Intro

Question 1

What is wrong about stating “full time w/c user”?

Answer 1

should be “w/c bound”

Question 2

cancer kid?

Answer 2

child diagnosed with cancer

Question 3

amputee?

Answer 3

pt with an amputation

Question 4

hemiplegic?

Answer 4

no, pt with hemiplegia

Question 5

suffering from Down Syndrome?

Answer 5

no, living with Down Syndrome

Question 6

true or false: a person with a disability will be receptive to personal questions.

Answer 6

false

Question 7

What is the FIM?

Answer 7

• Functional Independence Measure
• 18 items
• 7 point scale
• Physical, psychological, social function

Question 8

FIM 7

Answer 8

• Ind (Independent)
• No assistive devices

Question 9

FIM 6

Answer 9

• Mod Ind
• requires adaptive or assitive device

Question 10

FIM 5

Answer 10

• S or ⓢ: requires someone within arms reach for safety
• or CG: requires hand on for safety
• comples 100% of the work

Question 11

FIM 4

Answer 11

• Min A or CG
• pt completes >75% of the work

Question 12

FIM 3

Answer 12

• Mod A
• Pt completes 50-74%

Question 13

FIM 2

Answer 13

• Max A
• Pt completes 25-49% of the work

Question 14

FIM 1

Answer 14

• D
• Pt completes <25% of the work

Question 15

Types of cuing

Answer 15

• VC: ex. using a cane
• TC: ex. advance the walker
• VC: ex. markings on the floor

Question 16

what is the balance grade of a pt that maintains steady balance without support, and shift weights easily in all directions

Answer 16

NORMAL

Question 17

what is the balance grade of a pt that shows minimal sway, maintains balance without support, and accepts moderate challenge (i.e. picking up object from floor)

Answer 17

GOOD for dynamic and static

Question 18

what is the balance grade of a pt that is able to maintain balance with hand hold support/Min A, and accepts minimal challenge (i.e. turning trunk or head)

Answer 18

FAIR static and dynamic

Question 19

What is the balance grade of a pt that requires Min A for static balance, but is unable to move without loss of balance

Answer 19

FAIR static, and POOR dynamic

Question 20

what is the balance grade of a pt that requires Min/Mod A to maintain posture and is unable to accept challenges or move without loss of balance?

Answer 20

POOR

Question 21

A 68 year old female 6 months post CVA presents to therapy with a referral for “Balance Disturbance.” During initial evaluation, she is able to maintain standing with a straight cane and can turn her head in various directions. She is unable to reach down to tie her shoes.

Answer 21

FAIR for dynamic and static

Question 22

what is the FIM score of pt that requires either Min A or CG?

Answer 22

FIM 4

Question 23

amb FIM 7

Answer 23

150 ft Ind

Question 24

Amb FIM 6

Answer 24

150 with assistive device

Question 25

Amb FIM 5

Answer 25

150 ft with S

Question 26

Amb FIM 5E

Answer 26

50 ft household Amb with increased time

Question 27

Amb FIM 4

Answer 27

150 ft with Min A or CG

Question 28

Amb FIM 3

Answer 28

150 ft with Mod A

Question 29

Amb FIM 2

Answer 29

50 ft with Max A

Question 30

Amb FIM 1

Answer 30

less than 50 ft Max A or

Assist x 2 required

Question 31

Stair FIM 7

Answer 31

12-14 steps Ind

Question 32

Stair FIM 6

Answer 32

12-14 steps with assitive device

Question 33

Stair FIM 5

Answer 33

• 12-14 steps with S
• 4-6 steps Ind

Question 34

Stair FIM 4

Answer 34

12-14 steps with Min A

Question 35

Stair FIM 3

Answer 35

12-14 steps with Mod A

Question 36

Stair FIM 2

Answer 36

4-6 steps with A

Question 37

Stair FIM 1

Answer 37

A x 2 required

less than 4-6 steps with A

Question 39

You are working with a patient who as suffered a Cerebral Vascular Accident. The patient requires assistance to position the lower extremities for transfer from bed to chair. He is able to ambulate 75 feet with CG and can negotiate 8 stairs with Min A.

FIM scores and levels of A:

Answer 39

• Txfr: Min A / FIM 4
• Amb: CG / FIM 2
• Stairs: Min A / FIM 2