NBCOT Deck 1 Flashcards

1
Q

Median nerve laceration

A

Flattening of thenar eminence - clawing of INDEX and MIDDLE fingers “Ape Hand”

(loss of thumb opposition and weakness of pinch)

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2
Q

Ability to focus on objects in a busy background

A

Figure ground

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3
Q

Ability to organize and interpret things seen

A

Visual perception

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4
Q

Ability to perceive object/word that is partially hidden

A

Visual closure

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5
Q

Ability to recall specifics—learned facts

A

Declarative memory

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6
Q

Ability to see subtle differences in objects and/or pictures

A

Visual discrimination

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7
Q

Activity Groups:
Assists members in acquiring skills and knowledge to perform a specific activity

A

Thematic Groups

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8
Q

Activity Groups:
Evaluation of group interaction (skills and limitations)

A

Evaluation Group

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9
Q

Activity Groups:
Explore thoughts and feelings to enhance self-awareness

A

Task-Oreinted Groups

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10
Q

Activity Groups:
Group discussion regarding topics outside of a group typical norms

A

Topical Groups

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11
Q

Activity Groups:
Maintain the highest optimal quality of life through socialization and meaningful activities

A

Instrumental Groups

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12
Q

Activity Groups:
To teach and develop member’s group interaction skills.

A

Developmental Groups

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13
Q

Adhesive Capsulitis (Frozen Shoulder)

Stages and what happens (pain and ROM)

A

Freezing: Painful at the end of range
Frozen: Less Pain, Loss of ROM
Thawing: Pain subsides and ROM returns

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14
Q

Allen Cognitive Level 4:

Describe

A

Goal directed actions: Can complete familiar, routine tasks, better attention to the environment, follow sequences of steps, need support to problem-solve. self care independent or MIN A

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15
Q

Allen Cognitive Level 1:

Describe

A

Automatic Actions: Severe cognitive impairment & responds to internal stimuli (pain/hunger), basic reflexive actions- require 24 hr care for all ADLs, may respond to physical cues, LIMITED AWARENESS

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16
Q

Allen Cognitive Level 2:

Describe

A

Postural Actions: Can move body but lack control & purposeful interaction, limited awareness of surroundings and safety, 24 hrs care for safety and assistance with basic tasks

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17
Q

Allen Cognitive Level 3:

Describe

A

Manual Actions: can perform simple tasks w/ hands require cues and supervision, focus on immediate surroundings and repetitive tasks, manipulate objects, follow basic instructions, engage in self-care w/ guidance supervision and set up required, MOD A needed

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18
Q

Allen Cognitive Level 5:

Describe

A

Exploratory actions: Can learn new information through trial and error, can perform complex tasks struggle w/ abstract thinking INDEPENDENT function

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19
Q

Allen Cognitive Level 6:

Describe

A

Planned actions: Normal cognitive function, planning, organizing, anticipating consequences

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20
Q

ASIA Scale: A: Complete

A

No motor or sensory function below lesion

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21
Q

ASIA Scale: B: Incomplete

A

Sensory but no motor

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22
Q

ASIA Scale: C: Incomplete

A

Motor and sensory below lesion, but < 3 muscle grade

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23
Q

ASIA Scale: D: Incomplete

A

Motor and sensory below lesion, but > 3 muscle grade

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24
Q

ASIA Scale: E: Normal

A

Normal motor and sensory below lesion

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25
Q

Automatic sequence, conditioned response - performing morning routine

A

Procedural Memory

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26
Q

Autonomy

A

Right to self-determination, privacy, confidentiality, and conset

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27
Q

Beneficence

A

Concerns of the well-being and safety of the client

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28
Q

“This Frame of Reference focuses on impairments, such as ROM, strength, endurance, MMT, pain, and edema

A

Biomechanical FOR

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29
Q

Bipolar I

A

One or more manic episodes WITH hypomania or major depressive

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30
Q

Bipolar II

A

One or more major depressive episode At least ONE hypomania episode NO manic episode

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31
Q

Capacity to carry out actions in the future (ie. pay bills)

