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Boards Flashcards 2 > Neuromgt 4 > Flashcards

Neuromgt 4 Flashcards

1
Q
  1. A bowel program for the patient with a spinal cord injury includes all of the ff, except:

A. Timing and a regular schedule
B. Hot oral intake
C. Suppository or digital stimulation
D. Convenient time in the patient’s schedule

A

D. Convenient time in the patient’s schedule

We want to be consistent during bowel program

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2
Q
  1. An adolescent with a spinal cord injury is refusing to cooperate in the formal occupational therapy assessment at admission. What is the best option for the OT?

A. Administer a different assessment
B. Use informal methods at first
C. Discontinue the assessment and wait until the patient is more cooperative
D. Tell the teenager that you will have to tell his parents

A

B. Use informal methods at first

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3
Q
  1. An OTR is working on sitting balance with an individual with C6 quadriplegia. The BEST position for the individual’s hands to be in when using them for support is to have the fingers:

A. extended and adducted
B. flexed at all joints
C. extended and abducted
D. adducted and flexed only at the metacarpal phalangeal joints.

A

B. flexed at all joints

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4
Q
  1. A person with a spinal cord injury who complains of dizziness and feels faint may be experiencing:

A. Autonomic dysreflexia
B. Pulmonary emboli
C. Orthostatic hypotension
D. Abdominal distention

A

C. Orthostatic hypotension

Keywords: dizziness and faint

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5
Q
  1. An OT practitioner is planning a self-feeding session with an individual with a C5 spinal cord injury. Which piece of feeding equipment would be MOST appropriate for the OT practitioner to introduce to the client?

A. A wrist driven flexor hinge splint
B. A mobile arm support
C. An electric self-feeder
D. Built-up utensils

A

B. A mobile arm support

a: C6
c: C1-C4
d: C8 or T1

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6
Q
  1. An individual with quadriplegia complains of frequently slumping to the side when sitting in a wheelchair. The wheelchair adaptation that would BEST enable this individual to maintain an optional position is:

A. A reclining wheelchair.
B. an arm trough.
C. lateral trunk supports.
D. lateral pelvic supports.

A

C. lateral trunk supports.

a: weightshift posteriorly
b: center
d: too low for moving laterally

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7
Q
  1. An individual with C4 quadriplegia is able to independently use a mouth stick to strike keys on a computer keyboard for 15 minutes. To upgrade this activity, therapist should:

A. Provide a heavier mouth stick
B. Have the individual work at the keyboard for 30 minutes
C. Progress the individual to a typing device that inserts into a wrist support
D. Teach the individual how to correctly instruct a caregiver in use of the keyboard

A

B. Have the individual work at the keyboard for 30 minutes

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8
Q
  1. Which individual would benefit the MOST from using a wrist-driven flexor hinge splint during a prehension activity?

A. A client with a C1 injury
B. A client with a C3 injury
C. A client with a C6 injury
D. A client with a T1 injury

A

C. A client with a C6 injury

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9
Q
  1. Maximum level to perform if a client has SCI C7 level injury:

A. Shoulder shrug
B. Forearm pronation
C. Forearm supination
D. Wrist flexion

A

D. Wrist flexion

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10
Q
  1. Use of mouthstick is best for what level of SCI:

A. C5-C6
B. C1-C4
C. C7-C8
D. T1-T2

A

B. C1-C4

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11
Q
  1. An individual incurred a spinal cord injury at the C5 level. During an OT session focused on developing the ability to feed independently using adaptive equipment, the occupational therapist notes that the client is flushed and sweating excessively. The client requests that the session end early due to a pounding headache. Which action is best for the occupational therapist to take first in response to this situation?

A.End the session and call the transporter to return the client to the client’s room
B. Empty the client’s filled catheter bag and maintain the client’s upright position
C. Return the individual to the unit and report symptoms to the head nurse
D. Stop the session and recline the individual in the wheelchair for a rest break

A

B. Empty the client’s filled catheter bag and maintain the client’s upright position

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12
Q
  1. An OT ordered a wheelchair for a client with C7 complete quadriplegia. Which of the following wheelchairs would be most appropriate for the patient?

A. Electric wheelchair with chin control
B. Manual wheelchair with handrim projections
C. Manual wheelchair with friction surface handrims
D. Manual wheelchair with standard handrims

A

C. Manual wheelchair with friction surface handrims

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13
Q
  1. An individual with an incomplete C6 spinal cord injury has secondary diagnosis of thromboangitis obliterans. The occupational therapist conducts a pre-discharge home evaluation of the client’s rented apartment. Which is the most important area for the therapist to assess?

