Questions 3 Flashcards

1
Q

What are the four parts of a functional problem statement?

A

1) Area of occupation
2) level of assistance needed to perform the occupation “due to”
3) contributing factor with
4) measuring device for factor

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2
Q

An anti-deformity or intrinsic-plus position is often used for the hand to counteract deforming forces on the hand after injury. This position places the hand in?

A

Wrist ext, MP flex, IP exten, thumb abd/opposition

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3
Q

In which section of the SOAP note would the following statement belong: “Continue daily OT for ADL training”

A

P

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4
Q

The intended purpose of the rapid exchange grip test is to?

A

Prevent the patient from giving less than max voluntary effort on the grip test

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5
Q

T/F
In hand therapy, if the bio and rehab to normal limits, one can assume that normal occupational function will be achieved as well?

A

F

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6
Q

Intrinsic muscle tightness can be assessed by?

A

Eval PROM of simultaneous MCP joint hyperextension and flexion of the IP joints

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7
Q

Which coding system documents what the healthcare provider does?

A

CPT codes

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8
Q

Where do you start when measuring edema using the figure 8 method?

A

Volar/radial wrist

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9
Q

A lag is when?

A

AROM is much more limited than PROM

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10
Q

In which section of the SOAP note would the following statement belong “client seen for 25 minutes in OT clinic for arm strengthening in order to improve independence in w/c propulsion”

A

O

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11
Q

The figure 8 technique is a method of measuring edema in the?

A

hand

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12
Q

If passive range of motion does not change when joints are repositioned proximally or distally, it can be determined that?

A

Joint contractures are present

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13
Q

All the forearm muscles innervated by the radial nerve originate from the?

A

lateral epicondlye

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14
Q

Which tech below is not recommended to reduce hand edema?

A

wearing a sling

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15
Q

T/F

Skilled services are those that are routine in nature, able to be done by a trained caregiver?

A

F

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16
Q

In which section of the SOAP note would the following statement belong “clients reports left wrist pain, max

A

S

17
Q

The modified allens test is an assessment of?

A

circulation

18
Q

In which section of the SOAP note would the following statement belong “resident is unsafe to return to her independent living apartment due to severe impairments in short term memory”

A

A

19
Q

A patient is referred for therapy with a traumatic hand wound. You observe severe hand and wrist edema, open wound to the dorsum of the hand, and limited movement of the fingers. The most appropriate test for edema in this scenario is?

A

Circumferential measurement

20
Q

Which of the following is not important to document from a reimbursement standpoint?

A

x-ray results

21
Q

Which muscles make up the rotator cuff?

A

Supraspinatus
infraspintaus
subscapularis
teres minor

22
Q

Whats the TAM?

MCP +10/45, PIP -15/25, DIP -10/60.

A

105

23
Q

In which section of the SOAP not would the following statement belong “pt will be independent in dressing LE by 2/20/20”

A

P

24
Q

You have a patient who had a lumbar spinal fusion surgery. What should be the PRIMARY focus of your documentation?

A

The pts abilities to do ADLs/IADLs

25
Q

What structure(s) pass through the 1st dorsal compartment of the extensor retinaculum of the wrist?

A

Extensor pollicis brevis

abductor pollicis longus

26
Q

In which section of the SOAP note would the following statement belong “pt performs oral care with setup/cleanup”

A

O

27
Q

Scar sensitivity can interfere in functional ability of the pt. facilitating scar maturation can decrease hypersensitivty. which technique below would not be used to desensitize the scare?

A

sunlight

28
Q

Your client has difficulty making a full fist after their injury. They can make a full fist with the wrist extended but cannot make a full fist with the wrist in neutral. What is MOST likely causing this problem?

A

ED tightness

29
Q

What interventions would be used in the bio FOR?

A

stretching
strengthening
Crafts, ADLs, or other occupations