Module 3 Assessment

A patient with COPD complains of shortness of breath while walking up stairs, performing her grooming routine, and cooking in her kitchen. Which subjective statement would the OTA most likely write down in her SOAP note that would be correlated to educating a patient about her disease? "I just ordered pizza to be delivered to my house" "I keep the window open in my house because I like the breeze" I keep a stool nearby so I can sit down when I get tired" "I wake up in the morning and rush to get my clothes on, brush my teeth, and make breakfast. Then I am exhausted"

"I wake up in the morning and rush to get my clothes on, brush my teeth, and make breakfast. Then I am exhausted"

A patient who is recovering from a recent MI is permitted to walk at a very slow pace, about 1 mph, as tolerated. How many METs is this patient allowed to expend based on this activity? 1.5-2.0 METs 1.0-1.4 METs 2.0-2.4 METs 2.5-3.0 METs

1.5-2.0 METs

A patient who recently had a heart attack works as a janitor. His job duties include washing windows, mopping floors, and vacuuming. What MET level does the patient need to reach before he may return to work? 2.0-2.4 METs 2.5-3.0 METs 3.0-4.0 METs 4.0 and above METs

3.0-4.0 METs

Upon completing 75% of a task, a patient is given which FIM score? 2 4 3 5

4

An OTA is working with a patient with a humerus fracture. When can the patient start performing isometric exercises? 7-10 days post-surgery 6-8 weeks post-surgery Once the patient has been medically cleared Right away

6-8 weeks post-surgery

An OTA is treating a teenage girl with a brachial plexus injury. The girl asks the OTA if there is anything she can do to use her affected arm. What could the OTA recommend to facilitate functional movement in the girl's affected arm? A resting pan splint A hemi-shoulder sling A dynamic elbow splint A flail arm splint

A flail arm splint

Barbara is a 68-year old retired professional baker who, 5 years ago, was diagnosed with RA. Recently, Barbara has also been diagnosed with severe anxiety associated with her having to deal with her progressive RA symptoms. Barbara is currently participating in a community mobility group, which is focusing on public transportation. Lately, she has been missing her bus because she has been distracted by her thoughts which have been centered around thinking about her symptoms. During the group session, Barbara begins to display signs of anxiety. What should the COTA®'s NEXT course of action be at this point? Recommend the patient carry a written journal with a schedule Acknowledge her concerns and redirect the patient onto a neutral topic Encourage the patient to express her feelings and elaborate on the last time she missed her bus Report the physical symptoms to the OTR® as she may be going through an RA exacerbation

Acknowledge her concerns and redirect the patient onto a neutral topic

At stage 1 (1.0 to 1.4 MET), what kind of exercises can a patient do? Active exercises to all extremities in supine position Active exercise to all extremities in sitting position Active exercise to all extremities in standing position Balance and mat activities with mild resistance

Active exercises to all extremities in supine position

What is the Kleinert protocol for a flexor tendon injury repair? Passive extension of digit with passive flexion using rubber band traction Active flexion and extension of each digit Passive flexion and extension of each digit Active extension of digit with passive flexion using rubber band traction

Active extension of digit with passive flexion using rubber band traction

A patient who recently sustained a distal radius fracture has been fitted with a splint, as prescribed by the physician. Which type of movement of the non-immobilized joints of the affected upper limb is MOST likely to assist with edema reduction in the acute phase of healing? Passive range of motion (PROM) Active range of motion (AROM) No movement Circumferential

Active range of motion (AROM)

When selecting an activity for a patient who is recovering from a recent MI, the impact an activity has on the patient's cardiovascular system needs to be taken into consideration. Which activities would have the MOST impact on the patient's cardiovascular system? Select the best 3 answers. Activities requiring the use of one's upper extremities Hot showers Activities requiring the use of one's lower extremities Activities performed in standing Activities performed in sitting Warm showers

Activities requiring the use of one's upper extremities Hot showers Activities performed in standing

An OTA is working with a 36-year-old patient who has a frozen shoulder. What should the FIRST OT intervention focus on? Provide a cold pack to the patient's affected extremity Encourage active use of the affected extremity Provide passive range of motion to the affected extremity Address the patient's pain

Address the patient's pain

Christina, a 72-year-old former school teacher has been diagnosed with a proximal humerus fracture which is being treated conservatively in a skilled nursing facility. Christina's arm is currently being immobilized with a sling. The MD has referred her for OT intervention with orders to include weaning from using the sling, light weight-bearing of the affected extremity, and active-assisted ROM progressed to AROM as tolerated. Which of the following activities would be the MOST APPROPRIATE to include during self-care, to increase Christina's functional use of her affected arm while adhering to the MD's guidelines? Holding onto the shower grab bar with her affected arm while standing to clean below her knees Maintaining hold of the hair dryer with her affected arm while styling her hair with the unaffected arm Bilateral upper extremity push-to-stand from a wheelchair to transfer to the toilet Ambulating to the closet with a front-wheeled walker and retrieving clothes one at-a-time with either hand

Ambulating to the closet with a front-wheeled walker and retrieving clothes one at-a-time with either hand