A. The apartment’s electrical capacity for an environmental control unit
B. The apartment’s electrical capacity for an emergency call system
C. The apartment’s water temperature
D. The landlord’s willingness to modify to modify the bathroom.

A

C. The apartment’s water temperature

If a px has thromboangitis obliterans, may decreased temperature sense, paresthesia, etc.
High risk din siya for scalding burns

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14
Q
  1. What is the most common site of heterotropic ossification in spinal cord injury patients?

A. Elbow
B. Hip
С. Кnее
D. Shoulder

A

B. Hip

a: 2nd MC

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15
Q
  1. A client with a C5 spinal cord injury is ready to address self-feeding. What piece of equipment would the client benefit most from:

A. Mobile arm support
B. Universal cuff
C. Electric wheelchair
D. Scoop dish

A

B. Universal cuff

a: C5 pero for prep to
d: required din universal cuff

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16
Q
  1. Upon motor evaluation:
    Client has good finger flexion, wrist flexion/wrist extension, elbow flexion/elbow extension. He has fair finger abduction but has poor hip flexion, knee extension and absent ankle dorsiflexion and ankle plantarflexion. Compute for the TMIS.

A. 46
B. 48
C. 50
D. 52

A

A. 46

Good –> C5-C8: 4 x 2 x 4 = 32
Fair –> T1: 1 x 2 x 3 = 6
Poor –> L2-L3: 2 x 2 x 2= 8
Absent –> L4: 3 x 2 x 0 = 0

32+6+8= 46

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17
Q
  1. Regarding epidemiology, which of the following is the most common cause of spinal cord injury?

A. Falls
B. Violence
C. Motor Vehicular Accidents
D. Sports/recreation

A

C. Motor Vehicular Accidents

A: For TBI

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18
Q
  1. Which of the following devices will be required by an individual with C7-8 quadriplegia when performing oral hygiene activities?

A. Mobile arm support with utensil holder
B. Universal cuff
C. Toothbrush with built-up handle
D. Wrist support with utensil holder

A

C. Toothbrush with built-up handle

A: C5
B: C5-C6
D: C5-C6

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19
Q
  1. An OT practitioner provides a leatherworking activity to an individual with C7 quadriplegia in order to increase grip strength. Which component of this activity would be MOST effective in promoting this goal?

A. Holding the hammer
B. Holding the stamping tools
C. Squeezing the sponge to wet the leather
D. Lacing with a needle

A

A. Holding the hammer

C: Less resistance
D: Pinching

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20
Q
  1. A person with a spinal cord injury who has active wrist extension and tenodesis function is at what level:

A. C4
B. C5
C. C6
D. C9

A

C. C6

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21
Q
  1. Brown Sequard Syndrome: There is motor paralysis and loss of proprioception on the contralateral side. There is loss of pain, temperature, and touch sensation on the ipsilateral side.

A. Both statements are true.
B. Both statements are false.
C. The first statement is true, the second statement is false.
D. The first statement is false, the second statement is true.

A

B. Both statements are false.

22
Q
  1. A person with C5 spinal cord injury would have all of the ff muscle functions, except:

A. Deltoids, shoulder flexion
B. Biceps, elbow flexion
C. Serratus anterior, scapular abduction
D. Triceps, elbow extension

A

D. Triceps, elbow extension

C7 ito

23
Q
  1. Landmark for L5 Dermatome:

A. 3rd MTP of toes
B. Middle anterior thigh
C. Lateral heel
D. 3rd MTP dorsum of foot

A

D. 3rd MTP dorsum of foot

24
Q
  1. Level of autonomic dysreflexia:

A. T7
B. T6
C. T5
D. T8

A

C. T5

Autonomic dysreflexia and orthostatic hypotension are above T6

25
Q
  1. ASIA classification: sensory function is preserved in the sacral segments S4-S5, and more than half of key muscles below the neurological level has a muscle grade of less than 3.

A. A
B. B
с. C
D. D

A

с. C

ASIA LEVELS:
S M
A: - -
B: + -
C: + + (more than half is <3)
D: + + (at least half is =/>3)
E: + +

26
Q
  1. An individual confides to the OT practitioner that he is concerned that lower extremity flaccidity may cause problems during sexual activity. The BEST strategy for the OT practitioner to recommend is:

A. use a sidelying position
B. use of pillows to prop up body parts into the desired position
C. incorporate slow rocking into movements
D. avoid movements that elicit a quick stretch

A

B. use of pillows to prop up body parts into the desired position

a: difficult to maintain position
c and d: for reducing tone

27
Q
  1. An individual with complete C7 quadriplegia demonstrates fair+ strength in the wrist extensors. Which of the following interventions will MOST effectively increase strength in the wrist extensors?

