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OT Intro 2 Flashcards

1
Q

Kubler-Ross stages of grief:
a. Depression- Acceptance - Bargaining - Denial - Anger
b. Denial - Anger - Bargaining - Depression- Acceptance
c. Denial - Acceptance - Bargaining - Depression- Anger
d. Depression - Anger - Bargaining - Denial - Acceptance

A

b. Denial - Anger - Bargaining - Depression- Acceptance

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2
Q

Not a neuromuscular facilitation technique by Rood:

a. Gentle touch, pressure, brushing, cooling skin
b. Stretching muscles and tendons
c. Squeezing and tapping muscle belly
d. Vestibular stimulation
e. Voluntary contraction by patient

A

e. Voluntary contraction by patient

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3
Q

A patient with myocardial infarction had been transferred from the acute unit to the rehab unit. During the initial interview he displays good memory of information processed before the MI but poor recall of the period spent in the acute care facility.
The patient are experiencing problems related to:

a. Orientation
b. Retrograde amnesia
c. Anterograde amnesia
d. Long-term memory

A

c. Anterograde amnesia

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4
Q

Neurophysiologic and developmental treatment approaches include:
a. Rood, Bobath, Ayres, PNF
b. Rood, Bobath, Mosey, PNF
c. Rood, Bobath, Brunnstrom, PNF
d. Bobath, Brunnstrom, Ayres, Mosey

A

c. Rood, Bobath, Brunnstrom, PNF

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5
Q

The proponent of the psychoanalytical theory is:

a. Gordon Allport
b. Sigmund Freud
c. Abraham Maslow
d. Henry Murray

A

b. Sigmund Freud

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6
Q

The comprehensive assessment of sensation, ROM, muscle tone, reflex
development and integration, sensorimotor and coordination are used when patient has:
a. Fractures and tendon replacements
b. Peripheral nerve injuries
c. CNS dysfunction
d. Burns and amputations

A

c. CNS dysfunction

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7
Q

Activity that is most helpful in preparing a client to use crutches:

a. Weaving in inkle loom
b. Rolling clay rolls
c. Typing
d. Leather stamping

A

d. Leather stamping

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8
Q

Most resistive exercise for the elbow:

a. Metal hammering
b. Cord knotting
c. Hand-sawing one-inch narra board
d. Block printing by pressing with the palm

A

a. Metal hammering

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9
Q

A frame of reference which assumes that treatment progresses from reflex to
voluntary to functional; that movement is facilitated using reflexes, associated
reactions, proprioceptive facilitation, and extension in preparation for voluntary
movement; where emphasis is placed on willed movement to overcome the linkages
between parts of the synergies and correct movement is repeated to learn it:

a. Bobath
b. Rood
c. PNF
d. Brunnstrom

A

d. Brunnstrom

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10
Q

Manual muscle testing is indicated in all, except:

a. Myasthenia gravis
b. 8-weeks post-op tendon transplant
c. Bilateral amputee
d. Diabetes mellitus patient

A

a. Myasthenia gravis

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11
Q

Stage of learning

a. Cognitive
b. Autonomous
c. Autonomous
d. Associative

A

a. Cognitive

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12
Q

Stimulation of the skin over a particular muscle facilitates movement. Simultaneously it leads discharges of gammas innervating the muscle antagonist, with the possibility of relaxing the antagonist muscle. This process is called: where the learner tries different strategies until he finds out the best one to use:

a. Rhythmic stabilization
b. Associated reactions
c. Reciprocal innervations
d. Contract-Hold-Relax

A

c. Reciprocal innervations

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13
Q

Finger painting and checkers of light aluminum are activities that may be used when hands and arms are graded as:

a. Trace
b. Poor
c. Fair
d. Normal

A

c. Fair

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14
Q

Motor learning theory:

a. Extrinsic feedback
b. Intrinsic feedback
c. Extrinsic motivation
d. Intrinsic motivation

A

a. Extrinsic feedback

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15
Q

The supine position provides a normal infant with the opportunity to work against gravity to develop the ability of:

a. Shoulder flexion and protraction
b. Shoulder extension
c. Development of head control
d. Development of trunk control