A

Prospective Memory

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32
Q

Carpal Tunnel Syndrome

A

Median nerve compression ; Narrowing of carpal canal

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33
Q

Colles Fracture

A

DORSAL displacement of the distal radius fracture

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34
Q

Common finger fracture leading to mallet finger

A

Distal phalanx fracture

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35
Q

Ranchos Los Amigos:
Level 3

A

Localized Response
1. Total A
2. React to specific stimuli

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36
Q

Ranchos Los Amigos:
Level 1

A

No Response
1. Unresponsive to Stimuli

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37
Q

Ranchos Los Amigos
Level 2

A

Generalized Response
1. Total A
2. General response to stimulus

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38
Q

Cubital Tunnel Syndrome

A

Ulnar nerve compression at the elbow

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39
Q

De Quervein’s Syndrome (Mommy’s Thumb)

A

Inflammation of the tendons around the thumb due to repetitive wrist motion

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40
Q

Developmental Groups:
Carries out all social, emotional, and functional roles and tasks

A

Mature Group
OT Role: Peer

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41
Q

Developmental Groups:
Fulfilling needs is more important than the activity itself

A

Cooperative Group
OT Role: Advisor

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42
Q

Developmental Groups:
Group interaction is not needed to complete a task

A

Parallel Group
OT Role: Direct Leader

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43
Q

Developmental Groups:
Group interaction is required; short-term activity 2 or more people

A

Project Group
OT Role: Less Directive

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44
Q

Developmental Groups:
Long-term group activity with 5-10 people; Group chooses activity

A

Egocentric Group
OT Role: Role Model

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45
Q

Diabetic Retinopathy

A

Changes in blood vessels of the retina causing swelling/leakage causing blurred vision/central vision loss

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46
Q

Difficulty understanding and organizing thoughts to perform a task—unfamiliar with item use

A

Ideational apraxia

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47
Q

Double vision

A

Diplopia

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48
Q

Dupuytrens

A

Disease of the fascia of the palm and digits

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49
Q

Fidelity

A

Treat clients with respect and fairness

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50
Q

Hallucinations

A

False sensory perception NOT in response to external stimuli

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51
Q

Identify the position and direction of objects in space

A

Spatial orientation

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52
Q

Illusions

A

Misperception or Misinterpretation of REAL sensory events

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53
Q

Inability to recognize people people or objects

A

Visual Agnosia

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54
Q

Ineffective motor planning and execution—the person knows what they want to do

A

Ideomotor apraxia

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55
Q

Job Analysis

A
  1. Defines the actual demands of the job
  2. Includes questionnaires, interviews, observations, or formal measurements
  3. Provides a specific understanding of the requirements to complete the job effectively
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56
Q

Justice

A

Promote equality and inclusion

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57
Q

Knowing the meaning of words and being able to classify

A

Semantic Memory

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58
Q

Knowledge of personal experiences

A

Episodic memory

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59
Q

Knows what they want to say but cannot say it

A

Broca’s Aphasia - Expressive Aphasia (think ‘Broken’)

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60
Q

Lateral Epicondylitis

A

Overuse of wrist extensors causes pain on the outer elbow

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61
Q

Leadership Styles:
Advisory Leadership

A

OT practitioner functions as a resource to the group who sets the agenda and determines the group’s structure and functioning

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62
Q

Leadership Styles:
Direct Leadership

A

OT practitioner is responsible for the planning and structuring of the group

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63
Q

Leadership Styles:
Facilitative Leadership

A

OT practitioner shares responsibility for group process with fellow members

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64
Q

Loss of central vision

A

age-related macular degeneration

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65
Q

Loss of peripheral vision

A

Glaucoma

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66
Q

Mania vs Hypomania
Mania symptoms last ________ while hypomania symptoms last _________

A

One week ; 4 days

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67
Q

MET Level:
1. Seated warm shower
2. Dressing Dusting
3. Play instruments

A

2-3

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68
Q

MET Level:
1.Lightwork in bed
2.Transfers
3.Self-feeding
4.Washing up in bed

A

1.5-2

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69
Q

MET Level:
1. AT Rest

A

1.0

70
Q

MET Level:
1. Take a hot shower
2. Dancing
3. Change linens
4. Raking/Weeding

A

4-5

71
Q

MET Level:
1. Take it easy!
2. Standing to take a warm shower
3. Sweeping / gardening