What are the main precautions you need to follow when fabricating any splint? Select the 3 best answers. Splints must always be loose fitting for comfort Any precautions specified by the patient's physician Initially, limit the wearing time of a new splint to 2-4 hours at a time Any reactions to heat or splinting materials Splinting over bony prominences Splinting over a medical tattoo

Any precautions specified by the patient's physician Any reactions to heat or splinting materials Splinting over bony prominences

A patient is being seen in a hand therapy clinic for a median nerve injury at the elbow and proximal forearm. The patient displays decreased thumb abduction and hyperextension of the first, second and third MCP joints. What diagnosis does this patient most likely have? Radial nerve Boutonniere deformity Swan neck deformity Ape hand deformity

Ape hand deformity

David, a 52-year-old male who has a history of COPD has been referred for OT intervention. David lives alone in a double story house and he usually enjoys going for leisurely walks around his neighborhood. Recently however, David has been experiencing more frequent episodes of dyspnea which is impacting on his physical activity, including walking up his stairs at home and performing his BADLs. David has had to resort to sponge bathing at the bathroom sink and he tries to avoid using his stairs as much as possible. The COTA® decides to instruct David on using a pursed lip breathing technique for dyspnea relief, but he has difficulty performing this breathing pattern. What modality would be the MOST helpful for David to use to help him improve his technique so that he can increase his tolerance for performing physical activities? Auditory biofeedback to the sequence and speed of simulated breath sounds Counting 2 aloud on inspiration to 4 breaths on expiration Assuming a seated posture with lumbar extension during breathing exercises Visual biofeedback using a spirometer

Auditory biofeedback to the sequence and speed of simulated breath sounds

An OTA is providing energy conservation techniques to a patient who has very low energy and is deconditioned. What is the best intervention to introduce to this patient on ways to put on her bra? Bend forward while putting on your bra and hooking it in the back Sit up straight while putting on your bra and hooking it on the back Wear a sports bra with no hook Bend slightly forward and hook the bra in the front

Bend slightly forward and hook the bra in the front

A patient who presents with chronic lower back pain is being educated on proper body mechanics. The patient works as a library technician and his job requires him to lift, carry and place books on shelves throughout the day. Which techniques should the COTA® teach the patient in order to help him cope with the demands of his job? Select the best 3 choices Bend the knees and hips when picking up unpacking new books from a box Hold the books as far from the body as possible when transporting them to the shelves Keep feet together while lowering the books onto the lower shelves Maintain spinal alignment when holding the books Carry the books at chest level with elbows fully flexed Extend the lumbar spine slightly while carrying heavier books

Bend the knees and hips when picking up unpacking new books from a box Maintain spinal alignment when holding the books Carry the books at chest level with elbows fully flexed

You have been referred to work with a patient who is in Phase 1 of their cardiac rehabilitation. Which recreational activity would they be able to perform, taking the appropriate MET level into consideration? Golfing Bowling Table tennis Roller skating

Bowling

A patient who presents with arthritic deformities in her hands is unable to grasp a fork due to these deformities. How can this patient's fork and other eating utensils be adapted to enable her to grasp and use them more effectively? Built up handle or foam tubing Blunt ended fork Universal cuff Weighted utensil

Built up handle or foam tubing

The orthotic splint in this photo would be beneficial for a patient with which type of diagnosis? Carpal Fracture C5 SCI C6 SCI Claw Hand deformity

C6 SCI

The short thumb opponens splint is an effective intervention for several hand conditions. Which joint/joints of the thumb can be immobilized using this type of orthosis? CMC MCP IP CMC, MCP, and IP

CMC, MCP, and IP

Dan, a 36-year-old male, is accompanied by his wife to an outpatient hand therapy clinic. Dan who works as a truck driver, recently sustained an injury to his right dominant hand when he fell off a ladder at home. Before fabricating a splint for Dan, the COTA® becomes aware that there is a lot of tension between Dan and his wife. Dan verbalizes that he is extremely concerned about lost time from work as he is the only breadwinner. His wife, however, is reluctant to engage in any part of the conservation and Dan excuses her behavior by saying "she's very upset with me!" Taking the couple's emotional state into consideration, what approach should the COTA® use to initiate the discussion about the need for a splint for Dan's recovery? Discuss the imminent presence of pain and the importance of staying calm during fabrication to ensure protocol is followed appropriately Determine the person's learning style and cultural values to select appropriate material and educational handouts Conduct the conversation in an isolated room with low-lighting for mood enhancer and speak slowly Clarify concerns and allow them to vent before determining their understanding about the diagnosis and splint order

Clarify concerns and allow them to vent before determining their understanding about the diagnosis and splint order

Which is the BEST OT treatment intervention for a patient who fractured his humerus while playing football and is now wearing a cast? Tissue massage to reduce edema Compensatory technique to resume ADLs AROM of uninvolved joints of the involved humerus, such as the shoulder, wrist, and fingers PROM of uninvolved joints of the involved humerus, such as the shoulder, wrist, and fingers

