practice questions Flashcards
please choose the MOST appropriate assistive device for the following patient: pt is a 79 yo male with PMH positive for orthostatic hypotension. He is post op day 1 following a L TKA. Pt needs to ambulate to the restroom for the first time since surgery.
a.) rollator walker
b.) bilateral axillary crutches
c.) quad cane
d.) standard walker
standard walker
When describing the rationale for flexing the stronger hip and knee when descending a stair or curb with an AD, which of the following statements is most accurate?
A.) it allows the patient to be able to skip step sin the event of an emergency
B.) it lowers the COM in a controlled manner
C.) it allows for better shock absorption during the step down
D.) it is a way of exercising the stronger leg
B.) it lowers the COM in a controlled manner
When trialing bilateral axillary crutches with your patient, they begin to lose their balance forward. Which of the following is the MOST appropriate in this situation?
a.) using all of your strength to lift the patient up by the gait belt
b.) gently, but firmly pulling backwards on the gait belt
c.) pushing forward on the patients pelvis and trunk
d.) turning your body so that you are facing your patient’s side
b.) gently, but firmly pulling backwards on the gait belt
pt is an 85 year old female who is largely independent with ADLs and enjoys going to the community center to play cards with friends. She gets quite fatigued when walking long distances, needing to sit and rest ever so often and, per her daughter, she is starting to sometimes hold on to objects nearby to help conserve energy. Which of the following ADs would be MOST appropriate to trial with this patient?
a.) standard walker
b.) rollator walker
c.) single point cane
d.) small base quad cane
b.) rollator walker
You are beginning to gait train without an AD with a pt who is 3 days s/p left total hip arthroplasty. Which of the following positions is MOST appropriate for the therapist when guarding using a gait belt?
a.) Therapist should be to the left side of the patient and slightly behind w/ an underhand grip on the gait belt and hand on the anterior left shoulder
b.) Therapist should be to the left side of the patient and slightly behind w/ an overhand grip on the gait belt and hand on the anterior left shoulder.
c.) Therapist should be to the left side of the patient and slightly behind w/ an underhand grip on the gait belt and hand on the posterior right shoulder.
d.) Therapist should be to the left side of the patient and slightly behind w/ an overhand grip on the gait belt and hand on the posterior right shoulder.
a.) Therapist should be to the left side of the patient and slightly behind w/ an underhand grip on the gait belt and hand on the anterior left shoulder
For a patient who is TTWB on the RLE and initiating gait for the first time, which of the following assistive devices would be MOST appropriate?
a.) Single point cane
b.) Standard walker
c.) Rollator walker
d.) Hemi-walker
b.) Standard walker
When guarding a patient on steps, which of the following statements is MOST accurate?
a.) Always guard the patient on the weaker side while ascending and descending the stairs.
b.) Always stand behind the patient while descending the stairs.
c.) Always stand in front of the patient while ascending stairs.
d.) Always stand between the patient and the direction in which the patient is most likely to fall.
d.) Always stand between the patient and the direction in which the patient is most likely to fall.
Your patient will be using axillary crutches for mobility. After educating the patient on how to adjust the crutches to fit correctly, you assess how well the patient understood the instructions. What findings demonstrate that the crutches were adjusted correctly by the patient? Select all that apply:
- When the patient grips the hand grips of the crutches the elbow bends at about 30 degrees.
- The hand grips of the crutches are even with the mid-forearm.
- The patient places weight on the axillae rather than the hands while ambulating.
- The patient has a 2-3 finger width distance between the axillae and crutch rest pad
- When the patient grips the hand grips of the crutches the elbow bends at about 30 degrees.
- The patient has a 2-3 finger width distance between the axillae and crutch rest pad
Your patient is using a cane for the first time. Before using the cane, you assess that the cane properly fits the patient. Which findings below demonstrate the cane properly fits the patient?
Select all that apply:
- There is a 1.5 inch gap between the top of the cane and the axillae.
- The arm that is holding the cane is flexed at about a 40 degree angle.
- When the patient dangles their arms, the top of the cane is even with the crease of the wrist closest to the hand.
-The top of the cane is at the level of the greater trochanter.
- When the patient dangles their arms, the top of the cane is even with the crease of the wrist closest to the hand.
- The top of the cane is at the level of the greater trochanter.
When performing sit to stand with axillary crutches with a patient who is NWB on the RLE, which of the following statements is MOST appropriate?
a.) The patient should place the uninvolved limb slightly anterior to the NWB limb
b.) The patient should scoot all the way back in their seat to allow them to use both arms to push off with
c.) The patient should hold both crutches by the handpiece in the left hand for the sit to stand
d.) The patient should hold both crutches by the handpiece in the right hand for the sit to stand
The patient should hold both crutches by the handpiece in the right hand for the sit to stand
Your patient with a fractured R acetabulum has just been cleared for gait activities by the physician. They have been NWB on the RLE and on bed rest for the past 2 weeks and are very apprehensive about weightbearing. Which of the following assistive devices is MOST appropriate to use when initiating gait activities with this patient?
a.) Front-wheeled walker
b.) Bilateral axillary crutches
c.) Wide-base quad cane
d.) Parallel bars
Parallel bars
