ASSTECH: 1st Shifting

Question 1

A patient was observed to have an ill-fitted BAC. Which of the following is the cause of the deviation?
A. Elbow is about 20º flexion
B. Hand piece height is beyond ulnar styloid process
C. There is at least 2 finger breadth in between axilla and axillary bar
D. Rubber tips are thick

Answer 1

B. Hand piece height is beyond ulnar styloid process

Question 2

A patient who is PWB on R leg was taught ambulation training using walker. Which gait pattern is suited initially for this patient?
A. 2 point gait pattern
B. 3 one point gait pattern
C. 3 point one gait pattern
D. 3 point gait pattern

Answer 2

B. 3 one point gait pattern

Question 3

An appropriate gait pattern for patient with 0% weight bearing status on the affected leg is:

Answer 3

3 point gait pattern

Question 4

Patient is about to lose his balance during ambulation using BAC. Which of the following is a correct technique to avoid injury?
A. move both BAC inwards
B. drop on both knees then hands
C. drop on both hands first then knees
D. roll on the weaker side

Answer 4

B. Drop on both knees then hands

C. drop on both hands first then knees
Was accepted by ma’am archelle

Question 5

Patient who is NWB on R leg is taught initially with a 3 point gait pattern. Which describes a correct instruction?
A. step the R leg first
B. move the L crutch first
C. move both crutches with good leg first
D. move both cructhes with bad leg first

Answer 5

D. move both cructhes with bad leg first

Question 6

Prolonged leaning in the axillary bar causes damage to what stucture?
A. Brachial plexus
B. Axillary artery and radial nerve
C. Ulnar nerve
D. Median nerve

Answer 6

B. Axillary artery and radial nerve

Question 7

The following is TRUE about the primary purpose of an assistive device:
A. increases weight bearing on the affected LE
B. it improves patient’s stability
C. it improves patient’s dependence
D. all of the above

Answer 7

B. it improves patient’s stability

Question 8

This type of walker allows a natural gait pattern.
A. Foldable walker
B. Reciprocal walker
C. Stair Climbing walker
D. Rolling walker

Answer 8

B. Reciprocal walker

Question 9

Too long crutches may cause
A. Trunk extension
B. Trunk flexion

Answer 9

A. Trunk extension

Question 10

Which of the following is an indication of a lofstrand crutch?
A. allows greater mobility
B. allows greater stability
C. removes weight bearing on both wrists
D. all of the above

Answer 10

A. allows greater mobility

Question 11

Which of the following AD is/are useful for stair climbing activities?
A. Walker with adjustable legs
B. Crutches
C. Cane
D. all of the above

Answer 11

D. all of the above

Question 12

Which of the following is a DISADVANTAGE of using a walker?
A. difficult to use on unleveled surface
B. difficult to use in narrowed areas
C. increase ambulation speed
D. none of the above

Answer 12

B. difficult to use in narrowed areas

Question 13

Which of the following should be observed prior to gait training?
A. check patient’s sensation
B. secure guard belt making sure its at the level of the upper thoracic region
C. demonstrate exercise after introducing AD to be used
D. none of the above

Answer 13

C. demonstrate exercise after introducing AD to be used

Question 14

“A patient S/P 2 days R Total hip replacement is prescribed with BAC for gait training. At present, patient is weak and could not tolerate to stand and is not allowed to sit with hips more than 90 deg flexed. Which of the following is an appropriate technique to estimate BAC height?”

Answer 14

Supine, axilla to 6-8” lateral to toes

Question 15

A patient S/P R Hip Replacement is referred for physical therapy for initial weight bearing training.Which of the following AD is appropriate to use based on pt’s condition?

Answer 15

Parallel bars

Question 16

A patient diagnosed with Rheumatoid arthritis is referred for ambulation training outside parallel bars. Which of the following AD is appropriate for this patient?

Answer 16

Forearm platform crutches

Question 17

A patient is taught to descend stairs for the first time. The following are standard techniques to be observed during training:
A. PT is posterolateral to patient’s weak side
B. AD descended last
C. AD descended first
D. Bad leg descended first

Answer 17

C. AD descends first

Question 18

A patient diagnosed with ParkinsonÕs Disease has difficulty initiating movement particularly walking. UE grade is 2/5. He underwent gait training inside parallel bars and is a candidate for exercise progression. Which AD is appropriate for the patient based from his present status?
A. Parallel bars
B. Walker, rollator
C. Walker, standard
D. Lofstrand

Answer 18

Walker, rollator

Question 19

To determine appropriate fit of parallel bars, which of the following should be considered?
A. elbow flexion should be less than 20° but not more than 40°
B. grab piece should be at the level of the trochanter, lesser part
C. enough space should be observed between the hips and bars
D. all of the above

Answer 19

C. enough space should be observed between the hips and bars

Question 20

A patient is being prescribed with BAC. Which of the following factors should you consider to check whether a patient is a good candidate for crutch use?
A. Pt’s vision
B. Living environment
C. Current functional abilities
D. all of the above

