Midterm Review

Question 1

What SCI level would use/require a zipper loop (AE)

Answer 1

○ C5-C6
-no ability to grasp, but could hook thumb through zipper loop

Question 2

Your OT session consists of BID sessions and a required 1.5 hr daily time
frame

Answer 2

○ Inpatient rehab (OT=1.5 hrs, PT=1.5hrs)

Question 3

This strategy can help someone with low vision location food on their plate
in a predictable manner.

Answer 3

○ The clock method

Question 4

OT in this setting consists of splint fabrication, HEP, instruction and
advancement in their program

Answer 4

○ Outpatient rehab

Question 5

This restriction allows the pt to touch the floor only for balance but not
place body weight through the leg

Answer 5

○ Toe touch weight bearing (TTWB)

Question 6

These two assessments help to determine the level of a spinal cord injury.

Answer 6

○ MMT and Sensory testing

Question 7

What might OT treatment for a pt with pneumonia consist of?

Answer 7

○ ADL performance, strength and endurance (holding a towel and
moving arms over head), functional mobility

Question 8

What is paralysis of all four limbs called?

Answer 8

○ Quadriplegia or tetraplegia (impairment of trunk and all four limbs)

Question 9

Which tool is used in IRF, SNF, HH, and LTCH settings but not acute care?

Answer 9

○ GG Codes
○ Not in acute care bc you only see them once or a few times before
discharge-many parts of it that aren’t relevant to the pt (i.e.
wheelchair mobility)

Question 10

The role of OT in this setting involves triage and determining the next
appropriate treatment setting for the pt following D/C

Answer 10

○ Acute care

Question 11

A symptom of this eye disease is seeing objects such as flowers that aren there known as Charles Bonet Syndrome

Answer 11

○ Macular Degeneration (central vision is lost-brain fills in missing
information)
○ OT would help reduce clutter, have them turn head to use peripheral
vision more, have good lighting

Question 12

What might one area of intervention be with a client with COPD on
continuous 02?

Answer 12

○ 02 line management, energy conservation techniques

Question 13

This assessment can be administered quickly on acute care to help
determine how much help a person needs w/ daily activity and cognitive
domains

Answer 13

○ AMPAC 6 clicks
○ SCIM

Question 14

Which setting? Pt seen 4x/week for 3 wks to address self care, fx mobility
w/ 02 line management and endurance building. Recommend recreation
therapy to maximize pt adjustment to disability and exploration of leisure
occupations

Answer 14

○ Subacute rehab

Question 15

Other than the Barthel, what assessment might you consider for a pt with
CHF, HTN and afib on inpt rehab?

Answer 15

○ BUE strength
○ Cardiac history=gather information about their limitations and what
areas to work on
○ TEXAS-sometimes cardiac dx can impact cognition from an anoxic
episode

Question 16

Which treatment setting allows for environmental modifications and
development of habits and routines in the natural setting?

Answer 16

○ Homecare

Question 17

This equipment is used for a client to prevent the legs from crossing when
resting in bed

Answer 17

○ Abduction wedge
○ Posterior hip replacement/surgery

Question 18

What is a common ICU acquired weakness impacting the muscles as a result of deconditioning?

Answer 18

○ Myopathy
○ Transfers, bed mobility, bed→chair transfers to keep myopathy from
occurring

Question 19

What is this piece of equipment called and at which SCI level might it be
used?

Answer 19

○ C5
○ Wash mitt
○ A little bit of hand to body, with arm propped on table

Question 20

What are precautions for a pt using anterior hip precautions?

Answer 20

○ No hip extension or ER
○ Encourage picking up of feet during transfers (little marches so the
feet aren’t pivoting/twisting)

Question 21

What is the procedure called where the stem, ball and cup are replaced
within the hip joint?

Answer 21

○ Total hip arthroplasty

Question 22

This assessment may help to determine legal blindness of a pt

Answer 22

○ Visual acuity

Question 23

This level of ICU care involves functional transfers to the commode and
bedside self-care tasks at chair level

Answer 23

○ Level III ICU progression protocol

Question 24

Lower body dressing and a shower seat without a backrest is the focus of
OT for a client with this DX?

Answer 24

○ a total knee replacement

Question 25

Which assessment is best to assess ADLs and functional mobility with a pt s/p SCI?

Answer 25

○ SCIM (more valuable data for spinal cord pt)

Question 26

What is primary prevention?

