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AOP Adults II > AOP 2 Midterm > Flashcards

AOP 2 Midterm Flashcards

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81
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What grade is considered Full ROM?

A

2 to 5

82
Q

What is considered less than full ROM?

A

3-, 2-

83
Q

What grade is considered no ROM?

A

1, -0

84
Q

What grade is against gravity ?

A

3- to 5

85
Q

What grade is gravity eliminated?

A

2+ to 2-

86
Q

When someone becomes pale, alters changes in consciousness, and feels lightheaded alter sitting up, they are most likely experiencing?

Orthostatic hypertension

Dehydration

Orthostatic hypotension

Blood loss

A

Orthostatic hypotension

87
Q

An occupational therapist can help a person with orthostatic hypotension by? select all

Stay sitting up

elevate feet

sit up-slowly

abdominal binder

compression stockings

overhead pumping fist

Wrist pumps

A

Lay back down

elevate feet

sit up-slowly

abdominal binder

compression stockings

overhead pumping fist

ankle pumps

88
Q

Decubiti has 4 stages. Put them in the correct order

Stage 1:
Stage 2:
Stage 3:
Stage 4:

Open (loss of skin) or blister

Full thickness wound that extends down to muscle and bone

Red area, inflamed and does not blanch or become pale when pressure is applied

Full thickness wound that extends down to subcutaneous tissue

A

Stage 1: Red area, inflamed and does not blanch or become pale when pressure is applied
Stage 2: Open (loss of skin) or blister
Stage 3: Full thickness wound that extends down to subcutaneous tissue
Stage 4: Full thickness wound that extends down to muscle and bone

89
Q

The two most common types of arthritis are?

Osteoarthritis

Psoriatic arthritis

Lupus

Rhumatoid arthritis

A

Osteo and RA

90
Q

These symptoms are indicative of what type of arthritis?

Pain
Joint stiffness
Muscle weakness
Decrease ROM
Crepitus

A

Osteoarthritis

91
Q

A Degenerative joint disease that changes and causes damageto articular cartilage mainly caused by ”wear and tear” and is hereditary

A

Osteo arthritis

92
Q

This arthritis diseases is unknown why it happens and is classified as an inflammatory disease

A

Rheumatoid arthritis

93
Q

Symptoms such as pain, symetrical, morning stiffness, edema and fatigues are commonly found in someone with…

A

RA

94
Q

Stages of RA include? place in order

Chronic active

acute

Subacute

Chronic inactive

A

acute subacute chronic active chronic inactive

95
Q

Which joints do Bouchards’ nodes affect?

PIP
MCP
DIP

A

PIP

96
Q

Heberden’s nodes affect which?

PIP
MCP
DIP

A

DIP

97
Q

What type of pinch causes basal joint arthritis pain?

Lateral
Tripod
Power pinch
Pincer pinch

A

Lateral pinch

98
Q

True or False, The level of the MCP joints start to drift radially during rheumatoid arthritis

A

FALSE they drift ulnar and this is called extensor tendon drift

99
Q

Swan neck deformity is when the lateral bands are no longer in ____ but are now in _____

Flexion, extension

Neutral , Extension

Extension, Flexion

A

Flexion, extension

100
Q

RA can cause select all

Swan Neck Deformity

Trigger finger

Boutonniere Deformity

Ulnar Drift

Radial Drift

Zig zag deformity

A
101
Q

Avoid assessing grip using the dynamometer during what?

A

A flair up

102
Q

Thumb strength evaluation looks at all BUT

Radial abduction

Palmar abduction

Extension

2 point pinch

3 point pinch

Key pinch

A

Extension…its flexion

103
Q

Assess thumb stability by having the client perform a tip to tip pinch while holding the___ and ___ in neutral.

Ip, PIP

MCP, IP

DIP, MCP

A

MCP, IP

104
Q

Assess DIP and PIP stability by stabilizing the ______ and then perform lateral and medial _____ to the distal phalanx (collateral ligaments). Then move anterior and posterior to assess volar plate and joint capsule.

A

Assess DIP and PIP stability by stabilizing proximal phalanx and then perform lateral and medial gliding to the distal phalanx (collateral ligaments). Then move anterior and posterior to assess volar plate and joint capsule.

