The final Flashcards
*If a person has elbow joint stiffness and you want to increase extensibility, what would be an effective physical agent
modality to select for the patient prior to ROM. Cold Pack, Paraffin, Hot Pack or
NMES
Hot Pack.
Reason: Cold pack and NMES does not increase extensibility,
paraffin would not be used on the elbow
*A patient complains of
numbness and tingling in the thumb, index, middle fingers and radial half of ring
finger. They also report weakness of thumb opposition and grip. Which
intervention would be most effective to address the patients concerns? Cold
pack, hot pack, wrist orthosis or hot pack
Wrist orthosis, all the other answers are a contraindication due to
sensory impairment
*Patient is s/p reverse total shoulder replacement x 2 days ago.
You plan to work with the patient on ADLs, but they are reporting 6/10 pain level.
What physical agent modality would you provide? Hot pack, TENs, Cold Pack or
biofeedback?
Cold Pack best for post-surgical pts and pain. This patient has both
*You receive an order for a patient dx with an acute flare up of
RA to receive paraffin treatments 3 x wk for 4 weeks. What is the best approach
to address the order.
A.) Provide paraffin treatments as per order
B.) Educate the patient in a home program to do paraffin treatments
C.) Provide paraffin but wrap in hott pack to seal in heat
D.) Do not provide paraffin tx and contact MD
D. ) Do not provide paraffin tx and contact MD
two reasons: we would not do paraffin
1)contraindicated for a patient with a flare up
2)paraffin should
never be the used as the only intervention
*Which one of the following should not be used as a therapeutic intervention
during an acute flare up of RA?
A. Compression
B. AROM
C. Hot Pack
D. Resting Hand Orthosis
C. Hot Pack
*A patient diagnosed with Type II Diabetes 3 months ago has developed a frozen
shoulder. What PAMs would be most effective to address the patient’s
diagnosis?
A. Hot Pack
B. Cold Pack
C. Continuous US
D. Pulsed US
C. Continuous US
*True or False: A person with a cardiac history often experience depression
True
*Your patient is s/p median nerve repair. The patient has significant scar tissue
that has formed. The patient has significant nerve pain and is hypersensitive that
interferes with daily activities and sleep. What is most likely the cause of the
patient’s complaints?
A. Wrist contracture
B. Neuroma
C. Overuse of hand
D. Ruptured nerve
B. Neuroma
*What nerve(s) injury is/are responsible for Ape Hand Deformity?
Combined Ulnar/ Median nerve
*Claw hand nerve injury
Ulnar nerve
Reason: The lumbricals and interossei are not innervated
*Early Mobilization Programs?
Zone 2 “no man’s land”
*What is the common orthosis for Duran (early PROM) and Early active motion?
Dorsal Blocking Orthosis
*What does Active Flexion start and end with? (hierarchy of flexion)
-Place hold flexion
-Composite flexion
-Hook fist
-Straight fist
-PIP and DIP blocking
*A patient was referred to OT following a flexor tendon repair for early active
motion program. What orthosis would you make for this patient to wear in between exercise sessions?
a. Resting hand orthosis
b. Stack Orthosis
c. Wrist orthosis
d. Dorsal blocking orthosis
D. Dorsal Blocking Orthosis
*1.)Which tendon would you wear a Stack Splint for?
2.)For how many weeks? 3.)What is the impairment called?
4.) What is another phrase for Stack Splint
1.) Extensor Tendon
2.)6 weeks
3.) Mallot Finger
4.) DIP Extension Orthosis
*How much space is required to turn a wheelchair the full 360 degrees?
5ft by 5ft
*Wheelchair:
1.) How many inches are required for door opening?
2.) How many is ideal?
1.) 32 inches
2.) 36 inches
*What is the ramp ratio?
1/12
*Your new patient is in the ICU is diagnosed with s/p CABG. Which of the following best
describes sternal precautions you would educate the patient to follow:
A. No Twisting or crossing legs
B. No Log rolling or sitting edge of bed unsupported
C. No lifting 10lbs or no reaching/stretching overhead or out to side
D. No hip flexion past 90 degrees or adduction
C. No lifting 10 lbs or no reaching/ stretching overhead or out to side
*An entry level OT works in outpatient OT and is referred a new patient s/p CABG. The
patient was discharged from the hospital and is working on MET level 4-5 activities.
What preparatory intervention would be considered a contraindication for this patient?
