Maher Midterm Tips Flashcards
What are the precautions for patients following a Total Hip Replacement (THR) with a posterior approach?
Options:
A) Avoid hip extension beyond 90 degrees, no hip internal rotation, and no leg crossing
B) No hip flexion beyond 90 degrees, no hip internal rotation or adduction, and no leg crossing
C) No hip abduction, no hip external rotation, and no knee flexion beyond 90 degrees
D) Avoid hip adduction, no knee flexion beyond 90 degrees, and no hip external rotation
B) No hip flexion beyond 90 degrees, no hip internal rotation or adduction, and no leg crossing
What are the specific precautions recommended for patients following a Total Hip Replacement (THR) with an anterior approach?
Options:
A) Avoid hip extension, no hip external rotation beyond neutral, no hip abduction
B) No hip flexion past 90 degrees, no hip internal rotation, and no leg crossing
C) No hip adduction, avoid stepping backwards, and lead with the unoperated leg when backing up
D) No knee flexion beyond 90 degrees, no hip external rotation, and no leg crossing
A) Avoid hip extension, no hip external rotation beyond neutral, no hip abduction
What are the general precautions recommended for patients following a Total Hip Replacement (THR)?
Options:
A) Avoid hip flexion beyond 90 degrees, no hip rotation or adduction, no prone position, and no bridging
B) No hip extension beyond 90 degrees, avoid hip internal rotation, and no leg crossing
C) No hip abduction, no hip external rotation beyond neutral, and lead with unoperated leg when stepping backwards
D) Avoid hip adduction, no knee flexion beyond 90 degrees, and no hip external rotation
A) Avoid hip flexion beyond 90 degrees, no hip rotation or adduction, no prone position, and no bridging
Which of the following activities should be avoided according to spine precautions?
a) Running
b) Bending, lifting, and twisting (BLT)
c) Walking
d) Sleeping
b) Bending, lifting, and twisting (BLT)
What is the maximum weight limit for picking up items under spine precautions?
a) 5 lbs
b) 15 lbs
c) 10 lbs
d) 20 lbs
c) 10 lbs
How long should a person avoid standing or sitting in the same position? (Spine precautions)
a) More than 20 minutes
b) More than 40 minutes
c) More than 60 minutes
d) More than 30 minutes
d) More than 30 minutes
What type of ortho are you creating when the wrist is slightly in extension, slight MCP and IP flexion, and thumb in palmar abduction/opposition?
A) Safe position
B) Dynamic Splint
C) Static Splint
A) Safe position
What type of collar might cervical patients be required to wear, depending on the MD?
a) Soft cervical collar
b) Aspen collar (hard collar)
c) No collar
d) Lumbar corset
b) Aspen collar (hard collar)
_____ purpose is to stabilize, support and protect. A static orthosis is used to immobilize or restrict motion at a joint.
A) Static Orthosis
B) Dynamic Orthosis
C) Static Progressive Orthosis
A) Static Orthosis
Which orthosis purpose is to gradually increase motion. This type of orthosis provides consistent pressure or stretch at the furthest point the joint can move.
A) Static Orthosis
B) Dynamic Orthosis
C) Static Progressive Orthosis
C) Static Progressive Orthosis
Which orthosis purpose increasing motion is to provide stretch. Provides continuous stretch to a stiff body part in one direction and allows the body part to move in the opposite direction.
A) Static Orthosis
B) Dynamic Orthosis
C) Static Progressive Orthosis
B) Dynamic Orthosis
The Biomechanical FOR is best suited for patients with which type of nervous system?
a) Intact central nervous system (CNS)
b) Damaged central nervous system (CNS)
c) Peripheral nervous system (PNS) issues
d) None of the above
a) Intact central nervous system (CNS)
What is the goal of remediation in Biomechanical FOR?
a) To decrease endurance and strength
b) To increase endurance, strength, and PROM
c) To assess fine motor coordination
d) To evaluate bimanual skills
b) To increase endurance, strength, and PROM
Which of the following is contraindicated during an acute flare-up of osteoarthritis (OA)?
a) Cold therapy
b) Massage
c) Heat therapy
d) Stretching
c) Heat therapy
What type of soft tissue stretch is used in the Biomechanical FOR?
a) High Load Brief Stretch (HLBS)
b) Low Load Prolonged Stretch (LLPS)
c) Both a and b
d) Neither a nor b
c) Both a and b
What is the purpose of an elbow splint in the treatment of Cubital Tunnel Syndrome?
