. wrist cock-up

Which one of the following individuals with a recent LE amputation would MOST likely need to use a transfer board? a. An individual who is able to perform a stand pivot transfer b. An individual who is unable to follow commands c. An individual who has good trunk control and is able to slide or perform limited scooting at the edge of bed d. An individual who has good lower extremity strength, but is fearful of fatigue

c. An individual who has good trunk control and is able to slide or perform limited scooting at the edge of bed

The following precautions are important to be considered when working with patient's who had ___________________________________. - Do not push, pull or lift more than 8-10lbs for the next 6-8 weeks - Do not raise your arms at the shoulder passed 90 degrees of elevation for the next 6-8 weeks - Do not extend or horizontally abduct your arm passed neutral position for the next 6-8 weeks - Do not drive for the next 4-6 weeks a. Congestive Heart Failure with EF of 30 b. Cardioversion for AFib c. CABG x 3 Surgery d. Cardiac Pacemaker Surgery

c. CABG x 3 Surgery

In establishing long-term goals for an individual with complete T11 paraplegia in a rehabilitation setting, the OT would MOST likely predict that the patient will attain what level of independence with bathing, dressing, and transfers? a. Modified independence with self-care and minimal assistance with transfers b. Minimal assistance with self-care and moderate assistance with transfers c. Complete modified independence with self-care and transfers d. Dependence with both self-care and transfers

c. Complete modified independence with self-care and transfers

This type of muscle contraction describes a state where the muscle is actively contracting while increasing in length. a. weak muscle contraction b. Isometric muscle contraction c. Eccentric muscle contraction d. Concentric muscle contraction

c. Eccentric muscle contraction

You have been using e-stim as a modality with a client who sustained a peripheral nerve injury 8 weeks ago. When using the e-stim to facilitate strengthening, you notice that the client demonstrates a robust response to the e-stim early in your treatment, but as the treatment progresses beyond about 5 minutes, they display slowly declining response to the e-stim. What is the most appropriate adjustment you can make to your treatment in order to get a more consistent level of performance for your client? a. Expiriment with the placement of the pads to see if you can get a better response b. Discontinue the e-stim once they start to show signs of fatigue. c. Increase the amount of rest between on cycles to prevent the muscle from fatiguing so quickly. d. Continually increase the intensity to as much as is necessary to get the response you are looking for

c. Increase the amount of rest between on cycles to prevent the muscle from fatiguing so quickly.

An OT provides services for a patient with TBI in his room. The patient has left hemiplegia and is unable to recognize the faces of family members when they enter the room to visit.. The family members become upset by this behavior. Which deficit should the therapist explain to the family members as the most likely reason for the patient's behavior? a. Ideational apraxia b. Visual agnosia c. Prosopagnosia d. Agraphesthesia

c. Prosopagnosia

Upon completion of an OT evaluation for a client with a hemorrhagic stroke, you document that your client has strength deficits in the upper extremities bilaterally, lower extremities bilaterally, activity tolerance deficits, a mild cognitive impairment, visual deficits, and frequent headaches. The client also has a past medical history that includes high blood pressure (hypertension), Type 2 diabetes, and high cholesterol (hyperlipidemia). What code will you use for your OT Eval? a. re-evaluation b. low complexity c. high complexity

c. high complexity

A client with a recent TBI is participating in UB dressing. The client is able to identify the shirt and explain to you the purpose of the garment and how to put it on. When the client attempts to don the shirt, they are having difficulty demonstrating the steps involved in donning a T-shirt. The client is most likely demonstrating ________________. a. ataxia b. agnosia c. ideomotor apraxia d. ideational apraxia

c. ideomotor apraxia

When providing an orthosis for a client with rheumatoid arthritis of the CMC joint of the thumb, all answers below are a goal of the intervention except _______________. a. protection of the joint b. reduction of fatigue around the joint c. strengthening of the joint d. reduction in inflammation around the joint

c. strengthening of the joint

When fabricating a resting hand splint, which of the following guidelines should be followed when designing the orthosis. a. The splint should rise to at least 1/2 the circumference of the limb b. The splint should extend to at least 2/3 the length of the forearm. c. Utilize 3 points of contact to properly stabilize a joint. d. All of the above

d. All of the above

An individual with TBI who has moderate spasticity in his right upper and lower extremities and no functional use of the right hand would like to learn some compensatory strategies to maximize his functional performance during sex. The OT recommended: a. Use pillows to support the right side of the body and back b. Partner needs to approach from side of intact motor and sensory function c. Discuss different positions and strategies with the significant other prior to performance d. All of the answers are correct.

d. All of the answers are correct.