A. Isometric Exercises for IR/ER in adducted position
B. Waist level table glides
C. Light theraband for tricep strengthening
D. Wrist and elbow curls using a 2lb dumbbell weight
A. Isometric Exercises for IR/ ER in adducted position
*True or False: Limb protectors are specific to below knee amputations.
True
*A 35 y/o patient s/p BKA (trans tibial) of the right leg has identified being (I) with
transfers as their main goal. Prior to their traumatic amputation, the patient was in good
health and worked out at a gym 3-4x a week. What type of a transfer would you teach
this patient?
A. Squat Pivot transfer
B. Sliding board transfer
C. Stand pivot with a rolling walker
D. Stand pivot with a hemi walker
C. Stand pivot with a rolling walker
*What is the MET level for discharge home?
3.5 - 4.0
*Who would you do change of dominance activities with?
Wrist dislocation or more
*Which side do you transfer as a precaution as a posterior approach for a client with a total hip replacement?
Surgical side
Log rolling
*What king of splint would an OT use between sessions?
Dorsal Blocking Splint
*Which splint is used for radial drop?
Dynamic Extension Splint
*What usually causes Thoracic Outlet symptoms?
Posture issues
*What should an OT do when a patient has blood pressure of 200?
No OT, send them to a nurse
*What would you use on a post-surgical client?
Cold pack
*Yes or No: Would you use a hot pack for an acute flare up?
No.
Hott packs on an acute flare up is a contraindication
*IS Duran active or passive?
Duran is Passive
*What would you use on a client with a sensory problem?
A.) Cold pack
B.) Hott pack
C.) TEMS
D.) Orthosis
D. Orthosis
Reason: No packs for sensory injury
*What angle should the head of the bed be at?
30 degrees or more
*What is forearm-based thumb orthosis indicative of?
De Querveins
Your new patient in the ICU is diagnosed with s/p CABG. Which of the following best describes sternal precautions you would educate the patient to follow?
A. No Twisting or crossing legs
B. No Log rolling or sitting edge of bed unsupported
C. No lifting 10lbs or no reaching/stretching overhead or out to side
D. No hip flexion past 90 degrees or adduction
C. No lifting 10lbs or no reaching/stretching overhead or out to side
A patient complains of numbness and tingling in the thumb, index, and middle fingers. Which intervention would be most effective?
A. Cold pack
B. Hot pack
C. Wrist orthosis
D. TENS
C. Wrist Orthosis
A patient is s/p reverse total shoulder replacement x 2 days ago and reports 6/10 pain. What physical agent modality would you provide?
A. Hot pack
B. TENS
C. Cold pack
D. Biofeedback
C. Cold Pack
Which one of the following should not be used during an acute flare-up of RA?
A. Compression
B. AROM
C. Hot pack
D. Resting hand orthosis
C. Hot pack
A patient with Type II Diabetes has developed a frozen shoulder. What PAM would be most effective?
A. Hot pack
B. Cold pack
C. Continuous US
D. Pulsed US
A. Hot pack
What is a contraindication for a patient working on MET level 4-5 activities s/p CABG?
A. Isometric Exercises for IR/ER in adducted position
B. Waist level table glides
C. Light theraband for tricep strengthening
D. Wrist and elbow curls using a 2lb dumbbell weight
A. Isometric Exercises for IR/ER in adducted position
Which precaution applies to a patient post-THR (posterior approach)?
A. No hip flexion past 90 degrees
B. No crossing legs
C. No bending, lifting, or twisting
D. No internal rotation
A. No hip flexion past 90 degrees
What movement is needed to open a terminal device of a below elbow body-powered prosthesis?
A. Humeral extension and elbow flexion
B. Scapula adduction and shoulder extension
C. Scapula abduction and shoulder flexion
D. Scapula depression, humeral extension, and shoulder abduction
C. Scapula abduction and shoulder flexion
Which of the following describes sternal precautions post-CABG?
A. No lifting more than 10lbs
B. No crossing legs
C. No log rolling
D. No hip flexion past 90 degrees
A. No lifting more than 10 lbs
What is the primary purpose of a Functional Capacity Evaluation (FCE)?
A. To determine rehabilitation potential
B. To assess mental health status
C. To evaluate family support
D. To prescribe medications
A. To determine rehabilitation potential
Which modality is indicated for increasing tissue extensibility prior to ROM exercises?
