Final Flashcards

1
Q

What is the main purpose of the Pharyngeal stage during swallowing?

Bolus formation
Bolus propulsion
Airway protection
Food from throat to stomach

A

Airway protection

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2
Q

The following are reasons a patient may pocket food EXCEPT?

Body neglect
Decreased sensation
Poor ROM or strength of tongue
Lip closure

A

Lip closure

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3
Q

You have a patient with a Right CVA and they have pocketing issues. Which direct intervention would help decrease pocketing?

Head tilt to left side
Head tilt to right side
Head turn to left side
Head turn to right side

A

Head tilt to right side

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4
Q

The following are indirect intervention for dysphagia EXCEPT:

Arousal/inattention
Oral motor exercises
Chin tuck
Facilitation of swallowing reflex

A

Facilitation of swallowing reflex

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5
Q

During your interview, the patient reported difficulty reading (skipping lines), has difficulty following moving objects, and letters jump around on the page. Which of the following visual issues does the person most likely have?

Binocular vision
Visual fields
Accomodation
Ocular motility

A

Ocular motility

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6
Q

When shifting your view from the horizon (far) to your laptop, which vision skill is required for this task?

divergence
convergence
saccades
pursuits

A

convergence

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7
Q

You are referred a patient with diploplia, which would be the best compensation intervention?

Partial occlusion of one eye
Patching of one eye
Close one eye
Refer to surgical management

A

Partial occlusion of one eye

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8
Q

You evaluate a patient who had a left CVA and your notice them bumping into items on the right side. Which of the following visual skills is most likely affected?

convergence
visual fields
acuity
fixation

A

visual fields

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9
Q

The following interventions for visual fields would be appropriate EXCEPT:

scanning
Head turns
Partial occlusion of one eye
Line guides for reading

A

Partial occlusion of one eye

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10
Q

You place numbered post-its on both walls in the hallway (at different heights). You instruct the patient to walk down the hallway and search/call out the numbers with minimal head movement. Which visual skill are you training?

saccades
visual field loss
pursuits
visual acuity

A

saccades

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11
Q

ou have a patient play a video game whereby the patient has to follow a moving target without head movement. The patient is working on the following?

saccades
pursuits
fixation
divergence

A

pursuits

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12
Q

The following are the functions of the pelvic floor EXCEPT

Stability and support of internal organs
Elimination
Force absorption and circulation
Protect body from outside

A

Protect body from outside

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13
Q

A client who has difficulty with urinating and is also painful has which of the following?

Hypotonic pelvic floor
Mixed tone pelvic floor
Hypertonic pelvic floor
Normal tone

A

Hypertonic pelvic floor

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14
Q

You are working with a female client who has localized pelvic muscle pain. Which of the following devices would you use for treatment?

OhNut
Pelvic wand
Dilators
Lubricant with dilators

A

Pelvic wand

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15
Q

A hypotonic pelvic floor would have the following symptom?

Difficult to urinate
Constipation
Pain during sex
Painful bowel movement

A

Pain during sex

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16
Q

You are seeing a patient who has difficulty initiating speech, struggles to get words out, and speaks in short utterances. This patient most likely has which language disorder?

Broca’s aphasia
Dysarthria
Wernicke’s aphasia
Anomia

A

Broca’s aphasia

17
Q

You are treating a patient with fluent language; however, the speech lacks content and is empty in meaning. The patient most likely which speech disorder?

Broca’s aphsia
Global aphasia
Wernicke’s aphaisa
Dysarthria

A

Wernicke’s aphaisa

18
Q

______________ is a collective group of neurologic speech disorders due to decreased muscle control, strength, or coordination.

Anomia
Aphasia
Dysarthria
Cognitive-communicative disorders

A

Dysarthria

19
Q

Which of the following strategies would help when working with a patient with language issues?

Speak loudly and slowly
Use multiple modalities to enhance communication
Only use assistive technology
Do nothing until you speak to Speech therapy

A

Use multiple modalities to enhance communication

20
Q

You are observing a patient who had a severe TBI and you notice that the patient responds to all stimuli in the same manner. What level of cognitive function is this patient?

Localized response
No response
Generalized response
Confused & Agitated

A

Generalized response

21
Q

You have a patient that fluctuates from localized to generalized Rancho Los Amigos levels of cognitive functioning. What would be the best treatment approach for this patient?

Provide structure and maximal verbal cues for ADLs
Hand over hand for washing face and putting on lotion
Positioning, pressure relief, PROM, as they are too low level for any other treatment
None of the above

A

Hand over hand for washing face and putting on lotion

22
Q

You have a patient who had a TBI who is confused and agitated. The following are appropriate treatment approaches EXCEPT:

Repetitive task practice until they are able to do the task
Familiar gross movements that are calming
Be prepared to change activities
Educate family members on the stages of recovery

A

Repetitive task practice until they are able to do the task

23
Q

You are working with a patient who had a TBI and he requires mod assist for organization and continuation of task, however, able to perform with structure and routine. Which level of cognitive functioning is this patient?

Localized response
Confused & appropriate
Automatic & appropriate
Purposeful & appropriate

A

Confused & appropriate

24
Q

The following are goals for OT and concussion EXCEPT:

Completely get rid of symptoms
Provide compensatory strategies and remediation to decrease symptoms
Have client return to everyday function at highest possible level
Improve visual, eye hand coordination and reading skills

A

Have client return to everyday function at highest possible level

25
An OT is working with a patient recovering from a TBI and evaluated at Level VII (Automatic & Appropriate) on the Ranchos, who lives in a transitional living center. Which would be the most important to focus on with this client? Allow for safe movements Strategies to accurately and safety complete IADL with min assistance Stategies to accurately and safely comple BADL with moderate assistance Strategies to accurately and safely complete IADL with maximal assistanceAn OT is working with a patient recovering from a TBI and evaluated at Level VII (Automatic & Appropriate) on the Ranchos, who lives in a transitional living center. Which would be the most important to focus on with this client? Allow for safe movements Strategies to accurately and safety complete IADL with min assistance Stategies to accurately and safely comple BADL with moderate assistance Strategies to accurately and safely complete IADL with maximal assistance
Stategies to accurately and safely comple BADL with moderate assistance
26
T or F: After a concussion, a clients threshold for overstimulation is higher.
true
27
You are working with a client to use the subway again after their concussion, in oder to get to work. The following would be appropriate treatment interventions EXCEPT: Start with going at times with less crowds Be aware of symptoms and provide strategies to decreased them Practice getting in the subway and going short distances first Go at rush hour to increase habituation to task
Go at rush hour to increase habituation to task