Maher Tips and Questions Flashcards
A patient with elbow joint stiffness needs increased extensibility before ROM exercises. Which modality is most effective?
A. Cold Pack
B. Paraffin
C. Hot Pack
D. NMES
C. Hott Pack
Which of the following is a contraindication for using hot packs?
A. Elbow joint stiffness
B. MS with a history of exacerbations
C. Osteoarthritis
D. Chronic pain
B. MS with a history of exacerbations
Explanation: Heat triggers symptoms in people with MS
What should always be done when applying hot packs?
A. Check the patient’s blood pressure
B. Use only 2-3 layers of towels
C. Check the skin before, during, and after application
D. Apply directly on the skin
C. Check the skin before, during, and after application
A patient is 2 days post reverse total shoulder replacement and reports 6/10 pain. Which modality should be used?
A. Hot Pack
B. TENs
C. Cold Pack
D. Biofeedback
C. Cold Pack
What is a key safety measure when using cold packs?
A. Apply directly to the skin
B. Use only for 5 minutes
C. Apply a towel between the skin and the cold pack
D. Use multiple cold packs simultaneously
C. Apply a towel between the skin and the cold pack
Which of the following is a contraindication for cryotherapy?
A. Acute injury
B. Post-surgical repair
C. Impaired sensation
D. Inflammation
C. Impaired sensation
Which of the following is an indication for paraffin use?
A. Open wounds
B. Sensory impairment
C. Increases extensibility of hands
D. Infection
C. Increases extensibility of hands
A patient with an acute flare-up of RA is prescribed paraffin treatments. What should you do?
A. Provide paraffin treatments as ordered
B. Educate the patient in a home program
C. Provide paraffin but wrap in a hot pack
D. Do not provide paraffin and contact the MD
D. Do not provide paraffin and contact the MD
Which method is most commonly used to apply paraffin?
A. Dip method
B. Immersion method
C. Paint-on method
D. Spray method
A. Dip method
A patient post-median nerve repair complains of hypersensitivity interfering with daily activities. What is the most likely cause?
A. Wrist contracture
B. Neuroma
C. Overuse of hand
D. Ruptured nerve
B. Neuroma
What is the primary goal of desensitization following a nerve repair?
A. Increase strength
B. Decrease hypersensitivity
C. Improve ROM
D. Reduce swelling
B. Decrease hypersensitivity
What is a common deformity associated with ulnar nerve injury?
A. Ape hand
B. Claw hand
C. Wrist drop
D. Mallet finger
B. Claw hand
What is the most appropriate orthosis for a patient referred for early active motion following a flexor tendon repair?
A. Resting hand orthosis
B. Stack orthosis
C. Wrist orthosis
D. Dorsal blocking orthosis
D. Dorsal blocking orthosis
Which is the correct progression for early active motion in flexor tendon repairs?
A. Hook fist, straight fist, PIP and DIP blocking
B. Composite flexion, place hold flexion, hook fist
C. Place hold flexion, composite flexion, hook fist, straight fist, PIP and DIP blocking
D. Straight fist, place hold flexion, hook fist
C. Place hold flexion, composite flexion, hook fist, straight fist, PIP and DIP blocking
Which deformity results from an injury to the terminal extensor tendon on the distal phalanx?
A. Claw hand
B. Mallet finger
C. Wrist drop
D. Ape hand
B. Mallet finger
What are common treatments for thoracic outlet syndrome?
A. Strength training, cold packs, and ultrasound
B. Postural exercises, diaphragmatic breathing, and nerve glides
C. Massage, hot packs, and electrical stimulation
D. Weight-bearing exercises, biofeedback, and splinting
B. Postural exercises, diaphragmatic breathing, and nerve glides
What is the temperature range for paraffin treatments?
A. 110-120 degrees
B. 120-130 degrees
C. 130-140 degrees
D. 140-150 degrees
B. 120-130 degrees
Which nerve injury results in wrist drop?
A. Ulnar nerve injury
B. Median nerve injury
C. Radial nerve palsy
D. Axillary nerve injury
C. Radial nerve palsy
Which condition is contraindicated for cryotherapy?
A. Acute inflammation
B. Recent surgical repair
C. Deep vein thrombosis (DVT)
D. Arthritis
C. Deep vein thrombosis (DVT)
Which splint is appropriate for mallet finger?
A. Resting hand splint
B. Thumb spica splint
C. DIP extension orthosis (stack splint)
D. Cock-up splint
C. DIP extension orthosis (stack splint)
What is a primary use for hot packs in OT treatment?
A. Decreasing swelling
B. Increasing tissue extensibility
C. Improving circulation
D. Nerve regeneration
B. Increasing tissue extensibility
How many layers of towels should be placed between the skin and a hot pack?
A. 2-4 layers
B. 4-6 layers
C. 6-8 layers
D. 8-10 layers
C. 6-8 layers
Which is a key indication for using cryotherapy?
A. Chronic pain
B. Decreasing pain and swelling in acute injuries
C. Increasing ROM
D. Improving muscle tone
B. Decreasing pain and swelling in acute injuries
Which modality is most effective for moisturizing skin and scar management?