A. Cold pack
B. Hot pack
C. TENS
D. NMES
B. Hot pack
Which orthosis is used for DeQuervain’s tenosynovitis?
A. Resting hand orthosis
B. Wrist orthosis
C. Dynamic orthosis
D. Forearm-based thumb orthosis
D. Forearm based thumb orthosis
Which orthosis is appropriate for carpal tunnel syndrome?
A. Resting hand orthosis
B. Wrist orthosis
C. Dynamic orthosis
D. Forearm-based thumb orthosis
B. Wrist orthosis
What is the recommended treatment for thoracic outlet syndrome?
A. Postural exercises
B. Hot pack
C. Cold pack
D. Resting hand orthosis
A. Postural excersizes
Which intervention should be avoided for a patient with an acute flare-up of RA?
A. Resting hand orthosis
B. AROM
C. Hot pack
D. Compression
C. Hot pack
Which movements open and close the terminal device of a below elbow body-powered prosthesis?
A. Scapula abduction and shoulder flexion
B. Scapula adduction and shoulder extension
C. Humeral extension and elbow flexion
D. Scapula depression, humeral extension, and shoulder abduction
A. Scapula abduction and shoulder flexion
What type of transfer is best for a 35 y/o s/p BKA of the right leg aiming to be independent with transfers?
A. Squat pivot transfer
B. Sliding board transfer
C. Stand pivot with a rolling walker
D. Stand pivot with a hemi walker
C. Stand pivot with a rolling walker***
What precautions should be followed for a patient with a PICC line?
A. Avoid BP and exercise on the extremity
B. Avoid lifting more than 10lbs
C. Avoid hip flexion past 90 degrees
D. Avoid crossing legs
A. Avoid BP and exercise on the extremity
When working with a patient who has an NG tube, what is the appropriate head position to ensure safety?
A. Head of bed flat
B. Head of bed raised 30 degrees or more
C. Head of bed raised 45 degrees or more
D. Head of bed lowered 30 degrees
B. Head of bed raised 30 degrees or more
Your patient has a PICC line in their left arm. Which of the following best describes the precautions you should take during movement interventions?
A. Avoid BP, exercise, and splinting on the left arm
B. Avoid lifting more than 10lbs with the left arm
C. Avoid bending the left wrist
D. Avoid crossing legs
Avoid BP, exercise, and splinting on the left arm*
Your patient in the ICU is using venodynes. What is the primary purpose of this device?
A. Assisting with breathing
B. Assisting with circulation and preventing blood clots
C. Assisting with digestion
D. Assisting with urinary output
B. B. Assisting with circulation and preventing blood clots
Your patient has an IV line for medication in their right arm. Which of the following best describes the precaution you should take during movement interventions?
A. Do not take BP on the right side
B. Avoid lifting more than 10lbs with the right arm
C. Avoid bending the right wrist
D. Avoid hip flexion past 90 degrees
Do not take BP on the right side
Your patient has an arterial line placed in the radial artery at the wrist. Which of the following best describes the precaution you should take?
A. Avoid lifting more than 10lbs with the arm
B. Avoid bending the wrist
C. Avoid hip flexion past 90 degrees
D. Avoid crossing legs
B. Avoid bending the wrist
Your patient in the ICU has an NG tube. Which of the following best describes the precaution you should take during movement interventions?
A. Head of bed raised 45 degrees or more
B. Head of bed raised 30 degrees or more
C. Head of bed flat
D. Head of bed lowered 30 degrees
B. Head of bed raised to 30 degrees or more
Which of the following is a contraindication for using hot packs?
A. Elbow joint stiffness
B. Acute injuries
C. Decreased pain
D. Increased tissue extensibility
B. Acute injuries
What movement is used to close the terminal device of a below elbow body-powered prosthesis?
A. Humeral extension and elbow flexion
B. Scapula adduction and shoulder extension
C. Scapula abduction and shoulder flexion
D. Scapula depression, humeral extension, and shoulder abduction
B. Scapula adduction and shoulder extension
Which intervention is best for decreasing hypersensitivity post nerve repair?
A. Desensitization
B. Cold pack
C. Hot pack
D. Wrist orthosis
A. Desensitization
What should you do if a cardiac patient’s resting SBP > 200 mmHg?
A. Start OT treatment
B. Continue with caution
C. Do not start OT treatment
D. Increase exercise intensity
C. Do not start OT treatment
Which of the following is a precaution post-THR (posterior approach)?