105
Q

The goal of intervention is to?

A

Decrease pain, improve joint motion and improve function

106
Q

Contraindication: Heat or ice is contraindicated during an acute flare up.

A

heat

107
Q

True or False If joints are unstable or during the chronic phase - strengthening is contraindicated

A

false.. it is during the acute phase

108
Q

The goal for MCP arthroplasty is to achieve ___ degrees MCP flexion and extension in neutral and by what week

50 ,2

70,3

45,3

30,5

A

70,3

109
Q

Dynamic MCP extension orthosis are when fingers should be pulled into _____ about ____ degrees of ___deviation

flexion, 15, ulnar

Extension, 15, radial

Flexion, 15, radial

A

Extension, 15, radial

110
Q

For PIP Artho plasty the goal is to achieve what degrees and position?

PIP Extension and extension to neutral

PIP Flexion and extension to neutral

PIP flexion and extension

A

PIP Flexion and extension to neutral

111
Q

True or False :
Dynamic extension orthosis can be used during the day (be cautious not to cause any lateral stress while wearing the orthosis or during exercise) ADLs with splint on

A

True

112
Q

total wrist arthrodesis should be fused at what degree and position?

10-20, flexion

10-20, extension

20-30, flexion

A

10-20 extension

113
Q

The role of OT in orthopedics is? select all.

Decreased ROM
Wound care
Decrease pain
Increase strength

A

Wound care
Decrease pain
Increase strength

114
Q

When splinting it is important to consider the metacarpal heads being higher on the ___side vs the ___side

A

Radial, ulnar

115
Q

For the distan end of the orthosis is is important to not BLOCK what?

A

Thenar eminence or distal palmar crease

116
Q

What is this position considered?

A

Safe position

117
Q

The safe position is when the wrist is in ___, MCP_____ IP ____ and thumb____

A

wrist extension, MCP flexion IP extension and thumb opposition

118
Q

This position is called?

A

Functional hand position

119
Q

The functional hand position is when the wrist is in slight___, slight MCP and IP ____and the thumb is in ____

A

slight wrist extension, slight MCP and IP flexion and the thumb is in palmar abduction/opposition

120
Q

which type of orthosis is common for radial nerve palsy?

A

Dynamic extension

121
Q

What type of orthosis allows a patient to return to writing?

Tripod grasp orthosis

Anticlaw orthosis

Anti flexion orthosis

A

anticlaw

122
Q

What type of sling is this to help with distal support?

A

GivMohr

123
Q

A counter force strap is used to limit muscle contractions of the ___extensors and used for _____epicondylitis

Wrist, Medial

Wrist, Lateral

Forearm, medial

A

wrist, lateral

124
Q

This type of splint is used to immobilize the wrist. It is called?

A

Volar wrist immobilization splint

125
Q

This splints purpose is used for DeQuervains

A

long opponens orthosis

126
Q

This orthosis keeps your hand in what position?

A

intrinsic plus (safe)

127
Q

If your client comes in with a repaired flexor tendon…the best splint to use would be?

Forearm based metacarpophalangeal

dorsal blocking

proximal interpherangeal

A

dorsal blocking

128
Q

What type of splint is this?

A

oval 8

129
Q

Formed by the trochlea and the trochlear notch of the humerus

ulnohumeral

Radiohumeral

Proximal Radioulnar

A

Ulnohumeral Joint

130
Q

Formed by the radial head and the capitulum

A

ulnohumeral

Proximal Radioulnar

Radiohumeral

131
Q

Formed by the radial head and the radial notch of the ulna

A

ulnohumeral

Proximal Radioulnar

Radiohumeral

132
Q

Weakness of power grip
* Positive Tinel’s Sign
* Positive Froment’s Sign
* Positive Wartenberg’s Sign

Are signs of what?

A

Cubital tunnel syndrom

133
Q

This sign is called??