Compensatory technique to resume ADLs

Which splint can be used to inhibit flexor spasticity in the hand by providing constant pressure over the palmar surface? As the wrist position is not controlled by this splint, its main purpose is to provide access to the palm to maintain skin integrity and for hygiene purposes. Cone splint Resting hand splint Dorsal blocking splint C-bar splint

Cone splint

Which grasp pattern requires thumb opposition? Conoid grasp Hook grasp Lateral pinch Power grasp

Conoid grasp

A home health COTA® is working with a 52-year-old patient who has been diagnosed with COPD. The patient currently lives alone in a single-story house, he has all his meals delivered by a meal delivery service, and when he needs to go out, he uses his Uber app to request a ride. The patient is independent in all his other ADLs but reports that doing his laundry is becoming more challenging as he is becoming short of breath after just a few minutes. The COTA® confirms with the patient that he has been using the pursed lip breathing technique and continues to measures his rate of perceived exertion, as previously taught. What other strategy can the COTA® teach this patient to help him cope better with doing his laundry? Coordinate exhalation while lifting a filled, small laundry basket Practice using zipper pulls to manage jeans and coats Inhaling deeply when reaching down to thread and don his elastic-waist pants How to install electronic aids for daily living for home climate control

Coordinate exhalation while lifting a filled, small laundry basket

An OTA is working with a patient at home. The patient returned home from the hospital one week ago after sustaining a L. CVA which resulted in R. sided hemiparesis. The OTA is utilizing NDT techniques in order to facilitate the patient's ability to pick up a water glass. Which grasp will the patient most likely use for this activity? Palmer pinch Spherical grasp Cylindrical grasp Power grasp

Cylindrical grasp

An COTA® is fabricating bilateral volar resting hand splints for an 8-year-old child who has quadriplegic CP. The aim of these splints is to prevent or reduce joint deformity from developing, from the moderate spasticity in the child's hands. The components of the resting hand splints include a forearm trough, a C-bar, a thumb trough, and a pan for the fingers. What should the FIRST STEP be, during splint fabrication and strap application? Application of an Ace wrap to hold the forearm trough in place while the therapist works on the hand portion Determining the best splinting position by handling the child's extremity and feeling the amount of passive resistance Wearing the splint prior to engagement in activities or occupations Watching the child's facial expression and listening for vocalizations that indicate discomfort

Determining the best splinting position by handling the child's extremity and feeling the amount of passive resistance

A patient is referred to OT for fabrication of a splint, following a surgical repair to their flexor tendons. What type of splint is typically used for a flexor tendon injury? Ulnar gutter splint DIP extension splint Dorsal blocking splint Resting hand splint

Dorsal blocking splint

An inpatient who had a coronary artery bypass graft performed 1 week ago is now stabilized and is recovering in the cardiac care unit. The MD has cleared the patient to participate in activities up to MET Level 2.0. Which BADL activity would be more appropriate at this expected level of performance? Dressing upper and lower body while seated at the edge of bed with SBA for safety and balance Standing sink side in the bathroom with minimal assistance while performing grooming and hygiene tasks Sponge-bathing while semi-reclined in bed with setup and handoff of hygiene tools for patient to independently cleanse face, both upper arms, and trunk Training in use of adaptive equipment in order to retrieve clothing from upper shelves using front-wheel walker

Dressing upper and lower body while seated at the edge of bed with SBA for safety and balance

What is the medical term for the feeling of shortness of breath. This it is a symptom and not a disease in itself. It can be present in the absence of disease, or as a result of various disease processes? Dysphagia Dyspnea Dysarthria Dysmetria

Dyspnea

Mildred is a 76-year-old woman with a diagnosis of bilateral carpal tunnel syndrome. Her doctor has ordered occupational therapy for conservative management of her condition. What treatment techniques would be appropriate based on the doctor's orders? Fit and issue bilateral wrist splints Work hardening activities Home strengthening program using moderately resistive TheraPutty Iontophoresis with electrode placement at the medial and lateral epicondyles of both upper extremities

Fit and issue bilateral wrist splints

What injury would use a dorsal blocking splint? Radial nerve damage Carpal tunnel Flexor tendon injury Arthritis

Flexor tendon injury

A patient is completing an energy conservation program. What is the BEST expected outcome? Getting dressed without becoming fatigued Lifting heavy cookware without pain Doing handicraft without damaging his or her joints Dusting and vacuuming more quickly

Getting dressed without becoming fatigued

What is the most appropriate muscle grade when a patient can raise and lower his arms to the ceiling without resistance? Grade 1 (trace) Grade 2 (poor) Grade 3 (fair) Grade 4 (good)

Grade 3 (fair)

What type of activity would a patient with an ulnar nerve injury have the MOST difficulty with? Donning a shirt Gripping a pillow Flushing the toilet Turning a key

Gripping a pillow

An 80-year-old inpatient who has recently been hospitalized for an exacerbation of his COPD is due to be discharged. The patient will be returning to his home which he has shared with his elderly wife for the past 28 years. Despite being weak from his recent hospitalization, the patient remains independent in all his BADLs. He, however, has a history of falling and a quad cane has been issued to give him more stability when walking. Which additional safety precaution should be put into place to ensure this patient's safety when ambulating? Teach the patient to follow a slower pace using smoother footwear Request a caregiver follow the patient with a wheelchair Have the patient wear a gait belt and use a 4-wheeled walker Have the patient put on non-skid footwear before ambulating