A. No bending, lifting, or twisting
B. No crossing legs
C. No hip flexion past 90 degrees
D. No internal rotation
C. No hip flexion past 90 degrees
What is the best approach for a patient with a flare-up of RA prescribed paraffin treatments?
A. Provide treatments as per order
B. Educate on a home program
C. Provide paraffin but wrap in a hot pack
D. Do not provide treatments and contact MD
D. Do not provide treatments and contact MD
What is the ramp ratio for wheelchair accessibility?
A. 1:12
B. 1:10
C. 1:8
D. 1:15
A. 1:12
Which intervention is best for treating elbow joint stiffness to increase extensibility?
A. Cold pack
B. Hot pack
C. TENS
D. NMES
B. Hot pack
Which movement is needed to open the terminal device of a below elbow body-powered prosthesis?
A. Scapula abduction and shoulder flexion
B. Scapula adduction and shoulder extension
C. Humeral extension and elbow flexion
D. Scapula depression, humeral extension, and shoulder abduction
A. Scapula abduction and shoulder flexion
Reason: Open= (ab)duction and flexion
Close =(add)uction and extension
Which orthosis is appropriate for DeQuervain’s tenosynovitis?
A. Resting hand orthosis
B. Wrist orthosis
C. Dynamic orthosis
D. Forearm-based thumb orthosis
D. Forearm-based thumb orthosis
Which precaution is critical for a patient with a Foley catheter?
A. Avoid BP on the same side
B. Do not drop on floor, hang below bladder
C. Avoid lifting more than 10lbs
D. No hip flexion past 90 degrees
B. Do not drop on floor, hang below bladder
What type of transfer would you teach a patient s/p BKA aiming to be independent with transfers?
A. Squat pivot transfer
B. Sliding board transfer
C. Stand pivot with a rolling walker
D. Stand pivot with a hemi walker
C. Stand pivot with a rolling walker
Which intervention is best for managing significant scar tissue and hypersensitivity post nerve repair?
A. Desensitization
B. Cold pack
C. Hot pack
D. Wrist orthosis
A. Desensitization
Which intervention is indicated for a patient s/p CABG working on MET level 4-5 activities?
A. Isometric exercises for IR/ER in adducted position
B. Waist level table glides
C. Light theraband for tricep strengthening
D. Wrist and elbow curls using a 2lb dumbbell weight
B. Waist level table glides
What is the primary precaution for a patient with a PICC line?
A. Avoid BP and exercise on the extremity
B. Avoid lifting more than 10lbs
C. Avoid hip flexion past 90 degrees
D. Avoid crossing legs
A. Avoid BP and exercise on the extremity
Which modality should be avoided for a patient with impaired sensation?
A. Hot pack
B. Cold pack
C. Wrist orthosis
D. Biofeedback
A. Hot pack
What is the appropriate temperature range for paraffin therapy?
A. 100-110°F
B. 120-130°F
C. 140-150°F
D. 160-170°F
B. 120 - 130°F
Which orthosis is used for a flexor tendon repair in Zone 2?
A. Resting hand orthosis
B. Wrist orthosis
C. Dorsal blocking orthosis
D. Forearm-based thumb orthosis
C. Dorsal blocking orthosis
What movement is required to close the terminal device of a below elbow body-powered prosthesis?
A. Scapula abduction and shoulder flexion
B. Scapula adduction and shoulder extension
C. Humeral extension and elbow flexion
D. Scapula depression, humeral extension, and shoulder abduction
B. Scapula adduction and shoulder extension
Which precaution applies post-THR (posterior approach)?
A. No bending, lifting, or twisting
B. No crossing legs
C. No hip flexion past 90 degrees
D. No internal rotation
C. No hip flexion past 90 degrees
Which intervention is best for a patient s/p reverse total shoulder replacement reporting 6/10 pain?
A. Hot pack
B. TENS
C. Cold pack
D. Biofeedback
C. Cold pack
Which orthosis is used for carpal tunnel syndrome?
A. Resting hand orthosis
B. Wrist orthosis
C. Dynamic orthosis
D. Forearm-based thumb orthosis
B. Wrist orthosis
Which modality decreases pain and swelling in acute injuries?
A. Hot pack
B. TENS
C. Cold pack
D. Biofeedback
C. Cold pack
Which precaution is essential for a patient with an arterial line placed in the radial artery at the wrist?
