Ortho and Splinting (midterm) Flashcards
A patient comes to you for the treatment of tendinopathy. Which of the following is not a priority in OT management?
A. Activity modification
B. Rest
C. Strengthening
D. Avoidance of stressors
Answer: C – literally last priority, only if needed but try to avoid it
Red flags of an infection includes all but…
A. Redness (purplish tones for dark skin)
B. Warmth
C. Swelling
D. Pallor
E. Declining status
F. Pain
Answer: D – you won’t see pale tones around infection
The primary role of OTs in scar management is…
A. Reducing pain
B. Reducing visibility
C. Reducing adhesions
D. Protection
Answer: C – we don’t want scar tissue to adhere to the repairs
When evaluating a patient, which aspect will help you best understand the causes and conditions for the patient’s problems?
A. Physical examination
B. Assessment/provocative test
C. Prescription from doctor
D. Patient’s history
Answer: D – this is MOST IMPORTANT
Rest can help confirm suspicions
Patient presents with edema, How would you measure it?
A. Circumferential
B. Volumetric
C. Notate its subjective quantity (e.g., mild)
Answer: A – done mostly in clinics and hospitals
B – typically done in research only
C – you can but an actual number is preferred
In a differential assessment of full PROM, what requirements must be met? (SATA)
A. Ligaments/joint capsule are able to lengthen to normal capacity
B. In tact muscle/tendon unit
C. Ability to relax the antagonist muscle/tendon group
D. Proper neutral control
E. All other non-contractile surfaces (e.g., bone) are in tact
Answer: all except D – D is required for full AROM
T/F: If a person has PROM, but no or minimal AROM, you do not know whether it is a neural control, muscular control, or muscle/tendon unit issue without further testing.
Answer: True
T/F: A restriction in PROM does not always result in a restriction in AROM.
Answer: False
To determine the true cause of loss of ROM an OT would assess all but which of the following?
A. Compensatory movements
B. Sensation
C. Body language
D. Crepitus
Answer: B – you do want to assess this, but it won’t be a true cause for a loss of ROM
Which of the following end feels is considered abnormal?
A. Tissue stretch
B. Bony
C. Approximation
D. Guarding
Answer: D – this is protective and not normal
A – extension of a tissue
B – different from bone block
C – flexion of a tissue
Which of the following is not a criteria for progressive resistive exercises (PREs)?
A. Quantity of motion
B. Quality of motion
C. Motivation to do strengthening
D. Level of pain
Answer: C
What is the most important edema management intervention?
A. Movement
B. Massage
C. Elevation
D. Compression
Answer: A
Massage for scar management serves purpose of…
A. Reducing visibility
B. Edema management
C. Desensitization
Answer: C – on occasion, yes