Have the patient put on non-skid footwear before ambulating

A patient has edema in her right upper extremity due to an obstruction in her lymphatic system. What is this condition called? Lymphedema Convergence Confabulating Stigma

Lymphedema

patient with heart disease and associated anxiety has been admitted to an in-patient rehab facility. When the OTA approaches the patient, to commence treatment, the patient insists that he wants to work on a gardening task. What is the most appropriate action the OTA should take NEXT, in this scenario? Read the results of the the COPM assessment which the OT has administered to confirm that gardening is a preferred leisure activity Ask the OT if the patient can go ahead and participate in a gardening activity Work on gardening activities as this is client-centered and an OTA can modify interventions Inform the patient that there is a specific protocol of treatment interventions that needs to be followed in the inpatient cardiac rehabilitation unit

Inform the patient that there is a specific protocol of treatment interventions that needs to be followed in the inpatient cardiac rehabilitation unit

When teaching a patient who has COPD how to perform Pursed-lip breathing (PLB), what instruction should be taught when inhaling air? Inhale deeply through the mouth Inhale deeply through pursed lips Inhale deeply through the nose Instructing how to inhale air is not part of the PLB technique

Inhale deeply through the nose

A patient who is experiencing an acute exacerbation of their RA is attending OT for pain management. As the patient is unable to tolerate oral corticosteroids, a specific PAM has been selected with the goal of decreasing inflammation and swelling by delivering this medication through the skin using continuous and direct electrical current. Which PAM is able to achieve the goal of transcutaneous delivery of corticosteroids to the affected joints? Iontophoresis TENS Fluidotherapy Neuromuscular Electrical Stimulation (NMES)

Iontophoresis

What exercise is best to recommend to a patient who needs to maintain strength when active motion is not possible or is contraindicated? Egocentric exercises Concentric exercises Isotonic exercises Isometric exercises

Isometric exercises

When a muscle moves a constant load through a range of motion, which of the following forces of action is being displayed? Isometric contraction Rhythmic rotation Isotonic contraction Hold-relax contraction

Isotonic contraction

What would be the most appropriate splint for the patient in this photo? Volar splint with wrist in neutral MCP blocking splint Wrist/thumb spica splint Static volar splint in extension

MCP blocking splint

If a patient has a MMT score of grade 3+ for shoulder flexion, which activity should the patient be able to complete with ease? Lift a stack of plates and place them in a cupboard Lift a towel and place it on a towel rack Lift 3 pound dumbbells to complete upper extremity exercises Lift a pitcher of water and place it on a table

Lift a towel and place it on a towel rack

A 60-year-old inpatient who is recovering from a recent myocardial infarction, has been referred for OT intervention. The patient lives alone in a 2-story apartment and works full-time as a baker at the local pastry-shop. The patient's main goal is to return to work as soon as possible. At this stage of her recovery, the patient is only permitted to perform activities which expend 2.0 to 3.5. METs. Educating the patient on which types of activities are appropriate, is part of the patient's intervention plan. Which of the following activities would be CONTRAINDICATED at this time? Lifting up and carrying a large bag of flour, up 4 steps to enter the bakery from the loading dock Wiping the inside of the glass display cases, counters, and washing dishes Dressing and undressing while seated Writing daily menu specials on the 48" x 60" chalkboard

Lifting up and carrying a large bag of flour, up 4 steps to enter the bakery from the loading dock

Jerry, a 68-year-old asthmatic with recently diagnosed CHF, has been admitted to an inpatient cardiac unit. He has been referred to OT for intervention and he is currently working on his ADLs with the COTA®. Jerry has been living independently on his own in a ground-floor apartment and he has expressed his desire to return to his home, to resume his previous roles including running his home web-designing business. What information should the COTA® gather before beginning the INITIAL ADL session? Select the best 3 answers. Living situation including available support from others The assigned nursing staff involved in the patient's care Typical grooming and dressing habits and routines Home environment setup including DME The number of times he has been admitted for exacerbations The burden of medical expenses incurred on his length of stay

Living situation including available support from others Typical grooming and dressing habits and routines Home environment setup including DME

A patient who has been diagnosed with radial tunnel syndrome is being treated conservatively. The OT practitioner is fabricating a splint for this patient to manage their condition. What type of splint is the MOST appropriate for this patient, at this stage of their intervention? Dorsal blocking splint Long arm splint Wrist volar splint with wrist in neutral Opponens splint

Long arm splint

What is the best splint to use on a patient who did not have an operation and has radial tunnel syndrome? Wrist extension splint Long arm splint Splint entire forearm Opponens splint

Long arm splint

A patient who is recovering from an injury to her right shoulder is working with an OTA on improving the active range of internal rotation of that shoulder. Which activity should the OTA select to achieve this patient's goals? Looping her belt through the front of her pants Brushing the back of her hair Tying her hair into a pony tail Reaching for a glass in the upper cabinet