a) To prevent extreme flexion
b) To allow extreme extension
c) To provide constant compression
d) To improve grip strength
a) To prevent extreme flexion
How can nerve compression be decreased in patients with Cubital Tunnel Syndrome?
a) By using an elbow pad or tubi socks
b) By performing intense exercises
c) By applying heat therapy
d) By avoiding any physical activity
a) By using an elbow pad or tubi socks
What symptoms should be assessed in a patient with suspected Cubital Tunnel Syndrome?
a) Numbness and tingling along the ulnar forearm and hand (volar and dorsal)
b) Pain at the medial aspect of the elbow
c) Power grip weakness
d) All of the above
d) All of the above
What assessments should be conducted to determine cubital tunnel syndrome?
A) Positive Tinel’s Sign
B) Positive Froment’s Sign (when holding a piece of paper and Flexor Pollicis Brevis in thumb starts to pop for to compensate)
C) Positive Wartenberg’s Sign
D) All of the above
Positive Tinel’s Sign, Positive Froment’s Sign (when holding a piece of paper and Flexor Pollicis Brevis in thumb starts to pop for to compensate), Positive Wartenberg’s Sign
D) All of the above
What type of orthosis is typically used for DeQuervain’s tenosynovitis, and how should it be worn?
a) Forearm based thumb spica orthosis, worn only at night
b) Wrist brace, worn during the day during activity
c) Forearm based thumb spica orthosis, worn during the day during activity and at night if there is pain
d) Elbow splint, worn for 2-3 weeks
c) Forearm based thumb spica orthosis, worn during the day during activity and at night if there is pain
How often should gentle AROM exercises be performed daily for DeQuervain’s tenosynovitis?
a) Once a day
b) 2-3 times daily
c) 3-4 times daily
d) 5-6 times daily
c) 3-4 times daily
Which of the following is NOT a recommended intervention for DeQuervain’s tenosynovitis?
a) Ice massage
b) Cross friction massage
c) Iontophoresis with dexamethasone
d) Heat therapy
d) Heat therapy
What should new parents be taught to modify in order to manage DeQuervain’s tenosynovitis?
a) The way they lift their child
b) The way they feed their child
c) The way they bathe their child
d) The way they dress their child
a) The way they lift their child
What ergonomic consideration is important for individuals with DeQuervain’s tenosynovitis?
a) Avoiding tools with gripping handles that are too far apart
b) Using tools with soft handles
c) Using heavy tools
d) Avoiding any tool use
a) Avoiding tools with gripping handles that are too far apart
What should be started as pain from DeQuervain’s tenosynovitis subsides?
a) Intense aerobic exercise
b) Gentle passive stretching of APL and EPL and strengthening exercises (starting with isometrics)
c) Deep tissue massage
d) No activity
b) Gentle passive stretching of APL and EPL and strengthening exercises (starting with isometrics)
What type of orthosis is recommended for Carpal Tunnel Syndrome, and how should it be worn?
a) Elbow brace, worn during the day
b) Wrist orthosis in neutral forearm based, worn at night and during the day when experiencing numbness or performing awkward postures or repetitive movements
c) Thumb spica splint, worn during activity
d) Wrist orthosis in flexed position, worn only at night
b) Wrist orthosis in neutral forearm based, worn at night and during the day when experiencing numbness or performing awkward postures or repetitive movements
What type of exercises are recommended for Carpal Tunnel Syndrome to help with nerve and tendon mobility?
a) Strengthening exercises
b) Median nerve glides and tendon glides
c) Aerobic exercises
d) High-intensity interval training
b) Median nerve glides and tendon glides
Which activity modification is recommended for individuals with Carpal Tunnel Syndrome?
a) Increase the frequency of repetitive movements
b) Avoid awkward postures or repetitive movements, especially extreme positions of wrist flexion
c) Perform tasks with wrist in extreme flexion
d) Avoid using the affected hand completely
b) Avoid awkward postures or repetitive movements, especially extreme positions of wrist flexion
What ergonomic advice is beneficial for managing Carpal Tunnel Syndrome?
a) Using tools and workstations that promote neutral wrist positions
b) Working in positions that cause wrist strain
c) Ignoring ergonomic principles
d) Increasing work pace regardless of discomfort
a) Using tools and workstations that promote neutral wrist positions
What type of orthosis is typically recommended for Trigger Finger?