A. craft activity using increasingly heavy hand tools
B. mildly resistive activities that are halted as soon as the individual begins to fatigue
C. electric stimulation to the wrist extensors
D. moderate resistance during active range of motion to the wrist

A

A. craft activity using increasingly heavy hand tools

b: for condition na easily fatigued si px
d: not effective + 1-2x a day

28
Q
  1. A young adult with a T9-T10 spinal cord injury wishes to engage in sports activities. Which wheelchair features are best for the occupational therapists to recommend to this client?

A. A heavy-duty foldable frame with a high back
B. An ultra light foldable frame with a high back C. An ultra light rigid frame with a low back
D. A heavy duty rigid frame with a low back

A

C. An ultra light rigid frame with a low back

29
Q
  1. An occupational therapist provides recommendations for play activities that a parent with a complete spinal cord injury at the C7 level can do with children, aged eight and ten. Which is the best adapted activity for the therapist to recommend?

A. An arts and crafts project using a mouth stick brush to paint
B. A woodworking project using a universal cuff
to hold tools
C. A board game using a tenodesis grasp to move game pieces
D. A computer game using a typing stick to keyboard

A

C. A board game using a tenodesis grasp to move game pieces

a, b, c: higher level of SCI

30
Q
  1. A patient with complete injury of the spinal cord at the C5 level completed inpatient rehabilitation which concentrated on increasing independence in activities of daily living. In the discharge documentation, which is most likely for the occupational therapist to state the client is able to do?

A. Button buttons using a button hook
B. Mobile arm supports for feeding
C. Tie shoes using thick shoelaces
D. Brush teeth using tenodesis splint

A

B. Mobile arm supports for feeding

a: C6
c: C8
d: C6

31
Q
  1. A woman with a complete spinal cord injury at the C5 level has given birth to her first child. The client seeks suggestions on methods to facilitate independent and safe parenting. Which of the following is most beneficial for the occupational therapist to recommend the mother use to help her independently feed her child?

A. A pillow to support the mother’s arms during breast feeding
B. Bottles with pre-measured formulas
C. Bottles that have molded easy to grip shapes
D. A sling to support the infant’s head during
breast feeding

A

A. A pillow to support the mother’s arms during breast feeding

32
Q
  1. An individual with a high-level spinal cord injury is returning home. Which type of adaptive technology would the client MOST likely require to ensure safety in the home?

A. An environment control unit (ECU)
B. A call system for nonemergency use and emergency
C. A remote control power door opener
D. An electric page turner

A

B. A call system for nonemergency use and emergency

33
Q
  1. SCI Level C3:

A. Purse Lip Breathing
B. Segmental Breathing
C. Glossopharyngeal Breathing
D. Diaphragmatic Breathing

A

C. Glossopharyngeal Breathing

d: C5

34
Q
  1. An attractive unmarried patient with a spinal cord injury (SCI) is on a rehab unit and constantly flirts with the OT and PT staff. The staff should reach by:

A. Firmly rejecting his advances.
B. Flirting back in order to promote his self- esteem
C. Selecting one team member to discuss the effects of SCI on sexual functioning with the patient.
D. Setting personal boundaries appropriate to the therapist-patient relationship.

A

D. Setting personal boundaries appropriate to the therapist-patient relationship.

35
Q
  1. An individual with c8 quadriplegia is most likely to require which of the following in order to perform self- feeding?

A. total assistance
B. support of the upper extremity against gravity
C. a universal cuff
D. no assistive devices

A

D. no assistive devices

36
Q
  1. The family of an individual with paraplegia is moving into a new apartment and they need to select a surface for the living area. Finances are limited, but they are looking for the surface that will be easiest for maneuvering a wheelchair. Which of the following is the MOST appropriate surface for this situation?

