Final Exam Tips & Question Flashcards
Maria, a 30 year-old woman, recently arrived in the United States as a refugee from Venezuela. She now works in a warehouse, which involves heavy lifting and repetitive motions. Maria has been experiencing chronic lower back pain for several months, exacerbated by her new job. During her OT visit, the therapist decides to use hot packs as part of her therapy to relieve muscle tension and improve flexibility.
What measures should the OT take to ensure safety and proper use of hot packs?
A. Always check skin before, during if possible and after.
B. Know that there should be 6-8 layers of towels between skin and the hotpack
C. Hotpack on for 25-30 min
D. Both A & B
D. Both A & B
- Safety: Always check skin before, during if possible and after.
- Know that there should be 6-8 layers of towels between skin and the hotpack
- Hot pack on for 15-20 minutes
Indications for Hot Packs: What are the primary benefits of using hot packs in Maria’s treatment plan? (Select two benefits)
a. They are effective for increasing tissue extensibility, and a preparatory intervention prior to ROM which can help improve Maria’s range of motion (ROM) and flexibility.
b. They can decrease pain and muscle spasms, making it easier for Maria to engage in purposeful and occupation-based activities.
c. They reduce inflammation and swelling in the affected area.
d. They provide a long-lasting cooling effect that helps to numb the pain.
Correct A and B
Indication: Hot Packs great for increasing tissue extensibility. Used as a preparatory intervention prior to ROM and purposeful and occupation based activities. Also decreases pain and spasms
Before proceeding with Maria preparatory intervention, the therapist reviews the contraindications for using hot packs.Which of the following are contraindications for using hot packs? (Select all that apply)
a. Multiple Sclerosis (MS), because extreme heat can cause a temporary exacerbation.
b. Sensory impairments, as the patient may not be able to feel excessive heat, increasing the risk of burns.
c. Post-surgical patients, as heat can affect the healing process.
d. Infections, because heat can worsen the infection and spread it further.
e. Acute injuries and acute flare-ups of Rheumatoid Arthritis (RA), since heat can exacerbate inflammation.
f. High blood pressure, as hot packs can significantly increase blood pressure levels.
Correct answers: a, b, c, d, e
Ronelle, a 23 year old women has elbow joint stiffness and you want to increase extensibility, what would be an effective physical agent modality to select for the patient prior to ROM.
A. Cold Pack
B. Paraffin
C. Hot Pack
D. NMES
Answer: Hot Pack
- Cold pack and NMES does not increase extensibility, paraffin would not be used on the elbow*
Your patient complains of numbness and tingling in the thumb, index, middle fingers and radial half of ring finger. They also report weakness of thumb opposition and grip. Which intervention would be most effective to address the patients concerns?
A. Coldpack
B. hot pack
C. wrist orthosis
Answer: Wrist orthosis, all the other answers are a contraindication due to sensory impairment
Armando, a 30-year-old veterinarian has recently undergone surgery to repair a torn ligament in his knee. Post-surgery, he has been experiencing pain and swelling in the affected area. His OT has decided to use cold packs as part of his treatment to manage these symptoms.
Safety Procedures: Which of the following safety procedures should the therapist follow when using cold packs on Armando? (Select all that apply)
a. Always check Armando’s skin before, during if possible, and after applying the cold pack.
b. Apply a dry or wet towel between Armando’s skin and the cold pack.
c. Ensure the cold pack is on for at least 30 minutes for maximum effectiveness.
A and B
Armando, a 20-year-old drag racer has recently undergone surgery to repair a torn ligament in his knee. Post-surgery, he has been experiencing pain and swelling in the affected area. His OT has decided to use cold packs as part of his treatment to manage these symptoms.
indications for Cold Packs: What are the primary benefits of using cold packs in Armando’s treatment plan? (Select all that apply)
a. Decreases pain.
b. Decreases swelling.
c. Increases tissue extensibility.
d. Used to treat acute injuries and post-surgical repairs
A,B,D
Contraindications for Cold Packs: Which of the following are contraindications for using cold packs on Armando ? (Select all that apply)
a. Impaired sensation.
b. Impaired circulation.
c. Recent nerve regeneration.
d. Deep Vein Thrombosis (DVT).
e. Thrombophlebitis.
