Quiz 5

Question 1

common deaths in home

Answer 1

falls (#1 cause), poisoning, fires and burns

Question 2

strategies to prevent falls

Answer 2

remove floor coverings, good pathways from outside to inside, get rid of visual distractions and deceptions in stairway design

Question 3

common etiology, pathology and clinical symptoms for arthritic conditions

Answer 3

Joint pain or joint disease
Lupus: systemic or erythematosus, rash, joint pain
Scleroderma: calcinosis of skin, scarring, thickening of skin (sclerodactyly)
Psoriatic Arthritis: gray scaly spots on scalp, detachment of nails, skin and joint problems
Ankylosing Spondylitis: inflammatory arthritis of the spine
Chronic fatigue syndrome
Fibromyalgia

Question 4

osteoarthritis most common

Answer 4

in knee, then hand, then hip

Question 5

Global Functional Status in Rheumatoid Arthritis

Answer 5

Class I - completely able to perform usual ADLs
Class II - able to perform usual ADLs and vocational activities, but limited in avocational activities
Class III - able to perform usual ADLs, but limited in vocational and avocational activities
Class IV - limited in ability to perform all

Question 6

Identify varying hand and wrist deformities that can occur with Rheumatoid and Osteoarthritis

Answer 6

wrist - volar subluxation of proximal row of carpals, ligament laxity, wrist instability, radial shift of carpals
MP ulnar deviation and volar displacement
Extensor tendon subluxation
Zig zag deformity

Question 7

swan neck and boutonniere

Answer 7

Swan neck: hyperextension of PIP, flexion of DIP

Boutonniere: flexion deformity of PIP, hyperextension of DIP

Question 8

CPT and L codes

Answer 8

CPT code: bill therapist’s time

L code: bill for cost of orthosis

Question 9

Identify the differences and purposes of immobilization/static orthoses, mobilizing orthoses and restrictive orthoses.

Answer 9

Static or serial casting: support or rest painful joints, immobilize for healing/protection from trauma, surgery, nerve/joint/tendon injuries
Static progressive or dynamic: to restore mobility

Question 10

dynamic

Answer 10

generates controlled mobilizing force via dynamic assist (rubber band)

Question 11

static progressive

Answer 11

low load force via non elastic component to hold end range until tissue accommodates

Question 12

serial static

Answer 12

apply with tissue near max end range to wear for long periods of time to accommodate soft tissue elongation