a) Wrist orthosis
b) Trigger finger orthosis (Blocks MCP flexion)
c) Elbow brace
d) Thumb spica splint
b) Trigger finger orthosis
Blocks MCP Flexion
What are two non-splint interventions that can help manage Trigger Finger symptoms?
a) Heat therapy and aerobic exercise
b) Ice and massage
c) Strength training and jogging
d) Meditation and yoga
b) Ice and massage
Which activity modification should be avoided for individuals with Trigger Finger?
a) composite flexion exercises/activities
b) sustained grip
c) pruning bushes,
d) Gripping therapy puddy
e) All of the above
e) all of the above
WHY?
avoiding repetitive gripping activities
Which of the following are intervention for Dupervens ?
a) Wound care
b) Edema Control
c) Hand base Finger Extension Orthosis
d) ROM as per surgeon
e) Scar management once wound is healed
f) Occupation based activities
g) All of the above
g) All of the above
What is the primary purpose of using finger trough splints?
a) To increase grip strength
b) To support joints and prevent further deviation at PIP and DIP joints
c) To provide wrist stability
d) To immobilize the elbow
b) To support joints and prevent further deviation at PIP and DIP joints
What is the primary purpose of a hand-based thumb splint for CMC arthritis?
a) To increase wrist flexibility
b) To support/stabilize the CMC joint
c) To immobilize the entire hand
d) To improve finger dexterity
b) To support/stabilize the CMC joint
Which of the following is NOT a common symptom of Deep Vein Thrombosis (DVT)?
a) Redness
b) Swelling
c) Numbness
d) Pain and tenderness
c) Numbness
What is the appropriate response if a patient exhibits signs of DVT?
a) Continue with treatment and monitor symptoms
b) Apply heat to the affected area
c) Tell the nurse and do not treat until the patient is on a therapeutic dose and cleared for therapy
d) Administer pain medication and proceed with therapy
c) Tell the nurse and do not treat until the patient is on a therapeutic dose and cleared for therapy
What is the acceptable range for oxygen saturation (SpO2) in adults?
a) 85-90
b) 90-95
c) 95-98
d) 98-100
c) 95-98
What heart rate range defines tachycardia INC HR in adults?
a) Less than 60 BPM
b) 60-100 BPM
c) Greater than 100 BPM
d) 90-95 BPM
c) Greater than 100 BPM
What is the normal HR Range for adults?
a) 60-100 BPM
b) 70- 90 BPM
c) 80 - 125 BPM
a) 60-100 BPM
Your patient has Tuberculosis (TB). What isolation precautions should you take?
A) Be in a single room with negative pressure: airborne infection isolation room (AIIR).
B) Ensure visitors and yourself are to wear a fit tested NIOSH N-95 Respirator (surgical masks not sufficient)
C) Standard precautions
D) Both A & B
D) Both A & B
Your patient has COVID-19 and Neisseria meningitis. What isolation precautions should you take?
A) Be in a single room
B) Wear a surgical mask (a must) and eye protection (plus may use gowns and gloves)
C) Be in a single room with negative pressure: airborne infection isolation room (AIIR).
D) Both A & B
D) Both A & B
Your patient has gastrointestinal, skin infection, wound infections, and multi-drug resistant organisms. What isolation precautions should you take?
A) Be sure to glove & gown: Don prior to entering room & remove prior to leaving room and observe hand hygiene.
B) Be in a single room
C) Ensure visitors and yourself are to wear a fit tested NIOSH N-95 Respirator (surgical masks not sufficient)
A) Be sure to glove & gown: Don prior to entering room & remove prior to leaving room and observe hand hygiene.
What is OTs role to prevent these decubiti from progressing ?
A) Distrubute weight every 30 min
B) Cushion
C) Avoid wet skin
D) All of the above
D) All of the above
Which of the following is a characteristic feature of Swan Neck deformity?
a) DIP flexion
b) CMC adduction
c) Hyperextension of the PIP joint and flexion of the DIP joint
d) Ulnar drift at the MCP joint
c) Hyperextension of the PIP joint and flexion of the DIP joint
What happens in Boutonniere deformity?
a) MCP joint hyperextension
b) Thumb MCP joint flexion
c) Lateral bands drop volar, functioning as flexors rather than extensors
d) Zig zag pattern deformity
c) Lateral bands drop volar, functioning as flexors rather than extensors
What should be assessed during evaluation of hand deformities to determine joint involvement?