Correct answers: a, b, c, d, e
What steps would you take to ensure Armando’s cold pack technique is done appropriately? (Select all that apply)
A. Apply a dry or wet towel between Armando’s skin and the cold pack.
B. Ensure the cold pack is on for 10-15 minutes.
C. Apply the cold pack directly to the skin without any barrier
Correct answer: A , B
COLD PACK QUE on exam:
Shirley is a patient with s/p (Status post) reverse total shoulder replacement x 2 days ago. You plan to work with the patient on ADLs, but they are reporting 6/10 pain level. What physical agent modality would you provide?
A. Hot pack
B. TENs
C. Cold Pack
D. biofeedback
Answer: Cold Pack best for post-surgical pts and pain. This patient has both.
What PAMs (Physical Agent Modalities) would you do for a radial nerve Palsy?
- HP (Hot Packs)
- CP (Cold Packs)
- US (Ultrasound)
- NMES (Neuromuscular Electrical Stimulation)
Casey, a 24-year-old woman, has been experiencing chronic hand pain and stiffness due to rheumatoid arthritis. She visits her OT for treatment. The therapist decides to use paraffin therapy to help manage Casey’s symptoms.
Safety Procedures: Which of the following safety procedures should the therapist follow when using paraffin therapy on Casey? (Select all that apply)
a. Always check Casey’s skin before, during if possible, and after the paraffin treatment.
b. Ensure the paraffin temperature is between 100-110 degrees Fahrenheit.
c. Ensure the paraffin temperature is between 120-130 degrees Fahrenheit.
Correct answers: a, c
Casey, a 24-year-old woman, has been experiencing chronic hand pain and stiffness due to rheumatoid arthritis. She visits her occupational therapist for treatment. The therapist decides to use paraffin therapy to help manage Casey’s symptoms.
Indications for Paraffin: What are the primary benefits of using paraffin therapy in Casey’s treatment plan? (Select all that apply)
a. Increases extensibility of hands.
b. Decreases pain.
c. Moisturizes skin.
d. Scar management.
Correct answers: a, b, c, d
Application Methods: Which method of paraffin application is the most common and appropriate for therapeutic effects? (Select one)
a. Dip Method
b. Immersion Method
c. Paint-on Method
Correct answer: a
Application: Dip Method, Immersion Method and pant on method: most common is dip method (5-10 times for therapeutic effects then wrap in plastic wrap and then towel)
Casey, a 24-year-old woman, has been experiencing chronic hand pain and stiffness due to rheumatoid arthritis. She visits her occupational therapist for treatment. The therapist decides to use paraffin therapy to help manage Casey’s symptoms.
Contraindications for Paraffin: Which of the following are contraindications for using paraffin therapy on Casey? (Select all that apply)
a. Open wounds.
b. Sensory impairment.
c. Infection.
d. Rheumatoid arthritis.
Contraindications for Paraffin:
Correct answers: a, b, c
Question about Paraffin on the exam:
You receive an order for a patient dx with an acute flare up of RA to receive paraffin treatments 2 x wk for 3 weeks. What is the best approach to address the order.
A. Provide paraffin treatments as per order, educate patient in a home program to do paraffin treatments, provide paraffin but wrap in hot pack to seal in heat, or don’t provide paraffin tx and contact MD
B. Don’t provide paraffin tx and contact MD: two reasons we would not do paraffin-1)its contraindicated for a patient with a flare up and2) paraffin should never be the used as the only intervention.
C. Call the MD and Nurse
Answer: Don’t provide paraffin tx and contact MD: two reasons we would not do paraffin-1)its contraindicated for a patient with a flare up and2) paraffin should never be the used as the only intervention
Question on PAMs
Which one of the following should not be used as a therapeutic intervention during an acute flare up of RA?
A. Compression
B. AROM
C. Hot Pack
D. Resting Hand Orthosis
C. Hot Pack
Question on PAMs:
Shirley is a patient diagnosed with Type II Diabetes. 3 months ago she has developed a frozen shoulder. What PAMs would be most effective to address the patient’s diagnosis?
A. Hot Pack
B. Cold Pack
C. Continuous US
D. Pulsed US
C. Continuous US
Psychosocial Question:
True or False: A person with a cardiac history often experience depression.
True
Denial, anger, depression & acceptance are stages of the Psychosocial Adjustment Model. Don’t pick a part the denial. Anger can be massive. It can last long. They have to go through these stages to get to acceptance.
True or False:
Screening for substance abuse then if appropriate then a SUD assessment
True
True or False: The disability movement works on strengths and reaching their goals?
True
True or False:
Substance abuse (using pain meds) is common when treating someone with a physical disability.