A

a. Shoulder flexion and protraction

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16
Q

Sensory input to the nervous system to evoke a reflex-based muscular response and ontogenetic patterns and sequential motor control:

a. Rood
b. Brunnstrom
c. Bobath
d. Ayres

A

a. Rood

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17
Q

Which sensorimotor treatment approaches emphasizes stimulation of
proprioceptors with active participation by the patient:

a. Brunnstrom Movement Therapy
b. Neurodevelopmental Approach
c. Sensory Integration Approach
d. Proprioceptive Neuromuscular Facilitation

A

d. Proprioceptive Neuromuscular Facilitation

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18
Q

An individual is newly admitted to an acute inpatient psychiatric hospital. The OT observes that the patient is able to follow the unit routines and construct a simple craft
by following written directions. However, he is not able to complete the activity if the written directions are missing. The individual is most likely in ACL:

a. 4
b. 2
c. 3
d. 5

A

d. 5

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19
Q

Patient relies on visual cues and tends to comply on actions needed to achieve a
short-term goal. His attribute is goal-directed actions but no new learning is involved:

a. 4
b. 2
c. 3
d. 5

A

a. 4

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20
Q

A frame of reference which assumes that treatment progresses from reflex to
voluntary to functional; that movement is facilitated using reflexes, associated
reactions, proprioceptive facilitation, and extension in preparation for voluntary
movement; where emphasis is placed on willed movement to overcome the linkages
between parts of the synergies and correct movement is repeated to learn it:

a. Bobath
b. Rood
c. PNF
d. Brunnstrom

A

d. Brunnstrom

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21
Q

The principle that an OT fulfills when she tells her patient how well he did the
activity is:

a. Practice
b. Active participation
c. Feedback
d. Therapist’s attitude

A

c. Feedback

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22
Q

Which of the following theories/approaches would be most associated with
intervention emphasizing structure and feedback during performance of a hand skill as well as repetition of the activities?

a. Motor learning theory
b. Developmental frame of reference
c. Sensory integration frame of reference
d. Behavioral theory

A

a. Motor learning theory

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23
Q

In measuring the range of motion of a client with rheumatoid arthritis, the therapist takes note of the following values: metacarpophalangeal joint 20-90 degrees, proximal interphalangeal joint 10-50 degrees, distal interphalangeal joint 0-15
degrees. The therapist records the total active motion for the finger flexors as:

a. 95 degrees
b. 120 degrees
c. 125 degrees
d. 155 degrees

A

c. 125 degrees

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24
Q

After the child was able to perform the activity, the therapist gave him hugs and
praises. What kind of feedback was given to the child?

a. Adventitious feedback
b. Positive reinforcement
c. Negative reinforcement
d. Positive punishment

A

b. Positive reinforcement

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25
Q

Which of the following behavioral techniques would be most appropriate for patients who don’t like to stay in specific enclosed places?

a. Habilitation
b. Extinction
c. Systemic Desensitization
d. Token economy

A

c. Systemic Desensitization

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26
Q

According to this theory, people can learn by observing other people

a. Social cognitive
b. Behaviorism
c. Operant conditioning
d. Acquisitional FOR

A

a. Social cognitive

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27
Q

SI is generally complete at what age?

a. 1-3 years old
b. 4-5 years old
c. 8-10 years old
d. 14-18 years old

A

c. 8-10 years old

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28
Q

What stage in hand function recovery according to Brunnstrom exhibits development of hook grasp, mass grasp without voluntary release?

a. 2
b. 3
c. 4
d. 5

A

b. 3

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29
Q

Brunnstrom stage where synergies are performed voluntarily:

a. 3
b. 4
c. 5
d. 6

A

a. 3

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30
Q

Brunnstrom stage where independent joint motion is possible and spasticity
declines:

a. 2
b. 3
c. 4
d. 5

A

c. 4

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31
Q

All of the following are being addressed by the Biomechanical FOR, except:

a. ROM
b. Muscle strength
c. Muscle Tone
d. Endurance
e. None of the above

A

c. Muscle Tone

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32
Q

A therapist designs an activity where the patient will transfer the same type of cans, for the same number of repetitions, in the same setting.