Looping her belt through the front of her pants

A COTA® is fabricating a long arm splint for a 45-year-old patient who, 5 days ago sustained an injury to his right forearm (proximal to his elbow) when he was hit with a baseball bat during a fight. The blow to his forearm resulted in compression of the median nerve. The patient does not present with any sensory impairments which suggests that only the motor branch of the median nerve has been affected. He does however feel pain on the proximal volar surface of his forearm. The following morning during a follow-up appointment with the COTA® , the patient complains of paresthesia and on examination, the ventromedial compartment of his forearm is swollen, red and tender, and capillary refill is poor. What should the COTA® do NEXT to alleviate the problem? Tighten down the Velcro straps using longer straps and include D rings Initiate active range of motion and stress loading to the distal joints of the extremity Provide use of heat modalities with the extremity elevated to reduce edema Loosen the ace bandage under the splint, check the patient's blood pressure and consult with the OTR® about contacting the orthopedic surgeon

Loosen the ace bandage under the splint, check the patient's blood pressure and consult with the OTR® about contacting the orthopedic surgeon

Which nerve provides motor innervation to the flexor muscles of the forearm and hand as well as to the muscles responsible for flexion, abduction, opposition, and extension of the thumb. It also provides sensory innervation to the volar aspect of the thumb, index, middle, and half of the ring finger, the palm, as well as the medial aspect of the forearm? Ulnar nerve Movement activity Radial nerve Median nerve

Median nerve

A 62-year-old male office manager sustained an aneurysm and is now functioning at a level 3 on the Functional Independence Measure (FIM) for bathing and grooming. What does this score indicate? Total assistance needed Minimum assistance needed Moderate assistance needed Maximum assistance needed

Moderate assistance needed

Jennifer, a 65-year-old patient who is in the 2nd Phase of her cardiac rehabilitation, is working on performing household tasks. The focus is on endurance training and the selected task is unloading the dishwasher. During the task, the COTA® observes Jennifer leaning more heavily on her rolling walker as time passes and she starts taking progressively smaller steps to ambulate around the kitchen. What action should the COTA® take NEXT? Terminate the activity and have the patient work on fine motor tasks Continue the activity at wheelchair level for longer periods of time with heavier items Modify the task by allowing the patient to stand only when necessary to place items beyond her reach Substitute the task by focusing on aerobic training on the stationary bike on the lowest setting

Modify the task by allowing the patient to stand only when necessary to place items beyond her reach

When treating a patient who recently suffered a CVA, which physical agent modality (PAM) would cause the patient's muscles to contract, thus strengthening the muscles which have become flaccid due to the CVA? TENS Contrast bath NMES Whirlpool

NMES

For a patient who is in Stage 2 of their cardiac rehabilitation, what activity is contraindicated? No isometrics No ice packs No heat packs No progressive exercises

No isometrics

Amelia is a 3-year-old girl referred for special education services at her local elementary school by the county birth to three program. Her symptoms include brittle bones, deformities of the arms and legs, developmental growth problems, and eye abnormalities. Her mother reports that Amelia's doctor stated Amelia is also at risk for developing hearing impairments. What disorder does Amelia have? Spastic Diplegia Rheumatoid Arthritis Boutonniere Deformity Osteogenesis Imperfecta

Osteogenesis Imperfecta

For a patient with rheumatoid arthritis who is experiencing an active flare up of the disease (joints are acutely inflamed), what type of movements are contraindicated? PROM and resistive exercises Neuro-developmental treatment (NDT) Maintaining AROM Anti-deformity wrist and hand position

PROM and resistive exercises

What is the Duran protocol for a flexor tendon injury repair? Active flexion and extension of the digits Passive flexion and extension of the digits Active extension of the digits with passive flexion using rubber band traction Active flexion of the digits with passive flexion using rubber band traction

Passive flexion and extension of the digits

A patient is 5 days post coronary artery bypass graft (CABG) and has been approved by his doctor to perform activities at a met level of 2 - 3. What activity can be introduced, at the beginning of this patient's OT intervention? Grooming in sitting Showering in standing Performing light housework in sitting Grooming while standing at the sink

Performing light housework in sitting

An OTA is working with a patient on in-hand manipulation. Which activity would be the MOST advanced when grading the activities? Grabbing a can of Coke Holding 5 dice and shaking them Getting two dice out of a bag Picking up three dice and putting them on a game board one at a time

Picking up three dice and putting them on a game board one at a time

A mother of twins has been diagnosed with De Quervain's tenosynovitis as a result of the manner in which she has repeatedly been lifting them. What is one method the woman's doctor might have used to confirm this diagnosis? Positive Finkelstein Negative Finkelstein Repetitive micro trauma Tenosynovitis of finger flexors at A1 pulley

Positive Finkelstein

An OTA is working with a carpenter who needs to hold several tools while he builds homes. He reports that he must repeatedly pound 3 inch framing nails, with a hammer throughout the day. What grasp pattern does the OTA observe when she watches the carpenter pound a nail? Hook grasp Conoid grasp Power grasp Spherical grasp