True
True or False: The Beck Depression Scale is a tool used to measure the severity of depression in individuals.
a. True
b. False
a. True
Know neuroma:
A question on Nerve repair might be:
Jestina is a patient with s/p median nerve repair. The patient has significant scar tissue that has formed. The patient has significant nerve pain and is hypersensitive that interferes with daily activities and sleep.
What is most likely the cause of the patient’s complaints?
A. Wrist contracture
B. Neuroma
C. Overuse of hand
D. Ruptured nerve
B. Neuroma
Shelby, a 23-year-old female, has undergone nerve repair surgery on her right hand following an injury. She has been experiencing hypersensitivity in the affected area, which interferes with her daily activities. Her OT has recommended a desensitization program to help decrease the hypersensitivity.
Regarding the desensitization program for Shelby’s, answer the following questions:
Desensitization Program Frequency: How often should Shelby perform the desensitization exercises?
a. 1-2 times daily
b. 2-3 times daily
c. 4-5 times daily
d. 6-7 times daily
c. 4-5 times daily
Shelby, a 23-year-old female, has undergone nerve repair surgery on her right hand following an injury. She has been experiencing hypersensitivity in the affected area, which interferes with her daily activities. Her occupational therapist has recommended a desensitization program to help decrease the hypersensitivity.
Regarding the desensitization program for Shelby’s, answer the following questions:
Desensitization Technique: Where should Shelby start applying tactile sensation during her desensitization exercises?
a. Directly on the main hypersensitive area
b. On the unaffected hand
c. In the periphery and then work towards the main hypersensitive area
d. On the closest joint to the injury
Desensitization Technique:
Correct answer: c
Shelby, a 23-year-old female, has undergone nerve repair surgery on her right hand following an injury. She has been experiencing hypersensitivity in the affected area, which interferes with her daily activities. Her occupational therapist has recommended a desensitization program to help decrease the hypersensitivity.
Regarding the desensitization program for Shelby’s, answer the following questions:
Goal of Desensitization: What is the primary goal of the desensitization program for Shelby?
a. To completely eliminate any sensation in the affected area
b. To provide a tolerable level of tactile sensation
c. To increase muscle strength in the affected hand
d. To improve circulation in the affected area
Goal of Desensitization:
Correct answer: b
Ana, a 24-year-old office worker, has been diagnosed with Thoracic Outlet Syndrome (TOS). She experiences pain, numbness, and tingling in her arms and hands, which are aggravated by poor posture and prolonged computer use. Her OT has developed a treatment plan that includes postural exercises, diaphragmatic breathing, and nerve glides to alleviate her symptoms.
Regarding the treatment plan for Ana’s Thoracic Outlet Syndrome, answer the following questions:
Postural Exercises: What is the primary goal of postural exercises in the treatment of Thoracic Outlet Syndrome?
a. To strengthen the lower body muscles
b. To improve cardiovascular endurance
c. To correct posture and reduce compression on the thoracic outlet
Correct answer: c
Ana, a 24-year-old office worker, has been diagnosed with Thoracic Outlet Syndrome (TOS). She experiences pain, numbness, and tingling in her arms and hands, which are aggravated by poor posture and prolonged computer use. Her OT has developed a treatment plan that includes postural exercises, diaphragmatic breathing, and nerve glides to alleviate her symptoms.
Regarding the treatment plan for Ana’s Thoracic Outlet Syndrome, answer the following questions:
Diaphragmatic Breathing: How does diaphragmatic breathing benefit Ana in the management of Thoracic Outlet Syndrome?
a. It increases lung capacity and oxygen intake
b. It reduces stress and promotes relaxation.
c. It improves digestion and metabolic rate
Correct answer: b
Ana, a 24-year-old office worker, has been diagnosed with Thoracic Outlet Syndrome (TOS). She experiences pain, numbness, and tingling in her arms and hands, which are aggravated by poor posture and prolonged computer use. Her OT has developed a treatment plan that includes postural exercises, diaphragmatic breathing, and nerve glides to alleviate her symptoms.
Regarding the treatment plan for Ana’s Thoracic Outlet Syndrome, answer the following questions:
Nerve Glides: What is the purpose of incorporating nerve glides into Ana’s treatment plan for Thoracic Outlet Syndrome?
a. To increase muscle mass in the arms and shoulders
b. To improve the mobility and reduce the irritation of nerves within the thoracic outlet
c. To enhance bone density in the upper limbs
Correct answer: b
Ape Hand Deformity: Which nerve injuries are associated with the development of Ape Hand Deformity?
a. Radial nerve injury
b. Ulnar nerve injury
c. Median nerve injury
d. Combined ulnar and median nerve injury
d. Combined ulnar and median nerve injury
Characteristics of Ape Hand Deformity: Which of the following best describes the appearance of Ape Hand Deformity?
a. Wrist drop and inability to extend the fingers
b. Clawing of the fourth and fifth fingers
c. Thumb is permanently rotated and adducted, resulting in a loss of its opposable function
d. Hyperextension of the metacarpophalangeal joints and flexion of the interphalangeal joints
Answer : C
Daniela, a 30-year-old pianist, has suffered an injury to her ulnar nerve. During her examination, her fingers are observed to be curled or clawed, indicating a classic sign of ulnar nerve dysfunction.