a. Open
b. Serial
c. Random
d. Blocked

A

d. Blocked

33
Q

According to Carr and Shepherd’s Motor Relearning Approach, What is the correct order of the steps involved? I. Practice of activity/task II. Transference of learning III. Analysis of function IV. Practice of missing components

a. III, II, I, IV
b. III, IV, I, II
c. III, I, IV, II
d. III, I, II, IV

A

b. III, IV, I, II

34
Q

Neurophysiologic and developmental treatment approaches include:

a. Rood, Bobath, Ayres, PNF
b. Rood, Bobath, Mosey, PNF
c. Rood, Bobath, Brunnstrom, PNF
d. Bobath, Brunnstrom, Ayres, Mosey

A

c. Rood, Bobath, Brunnstrom, PNF

35
Q

The proponent of the psychoanalytical theory is:

a. Gordon Allport
b. Sigmund Freud
c. Abraham Maslow
d. Henry Murray

A

b. Sigmund Freud

36
Q

The “claw hand” is also known as:

a. Intrinsic plus hand
b. Intrinsic minus hand
c. Extrinsic plus hand
d. Extrinsic plus hand

A

b. Intrinsic minus hand

37
Q

Prioritize the following problems of a five year old:
1 Fair standing balance and
tolerance
2 Slight hypotonicity of the lower extremities
3 Fair frustration tolerance

a. 1, 2, 3
b. 2, 3, 1
c. 2, 1, 3
d. 3, 2, 1

A

d. 3, 2, 1

38
Q

When using RIPs with a child with extensor patterns of spasticity, the OT using the NDT approach would:

a. Move the child into extension
b. Facilitate righting and equilibrium reactions
c. Use key points of control at the ankle
d. Ask the child to hold a position of flexion

A

b. Facilitate righting and equilibrium reactions

39
Q

Hip joint movements available:

a. Flexion/Extension, Abduction/Adduction, External Rotation only
b. Flexion/Extension, Abduction/Adduction, Internal Rotation only
c. Flexion/Extension, Abduction/Adduction, internal/External Rotation
d. Flexion/Extension, Abduction/Adduction, internal/External Rotation, Circumduction

A

d. Flexion/Extension, Abduction/Adduction, internal/External Rotation, Circumduction

40
Q

An enriched environment with appropriate stimulation will cause positive brain
change in the growing child. This concept may be referred to as:

a. Just right challenge
b. Inner drive
c. Neural plasticity
d. Child development

A

a. Just right challenge

41
Q

The comprehensive assessment of sensation, ROM, muscle tone, reflex
development and integration, sensorimotor and coordination are used when patient
has:

a. Fractures and tendon replacements
b. Peripheral nerve injuries
c. CNS dysfunction
d. Burns and amputations

A

c. CNS dysfunction

42
Q

Activity that is most helpful in preparing a client to use crutches:

a. Weaving in inkle loom
b. Rolling clay rolls
c. Typing
d. Leather stamping

A

d. Leather stamping

43
Q

Most resistive exercise for the elbow:

a. Metal hammering
b. Cord knotting
c. Hand-sawing one-inch narra board
d. Block printing by pressing with the palm

A

a. Metal hammering

44
Q

ACLS except:

a. Automatic
b. Passive
c. Goal-Oriented
d. Manual

A

b. Passive

45
Q

An OT treats most clients under the behavioral frame of reference. The activity
feature that is MOST consistent with a behavioral frame of reference is:
a. The level of skill required is appropriate for the generally expected skills for that age
b. The symbolic potential of the activity
c. The combined activity demands of sensations, perceptions and motor skills
d. The measurability of activity performance

A

d. The measurability of activity performance

46
Q

In a behavioral approach to mental health evaluation and treatment:

a. The focus is on the past and what made the person misbehave
b. Maladaptive behaviors are considered the result of faulty learning
c. Projective techniques are commonly used
d. The focus is on adapting the environment to support best performance

A

b. Maladaptive behaviors are considered the result of faulty learning

47
Q

The therapist decides that the best frame of reference to use in a 6-year old male
with autism who exhibits finger flicking, hand flapping and leg shaking is:

a. Biomechanical
b. Sensory integration
c. Neurodevelopmental
d. Behavioral

A

b. Sensory integration

48
Q

The therapist decides that transferring groceries be part of the patient’s treatment plan in rehabilitating instrumental activities of daily living. The therapist designs an activity where the patient would transfer canned goods and cereals. Based on the principles of proprioceptive neuromuscular facilitation, if the groceries are initially
placed on the counter on the left of the patient, where will the therapist ask the patient to transfer them?