Power grasp

The use of your hand to manipulate objects is described by which of the following terms? Apraxia Gross Motor Grasp Claw hand Prehension

Prehension

What is the purpose of a compression garment? Translation Unstable fractures Monitor vascular status Prevent re-accumulation of fluids post retrograde massage

Prevent re-accumulation of fluids post retrograde massage

An OTA begins treatment with a new patient who suffered a right CVA, 3 days ago. The OT's evaluation reports a left hemiparesis with no active movement but full passive movement. Passive range of motion, edema control, positioning, and a resting hand splint are included in the treatment plan. What should the OTA's PRIMARY objective be, as they provide these treatment techniques? Facilitating active movement in the affected extremity. Educating the patient in self range of motion exercises. Preventing the development of contractures in the affected extremity Educating caregivers in passive range of motion techniques

Preventing the development of contractures in the affected extremity

A 55-year old housewife and mother of 4 adolescent children has COPD. She reports fatigue and a Borg rating of 3/10 for moderate breathlessness which interferes with her ability to complete her morning routines. Her goal is to improve her endurance so that she can make breakfast for her children before they leave for school. Which techniques would be beneficial to teach the patient to use for supporting this goal? Select the best 3 choices Pursed lip breathing technique Positioning techniques Myofascial release Diaphragmatic breathing Visual Analog Scale Compensation with use of accessory muscles

Pursed lip breathing technique Positioning techniques Diaphragmatic breathing

You are running a topical group to educate patients on "What to Look for in RA-Friendly Devices". What are the 3 most important properties to consider when purchasing any product for the kitchen? Select 3 best choices. Cast iron pots are durable and easy to wash Put safety first Consider the benefits of texture Avoid anything heavy Ceramic bowls are durable and easy to maintain Avoid containers with flip tops

Put safety first Consider the benefits of texture Avoid anything heavy

A 5-year-old girl is being treated in the hand therapy clinic following a distal ulnar fracture of her left arm. She is being fitted for a dorsal long forearm splint with Velcro straps. Her parents are concerned that she may try to remove the splint as she is a very curious child and tends to take everything apart, including her Velcro shoes. How should the COTA® adapt the splint to prevent the child from removing it from her forearm? Provide a sock pocket with a "mouth" opening to be placed over the splint in order to keep the splint covered Replace the Velcro straps with shoelaces and shoelace locks, and apply stickers of her favorite animal or cartoon characters Sew in snap fasteners that is more demanding on the child's hand strength to manipulate and release Use a clamshell-type splint with hook and loop straps

Replace the Velcro straps with shoelaces and shoelace locks, and apply stickers of her favorite animal or cartoon characters

A patient presents with the following symptoms: depression; fatigue; pain and stiffness of the wrist; the wrist is warm to the touch and there is decreased range of movement in that joint. As part of your treatment, you decide to make a splint for this patient, what splint do you choose? Plantar Grasp Silver ring splint Ulnar drift splint Resting hand splint

Resting hand splint

What treatment technique uses graded sensory stimuli to retrain sensory pathways or stimulate unused pathways? Adaptive technique Compensation technique Sensory modulation Sensory re-education

Sensory re-education

Fred is an 83-year-old man with a diagnosis of right cerebrovascular accident with left hemiparesis. His left hand is flaccid and he has been issued a resting hand splint to wear. Fred lives at home with his wife, who brings him to therapy sessions and helps him with activities at home. What action should the OTA take to ensure that Fred's splint is being effective? Show Fred and his wife how to correctly don the splint and secure the splint straps Tell Fred to wear the splint whenever the muscles of his hand and forearm feel tight Show Fred and his wife how to fix the splint or the straps if they break Tell Fred and his wife that the splint will replace Fred's ROM exercises

Show Fred and his wife how to correctly don the splint and secure the splint straps

An OTA has received approval to increase a cardiac patient's activity level from stage 1 to stage 2. How should the OTA set up the patient's morning hygiene routine to comply with stage 2 activity restrictions? Laying in bed with the head raised, with water and supplies on the bedside table. Sitting in a chair near the bed with water and supplies on the bedside table. Standing in the bathroom at the sink with set-up help to retrieve supplies. Sitting on the toilet with stand-by assistance to hand supplies to the patient.

Sitting in a chair near the bed with water and supplies on the bedside table.

A patient who is recuperating from a recent cardiac event, is in Stage 1 of their recovery and is able to safely perform ADLs which expend 1.0 to 1.4 METs. From the list below, which ADL activity is this patient permitted to perform? Sitting: self-feeding Sitting: Ironing Gardening Standing: Shaving

Sitting: self-feeding

A patient with rotator cuff tendonitis is having trouble sleeping. What sleeping position would be best to recommend to this patient? Sleep in a reclined position Sleep with your arm overhead Sleep with your arm in internal rotation Sleep with your arm in adduction

Sleep in a reclined position

Name the type of grasp one adopts when holding a round object such as a small ball? Visual perceptual activity Gross grasp Spherical grasp/ball grasp Cylindrical grasp