Quiz Question:
Claw Hand Deformity: Which nerve injury is associated with Claw Hand deformity and why do the fingers appear curled or clawed?
a. Radial nerve injury because the extensors are weakened.
b. Median nerve injury because the flexors are paralyzed.
c. Ulnar nerve injury because the lumbricals and interossei are not innervated.
d. Sciatic nerve injury because the foot muscles are paralyzed.
c. Ulnar nerve injury because the lumbricals and interossei are not innervated.
Gabby, a 25-year-old mechanic, has recently been diagnosed with radial nerve palsy following an injury to her arm. During her physical examination, her wrist and fingers are observed to be dropped into flexion. What do you suspect Gabby to have and what nerve is impacted?
Which nerve injury is associated with wrist and fingers dropped into flexion?
a. Median nerve palsy, Colles Fracture
b. Ulnar nerve palsy, Saturday Night palsy
c. Radial nerve palsy, Wrist drop
c. Radial nerve palsy, Wrist drop
Joanna, a 25-year-old violinist, has undergone a flexor tendon repair in Zone 2 of her hand. Her OT has introduced early mobilization programs to optimize her recovery.
Quiz Question:
Flexor Tendon Repair and Early Mobilization Programs:
Zone 2 Location: Which area of the hand is commonly referred to as “No Man’s Land” in flexor tendon repair?
a. Zone 1
b. Zone 2
c. Zone 3
d. Zone 4
b. Zone 2
Joanna, a 25-year-old violinist, has undergone a flexor tendon repair in Zone 2 of her hand, commonly referred to as “No Man’s Land.” Her OT has introduced early mobilization programs to optimize her recovery.
Duran Protocol: What type of early mobilization does the Duran protocol involve for flexor tendon repair?
a. Early PROM (Passive Range of Motion)
b. Early AROM (Active Range of Motion)
c. Immobilization
d. Strength training
a. Early PROM (Passive Range of Motion)
Joanna, a 25-year-old violinist, has undergone a flexor tendon repair in Zone 2 of her hand, commonly referred to as “No Man’s Land.” Her physical therapist has introduced early mobilization programs to optimize her recovery.
Early Active Motion: What is the primary goal of introducing early active motion in flexor tendon repair?
a. To strengthen the muscles immediately
b. To improve flexibility of the joints
c. To prevent adhesions and promote tendon gliding
d. To reduce inflammation
Correct answer: c
What is the common orthosis for flexor tendon repair?
A. Dorsal blocking splint
B. Anti-claw Splint
C. Dynamic Splint
A. Dorsal blocking splint
Arrange the hierarchy of active flexion in the correct order:
A) Place hold flexion, Composite flexion, Hook fist, Straight fist, PIP and DIP blocking
B) Composite flexion, Hook fist, PIP and DIP blocking, Place hold flexion, Straight fist
C) Place hold flexion, Composite flexion, PIP and DIP blocking, Hook fist, Straight fist
D) PIP and DIP blocking, Hook fist, Composite flexion, Place hold flexion, Straight fist
A) Place hold flexion, Composite flexion, Hook fist, Straight fist, PIP and DIP blocking
Pamela (Place hold flexion) Came (compisite flexion) Hanging up (Hook fist), Stevens (striaght fist), Pants and Dock Martens (PIP and DIP blocking)
A question on flexor tendon repairs might be:
Anjlekia is a patient whom was referred to OT following a flexor tendon repair for early active motion program.
What orthosis would you make for Anjelkia to wear in between exercise sessions?
a. Resting hand orthosis
b. Stack Orthosis
c. Wrist orthosis
d. Dorsal blocking orthosis
d. Dorsal blocking orthosis
Brenna is a patient whom was referred to OT following a diagnosis of a mallet finger.
What orthosis would you make for Brenna to wear and for how long?