A

3-4

72
Q

MET Level:
1. F words– “Fun” “Flirty”
2. Put linens to use Shoveling /Digging
3. Sexual Activity

A

5-6

73
Q

MET Level:
1. Fast Running

A

10+

74
Q

MET Level:
1. Running ~5.5 mph

A

8-9

75
Q

MET Level:
1. Brisk walking
2. ~ 5 mph Basketball

A

6-7

76
Q

MET Level:
1. Jogging

A

7-8

77
Q

Modified Ashworth Scale:
(1)

A

Slight increased tone, catches near the end of ROM

78
Q

Modified Ashworth Scale:
(1+)

A

Slight increased in tone, but catches and releases slightly for less than half of ROM

79
Q

Modified Ashworth Scale:
(2)

A

Increased tone through ROM more than half but still EASILY moved through full range

80
Q

Modified Ashworth Scale:
(3)

A

Significant tone; HARD to do PROM

81
Q

Modified Ashworth Scale:
(4)

A

Rigid in flexion and extension (IMPOSSIBLE)

82
Q

Nonmaleficence

A

Do no harm

83
Q

Oblique/cloudy vision in lens – possible surgery to replace lens

A

Cataracts

84
Q

Organic loss of an individual’s ability to comprehend what has been said to them (Random Speech)

A

Wernicke’s Aphasia – Receptive Aphasia

85
Q

Osteogenesis Imperfecta

A

A genetic disorder that causes brittle bones, leading to frequent fractures with minimal or no trauma

86
Q

Osteoporosis

A

Weak and Brittle Bones

87
Q

Partial/complete loss of vision in one half of each eye

A

Honomyous hemianopsia

88
Q

Radial Nerve Palsy

A

Radial nerve compression

89
Q

Ranchos Los Amigos:
Level 4

A

Confused-Agitated
1. Max A
2. May complete 1-step directions
3. Restraints may be used

90
Q

Ranchos Los Amigos:
Level 5

A

Confused-Inappropriate
1. Max A
2. Easily distracted and needs redirection
3. May follow simple commands

91
Q

Ranchos Los Amigos:
Level 6

A

Confused-Appropriate
1. Mod A
2. Attends for 30 mins with cues
3. Poor safety awareness
4. Requires 24-hour supervision

92
Q

Ranchos Los Amigos:
Level 7

A

Automatic-Appropriate
1. Min A
2. New learning occurs
3. Oreintated to place and routine

93
Q

Ranchos Los Amigos:
Level 8

A

Purposeful-Appropriate
1. SBA
2. Carryover to learn new tasks
3. Impaired abstract thinking

94
Q

Recall distant past (ie. highschool)

A

Remote memory aka long term memory

95
Q

Recall past few days

A

Recent memory aka working memory

96
Q

Recall past few months

A

Recent past memory

97
Q

Recall within few seconds/minutes

A

Immediate memory aka short term memory

98
Q

Recognize and label shapes with different orientations and backgrounds.

A

Form constancy

99
Q

“A frame of Reference focuses on independence despite impairments or limitations.”

A

Rehabilitative FOR

100
Q

Rotator Cuff Tendonitis

A

Inflammation of the tendons in the shoulder, often caused by repetitive overhead movements or injury

101
Q

Shoulder Dislocation

A

Occurs when the upper arm bone pops out of the shoulder socket, often due to injury or trauma

102
Q

Skier’s Thumb (Gamekeeper’s Thumb)

A

Rupture of the ulnar collateral ligament of the MCP joint of the thumb

103
Q

Smith’s Fracture

A

VOLAR displacement of the distal radius fracture

104
Q

Stage of Pressure Ulcers:Full thickness tissue loss with bone, tendon, or muscle visible or directly palpable

What cushions would be used and which group does it belong to?

A

Stage 4: W/ Group 2 or 3 cushions: air fluidized therapy cushions, dynamic air

105
Q

Stage of Pressure Ulcers: Dermis layer affected with partial thickness loss & presents as shallow open ulcer shiny or dry

What cushions would be used and which group does it belong to?