Your client has hemiplegia of the L UE due to a recent CVA. Which component of the evaluation process is most useful to inform how you can use a remedial approach to improving their function. a. Analysis of ADL performance b. Long-Term Goals c. Occupational Profile d. Assessment of underlying capacities

d. Assessment of underlying capacities

Mrs. Wu has just been referred to you by her oncologist. She has a history of Left breast cancer and completed her last dose of radiation and chemotherapy two weeks ago. She is status post a mastectomy without reconstruction. She complains of a limited ROM of the LUE (i.e., flexion and abduction). She states she works at the US Postal Service and is required to lift objects overhead that weigh approximately 10 lbs. She is unable to return to work until she can perform all of her job duties. In addition, she tells you that she has a daughter in dance and a son in soccer and it is her role as a parent to take then to their after-school activities. She informs you that it is getting increasingly difficult as she gets very tired these days. What is the first thing that you should do during your initial session with Mrs. Wu a. Educate her on the importance of going back to work to make money to support her children. b. Complete the DASH c. Develop a home exercise program to increase ROM in her LUE d. Complete a client-centered evaluation to include occupational profile and a standardize assessment.

d. Complete a client-centered evaluation to include occupational profile and a standardize assessment.

When working with individuals who have recently sustained an amputation, there are many valid and important rehabilitation outcomes to address prior to discharge. As occupational therapists, which of the following outcomes is most important for us to address. a. Help people to maintain active and passive range of motion in their residual limb b. Help people to manage their edema and shape their residual limb c. Help people to learn strategies to manage hypersensitivity and phantom limb pain d. Help people to be as independent as possible without the use a prosthesis

d. Help people to be as independent as possible without the use a prosthesis

A person is five days post coronary artery bypass graft (CABG). He expresses anxiety about performing any type of activity and reports chest pain during ambulation. The cardiologist has approved activities at a MET level of 2-3. An activity appropriate for the therapist to begin intervention with is: a. showering in standing b. Grooming while sitting c. Performing light housework d. Grooming while standing at the sink.

d. Grooming while standing at the sink.

A client with a recent L MCA CVA often has difficulty reading words on the right side of the page but when the therapist cues the client to visually scan past midline to the end of the page, the client is able to perform the request easily. What visual impairment does the client have? a. Difficulty with visual saccades b. R hemiinattention c. R neglect d. R homonymous hemianopsia

d. R homonymous hemianopsia

After evaluating a client with right-sided weakness and decreased motor control an occupational therapist decides to use interventions based on proprioceptive neuromuscular facilitation (PNF) approach. When applying PNF principles, which of the following actions should the therapist have the client do during an intervention session to increase use of the right upper extremity and hand? a. Reach to the right side to retrieve an item out of the refrigerator at hip height and place it the left hand to set it on the countertop to the left side. b. Reach overhead with the right hand to retrieve a dish out of a higher cabinet and set it down on the countertop in front. c. Use both hands together to pour juice out of a heavy pitcher into a glass on a countertop. d. Take items out of a dishwasher on the right side and reach across the body to place them in the upper cabinet on the opposite side.

d. Take items out of a dishwasher on the right side and reach across the body to place them in the upper cabinet on the opposite side.

Your client's hand is presenting with significant edema. Which of the following interventions would be beneficial to reduce the edema in the client's hand. a. provide a contrast bath b. providing a lap tray on their wheelchair to promote elevation of the hand c. provide a compression glove d. all of the answers listed

d. all of the answers listed

The purpose of posterior total hip arthroplasty precautions is to ___________. a. prevent mobility of the hip joint b. allow a contracture to form c. prevent strengthening of the hip muscles d. allow the surgically manipulated tissues to heal

d. allow the surgically manipulated tissues to heal

After a moderate TBI, a client is demonstrating difficulty having a simple conversation with their sister often discussing unrelated topics and not answering questions the sister asks. What cognitive function is likely impaired for this client? a. organization b. problem-solving c. memory d. attention

d. attention

For a client that sustained a traumatic R UE trans-radial amputation and a moderate traumatic brain injury. The family is asking for recommendations about which type of prosthetic you would recommend for daily use around the home. Which type of prosthetic system would you recommend given the client has moderate cognitive impairments (think SLUMs score of 20)? a. myoelectric b. Activity specific c. cosmetic glove d. body-powered

d. body-powered

A client with spinal precautions is NOT allowed to participate in what activity? a. tying their shoes b. making the bed c. loading the dishwasher d. chopping fire wood

d. chopping fire wood

You are treating a client s/p 10 weeks after an elbow fracture. You have been working on passive stretching of the biceps to increase elbow extension. When the client has the humerus in a neutral position, they are able to achieve full elbow extension. Your client complains that when they try to put their jacket on and are reaching behind their back, they have a hard time extending their elbow. What intervention do you think would be MOST appropriate for this problem? a. provide ultrasound to the bicep b. continue to provide PROM of the elbow with the shoulder flexed c. provide bicep strengthening exercises d. continue to provide PROM of the elbow with the shoulder extended