  • Positive Tinel’s Sign
  • Positive Froment’s Sign
  • Positive Wartenberg’s Sign
A

Froment’s

134
Q

What sign is this?
* Positive Tinel’s Sign
* Positive Froment’s Sign
* Positive Wartenberg’s Sign

A

wartenberg

135
Q

Match the week to the post op treatment

A. 6 Weeks
B. 2 Weeks
C.3 Weeks

  1. Long arm splint and AROM of elbow forearm and wrist (avoid supination for intramuscular and submuscular transpositions)

2.PROM and strengthening

3.Unrestricted AROM

A

2 wks post op: Long arm splint and AROM of elbow forearm and wrist (avoid supination for intramuscular and submuscular transpositions

3wkspostop: Unrestricted AROM

6 wks post op: PROM and strengthening

136
Q

Tendinopothy, also known as tennis elbow, is a repetitive microtrauma of the?

FCR

ECRB

ECR

A

ECRB

137
Q

Time frames are always guided by?

OT

PT

PCP

Surgeon

A

surgeon

138
Q

Golfers elbow is also known as?

A

Medial epicondylitis

139
Q

A client has a fall directly on
elbow with forearm pronated. What type of fracture do they most likely have?

Ulnar head fracture

Radial head fracture

Radioulnar head fracture

A

Radial head

140
Q

Major complication of elbow fractures are all BUT ?

Elbow flexion contractures

Heterotopic Ossifications

Olecranon fracture

Complex regional pain syndrome

A

olecranon fracture

141
Q

F or F. Begin with PROM of the elbow and near by joints. DO NOT start with AROM

A

FALSEEEEE

begin with AROM of elbow and near by joints

142
Q

Edema management includes? select all

elevation

cold packs

Hot packs

massage(gentle)

Tight compression wraps
(tubi grip)

A

elevation

cold packs

massage(gentle)

light compression wraps
(tubi grip)

143
Q

T or F:
OT intervention would include making an elbow orthosis

A

True

144
Q

T or F : the MAIN goal is to produce PROM for an elbow injury

A

FALSE AROM

145
Q

Function of the wrist is very strongly linked to the function of?

A

the hand

146
Q

The most common type of fracture is?

Ulnar radial fracture

Distal Radial fracture

A

distal radial FOOSH

147
Q

When is OT typically done on a non op patient?

week ?

1
2
3
4
6

A

4

148
Q

true or false
Splinting is not a defense an OT should do for a nonop distal radius fracture patient

A

FALSE it is. Access mobility of the forearm wrist and hadnd

149
Q

True or False

If a patient doesnt have surgery of a DRF, pronation and flexion are limited and difficult.

A

false

extension and supination!

150
Q

A DRF non op can cause?

Stiff hands

Decreased poor grip

Finger flexion

A

decreased poor grip

151
Q

Visually we will see an active _____ lag and collapse into _____ when attempting a fist

extension;flexion

flexion;extension

A

extension;flexion

152
Q

True or False

Ulnar side pain due to the styloid will persist, worsen and go away

A

true

153
Q

OT Treatment week 4-8 includes all BUT

Educating to not use hand

Explain fracture feeling

Tell them to use their hand

A

educating to not use their hand

154
Q

T or False continuing to reinforce use of the the wrist and hand MOST important?

A

TRUE

155
Q

True or False

Early focus should be learning to isolate wrist Flexors (perform wrist extension while maintaining gentle fist)

A

FALSE

Early focus should be learning to isolate wrist extensors (perform wrist extension while maintaining gentle fist)

156
Q

What type of progressive splinting is best?

Static or Dynamic

A

Static

157
Q

T or F
Week 12 of non op management includes no restrictions but as tolerated with pain

A

T

158
Q

It takes up to _____ to achieve full potential, regardless of injury

3 years

2 years

1 year

6 months

A

1 year

159
Q

Scaphoid fractures are difficult due to mainly?

A

blood supply to heal

160
Q

If youre making a splint for a scaphoid injury do you include the thumb?

A

yes

161
Q

which bone is the most common fractured in the hand?

A

scaphoid

162
Q

SL tear, left untreated leads to?

A

SLAC

163
Q

Which ligaments are color coated for an SL tear?

A

dorsal, proximal and volar

164
Q

what injury is this?