A. Anti-claw splint for three weeks
B. Oval ring splint for overnight wear for 3 weeks
C. Wears stack splint (DIP Extension orthosis) for six weeks (24/7)
C. Wears stack splint (DIP Extension orthosis) for six weeks
What is the primary characteristic of mallet finger?
A) Injury to the flexor tendon of the thumb
B) Injury to the extensor tendon of the distal phalanx
C) Injury to the ulnar collateral ligament of the thumb
D) Injury to the radial collateral ligament of the wrist
B) Injury to the extensor tendon of the distal phalanx
What is the minimum width required for a wheelchair to make a full 360-degree turn?
A) 3 feet by 3 feet
B) 4 feet by 4 feet
C) 5 feet by 5 feet
D) 6 feet by 6 feet
C) 5 feet by 5 feet
How much space does a wheelchair needs to turn? (select all that apply)
A. 32”
B. 36”
C. 40”
A and B
36” is ideal
What is the ramp ratio needed for a wheelchair?
A. 3/14”
B. 2/32”
C. 1/12”
C. 1/12”
How would you measure a wheel seat width?
A. Across the widest point of the hip and/ or thighs and add 5 inches to measurement.
B. Across the widest point of the hip and/ or thighs and add 1 inches to measurement.
C. Across the widest point of the hip and/ or thighs and add 4 inches to measurement.
D. Across the widest point of the hip and/ or thighs. Then add 2 inches.
D. Across the widest point of the hip and/ or thighs. Then add 2 inches.
How would you measure a wheel seat depth?
A. With the person seated, measure from the rear if the buttocks to behind the knee. Then to determine proper seat depth SUBTRACT 1 to 2 inches from measurement.
B. With the person seated, measure from the rear if the buttocks to behind the knee. Then to determine proper seat depth SUBTRACT 2 to 3 inches from measurement.
C. With the person seated, measure from the rear if the buttocks to behind the knee. Then to determine proper seat depth ADD 2 to 3 inches from measurement.
B. With the person seated, measure from the rear if the buttocks to behind the knee. Then to determine proper seat depth SUBTRACT 2 to 3 inches from measurement.
True or False: Measuring the seat height and foot rest adjustment range by lowering the leg from behind the bent knee to the bottom of the heel with the foot at about 90 degree to the lower leg. For the footrest should be adjusted is that the under side of the thigh is raised slightly off off the front edge of the seat. Visually confirm that the knee is about level with the hip and that the thigh is horizontal. Ensure that the step plate is at least 2inch clearance above the floor
True
You are an OT working on ergonomics. You are developing a work conditioning program. What would you consider?
A. 3 x wk – strengthening, lifting and work simulation activities
B. 6 x wk – resting, lifting and work simulation activities
C. 2 x wk – strengthening, bending and work simulation activities
A. 3 x wk – strengthening, lifting and work simulation activities
Computer ergonomics:
What would you do to ensure your client is maintaining the “90, 90, 90” prevention for good body mechanics ?
A. The angle of the keyboard, mouse, and monitor
B. The height of the chair, desk, and keyboard
C. The frequency of breaks recommended during computer work
D. The type of ergonomic chair recommended
A. The angle of the keyboard, mouse, and monitor ensures that it is appropriate.
What does a Functional Capacity Evaluation (FCE) encompass?
A. Standardized and un-standardized tests assessing clients overall physical ability
B. Psychological assessments for job readiness
C. Nutritional counseling for workplace performance
D. Ergonomic assessments for workstation setup
A. Standardized and un-standardized tests assessing clients overall physical ability
What is the function of the FCE?
A. Ergonomic assessments for workstation setup
B. Psychological assessments for job readiness
C. Encompasses the physical demands of work as defined by the US Department of Labor in the Dictionary of Occupational Titles (DOT).
C. Encompasses the physical demands of work as defined by the US Department of Labor in the Dictionary of Occupational Titles (DOT).
You are dealing with a wheelchair patient in need of a replacement. Their seat width measurement comes out to 25 inches. What is the correct seat width that the replacement chair should have for this patient?
A. 27 Inches
B. 30 inches
C. 26 Inches
Answer: 27 inches (seat width adds two so 25 + 2 = 27)
Your patient is returning home after their treatment in a wheelchair. You measure their door opening and find it to be 30 inches. Is this an adequate door opening measure?
Yes or No
No (32 inches is the minimum and 36 inches is the ideal measurement)
You are pushing a patient and come across a ramp with a 3 inch rise. Based on this information, how many inches of step is the ramp in total?