A. Hot Pack
B. Cold Pack
C. Paraffin
D. NMES
C. Paraffin
What is the most likely cause of hypersensitivity and nerve pain post-median nerve repair?
A. Wrist contracture
B. Neuroma
C. Overuse of hand
D. Ruptured nerve
B. Neuroma
Ape hand deformity is associated with injury to which nerves?
A. Radial nerve
B. Ulnar and median nerves
C. Axillary nerve
D. Sciatic nerve
B. Ulnar and median nerves
What is the recommended duration for cold pack application?
A. 5-10 minutes
B. 10-15 minutes
C. 15-20 minutes
D. 20-25 minutes
B. 10-15 minutes
What safety measure should be taken before applying any physical agent modality?
A. Checking patient’s skin condition
B. Measuring blood pressure
C. Administering pain medication
D. Performing ROM exercises
A. Checking patient’s skin condition
Which condition involves a claw-like appearance of the fingers due to ulnar nerve injury?
A. Mallet finger
B. Claw hand
C. Ape hand
D. Wrist drop
B. Claw Hand
What is the primary benefit of using a dorsal blocking orthosis in early flexor tendon repair?
A. Preventing edema
B. Limiting wrist movement
C. Protecting tendon repair while allowing controlled motion
D. Supporting the fingers in extension
C. Protecting tendon repair while allowing controlled motion
Which of the following is an appropriate intervention for thoracic outlet syndrome?
A. Strengthening exercises
B. Postural correction exercises
C. Use of wrist splints
D. Electrical stimulation
B. Postural correction exercises
What is the recommended duration for hot pack application?
A. 5-10 minutes
B. 10-15 minutes
C. 15-20 minutes
D. 20-25 minutes
C. 15-20 minutes
Which physical agent modality is most appropriate for a patient with significant scar tissue and hypersensitivity post-median nerve repair?
A. Cold Pack
B. Paraffin
C. Hot Pack
D. Desensitization techniques
D. Desensitization techniques
Which condition is characterized by fingers that are flexed and unable to extend due to ulnar nerve injury?
A. Mallet finger
B. Claw hand
C. Ape hand
D. Wrist drop
B. Claw hand
For which of the following conditions is paraffin contraindicated/ not advised?
A. Chronic arthritis
B. Joint stiffness
C. Sensory impairment
D. Scar management
C. Sensory impairment
Which nerve injury is associated with the inability to extend the wrist and fingers?
A. Ulnar nerve
B. Median nerve
C. Radial nerve
D. Axillary nerve
C. Radial nerve
What intervention is recommended for hypersensitivity following nerve repair?
A. Strengthening exercises
B. Desensitization
C. Cryotherapy
D. Heat therapy
B. Desensitization
Which physical agent modality is most suitable for reducing post-surgical pain and swelling?
A. Hot Pack
B. Cold Pack
C. Paraffin
D. NMES
B. Cold Pack
Which deformity results from combined ulnar and median nerve injury?
A. Mallet finger
B. Claw hand
C. Ape hand
D. Wrist drop
C. Ape hand
A patient with significant scar tissue post-flexor tendon repair should avoid which of the following?
A. Early active motion
B. Passive ROM
C. Immobilization
D. Desensitization
C. Immobilization
Which condition is best treated with postural exercises and nerve glides?
A. Carpal tunnel syndrome
B. Thoracic outlet syndrome
C. De Quervain’s tenosynovitis
D. Lateral epicondylitis
B. Thoracic outlet syndrome
What is the primary indication for using paraffin in OT treatment?
A. Pain reduction in acute injuries
B. Enhancing skin moisture and scar management
C. Improving muscle tone
D. Increasing muscle strength
B. Enhancing skin moisture and scar management
Which safety precaution is essential when using any physical agent modality?
A. Checking the patient’s pain level
B. Ensuring proper application technique
C. Verifying the patient’s diagnosis
D. Monitoring the patient’s heart rate
B. Ensuring proper application technique
What is a common deformity resulting from radial nerve palsy?
A. Ape hand
B. Claw hand
C. Wrist drop
D. Mallet finger
C. Wrist drop
Which modality is contraindicated for patients with impaired circulation?
A. Hot Pack
B. Cold Pack
C. Paraffin
D. TENs
B. Cold Pack
What is the most appropriate intervention for reducing hypersensitivity after nerve injury?
A. Cryotherapy
B. Desensitization techniques
C. Heat therapy
D. Electrical stimulation
B. Desensitization techniques
Which condition is best managed with the dip method of paraffin application?
A. Open wounds
B. Sensory impairment
C. Hand stiffness
D. Acute inflammation
C. Hand stiffness
Which nerve injury results in an inability to oppose the thumb and weakened grip?
A. Radial nerve palsy
B. Ulnar nerve injury
C. Median nerve injury
D. Axillary nerve injury
C. Median nerve injury
Which of the following is an indication for using hot packs?
A. Reducing acute inflammation
B. Decreasing chronic pain
C. Increasing tissue extensibility
D. Treating sensory impairments
C. Increasing tissue extensibility
A patient with significant hypersensitivity and nerve pain following median nerve repair is most likely experiencing which of the following?
A. Wrist contracture
B. Neuroma
C. Overuse injury
D. Tendon rupture
B. Neuroma