a) Heart rate and blood pressure
b) Joint redness and swelling
c) Eye movement and vision
d) Dental health and hygiene
b) Joint redness and swelling
Why should grip strength using a dynamometer be avoided during a flare-up in patients with osteoarthritis (OA) and rheumatoid arthritis (RA)?
a) It causes discomfort
b) It exacerbates joint inflammation
c) It is not accurate
d) Patients find it difficult to hold the dynamometer
b) It exacerbates joint inflammation
During the chronic phase of arthritis management, what should therapeutic exercises focus on?
a) Passive range of motion (PROM)
b) Active range of motion (AROM), avoiding pain
c) Heavy resistance training
d) High-intensity interval training
b) Active range of motion (AROM), avoiding pain
What are the appropriate home exercises for joint deformities?
A) Opposition
B) Radial finger walks
C) Wrist ROM: flex, ext, RD and UD (don’t encourage UD if UD deformity is noted at the wrist)
D) All of the above
All of the above
What is a key principle in joint strategies for managing joint deformities?
a) Maintain ROM and strength
b) Minimize excessive loading on joints
c) Healthy respect for pain
d) Balance rest and activity
e) Avoid prolonged positions
f) Avoid positions of deformity
g) ALl of the above
g) ALl of the above
Which of the following interventions is commonly cited in rehabilitation protocols for rotator cuff tears?
a) ADLs/functional activities
b) High-intensity interval training
c) Cryotherapy
d) Strengthening exercises, aquatic therapy and no mention of ADLs/functional activities
d) Strengthening exercises, aquatic therapy and no mention of ADLs/functional activities
For rotator cuff tears, how long might the immobilization period last post-operatively?
a) 1-2 weeks
b) 2-4 weeks
c) 4-6 weeks
d) 6-8 weeks
b) 2-4 weeks
For a large 4-6wks
What is the primary emphasis in the Pendulum exercise for rotator cuff rehabilitation?
a) Active movement of the arm
b) Use of weights for resistance
c) Passive movement using body momentum
d) Isometric contraction of muscles
c) Passive movement using body momentum
According to the guidelines, when should wall walking exercises be initiated post-operatively?
a) Immediately after surgery
b) At 4 weeks post-op
c) Only after approval for active range of motion (AROM)
d) As soon as the patient feels comfortable
c) Only after approval for active range of motion (AROM)
What is the ideal starting position for active assisted and active range of motion exercises post-rotator cuff surgery?
a) Standing position
b) Supine position
c) Sitting position
d) Prone position
b) Supine position
What RTC post-op EX is great for your patient?
A) Towel glides on the client’s kitchen table. Only progress to wall walking if no pain.
B) Laying supine with a cane
C) Both A and B
C) Both A and B
Which complication of the elbow is characterized by abnormal bone formation in soft tissues around the joint?
a) Elbow flexion contractures
b) Heterotopic Ossificans
c) Complex Regional Pain Syndrome
d) Radial head fracture
b) Heterotopic Ossificans
What is OT intervention with elbow fractures etc?
A) Begin AROM of elbow near by joints
B) Begin AAROM of elbow near by joints
C) Begin PROM of elbow near by joints
A) Begin AROM of elbow near by joints
What technique is used to assess pain in medial epicondylitis by palpation?
a) Reverse Mills
b) Painometer
c) Tinel’s sign
d) Grip strength test
a) Reverse Mills
Which intervention is NOT typically used to manage pain in medial epicondylitis?
a) AROM, Strengthening: start
with gentle isometrics and then
progress to isotonic exercises
b) Ice pack and ice massage
c) Incorporate work and leisure
activities
d) Heat pad
d) Heat pad
Which test are used to determine if a patient has lateral epicondylitis?
A) Mills tennis elbow test
B) Maudsley’s Resisted Middle Finger Test
C) Tinel’s Test
D) Both A & B
D) Both A & B
Which intervention of the following are NOT intervention used for lateral epicondyltits ?
A) elbow strap (counterforce strap)
B) Elbow strap and wrist splint
C) Stretching of extensors (Mills): keep it pain free
D) Ice pack or Ice pop massage over painful area
E) Cross frictional massage
F) AROM, Strengthening: start with gentle isometrics and then progress to isotonic exercises
G) Incorporate work and leisure activities
H) All of the above are intervention used
H) All of the above are intervention used
What is the range goal in therapy for an MCP Arthroplasty?
70 degree flexion