A

Scapholunate ligament tear

165
Q

SL TEAR most important is to protect the integrity or reach full mobility?

A

integrity

166
Q

With an SL tear, what test would you preform to see the injury?

CT scan, open hand

Xray, clenched fist

MRI clenched fist

A

xray, clenched fist

167
Q

True or False
Must consider indication for surgery as a salvage procedure with primary goal to gain full functionality

A

false

Must consider indication for surgery as a. salvage procedure with primary goal to alleviate pain

168
Q

Goal is to ______________with some expected limitations long term (expected return of ~50% motion and strength)

A

restore functional mobility and strength for basic use

169
Q

Name the four rotator cuff muscles

A

Supraspinatus:
* Infraspinatus
* Teres minor
* Subscapularis

170
Q

Match the rotator cuff muscle with the function

Subscapularis
Teres Minor
Supraspinatus
Infraspinatus

internal rotation
external rotation
shoulder elevation or abduction in the scapular plane
external rotation

A

Supraspinatus: shoulder elevation or abduction in the scapular plane
Infraspinatus:
Teres minor: external rotation
Subscapularis:

internal rotation
external rotation
shoulder elevation or abduction in the scapular plane
external rotation

171
Q

Which rotator cuff is most injured ?

A

Supraspinatus

172
Q

Isometrics are contradictions, do not preform them on this type of patient

A

Cardiac

173
Q

When assessing a patient with a shoulder injury we look for all of the following BUT

Posture
Scapula Symmetry
Size of scapulas
Incision/Scar
Atrophy

A

Size of scapulas

174
Q

While assessing a shoulder using scapula symmetry, the most important movement is?

Adduction and upward rotation

Abduction and internal rotation

Abduction and upward rotation

A

abduction and upward rotation

175
Q

For shoulder pain, what sleeping position would be MOST ideal to recommend ?

A

Back with pillow on the knee

176
Q

Select the BEST functional assessment for shoulder injuries. HINT: insurance usually requires it

American Shoulder and Elbow Surgeons Self Report
(ASES)

Penn Shoulder Score (PSS)

Shoulder Disability Questionnaire (SDQ)

Disabilities of Arm, Shoulder, and Hand (DASH)

Shoulder Pain and Disability Index (SPDI)

A

DASH

177
Q

Functional movements to assess are all BUT

Raise your arm above your head

Reach behind your head

Reach to your upper of back

Reach to opposite axilla

A

Reach to uppers, its LOWER

178
Q

Your client is having trouble with fwd flexion, placing a ___pack may help when trying to do this during PROM

Hot

Cold

A

hot

179
Q

What type of test is this? Forced forward flexion with IR.

What positive sign?

What muscle?

A

Impingement sign/neer

face will express pain

over use of supraspinatus or long head of the biceps

180
Q

What test is this?

Shoulder and elbow flexed to 90 degrees followed by forced internal rotation.

positive sign

muscle

A

Hawkins kennedy

Positive sign is the patient will express pain.

Indicates overuse of the supraspinatus and/or the long head of the bicep

181
Q

what test is this?

Abduct shoulder to 90 degrees, then have the patient slowly lower the arm to the side.

positive sign

muscle

A

Drop arm- to assess a tear

Positive sign is patient’s arm will drop to side.

Indicates a
tear of the rotator cuff

182
Q

What test is this?

Shoulder elevation and internal rotation followed by resistance to elevation.

Positive sign

Muscle

A

Empty Can

Positive sign is weakness or pain.

Indicates a large or massive tear in the supraspinatus tendon

183
Q

Shoulder flexed to 90 degrees, forearm supinated and elbow extended.Resistance is applied to flexion.

Positive sign

Muscle

A

Biceps Speeds

Positive sign is pain over the biceps groove.

Indicates biceps tendinitis

184
Q

Name 3 conservative techniques for treatment of shoulder injuries

A

Activity modification
Educate in sleeping postures
Decrease pain
Restore pain free ROM
Strengthening (below shoulder level) Occupation and Role specific training

185
Q

T or F
Protocols will vary depending on surgeon, size of repair, type of repair/tension and quality of tissue.

A

True

186
Q
A

AOP Adults II (2 decks)

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