A. linoleum floor
B. short pile carpeting
C. deep pile carpeting
D. several area rugs

A

A. linoleum floor

easiest and cheapest daw

37
Q
  1. An OT practitioner is working on lower extremity dressing with a young adult with a spinal cord injury. As the client attempts to put on his underwear, he notices and erection and asks the practitioner how it is possible for him to have an erection and if he will be able to have sexual intercourse. The OT practitioner is slightly embarrassed and uncomfortable with the questions. The BEST action for her to take is to:

A.Tell him she will find out the answers to his questions and get back to him with an answer by the next morning
B.Answer his questions to the best of her ability and quickly return to the lower extremity dressing program
C.Refer him to his psychiatrist
D.Refer him to her OTR supervisor who has attended a workshop on sexuality and spinal cord injury

A

D. Refer him to her OTR supervisor who has attended a workshop on sexuality and spinal cord injury

38
Q
  1. Level of orthostatic hypotension

A. T7
B. T6
C. T5
D. T8

A

C. T5

Autonomic Dysreflexia and Orthostatic hypotension are above T6

39
Q
  1. Client was able to do elbow extension, wrist flexion and finger flexion. What SCI myotome level?

A. C5
B. C6
C. C7
D. C8

A

D. C8

40
Q
  1. The OTR is teaching a student how to perform range of motion exercises with a patient who has quadriplegia. In order to encourage the development of tenodesis, the OTR must be sure to position the patient’s wrist in:

A. the neutral position during finger flexion and extension
B. flexion during finger flexion and extension
C. extension during finger flexion and flexion during finger extension
D. flexion during finger flexion and extension during finger extension

A

C. extension during finger flexion and flexion during finger extension

41
Q
  1. In establishing long-term goals for an individual with T4 paraplegia in a rehabilitation setting, the OT practitioner would MOST likely predict that the patient will attain what level of independence with bathing. dressing, and transfers?

A. Complete independence with self-care and
transfers
B. Independence with self-care and minimal assistance with transfers
C. Minimal assistance with self-care and moderate assistance with transfers
D. Dependence with both self-care and transfers

A

A. Complete independence with self-care and
transfers

42
Q
  1. A client with a C5 spinal cord injury is ready to address self-feeding. What piece of equipment would the client benefit most from:

A. Mobile arm support
B. Universal cuff
C. Electric wheelchair
D. Scoop dish

A

B. Universal cuff

43
Q
  1. An individual who sustained a C7-C8 spinal cord injury 5 years ago has been admitted to an inpatient psychiatric unit. The OT practitioner should inform the staff that this individual will MOST likely be able to perform wheelchair-to-commode transfers at which of the following levels?

A. Independent with a sliding board
B. Assisted, using a stand-pivot transfer
C. Dependent in all transfers
D. Independent without adaptive equipment

A

A. Independent with a sliding board

From book review daw kaya bawal mag reklamo emz >___<

44
Q
  1. An individual with paraplegia wishes to become independent in driving an automobile. The most appropriate piece of adaptive equipment for this individual is:

A. A palmar cuff for the steering wheel
B. A spinner knob on the steering wheel
C. Pedal extensions for acceleration and braking
D. Hand controls for acceleration and braking

A

D. Hand controls for acceleration and braking

45
Q
  1. An OT practitioner is working with a patient with a high- level spinal cord injury who has no functional movements to determine the best method of input access for a powered wheelchair. The MOST likely recommendation for this patient to activate the wheelchair would be to use a:

A. Joystick
B. Sip-and-puff switch
C. Single-switch digital control
D. Mouth stick

A

B. Sip-and-puff switch

a and c: need movements ng body
d: keyboard

46
Q
  1. The adaptation that provides the MOST benefit for an individual with paraplegia in the area of dressing is:

A.A buttonhook zipper pull device
B.A clip-on tie
C. Adapted shoes
D. Loose-fitting clothing

A

D. Loose-fitting clothing

a and b: without hand fxn
c: C6-C8 injury

47
Q
  1. An individual uses a mouthstick when working with a computer. Which of the following devices will prevent the mouth stick from accidentally striking other keys?

A.A moisture guard
B.A keyguard
C. An auto-repeat defeat
D. One-finger-access software

A

B.A keyguard

Covers key and provides guide

48
Q
  1. An OT practitioner is working on feeding with an individual with a C3 spinal cord injury. The strategy that will enable the HIGHEST level of independence is for the individual to:

A. Clearly direct a caregiver in preferred head position, food portion size, and choice of food to eat
B. Use a mobile arm support
C. Use a wrist support with a utensil inserted into the cuff
D. Use a universal cuff with a utensil inserted into the cuff

A

A. Clearly direct a caregiver in preferred head position, food portion size, and choice of food to eat

49
Q
  1. The most common complaint of the patient with a spinal cord injury is:

A. Depression
B. Spasticity
C. Fatigue
D. Bladder Control

A

C. Fatigue

50
Q
  1. What is the best orthosis for an SCI patient with complete L3 lesion?

A. AFO + Walker
B. KAFO + Walker
C. KAFO + Lofstrand
D. AFO + Lofstrand

A

C. KAFO + Lofstrand

a: Not applicable
c: T1-T8
d: L4-L5

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