Spherical grasp/ball grasp

A patient who has been diagnosed with RA has recently joined an arts and crafts group and she has expressed that in order to fully participate in the activities, she needs to be able to use scissors. Which type of scissors is the BEST to recommend in this scenario? Spring-operated scissors Electric scissors Standard scissors Embroidery scissors

Spring-operated scissors

An OTA is working with a 73-year-old male patient who has COPD, on energy conservation. Which strategy would be the most effective in helping him conserve the most amount of energy while he completes a dish-washing task at the sink? Suggest the patient use paper plates so he does not have to wash dishes Suggest he use a dishwasher instead of washing dishes manually Suggest he sit on a tall kitchen stool at the sink while washing the dishes Suggest he place the dishes in the sink and have his caregiver wash his dishes

Suggest he sit on a tall kitchen stool at the sink while washing the dishes

Which branch of the radial nerve if entrapped, results in sensory manifestations and no motor deficits? Deep branch (Posterior interosseous nerve) Superficial branch Anterior interosseous branch Peroneal branch

Superficial branch

What is the name of the deformity when the PIP joint is hyperextended and the DIP joint is flexed? Adhesive capsulitis Carpal tunnel Swan neck deformity Boutonniere deformity

Swan neck deformity

Which of the following deformities of the hand are potential complications of arthritis? Trigger finger Swan neck deformity Cubital tunnel syndrome Guyon's canal

Swan neck deformity

A patient has pain and decreased AROM of bilateral upper extremities and knees secondary to fibromyalgia. The symptoms interfere with the patient's ability to independently wash her hands, brush her teeth and hair, and put makeup on in the morning. Which approach should the OTA use FIRST to improve the patient's ability to groom while standing at the sink? Select assistive devices to help improve functional performance Identify the patient's clothing preferences and typical grooming routine Engage the patient in a ROM and strengthening program to preserve joint integrity Teach the patient a variety of joint protection strategies for grooming

Teach the patient a variety of joint protection strategies for grooming

What is the term for a reciprocal motion of the wrist and fingers that occurs during active or passive wrist flexion and extension? Suck-swallow reflex Cylindrical grasp Tenodesis (grasp) Isometric exercises

Tenodesis (grasp)

Which splint allows a C6 SCI patient to have a functional grasp, using active movement of their wrist? Dorsal blocking splint Dynamic MP extension splint Wrist driven extension hinge splint Tenodesis splint

Tenodesis splint

A 75-year-old male is a father of two children and has 3 grandchildren. He has been living alone for several years in a one-story home. He has smoked a pack of cigarettes every day since his wife died 5 years ago. He was recently diagnosed with Chronic Bronchitis and complains of an ongoing cough, shortness of breath, and tightness around his chest. The OTA needs to assess the patient's current ADL ability. What is the best way for the OTA to assess this patient? The OTA should interview nursing staff about the patient's current ADL performance. The OTA should talk to the patient's family to determine the patient's ADL capabilities. The OTA should monitor patient's oxygen levels during any activity. The OTA should assess the patient using the Borg Rating of Perceived Exertion during ADL tasks.

The OTA should assess the patient using the Borg Rating of Perceived Exertion during ADL tasks.

A female patient underwent surgery on her right dominant hand to repair a tendon. Two days post surgery she arrives at the outpatient hand clinic for occupational therapy intervention, as directed by her surgeon. She tells the OTA that she has had paraffin treatments in the past which she thoroughly enjoyed. She asks the OTA to apply paraffin wax to her right hand as she feels it will help with her discomfort. How should the OTA respond to this patient's request? The OTA should go ahead and use paraffin treatments The OTA should tell the patient that paraffin treatments are contraindicated because the patient has too much edema in her hand following her surgery The OTA should tell the patient that contrast baths are a better treatment option following a tendon transfer The OTA should tell the patient that paraffin treatments are contraindicated because the patient has a surgical scar that is has not yet healed

The OTA should tell the patient that paraffin treatments are contraindicated because the patient has a surgical scar that is has not yet healed

A 24-year-old patient with RA is seen in the outpatient department for treatment, including a resting hand splint. Before working with this patient, what precaution should the OTA adhere to? The patient should not perform AROM exercises The patient should not perform resistive exercises to increase strength The OTA should not perform neuro-developmental treatment (NDT) on this patient The OTA should not take a measurement of the patient's hand

The patient should not perform resistive exercises to increase strength

When treating a patient who has sustained an extensive hand injury, what phase of recovery includes enhancing the patient's performance skills, providing adaptive equipment, and teaching them alternative techniques in self-care? The phase would be the surgical or postoperative phase The phase would be evaluation The phase would be the preoperative phase The phase would be the rehabilitative phase

The phase would be the rehabilitative phase

An 85-year-old man who has been diagnosed with Type 2 Diabetes Mellitus and osteoarthritis is experiencing chronic pain in both his wrists and CMC joints. Symptomatically, his right dominant hand has been more affected by the arthritis and this has resulted in the patient having difficulty maintaining his grasp on objects and tools which in turn has compromised his level of hygiene and ability to participate in his woodworking hobbies. It has been determined that the patient would benefit from wearing a resting hand splint with D-ring straps at night to support his wrist and CMC joint, for pain management. What is the purpose of the D-ring straps in this scenario? To prevent him from removing the strap in the presence of reduced cognitive abilities To lessen the overall weight of the splint To improve ease of application and provide mechanical leverage To accommodate for changing wrist/hand circumference due to fluctuating edema