Answer 26

consists of measures aimed at a susceptible population or individual.
❖ The purpose of primary prevention is to prevent a disease from ever occurring.
❖ The target population is healthy individuals.
❖ It commonly institutes activities that limit risk exposure or increase the immunity of individuals at risk to prevent a disease from progressing in a susceptible individual to subclinical disease.

Question 26

examples of primary prevention

Answer 26

● Regular exercise program
● Immunizations
● Tobacco Cessation Programs
● Needle Exchange Programs
● Micro-Nutrient Supplementation Programs

Question 27

What is secondary prevention

Answer 27

emphasizes early disease detection, and its target is healthy-appearing individuals with subclinical forms of the disease

The subclinical disease consists of pathologic changes, but no overt symptoms that are diagnosable in a doctor’s visit.

Secondary prevention often occurs in the form of screenings.

Question 28

examples of secondary prevention

Answer 28

● Blood pressure screening
● Papanicolaou (Pap) smear for early detection of cervical cancer
● Mammography, for early detection of breast cancer
● Colonoscopies, for early detection of colon cancer

Question 29

What is Tertiary prevention

Answer 29

targets both the clinical and outcome stages of a disease.

It is implemented in symptomatic patients and aims to reduce the severity of the disease as well as of any associated sequelae.

While secondary prevention seeks to prevent the onset of illness, tertiary prevention aims to reduce the effects of the disease once established in an individual.

Question 30

Tertiary Prevention examples:

Answer 30

Occupational therapy in burn patients
● Cardiac rehab in post-myocardial infarction patients
● Diabetic foot care

Question 31

What are the GG Codes and what is the purpose?

Question 32

What are GG codes?

Answer 32

Section GG is a standardized assessment utilized by the Centers for Medicare and Medicaid Services (CMS) in post-acute care settings. The assessment measures a patient’s need for assistance with self-care and mobility while also documenting the patient’s prior level of function.

Question 33

GG codes 6-1
07, 09, 10 , 88

Answer 33

6 = independent
5 = setup
4 = supervision
3 = partial assistance
2 = substantial assistance
1 = dependent
09 = N/A
10 - not attepted due to environmental limitations
88 = not attempted due to medical condition

Question 34

What areas are assessed by the ampac 6 click

Answer 34

Lower body dressing
bathing
toileting
upper body dressing
grooming like oral care
eating meals
cognition

Question 35

What are the self care areas addressed in GG codes

Answer 35

eating, oral hygiene, toilet, wash upper body, shower/bath, upperbody dressing, lower body dressing, don and doff shoes, roll left and right, sit to lying, luing to sitting on EOB, sit to stand, chair/bed transfer, car transfer, walk 10ft, walk 50 feet, walk 150 ft, 1 step, 4 steps, 12 steps, picking up objects, wheelchair (only if they need it).

Question 36

What is the Impact Act of 2014?

Answer 36

The IMPACT Act requires the reporting of standardized patient assessment data with regard to quality measures and standardized patient assessment data elements (SPADEs). The Act also requires the submission of data pertaining to measure domains pertaining to resource use, and other domains

Question 37

What does usual status mean and what does it pertain to?

Answer 37

The usual Principal Status (UPS) approach relates to the activity status of a person during the 365 days preceding the date of the survey. The activity status on which a person has spent a relatively long time (183 days or more) during the period is considered the usual principal activity status of the person.

Question 38

Which GG sections drive reimbursement?

Answer 38

Eating, oral hygiene, toilet hygiene, sit to lying, lying to sit, sit to stand, chair to bed/chair tf, walk 50 ft, walk 150 ft

Question 39

Which GG Codes measure for function?

Answer 39

eating, oral hygiene, toilet hygiene, rolling left and right, sit to lying, lying to sit, sit to stand, chair tobed, toilet tf, walk 10 ft, walk 50 ft, walk 150ft wheel 50 ft, wheel 150 ft.

Question 40

Charles Bonnet syndrome refers to

Answer 40

the visual hallucinations caused by the brain’s adjustment to significant vision loss. It occurs most often among the elderly who are more likely than any other age group to have eye conditions that affect sight, such as age-related macular degeneration.

Question 41

symptoms of myopathy

Answer 41

The most common signs and symptoms of myopathies include weakness, stiffness, cramps, and spasms. Myopathies are a heterogeneous group of disorders primarily affecting the skeletal muscle structure, metabolism, or channel function. They usually present with muscle weakness interfering in daily life activities.