A

Stage 2: W/ Group 1 or 2 cushions: air/ alternating pressure cushions/ low air loss cushions

106
Q

Stage of Pressure Ulcers: Full thickness tissue loss with subcutaneous fat possibly visible

What cushions would be used and which group does it belong to?

A

Stage 3: W/ Group 2 cushions: low air loss cushions, alternating pressure cushions, specialized foam or gel/air cushions

107
Q

Stage of Pressure Ulcers:
Skin intact w/ visible nonblanchable redness over localized area (typically bony prominence)

What cushions would be used and which group does it belong to?

A

Stage 1: W/ Group 1 cushions: gel, foam, or air

108
Q

Stages of Alzheimer’s Disease:
Stage 1(No Cognitive Decline)

A

No evidence of memory deficit

109
Q

Stages of Alzheimer’s Disease:
Stage 2 ( Very Mild Cognitive Decline)

A

Memory impairment is evident during evaluations
1. Client expresses difficulty with memory (Forgetting Keys)

110
Q

Stages of Alzheimer’s Disease:
Stage 3 ( Mild Cognitive Decline)

A

Caregivers begin to notice deficits
1. Friends and family also begin to notice impairment

111
Q

Stages of Alzheimer’s Disease:
Stage 4 (Moderate Cognitive Decline)

A

Beginning of the “True” Dementia Stage
1. Patient is still oriented to time and space
2. Difficulties with IADLs

112
Q

Stages of Alzheimer’s Disease:
Stage 5 (Moderate Cognitive Severe Decline)

A

The client can’t live alone
1. Needs significant assistance with ADLs and IADLs
2. Disoriented to time and place

113
Q

Stages of Alzheimer’s Disease:
Stage 6 ( Severe Cognitive Decline)

A

Severe Symptoms
1. The client can no longer speak in full sentences
2. Can’t follow two-step commands

114
Q

Stages of Alzheimer’s Disease:
Stage 7 (Very Severe Cognitive Decline)

A

Bedbound
1. Unable to speak
2. Won’t be able to follow any commands

115
Q

Stages of Group Development:
Cohesion Phase

A

Involves members regrouping after the conflict phase with a greater sense fo purpose and group values

116
Q

Stages of Group Development:
Conflict Phase

A

Challenges and disagreements arise in the group

117
Q

Stages of Group Development:
Intermediate Phase

A

Interpersonal bonds, group norms, and goal-directed activities are created

118
Q

Stages of Group Development:
Maturation Phase

A

Using skills and energies to be productive and contribute to the success of the group

119
Q

Stages of Group Development:
Termination Phase

A

Conclusion of the group due to goals being obtained

120
Q

Stages of Group Development:
Orientation Phase

A

Involves members to learn what the group is about. Initial group connections are formed

121
Q

Stages of Group Development:
Origin Phase:

A

Comprising group protocols and planning of the group

122
Q

Swan Neck Deformity

A

Orientation: Flexion of MCP, hyperextension of PIP, Flexion of DIP

123
Q

Topographical Disorientation

A

Difficulty finding one’s way in space secondary to memory dysfunction

124
Q

Trigger Finger

A

Inflammation of the flexor tendon leads to difficulty straightening fingers. (A1-pully)

125
Q

Unawareness of motor deficits

A

Anosognosia

126
Q

Veracity

A

Truth

127
Q

Visually perceive two or more objects

A

Spatial relationships

128
Q

What deformity is common with cubital tunnel syndrome?

A

Claw hand

129
Q

What functions do a patient have at SCI level C1-C3?

A

Neck flexion, extension, and rotation

130
Q

What functions do a patient have at SCI level C4?

A

Neck flexion, extension, rotation, scapular elevation, inspiration

131
Q

What functions do a patient have at SCI level C5?

A

Shoulder flexion, abduction, extension; elbow flexion and supination; scapular adduction and abduction (protraction and retraction

132
Q

What functions do a patient have at SCI level C6?