A. 32 inches
B. 34 inches
C. 36 inches
C. 36 inches (For every 1 inch of rise, there’s 12 inches of step. 3 x 12 = 36)
You are designing an orthosis for a patient with early-stage flexor tendonitis. What type of orthosis would be best to design?
A.Dorsal blocking splint
B. Anti-claw splint
C. Progressive splint
A.Dorsal blocking splint
When dealing with a flexor tendon repair, as an OT what is your main focus?
A. Early mobilization
B. PAM
C. Splints
A. Early mobilization
You’ve been cleared to begin an early active motion protocol. Which of the following exercise motions would be best to START with?
A. PIPI and DIP blocking
B. Hook fist
C. Composite flexion
D. Place hold flexion
Answer: Place hold flexion (Following the hierarchy of active flexion)
Your patient presents with a combined median and ulnar nerve injury. This injury is more commonly known as a
Ape hand deformity
Your patient presents with an ulnar nerve deformity resulting in their lumbricals and interossei not being innervated. The patient’s fingers are also stuck in a curled position. What is the name of this deformity?
Claw hand
Your patient presents with a neuroma resulting in nerve pain and sensitivity that interferes with their ability to sleep. What is the best treatment option for this?
A.Desensitization
B. PAM
C. Ice therapy
A.Desensitization
A patient has hypersensitivity following a recent nerve injury. What intervention would be most appropriate as a treatment and for what duration of time?
Desensitization on the periphery (outside of sensitive area) 4-6 times a week
Explanation: Desensitization is best for patients dealing with hypersensitivity. A neuroma is when a nerve ending gets caught in scar tissue resulting in pain and hypersensitivity.
What is the recommended positioning for computer ergonomics?
A. Hips, knees, and elbows all at 90 degrees with the wrist in neutral
B. Hips, knees, and elbows all at 80 degrees with the wrist in flexion
C. Hips, knees, and elbows all at 90 degrees with the wrist in extension
A. Hips, knees, and elbows all at 90 degrees with the wrist in neutral
Armando has been out of work for 1 year and is very discouraged about going back due to other issues besides strength. To compromise, you place him in a work program. What type of work based program would be best to place him in?
A. Work conditioning program
B. Work hardening program
C. Work exercise
B. Work hardening program (intensive multidisciplinary program best for those suffering from depression, lack of motivation, and other issues not related to strength. Teaches biomechanics, proper lifting, and more)
While at work, Stephanie falls and fractures her wrist. After going through about 10 weeks of regular OT sessions, she is still unable to be cleared to go back to work. What type of work based program would be appropriate for Stephanie?
A. Work conditioning program
B. Work hardening program
C. Work exercise
A. Work conditioning program (less intense program run by an OT or PT with a focus on strengthening, endurance, and work stimulation activities)
Which of the following is a purpose of a FCE? ( Select all that apply)
A. Determine a person’s work potential (rehabilitation)
B. Determine their return to work status
C. Helps with settlement of cases
D. Disability status
E. Pre-work employment and post offer testing
All of the above
Your patient recently had an open heart surgery. Which of the following sternal precautions would you educate the person in? Which of the following are sternal precautions to consider ? (select all that apply)
A. No lifting, pushing, or pulling greater than 10 pounds
B. No bilateral stretching of UE’s
C. No propelling of w/c with arms
D. No UE hyperextension
E. Limit use of arms during bed mobility/transfer
All of the above
What is BLT stand for for spinal precautions?
A. No (bending, lifting, or twisting)
B. No (bending, licking, or twisting)
C. No (breaking, lifting or triggering)
A. No BLT (bending, lifting, or twisting)
Which of the following are THR precautions? (select all that apply)
A. No hip flexion past 90 degrees
B. No hip internal rotation or adduction
C. No crossing legs (crossing ankles is ok)
D. No proning
E. No bridging
All of the above
Cindy is referred to OT due to a Colle’s fracture but is experiencing a pain beyond what is expected for her diagnosis. She is experiencing severe pain, temperature change heat and edema. What do you suspect her to have and what splint would you recommend?
A. Radial nerve palsy, wrist splint
B. CRPS ( Complex Regional Pain Syndrome), Safe position splint
C. Median Nerve injury, dynamic splint
CRPS ( Complex Regional Pain Syndrome), Safe position splint
Cindy is referred to OT due to a Colle’s fracture but is experiencing a pain beyond what is expected for her diagnosis. She is experiencing CRPS. What are contraindications of CRPS ?
A. PROM
B. AROM
C. MMT
A. PROM
Cindy is referred to OT due to experiencing CRPS (complex regional pain syndrome).
