NBCOT exam Flashcards
Carpal tunnel syndrome
splints and interventions?
- wrist immobilizer used at night.
- ergonomic evaluation of work station and education in proper positioning.
- AROM /stretching program for computer-users or those performing repetitive tasks.
- nerve gliding and tendon gliding exercises
swan neck deformity
Joint deformity consisting of PIP hyperextension and DIP flexion commonly associated with rheumatoid arthritis and tendon trauma Intervention may include a tri-point ring orthosis to prevent PIP hyperextension
Boutonnieres deformity
Joint deformity consisting of PIP flexion and DIP hyperextension, commonly associated with rheumatoid arthritis and PIP joint trauma intervention may include fabrication of orthosis to support the PIP in extension while allowing movement at the DIP
Mallet finger
Inability to extend DIP joint due to rupture of the distal end of extensor tendon Intervention may include static orthosis to maintain DIP in extension
Dypnea
Shortness of breath due to impaired breathing in response to activity or at rest, may require: medical attention modification to activity demands instruction in breathing techniques dyspnea control postures
Dysphagia
client will need?
Difficulty in swallowing associated with:
neurological, developmental, or oral motor condition
sensory, motor, or behavioral dysfunction
Ranchos los amigos
Level I - No Response.
Patient does not respond to external stimuli and appears asleep.
____ (2) Level II - Generalized Response.
Patient reacts to external stimuli in nonspecific, inconsistent, and nonpurposeful manner with
stereotypic and limited responses.
____ (3) Level III - Localized Response.
Patient responds specifically and inconsistently with delays to stimuli, but may follow simple
commands for motor action.
____ (4) Level IV - Confused, Agitated Response.
Patient exhibits bizarre, nonpurposeful, incoherent or inappropriate behaviors, has no shortterm
recall, attention is short and nonselective.
____ (5) Level V - Confused, Inappropriate, Nonagitated Response.
Patient gives random, fragmented, and nonpurposeful responses to complex or unstructured
stimuli - Simple commands are followed consistently, memory and selective attention are
impaired, and new information is not retained.
____ (6) Level VI - Confused, Appropriate Response.
Patient gives context appropriate, goal-directed responses, dependent upon external input for
direction. There is carry-over for relearned, but not for new tasks, and recent memory
problems persist.
____ (7) Level VII - Automatic, Appropriate Response.
Patient behaves appropriately in familiar settings, performs daily routines automatically, and
shows carry-over for new learning at lower than normal rates. Patient initiates social
interactions, but judgment remains impaired.
____ (8) Level VIII - Purposeful, Appropriate Response.
Patient oriented and responds to the environment but abstract reasoning abilities are
decreased relative to premorbid levels.
Pitting edema
Type of interstitial swelling in the extremities in which an indent appears after pressure is applied, typically graded from absent (0) to severe (3+)
Wheelchair length doorways and
hallways
average wheelchair width
a minimum of 32 inches ideal is 36 for doorways and 36 inches for hallways
24-26 inches
Bariatric wheelchair
wide heavy duty wheelchair designed for obese individuals
Tilt in Space wheelchair
indicated for pressure relief or for an individual with severe extensor spasms
tetraplegia
same as quadriplegia partial or total loss of all four limbs
C1-C3 spinal cord injury
Head and neck control some head and neck sensation respirator dependent
C4 injury
Good head/ neck sensation & motor control
-Scapular elevation
-Diaphragm moves
Max A in ADLs
C5 injury
Full head/ neck movement &sensation
Shoulder strength
Shoulder external Rotation
Shoulder abd. 90*Elbow flexion & supination
self-feeding with adaptive equipment limited self-care and dressing with adaptive equipment
C6 injury
Full shoulder movement
Forearm pronation
Wrist extension
Tenodesis Self- feeding w/ equip. like universal cuff
Upper & lower dressing w/ adaptive equip
C7
elbow extension full shoulder wrist extension finger flexion Independent w/ self-feeding, dressing, & grooming w/ adaption Independent bed mobility & transfers Meal prep w/ adaption Can drive w/ hand controls
C8-T1
Independent with self-care and most ADL requiring UE
