Final review

Question 1

What represents the wound healing phase Hemostasis?

Answer 1

Fibrin clot forms and signals immune response to begin.

Question 2

If a wound appears stringy, adherent, and yellow, what type of tissue is it?

Answer 2

Slough

Question 3

Factors that affect wound healing

Answer 3

• Past medical history or comorbidities like Diabetes
• Location of the wound & the impact of pressure/movement
• Bacterial load
• Blood supply

Question 4

What phase of wound healing is OT treatment most effective?

Answer 4

Remodeling/Maturation

Question 5

At what times during an OT tx session should you be monitoring vital signs?

Answer 5

• Upon initial evaluation
• During tx for a client w/ a recent cardiac exacerbation/dx
• Client c/o chest pain, dizziness, shortness of breath, etc.

Question 6

Which precautions were established to protect healthcare works and clients from diseases?

Answer 6

Universal/Standard precautions

Question 7

Which form of exercise should be performed with a client who has a history of a cardiac condition?

Answer 7

eccentric

Question 8

Which BP represents the pressure of the heart during active contraction (pumping action)?

Answer 8

Systolic BP

Question 9

Precautions that are used for diseases and germs that are spread through saliva?

Answer 9

Droplet precautions

Question 10

Apnea

Answer 10

low or pausing respiratory rate

Question 11

Type of injury that causes localized ischemia to the skin for a period of time

Answer 11

Pressure injury

Question 12

Type of debridement that uses chemical agents to remove dead/devitalized tissue

Answer 12

enzymatic

Question 13

BP that represents hypertension

Answer 13

140/90

Question 14

Contraindications to BP

Answer 14

• masectomy
• av fistual
• hemiparetic arm
• recent injury, fracture (fx) or wound

Question 15

Maintain SBP and HR within _ and DBP within _ mmHg resting w/cardiac events , hx of surgery

Answer 15

within 20 and 10

Question 16

SOAP Note: “ 25 min in tx pt’s room. BADL training to use AE to increase (I) donning socks”

Answer 16

Objective

Question 17

Part of SOAP note that includes the OT’s professional judgement and interpretation

Answer 17

Assessment

Question 18

Diagnostic and standardized tx info represents which type of professional reasoning

Answer 18

Scientific

Question 19

RA present in the digits, what orthosis do you use and what position are the digitis in ?

Answer 19

Hand-Based MCP Ulnar Deviation Restriction; MCPs Neutral

Question 20

Which form of reasoning speculates and responds to changing and future conditions (combines all)

Answer 20

Conditional

Question 21

Which level of reasoning does an OT adjust rules and procedures to individualized tx (2-3 years)?

Answer 21

Competent reasoning

Question 22

Some ways to develop clinical reasoning?

Answer 22

• Reflect upon impact a dx has had on a client

- Learn about the reasoning process

Question 23

What type of orthosis is commonly used with a wrist fx?

Answer 23

Volar/Circumferential Wrist Immobilization

Question 24

RA in the entire wrist and hand what orthosis is used and what position are these placed in?

Answer 24

• 5-10 degrees ulnar deviation

- 10 degrees wrist extension

Question 25

Deformity pattern of the hand which burns are present?

Answer 25

Wrist Flexion, MCP Hyperextension, IP Flexion

Question 26

Orthosis for DeQuervain's

Answer 26

Articular Wrist & Thumb Volar Immobilization Orthosis

Question 27

Orthotic position for carpal tunnel

Answer 27

Wrist in NEUTRAL

Question 28

Serial Static Orthosis

Answer 28

- Holds tissue at end range | - Can be adjusted over time

Question 29

Human tissue in general will respond to what type of tension more favorably?

Answer 29

-Non-elastic/Static tension

Question 30

For digits in extension, the digits should line up towards the....

Answer 30

Capitate

Question 31

An orthosis is...

Answer 31

A rigid or semi-rigid device that can be custom or pre-fabricated

Question 32

Correct order of the 6 steps of clarifying an orthosis

Answer 32

Art/non-art, location, direction, purpose, type, # joints | A.L.D.P.T.J (Ali, Likes, Doing, Pilates, Till, Joy)

Question 33

Why wouldn't you use two points of pressure for an orthosis?

Answer 33

Two points would not have enough stability

Question 34

For an acute injury, the OT would need to place the kinesio tape in what direction and tension ?

Answer 34

Insertion to origin, 15-25% stretch

Question 35

SOAP Note: "I can't believe how hard this is."

Answer 35

Subjective

Question 36

SOAP Note: "Client required frequent repetition of directions."

Answer 36

Assessment

Question 37

Tackypenia

Answer 37

- greater than 18 breaths per minute | - increased respiratory rate beyond normal range

Question 38

Normal systolic and diastolic BP

Answer 38

``` Systolic= 90-120 Diastolic= 60-80 ```

Question 39

Donning PPE order

Answer 39

Donning: Hand hygiene, gown, resp. protection, goggles, gloves

Question 40

Doffing PPE order

Answer 40

Doffing: Gloves, goggles, gown, resp. protection, hand hygiene

Question 41

Traditional nomenclature related to the purpose of mobilization

Answer 41

- Dynamic | - Static Progressive

Question 42

How large should the width of a digit trough be?

Answer 42

50% cirumference

Question 43

Orthosis for scaphoid fracture

Answer 43

Volar/circumferential wrist and thumb immobilization

Question 44

Proper positioning for burns of the wrist/hand

Answer 44

- Wrist 10° - MCPs 70° - IPs 0° - Thumb wide web space/abduction