What OT interventions will you do with Cindy? ( select all that apply)
A. TENS
B. Edema = compression wrapping technique, elevation, retrograde massage
C. Stress loading = weight bearing (scrub brushing ) and distracting
D. ADL’s such as meal prep
E. AROM = forearm, hand, wrist and HEP
F. Sensory management = desensitization
All of the above
What is the best intervention for CRPS?
A. PROM
B. Have them move a lot
C. Rest
B. Have them move a lot
Brianna is your new patient in the ICU who is diagnosed with s/p CABG (coronary artery bypass grafting). Which of the following best describes sternal precautions you would educate the patient to follow:
A. No Twisting or crossing legs
B. No Log rolling or sitting edge of bed unsupported
C. No lifting 10lbs or no reaching/stretching overhead or out to side
D. No hip flexion past 90 degrees or adduction
C. No lifting 10lbs or no reaching/stretching overhead or out to side
An entry level OT works in outpatient OT and is referred a new patient s/p CABG (coronary artery bypass grafting). The patient was discharged from the hospital and is working on MET level 4-5 activities.
What preparatory intervention would be considered a contraindication for this patient?
A. Isometric Exercises for IR/ER in adducted position
B. Waist level table glides
C. Light theraband for tricep strengthening
D. Wrist and elbow curls using a 2lb dumbbell weight
A. Isometric Exercises for IR/ER in adducted position
Limb Protectors are specific to above knee amputations. True or false
False
True or False: The protocol for amputation is a Figure of 8 wrapping/diagonal (at least 1 x daily) and is used to decrease swelling and shaping of the residual limb and starts within 2 days of amputation. (Coban for digits & ace wrap for UE or LE amputations )
True
True or False: The protocol for amputation is a Figure of 8 wrapping/diagonal (at least 1 x daily) is used to decrease swelling and shape residual limb and starts within 2 days of amputation. (Coban for digits & ace wrap for UE or LE amputations )
True
___ is pain that affects the remaining part of your limb (stump) that’s still on your body after an amputation. Common after surgery and often subsides when wounds heal and edema decreases. Can become chronic or reoccur, but not as common.
A. Phantom Limb Pain
B. Phantom Limb Syndrome
C. Residual Limb Pain
C. Residual Limb Pain
____ is pain and other sensations like touch, pressure, itch, temperature and vibrations in an area of your body that experienced an amputation.
A. Phantom Limb Pain
B. Phantom Limb Syndrome
C. Residual Limb Pain
A. Phantom Limb Pain
____ Very intense striking pain perceived in the amputated limb.
A. Phantom Limb Pain
B. Phantom Limb Syndrome
C. Residual Limb Pain
A. Phantom Limb Pain
Which of the following is symptoms of phantom limb pain? ( select all that applies)
A. Intense pain
B. Burning
C. Itching
D. Stabbing
E. Throbbing
All of the above
A 35 y/o patient s/p BKA (trans tibial) of the right leg has identified being (I) with transfers as their main goal. Prior to their traumatic amputation, the patient was in good health and worked out at a gym 3-4x a week. What type of a transfer would you teach this patient?
A. Squat Pivot transfer
B. Sliding board transfer
C. Stand pivot with a rolling walker
D. Stand pivot with a hemi walker
C. Stand pivot with a rolling walker
What movements are needed to open and close the terminal device of a below elbow body powered prosthesis?
A. Humeral extension and elbow flexion
B. Scapula adduction and shoulder extension
C. Scapula abduction and shoulder flexion
D. Scapula depression, humeral extension and shoulder abduction
C. Scapula abduction and shoulder flexion
___ MET indicates patient is independent and ready to go home and be discharged.
A. 2.0 MET
B. 4.0 MET
C. 3.5 MET
B. 4.0 MET
Which of the following devices is considered for reimbursement by Medicare?
A. 3 in 1 DME Commode
B. Shower bench chair
C. Shower handle
A. 3 in 1 DME Commode
True or False: Once approved for strengthening: When working with cardiac patients use no more than than 50% of maximal resistance.
True
Which of the following would you stop OT treatment when working with cardiac patient ? (Select all that apply)
A) Onset of angina
B) Excessive rise in BP
C) Failure of monitoring equipment
Answer: A,B,C
True or False: A forearm based thumb orthosis is best used for DeQuervains.
True
Which diagnosis would be best used for a wrist orthosis ? (select all that applies)
A. Carpal Tunnel
B. Wrist fx
C. DeQuervains
A. Carpal Tunnel
B. Wrist fx
While conducting a movement interventions in the ICU for a patient with multiple lines (e.g., IV lines, catheter, oxygen tubing), what are the key considerations to ensure safety and efficacy of the therapy session?