A

Scapular protraction and retraction; horizontal adduction, forearm supination; wrist extension

133
Q

What functions do a patient have at SCI level C7-C8?

A

Elbow extension, wrist extension /flexion; Finger flexion/extension; thumb flexion, extension, and abduction

134
Q

What functions do a patient have at SCI level L2-S5?

A

Abdominals intact, Good trunk stability, (partial control of legs/hips depends on ASIA level)

135
Q

What functions do a patient have at SCI level T1-T9?

A

UE intact; limited trunk stability

136
Q

What functions do a patient have at SCI level T10-L1?

A

UE intact; good trunk stability

137
Q

What is an Ethical Dilemma?

A

Two or more morally correct ways to solve a problem. However, solutions are exclusive so choosing one course prohibits acting on another

138
Q

What is Ethical Distress?

A

Provider knows the correct action but barriers exist

139
Q

What is hyperopia?

A

Farsightedness

140
Q

What is myopia?

A

Nearsightedness

141
Q

What is the age range for release skill development below: Involuntary

A

1-4 months

142
Q

What is the age range for release skill development below: No release

A

0-1 month

143
Q

What is the age range for release skill development below: one stage transfer

A

6-7 months

144
Q

What is the age range for release skill development below: two stage transfer

A

5-6 months

145
Q

What is the age range for release skill development below: voluntary release

A

7-9 months

146
Q

Work conditioning

A
  1. Physical conditioning including strength aerobic fitness, flexibility, coordination, and endurance
  2. Involves a single discipline
  3. Job simulation
147
Q

Work Hardening

A
  1. Formal, multidisciplinary program
  2. Work Simulation
  3. Job site evaluation
  4. Graded Activity
  5. Job simulation using actual equipment
148
Q

Zone 1 and 2 Injury

A

Mallet Finger Deformity
Orientation: Flexion of DIP

149
Q

Zone 3 and 4 Injury

A

Boutonniere Deformity
Orientation: Extension of MCP, Flexion of PIP. Flexion of DIP

150
Q

Ulnar nerve laceration deformity

A

Claw hand

(loss of power grip and decreased pinch)

151
Q

Radial nerve injury deformity

What’s the difference between high and low lesions?

A

wrist drop

sensory loss for HIGH lesions
motor loss for LOW lesions

152
Q

Rheumatoid arthritis

What are common deformities?

A

body immune system attacks the synovium

ulnar drift & subluxation of MCP joints
boutonneire deformity
swan neck deformity
zig-zag deformity

153
Q

Osteoarthritis

A

Degenerative joint disease, not systemic but wear and tear - hyaline cartilage

154
Q

Static Orthosis

A

Non-moving, immobilize joint

155
Q

Dynamic orthosis

A

resilient component that an individual moves

156
Q

Serial static

A

Use of casting material that is remolded to address changes in joint motion

157
Q

Static progressive

A

Static adjustment part that allows the tension or angle to increase motion

158
Q

Episodic Memory

A

Memory for events that have happened

159
Q

Procedural Memory

A

Memory about how to do something

160
Q

Long-Term Memory

A

Accumulation of memories over a lifetime

161
Q

Semantic Memory

A

Memory for Facts

162
Q

Metamorphopsia

A

Visual Distortion of objects including the physical properties of the object (ex. If you see a group of balls knowing when to distinguish that this is a basketball and not a football)

163
Q

Color Agnosia

A

Inability to recognize specific colors

164
Q

Color Anomia

A

Inability to name the color

165
Q

Simultanagnosia

A

Inability to recognize and interpret a visual array as a whole

166
Q

Anomic Aphasia

A

Difficulty with word retrieval

167
Q

Praxis

A

Ability to plan and perform motor movement during activities

168
Q

Somatagnoisa

A

Diminished awareness of one’s body parts

169
Q

Anosognosia

A

Unawareness of motor deficits

170
Q

Nystagmus

A

Involuntary, rapid, and repetitive eye movements

171
Q

Stark Law

A

Prohibits physician self-referrals specifically if a financial relationships exists between referrals

172
Q

PSQIA (Patient Safety and Quality Improvement Act of 2005)

A

Protects workers who report unsafe work conditions or practices in the work place