d. continue to provide PROM of the elbow with the shoulder extended

In the outpatient setting, your client that is s/p 7 weeks after a humeral head fracture is lacking shoulder flexion and abduction due to lack of scapular ROM in upward rotation. What preparatory method do you feel is most appropriate to prepare the muscle tissue for ROM of the scapula? a. iontophoresis b. NMES c. ultrasound d. diathermy

d. diathermy

Hypothesized to be a condition that is caused by a central nervous system processing disorder, _______________ is often characterized by fatigue, difficulty sleeping, and widespread pain. a. osteoarthritis b. degenerative joint disease c. rheumatoid arthritis d. fibromyalgia

d. fibromyalgia

A teenager with a recent TBI demonstrates difficulty finding his black shirt in a pile of other dark clothing. This client is most likely demonstrating a deficit with _______________. a. visual tracking b. right-left discrimination c. form constancy d. figure-ground discrimination

d. figure-ground discrimination

Which task requires adequate executive functioning to complete? a. reading words on a page b. shaving your face/legs c. playing a matching card game d. making spaghetti, salad, and garlic bread for dinner

d. making spaghetti, salad, and garlic bread for dinner

After initial evaluation, the client that sustained an anoxic brain injury demonstrates balance impairments, visual deficits, mild ataxia, and cognitive deficits. Which evaluation code is most appropriate for this client? a. re-evaluation b. low complexity c. high complexity d. moderate complexity

d. moderate complexity

You have been asked by a treating physician to go "see" his/her patient briefly to determine if they are appropriate for occupational therapy evaluation. The physician states the patient had a small stroke and is having difficulty with functional mobility. You decide to conduct a __________________________. a. occupational therapy evaluation since you are already aware that the patient has an occupational dysfunction with functional mobility b. occupational therapy dsicharge c. occupational therapy intervention d. occupational therapy screen

d. occupational therapy screen

A client that sustains a new injury that may affect their ability to participate in sexual activity may experience some psychological issues including all answers below except: a. depression b. performance anxiety c. inadequacy in their gender role d. psychosis

d. psychosis

When conducting an evaluation for a client with a rotator cuff pathology, what is the MOST valuable assessment for joint and muscle protection listed below? a. COPM b. sharp/dull sensation c. MMT d. scapular posture during activities

d. scapular posture during activities

When providing an orthosis for a client with rheumatoid arthritis of the CMC joint of the thumb, all answers below are a goal of the intervention EXCEPT _______________. a. reduction of fatigue around the joint b. protection of the joint c. reduction in inflammation around the joint d. strengthening of the joint

d. strengthening of the joint

What is occupational therapy's primary goal when treating clients with orthopedic precautions? a. to provide a home exercise program b. to recommend bathroom equipment c. to maintain the strength in the operated joint d. to promote independence in daily tasks

d. to promote independence in daily tasks

Individuals with spinal cord injury above the level of T6 are at an increased risk for medical complications such as: a. Heterotopic ossification b. Orthostatic hypotension c. Autonomic dysreflexia d. Decubitus ulcers e. All of the above are correct

e. All of the above are correct

When an orthosis is being fabricated, all of the following apply EXCEPT which of the following? a. Position the forearm and the wrist so that gravity can help with the initial molding b. Consider placing straps at an angle for pressure distribution c. Heat and smooth any rough edges d. Cut the material with long, even strokes to avoid jagged edges e. The water temperature should be 190 degrees

e. The water temperature should be 190 degrees

When the occupational therapist is deciding which orthosis style and design to choose, the individual needs of the client must be considered. The therapist should consider all of the following EXCEPT _______________________. a. sensory dysfunction and fragile skin b. cognitive ability to don and doff the orthosis correctly c. compliance with the splint wearing schedule d. ability of the caregiver to assist with applying the orthosis e. ability for constant full time wear

e. ability for constant full time wear

Individuals with TBI may present with numerous types of impairments that include spasticity, soft tissue contractures, the presence of primitive reflexes, diminished or lost postural reactions, muscle weakness, impaired sensation, and an inability to perform ADL's. Common principles of an intervention for neuromuscular impairments include: (select all that apply) a. Introduce normal sensory experiences b. Facilitate control of muscle groups, progressing from proximal to distal c. Facilitate integration of both sides of the body into activities d. Encourage the individual to weight shift out of a stable posture into multiple directions e. all answers are correct

e. all answers are correct

Which of the following is an important function of the skin. Check all that apply. a. Aids in temperature regulation b. Prevents infectious agents from entering the body c. Barrier against dehydration d. Aids in synthesis of Vitamin D e. all the above

e. all the above