a. To the overhead cabinet on the right side of the patient
b. To the overhead cabinet on the left side of the patient
c. To the counter on the right side of the patient
d. To the floor on the left side of the patient

A

a. To the overhead cabinet on the right side of the patient

49
Q

Manual muscle testing is indicated in all, except:

a. Myasthenia gravis
b. 8-weeks post-op tendon transplant
c. Bilateral amputee
d. Diabetes mellitus patient

A

a. Myasthenia gravis

50
Q

Stage of learning where the learner tries different strategies until he finds out the best one to use:

a. Cognitive
b. Autonomous
c. Autonomous
d. Associative

A

a. Cognitive

51
Q

Stimulation of the skin over a particular muscle facilitates movement.
Simultaneously it leads discharges of gammas innervating the muscle antagonist, with the possibility of relaxing the antagonist muscle. This process is called:

a. Rhythmic stabilization
b. Associated reactions
c. Reciprocal innervations
d. Contract-Hold-Relax

A

c. Reciprocal innervations

52
Q

When planning treatment for a child with high tone or spasticity, the OT would
most likely use the NDT principle of:

a. Weightbearing and compression with movement
b. Small movements with stability
c. Stability, reduction of movements, and development of midline orientation

A

a. Weightbearing and compression with movement

53
Q

On average, what self-care activities are at what MET level:

a. 2
b. 3
c. 4
d. 5

A

b. 3

54
Q

Procedural memory:

a. How do you make coffee?
b. When was the last time you visit Iligan?
c. What were you doing yesterday?
d. None of the above

A

a. How do you make coffee?

55
Q

According to Brunnstrom, beginning of gross grasp movement and minimal finger flexion is possible
a. 2
b. 3
c. 4
d. 5

A

a. 2

56
Q

When applying a Psychoanalytic frame of reference perspective to mental health occupational therapy intervention:

a. Psychopathology is believed to be the result of faulty learning
b. Occupation can be used to uncover unconscious drives and feelings
c. Cognitive functioning is the result of a physical or chemical dysfunction in the brain
d. The environment must be adapted to positively impact the patient’s functioning

A

b. Occupation can be used to uncover unconscious drives and feelings

57
Q

A therapist decided to use backward chaining in teaching handwashing to a child with autism. Which of the following skills will the child learn first:

a. Drying hands with towel
b. Rinsing hands
c. Applying soap
d. Opening faucet

A

a. Drying hands with towel

58
Q

When applying a Psychoanalytic frame of reference perspective to mental health occupational therapy intervention:

a. Is believed to be the result of faulty learning
b. Occupation can be used to uncover unconscious drives and feelings
c. Cognitive functioning is the result of a physical or chemical dysfunction in the brain
d. The environment must be adapted to positively impact the patient’s functioning

A

b. Occupation can be used to uncover unconscious drives and feelings

59
Q

All are bulky-handled eating utensils, except:

a. Attaching a spool
b. Built up with wood
c. Foam handles
d. Universal cuff

A

d. Universal cuff

60
Q

Finger painting and checkers of light aluminum are activities that may be used when hands and arms are graded as:

a. Trace
b. Poor
c. Fair
d. Normal

A

c. Fair

61
Q

Motor learning theory:

a. Extrinsic feedback
b. Intrinsic feedback
c. Extrinsic motivation
d. Intrinsic motivation

A

a. Extrinsic feedback

62
Q

The supine position provides a normal infant with the opportunity to work against gravity to develop the ability of:

a. Shoulder flexion and protraction
b. Shoulder extension
c. Development of head control
d. Development of trunk control

A

a. Shoulder flexion and protraction

63
Q

The treatment goal for a 4-year old with hypotonia is to improve grasp. Which of the following activities would be most appropriate to prepare the child’s hand for grasp activities?

a. Dropping blocks into a pail
b. Placing pegs on a pegboard
c. Weightbearing on hands
d. Holding and eating a cookie

