Ortho & Splinting Flashcards

1
Q

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

A

C. strengthening

Explanation:

(C) is the answer because strengthening is the last priority, only if needed, but try to avoid it.

(A) you want to modify tasks.
(B) you want to rest
(D) you do avoid stressors because you don’t want to aggravate

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2
Q

Red flags of an infection include all but:

A. redness
B. warmth
C. swelling
D. pallor
E. declining status
F. pain

A

D. pallor

Explanation:
(D) pallor is the answer because you won’t see pale tones around an infection

Note: you may see purplish tones instead of redness for dark skin.

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3
Q

The primary role of OTs in scar management is:

A. reducing pain
B. reducing visibility
C. reducing adhesions
D. protection

A

C. reducing adhesions

Explanation:
(C) is the answer because we don’t want scar tissue to adhere to the repairs!

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4
Q

Your patient presents with edema at your clinic. How would you measure it?

A. circumferential
B. volumetric
C. notate its subjective quantity (e.g. mild)

A

A. circumferential

Explanation:
Answer (A) circumferential is mostly done in clinics and hospitals.
Answer (B) volumetric is typically done in research only.
Answer (C) notate its subjective quantity is an option too, answer A is preferred.

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5
Q

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

A

D. patient’s history

Explanation:
(D) is the most important because it contains prior history, the complaint, onset, activities causing pain, location and quality of pain, specific functional impairments, and relieving factors.

Answers (A) physical examination, (B) assessment/provocative test, (C) prescription from doctor can help confirm suspicions.

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6
Q

In a differential assessment of full PROM, what requirements must be met? (Select all that apply)

A. ligaments/joint capsule are able to lengthen to normal capacity.
B. intact muscle/tendon unit
C. ability to relax the antagonist muscle/tendon group
D. proper neural control
E. all other non-contractile surfaces (e.g. bone) are intact.

A

A. ligaments/joint capsules are able to lengthen to normal capacity.
B. intact muscle/tendon unit
C. ability to relax the antagonist muscle/tendon group
E. all other non-contractile surfaces (e.g. bone) are intact.

Explanation:
Answer (D) proper neural control does not apply because full AROM is required in this scenario.

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7
Q

If a person has PROM, but no/minimal AROM, you do no whether it is a neural control, muscular control, or muscle/tendon unit issue without further testing.

A. True
B. False

A

A. True

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8
Q

A restriction in PROM does not always result in a restriction in AROM.

A. True
B. False

A

B. False

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9
Q

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

A

The answer is B (Sensation). You do want to assess this, but it won’t be a true cause for a loss of ROM.

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10
Q

Which of the following end feels is considered abnormal?

A. Tissue Stretch
B. Bony
C. Approximation
D. Guarding

A

The answer is D (Guarding). This is protective & not normal!

Explanation:
A. Tissue Stretch - extension of a tissue
B. Bony - Different from bone block
C. Approximation - Flexion of a tissue

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11
Q

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

A

The answer is C (Motivation to do strengthening).

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12
Q

What is the most important EDEMA management interventions?

A. Movement
B. Massage
C. Elevation
D. Compression

A

The answer is A (Movement).

Explanation:
Answers B (Massage), C (Elevation), and D (Compression) all great. but not the #1

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13
Q

Massage for scar management serves a purpose of…

A. Reducing visibility
B. Edema management
C. Desensitization

A

The answer is C (Desensitization).

Explanation:
Answer B (Edema management) is not really a massage

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