To improve ease of application and provide mechanical leverage

What is the most common use of a humeral fracture brace? To support the humerus after open reduction internal fixation surgery To support the humerus after a displaced fracture To support the shoulder after a fracture of the humerus To support the humerus after a nondisplaced fracture

To support the humerus after a nondisplaced fracture

When is it indicated to assess for Froment's sign? To test for carpal tunnel syndrome To test for median nerve dysfunction (palsy) To test for ulnar nerve dysfunction (palsy) To test for medial epicondylitis

To test for ulnar nerve dysfunction (palsy)

Erika is being evaluated for functional use of her right dominant hand, 4 weeks after being diagnosed with a mallet finger affecting her right index finger. The COTA® observes that Erika has difficulty using chopsticks which are her preferred eating utensils. Erika is planning on helping her sister with cooking and serving at her housewarming party, in 1 week. As her appearance is very important to her, she is reluctant to use any type of splint or assistive device, especially if they are conspicuous. The COTA® fabricates a customized splint to meet Erika's needs and makes a recommendation that should place less demand on her joints when she uses a pinch grasp to manipulate chopsticks . Which type of splint and what recommendation will Erika MOST LIKELY agree to comply with? Mobilization splint with finger loops attached to the 4th and 5th digit, and use of a long, plastic tong A static hand-based splint covering digits 2 thru 5 MCPs and PIPs, and use of adapted, spring-loaded chopsticks Translucent ring splint turned upside down along DIP, and child-size bamboo chopsticks A silver ring splint to prevent PIP hyperextension and long, resin chopsticks

Translucent ring splint turned upside down along DIP, and child-size bamboo chopsticks

What condition does the patient in this photo present with? Ulnar Nerve Injury Trigger finger Swan neck deformity Smith's fracture

Trigger finger

Which splint helps to immobilize the thumb and provide support? Wrist cock-up splint Thumb spica splint Cone splint Ulnar gutter splint

Ulnar gutter splint

A 12-year-old boy sustained an injury to his right distal radial epiphysis from falling off a tree. The boy's doctor has ordered physical agent modalities as a part of his occupational therapy treatment. Which modality is contraindicated for this type of injury? Ultrasound Cold pack Paraffin Wax Ice massage

Ultrasound

On which side of the hand is a wrist cock-up splint meant to be placed? Lateral Volar only Dorsal only Volar or dorsal

Volar or dorsal

A 64-year-old patient who fractured his left femur when he fell onto a barricade, is currently 4 weeks post-op, and is attending outpatient rehab services. The patient has recently consulted with his orthopedic surgeon for a routine follow-up. At his next OT session, the patient presents the clinician with new orders from the surgeon, stating that the patient can progress from non-weight-bearing (NWB) to toe-touch weight bearing (TTWB) of the affected extremity. With this new change in his weight-bearing status, how would you BEST adapt a dish washing task, to incorporate the patient's new weight-bearing precautions? Wash dishes in a seated position To adhere to weight bearing precautions, the patient can hold onto the sink with one hand for added support Have a reminder taped above the sink instructing the patient to be mindful of only taking 50% of their body weight on their affected leg while standing Place the dishes in a cart and while pushing it, weight bear on the affected leg as tolerated

Wash dishes in a seated position

A 32-year-old ballet instructor who recently sustained a left proximal humeral fracture which required surgical intervention, has been referred to OT. The surgeon's orders for treating the patient's left upper limb include no weight bearing on that arm, maintaining full AROM of the wrist and fingers and extension/flexion of the elbow as tolerated, with supervision from the therapist. The COTA® is currently working with the patient on dressing and is instructing her on how to correctly don her elastic waist pants. The COTA® has already established that the patient has good trunk control and normal upper extremity strength of her unaffected arm. After carefully assisting the patient with doffing her sling, what sequence of dressing would be the MOST effective for the patient to follow, to help her learn to dress independently while adhering to the doctor's instructions? With right hand, open waist cuff, bend and thread over feet, pull to thighs, stand and manage pants over hips With right hand, open waist cuff, thread over feet in figure-4, pull to thighs, stand and manage pants over hips while left hand stabilizes waist band With left hand, open waist cuff with long-handled reacher, thread over feet, pull to thighs, and stand and manage pants over hips Recommend that the patient sit upright in bed and manage threading the pants over her feet with a long-handled reacher using her right hand

With right hand, open waist cuff, thread over feet in figure-4, pull to thighs, stand and manage pants over hips while left hand stabilizes waist band

A 30-year-old female who lives at the coast has chronic lower back pain. She asks her OTA for suggestions of how she can alleviate her pain. What is the OTA's best response, in terms of recommending an appropriate physical activity for the patient? Running on the sand without shoes Beach volleyball Yoga in a warm to hot room Reading while seated

Yoga in a warm to hot room