A

c. Weightbearing on hands

64
Q

LBP is a common problem for most of the adult population. The aging process results in loss of water in the disc and narrowing of the joint space. What role does
the OT play in reducing the risk of back injury?

a. Teaching strengthening programs
b. Redesigning work stations
c. Observation of client body mechanics
d. Prevention and retraining education

A

d. Prevention and retraining education

65
Q

An entry-level OT has a new job at an outpatient rehabilitation facility. The majority of diagnoses are conditions, such as tendonitis, fractures, overuse syndromes and
nerve compression injuries. The OT concludes that the primary frame of reference
used to treat individuals at this facility is:

a. Neurodevelopmental
b. Cognitive
c. Sensorimotor
d. Biomechanical

A

d. Biomechanical

66
Q

While working in a clinic, the OT concludes that a child has gravitational insecurity.
According to the Sensory Integration theory, this issue is most significantly connected to the:

a. Proprioceptive system
b. Tactile system
c. Auditory system
d. Vestibular system

A

d. Vestibular system

67
Q

The OT who teaches families therapeutic handling, which can increase opportunities for CP patient to move with “more normal” patterns is following what FOR?

a. NDT
b. SI
c. Biomechanical
d. PNF

A

a. NDT

68
Q

Rood facilitation techniques include which of the following:

a. Fast brushing, slow icing, slow stroking
b. Light stroking, fast brushing, quick stretch
c. Slow brushing and slow rolling
d. Slow brushing, fast icing, slow rolling

A

b. Light stroking, fast brushing, quick stretch

69
Q

Technique used to facilitate trunk control:

a. Rhythmic Stabilization
b. Rhythmic Relaxation
c. Contract Relax
d. Hold Relax

A

a. Rhythmic Stabilization

70
Q

A therapist measures the range of motion of the elbow joint of a patient with
cerebrovascular accident. The therapist recorded full flexion and 5 degrees of
hyperextension. How will the therapist record these findings?

a. 5 to 140 degrees
b. 5 to -140 degrees
c. 5 to 0 to 140 degrees
d. -5 to 0 to 140 degrees

A

c. 5 to 0 to 140 degrees

71
Q

A therapist measures the range of motion of the elbow joint of a patient with
cerebrovascular accident. Where will therapist place the axis of the goniometer?

a. Medial epicondyle of the elbow
b. Lateral epicondyle of the elbow
c. Olecranon process of the elbow
d. Lateral supracondylar ridge of the elbow

A

b. Lateral epicondyle of the elbow

72
Q

In the evaluation of sequencing, the use of cards is most appropriate for patients with:

a. Writing problems
b. Visual problems
c. Aphasia
d. Feeding problems

A

c. Aphasia

73
Q

What is the appropriate splint to use for a patient wuth burns on the anterior
aspect of the forearm, shoulder and trunk?

I Airplane splint
II Adduction throughs
III Axilla pads

a. I only
b. III only
c. I and III only
d. II and III only

A

a. I only

74
Q

Components in PNF’s UE D1 Flexion, except:

a. Shoulder flexion
b. Shoulder extension
c. Forearm supination
d. None of the above

A

b. Shoulder extension

75
Q

The therapist will use which standardized test to determine touch awareness in a patient with decreased sensation?

a. Fingertips
b. Cotton tip
c. Dynamometer
d. Monofilament test

A

d. Monofilament test

76
Q

An individual with hand weakness has difficulty holding a fork. Using a
biomechanical frame of reference, which of the following interventions would be the MOST appropriate?

a. Elicit functional grasp using reflex inhibiting postures
b. Stimulate the hand flexors to promote a functional grasp
c. Repeatedly squeeze with the hand against increasing amounts of resistance
d. Build up utensil handles

A

c. Repeatedly squeeze with the hand against increasing amounts of resistance

77
Q

Most rapid recovery from CVA occurs in this time:

a. 3 months
b. 6 months
c. 1 year
d. 2 years

A

b. 6 months

78
Q

A therapist evaluating the posture and movement of an individual who had a stroke. The OT is most likely using what theory?

a. Rehabilitative
b. Neurodevelopmental
c. Psychoanalytic
d. Sensory Integration

A

b. Neurodevelopmental

79
Q
A

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