Answer 20

D. all of the above

Question 21

A 27-year-old man suffered C3 quadriplegia in a motor vehicle accident. The injury is acute, and the patient is beginning to work on increasing upright tolerance in the sitting position with an abdominal binder. The therapist is attempting to convey realistic long-term goals for self-care ability and overall mobility. What can this patient reasonably expect at his highest level of function in the future?
a. Transfer from wheelchair to bed independently with a sliding board
b. Use of a power wheelchair
c. Ambulation using standard walker
d. Parallel bar exercises

Answer 21

b. Use of a power wheelchair

Question 22

A PT has to order a wheelchair for a patient with a T9-10 spinal cord injury with fair to good trunk stability. In order to maximize function, the wheelchair prescription should include:
a. A high back rest
b. Swing-away footrest
c. Standard or mid back rest
d. Non-Removable armrest

Answer 22

c. Standard or mid back rest

Question 23

A patient with a spinal cord injury at the level of T1 (ASIA A) is in the community phase of mobility training. In order for the patient to navigate a 4-inch-height curb with the wheelchair, the therapist tells the patient to
a. Descend backward with the trunk upright and arms holed around the push handles
b. Ascend backward with the large wheels first
c. Lift the front casters and ascent in a wheelie position
d. Place the front casters down first during descent

Answer 23

c. Lift the front casters and ascent in a wheelie position

Question 24

A physical therapist performs a wheelchair evaluation for a patient with multiple sclerosis. The patient recently fell while ambulating and sustained a fracture of the right tibia. Since the patient is presently unable to bear weight through the involved extremity, the patient has difficulty transferring from a chair to a bed. Which of the following wheelchair prescriptions is most appropriate for the patient?
a. “light weight wheelchair, removable armrests, removable elevating leg rests”
b. “light weight wheelchair, removable armrests, nonremovable leg rests”
c. “light weight wheelchair, nonremovable armrests, removable elevating leg rests”
d. “standard wheelchair, nonremovable armrests, and leg rests”

Answer 24

a. “light weight wheelchair, removable armrests, removable elevating leg rests”

Question 25

With respect to a patient’s sitting posture, the greatest reduction in lumbar spine compression forces would be achieved by:
a. Using a 2-inch gel seat cushion
b. Increasing the chair backrest-seat angle to between 90 and 85
degrees
c. Eliminating armrests on the chair
d. Decreasing the chair backrest-seat angle to 85 degrees

Answer 25

b. Increasing the chair backrest-seat angle to between 90 and 85
degrees

Question 26

A 17-year-old boy presents to therapy after being involved in a motor vehicle accident resulting in C8 quadriplegia. Which of the following goals represents the most reasonable and highest level of function that the patient should achieve?
a. Use of a wheelchair with power hand controls on even terrain
b. Negotiation of uneven terrain with a manual wheelchair
c. Ambulation for short distances on level surfaces with knee-ankle-foot
orthoses and axillary crutches
d. Use of a power wheelchair with head or chin controls on even
surfaces

Answer 26

b. Negotiation of uneven terrain with a manual wheelchair

Question 27

A PT is prescribing wheelchair for a patient with left hemiplegia who is of average height (5 feet 7 inches). The MOST beneficial feature to include in this prescription is:
a. Desk armrests
b. A 17.5-inch seat height
c. A 20-inch seat height
d. Elevating legrests

Answer 27

b. A 17.5-inch seat height

Question 28

A patient with a 10-year history of MS demonstrates 3+ extensor tone in both lower extremities. The therapist needs to order a wheelchair sa shopee. It would be BEST to recommend a:
a. Standard wheelchair with a 30-degree reclining back.
b. Tilt-in-space wheelchair with a pelvic belt.
c. Electric wheelchair with toe loops.
d. Standard wheelchair with elevating legrests.

Answer 28

b. Tilt-in-space wheelchair with a pelvic belt.

Question 29

A patient with paraplegia at the T10 level wants to participate in wheelchair basketball. An option that should be considered in ordering a wheelchair for this patient is:
a. A rigid frame
b. “Hard, heay rubber tires”
c. A mid scapular seat back
d. A folding frame

Answer 29

a. A rigid frame

Question 30

A Physical therapist orders a wheelchair for a patient with C7 complete tetraplegia. Which of the following wheelchairs would be the most appropriate for the patient?
a. electric wheelchair with chin controls
b. manual wheelchair with handrim projections
c. manual wheelchair with friction surface handrims
d. manual wheelchair with standard handrims

Answer 30

c. manual wheelchair with friction surface handrims

Question 31

An adaptive wheelchair for a child with moderate spastic quadriplegic cerebral palsy would include:
a. Lateral pads on the seat to keep his adducted
b. Movable seat back to allow for extension of the hips and trunk
c. Movable footrests to allow ankles to plantarflex
d. A pommel to keep hips abducted

Answer 31

d. A pommel to keep hips abducted

Question 32

An adolescent with developmental disabilities is referred to a wheelchair clinic for a new wheelchair. The patient presents with a severe kyphoscoliosis. The therapist determines the BEST wheelchair modification to order is a:
a. Sling seat with dense foam cushion
b. Firm seat back with lateral posture supports and longer seat depth than standard measurement accdg to his size.
c. Contoured foam seat
d. Firm seat with lateral knee positioner

Answer 32

c. Contoured foam seat

Question 33

During environmental assessment, you noticed that your patients house is has a very long, steep ramp. Which w/c attachment should you add to maximized independence on w/c use?

Answer 33

Hill-holder device