A. Avoid bending the wrist
B. Avoid lifting more than 10lbs
C. Avoid hip flexion past 90 degrees
D. Avoid crossing legs
A. Avoid bending the wrist
Which intervention should be avoided during an acute flare-up of RA?
A. Resting hand orthosis
B. AROM
C. Hot pack
D. Compression
C. Hott pack
What is the ramp ratio for wheelchair accessibility?
A. 1:12
B. 1:10
C. 1:8
D. 1:15
A. 1:12
What is the proper application method for a cold pack?
A. Directly on the skin
B. Over a dry or wet towel
C. With a hot pack to seal in cold
D. Without checking skin integrity
B. Over a dry or wet towel
What should you do if a cardiac patient’s resting SBP > 200 mmHg?
A. Start OT treatment
B. Continue with caution
C. Do not start OT treatment
D. Increase exercise intensity
C. Do not start OT treatment
Which orthosis is used for DeQuervain’s tenosynovitis?
A. Resting hand orthosis
B. Wrist orthosis
C. Dynamic orthosis
D. Forearm-based thumb orthosis
D. Forearm - based thumb orthosis
What is the best approach for a patient with a flare-up of RA prescribed paraffin treatments?
A. Provide treatments as per order
B. Educate on a home program
C. Provide paraffin but wrap in a hot pack
D. Do not provide treatments and contact MD
D. Do not provide treatments and contact MD
Which intervention is best for increasing tissue extensibility prior to ROM exercises?
A. Cold pack
B. Hot pack
C. TENS
D. NMES
B. Hot pack
Which intervention is indicated for a patient s/p CABG working on MET level 4-5 activities?
A. Isometric exercises for IR/ER in adducted position
B. Waist level table glides
C. Light theraband for tricep strengthening
D. Wrist and elbow curls using a 2lb dumbbell weight
B. Waist level table glides
Which modality is contraindicated for a patient with multiple sclerosis (MS)?
A. Hot pack
B. Cold pack
C. Wrist orthosis
D. Biofeedback
A. Hot pack
Which orthosis is appropriate for a patient with an ulnar nerve injury?
A. Resting hand orthosis
B. Wrist orthosis
C. Dynamic orthosis
D. Forearm-based thumb orthosis
C. Dynamic orthosis
Which movement opens the terminal device of a below elbow body-powered prosthesis?
A. Scapula abduction and shoulder flexion
B. Scapula adduction and shoulder extension
C. Humeral extension and elbow flexion
D. Scapula depression, humeral extension, and shoulder abduction
A. Scapula abduction and shoulder flexion
Which intervention is best for managing hypersensitivity post nerve repair?
A. Desensitization
B. Cold pack
C. Hot pack
D. Wrist orthosis
A. Desensitization
What should be avoided with a patient who has impaired sensation?
A. Hot pack
B. Cold pack
C. Wrist orthosis
D. Biofeedback
A. Hot pack
Which precaution applies post-THR (posterior approach)?
A. No bending, lifting, or twisting
B. No crossing legs
C. No hip flexion past 90 degrees
D. No internal rotation
C. No hip flexion past 90 degrees
Which orthosis is used for a patient with lateral epicondylitis?
A. Resting hand orthosis
B. Wrist orthosis
C. Dynamic orthosis
D. Forearm-based thumb orthosis
B. Wrist orthosis
What is the proper application method for paraffin therapy?
A. Directly on the skin
B. Dip method
C. With a hot pack to seal in heat
D. Without checking skin integrity
B. Dip method
Which intervention is best for a patient s/p reverse total shoulder replacement reporting 6/10 pain?
A. Hot pack
B. TENS
C. Cold pack
D. Biofeedback
C. Cold pack
Which precaution is essential for a patient with a Foley catheter?
A. Avoid BP on the same side
B. Do not drop on floor, hang below bladder
C. Avoid lifting more than 10lbs
D. No hip flexion past 90 degrees
B. Do not drop on floor, hang below bladder
Which orthosis is used for flexor tendon repair in Zone 2?
A. Resting hand orthosis
B. Wrist orthosis
C. Dorsal blocking orthosis
D. Forearm-based thumb orthosis
C. Dorsal blocking orthosis
Which intervention should be avoided for a patient with an acute flare-up of RA?
A. Resting hand orthosis
B. AROM
C. Hot pack
D. Compression
C. Hot pack