A. Use a buddy system where another healthcare professional assists in managing the lines.
B. Perform a thorough assessment of the lines’ placement and integrity before starting the intervention.
C. Ensure that all lines are secured and management of lines are secured during movement intervention
C. Ensure that all lines are secured and management of lines are secured during movement intervention
When managing your patient with a nasogastric (NG) tube, At what degree should the head of bed be raised during feeding?
A. 50 degree or less
B. 30 degrees or more
C. 10 degree or more
B. 30 degrees or more
True or False: You DO NOT bend wrist when an arterial line is placed in the radial artery.
True
Which of the following are site location for arterial line to be placed? (Select all that apply)
A. Radial artery
B. Ulnar artery
C. Brachial artery
D. Axillary artery
E. Posterior tibial artery
F. Femoral artery
G. Dorsails peds artery
All of the above
A. Radial artery
B. Ulnar artery
C. Brachial artery
D. Axillary artery
E. Posterior tibial artery
F. Femoral artery
G. Dorsails peds artery
True or False: You DO NOT take BP on ipsilateral (same) side of IV line for medication.
True
Namoi is a 25 year old female patient with a Foley catheter. What pre-cations should the OT ensure when staring treatment?
A. don’t drop on floor
B. hang on side below bladder
C. Raise it above bladder level and hang on IV pole
A. don’t drop on floor
B. hang on side below bladder
Sami is your patient in the ICU with a vendoynes applied on her lower leg? What is the primary purpose of using venodynes (sequential compression devices) ?
A. To assist with circulation and prevent blood clots.
B. To support the muscles of the lower leg during activity.
C. To immobilize the leg and prevent movement.
D. To provide warmth and comfort to the lower legs.
A. To assist with circulation and prevent blood clots.
What precautions should be taken when a patient has a Peripherally Inserted Central Catheter (PICC) line in an extremity?
A. No specific precautions are necessary for the extremity with the PICC line.
B. Only avoid exercise on the extremity with the PICC line.
C. Only avoid taking blood pressure measurements on the extremity with the PICC line.
D. Avoid taking blood pressure measurements, exercise, and splinting on the extremity with the PICC line.
D. Avoid taking blood pressure measurements, exercise, and splinting on the extremity with the PICC line.
In the acute and outpatient settings, what is the target range on the Borg RPE scale for patient exertion?
A) 6-8
B) 9-10
C) 11-13
D) 14-16
Answer: C) 11-13
Which of the following is the correct PPE sequence order?
A. Gloves, gown and mask
B. Gown, mask, glove
C. Gloves, mask, gown
A. Gloves, gown and mask
What is the minimum daily duration of therapy that patients must be able to tolerate for rehabilitation purposes?
A) 1 hour
B) 2 hours
C) 3 hours
D) 4 hours
Answer: C) 3 hours
What do the P-wave and QRS complex together represent on an electrocardiogram (ECG)?
A) Ventricular relaxation
B) Atrial and ventricular
depolarization, representing one complete heartbeat
C) Atrial relaxation and ventricular depolarization
D) Ventricular depolarization and repolarization
Answer: B) Atrial and ventricular depolarization, representing one complete heartbeat
Breast Cancer:
What are some key actions that an occupational therapist (OT) can take to assist in the care of breast cancer patients, particularly in managing lymphedema, throughout the continuum of care? (select all that applies)
A) Conduct pre-education sessions and baseline circumference measurements for all breast cancer patients in collaboration with radiology.
B) Complete a lymphedema certification course to provide specialized care.
C) Participate in Cancer Rounds/Meetings to stay informed and contribute to patient care plans.
D) Only participate in community cancer programs without getting lymphedema certification or collaborating with radiology for pre-education sessions.
Answer: A, B, C
Which of the following statements is true regarding the management of Cancer-Related Fatigue (CRF) during and after active cancer treatment?
A) Pharmacological interventions are more effective than physical activity and psychosocial interventions in managing CRF.
B) Physical activity and psychosocial interventions are more effective than pharmacological interventions in treating CRF during and after active cancer treatment.
C) Physical activity and psychosocial interventions have no impact on CRF compared to pharmacological interventions.
D) The combination of physical activity and psychosocial interventions is less effective than pharmacological treatments for CRF.
B) Physical activity and psychosocial interventions are more effective than pharmacological interventions in treating CRF during and after active cancer treatment.
