ASSTECH: 1st Shifting Flashcards
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
B. Hand piece height is beyond ulnar styloid process
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
B. 3 one point gait pattern
An appropriate gait pattern for patient with 0% weight bearing status on the affected leg is:
3 point gait pattern
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
B. Drop on both knees then hands
C. drop on both hands first then knees
Was accepted by ma’am archelle
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
D. move both cructhes with bad leg first
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
B. Axillary artery and radial nerve
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
B. it improves patient’s stability
This type of walker allows a natural gait pattern.
A. Foldable walker
B. Reciprocal walker
C. Stair Climbing walker
D. Rolling walker
B. Reciprocal walker
Too long crutches may cause
A. Trunk extension
B. Trunk flexion
A. Trunk extension
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
A. allows greater mobility
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
D. all of the above
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
B. difficult to use in narrowed areas
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
C. demonstrate exercise after introducing AD to be used
“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?”
Supine, axilla to 6-8” lateral to toes
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?
Parallel bars
A patient diagnosed with Rheumatoid arthritis is referred for ambulation training outside parallel bars. Which of the following AD is appropriate for this patient?
Forearm platform crutches
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
C. AD descends first
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
Walker, rollator
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
C. enough space should be observed between the hips and bars
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
D. all of the above
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
b. Use of a power wheelchair
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
c. Standard or mid back rest
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
c. Lift the front casters and ascent in a wheelie position
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”
a. “light weight wheelchair, removable armrests, removable elevating leg rests”
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
b. Increasing the chair backrest-seat angle to between 90 and 85
degrees
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
b. Negotiation of uneven terrain with a manual wheelchair
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
b. A 17.5-inch seat height
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.
b. Tilt-in-space wheelchair with a pelvic belt.
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
a. A rigid frame
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
c. manual wheelchair with friction surface handrims
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
d. A pommel to keep hips abducted
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
c. Contoured foam seat
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?
Hill-holder device
