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Post Lec Exam > Wheelchair & Assistive Devices > Flashcards

Wheelchair & Assistive Devices Flashcards

1
Q
  1. It is used to improve trunk alignment for patients
    with scoliosis seating on a wheelchair?

a. High back rest
b. Low back rest
c. Lateral trunk supports
d. Insert or contour backs

A

‎c. Lateral trunk supports

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2
Q

A _____________ arm rests facilitate use or
proximity to a desk or table.

a. Full-length
b. Desk-length
c. Fixed height
d. Removable

A

‎b. Desk-length

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3
Q

One-arm drive in wheelchair is typically
prescribed for patient with:

a. Hemiplegia
b. Extensor spasm
c. Bilateral LE amputations
d. Antalgic gait

A

‎a. Hemiplegia

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4
Q
  1. The standard dimensions of an adult wheelchair
    have a seat WIDTH: _________, seat DEPTH:
    ___________, seat HEIGHT: _________.

a. 16, 16, 20
b. 18, 16, 20
c. 14, 16, 20
d. 16, 16, 17.5

A

‎b. 18, 16, 20

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5
Q
  1. A therapist is prescribing a wheelchair for a
    patient with left hemiplegia who is of average
    height (5 feet 7 inches). The MOST appropriate
    feature to include in this prescription is:

a. Detachable arm rest
b. A 20-inch seat height
c. Elevating leg rests
d. A 17.5-inch seat height

A

‎d. A 17.5-inch seat height

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6
Q
  1. In standard adult wheelchair dimensions for
    environmental access, what is the height of the
    arm rest to floor?
    a. 24-26 inches
    b. 29-30 inches
    c. 42-43 inches
    d. 34-36 inches
A

‎b. 29-30 inches

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7
Q
  1. What is the maximum side reach of a patient when
    seating on a wheelchair?

a. 15 inches
b. 24 inches
c. 48 inches
d. 60 inches

A

‎b. 24 inches

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8
Q
  1. Which type of assistive device provides the least
    stability:

a. Walker
b. Non-axillary crutches
c. Standard adjustable offset cane
d. Parallel bars

A

‎c. Standard adjustable offset cane

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9
Q
  1. The cuff of forearm crutches should cover the
    proximal third of the forearm, about _________
    below the elbow.

a. 1 – 1 ½ inches
b. 1 ½ - 2 inches
c. 2 – 3 inches
d. 4 – 5 inches

A

‎a. 1 – 1 ½ inches

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10
Q
  1. A therapist is guarding a patient during stair
    training. The most appropriate position for the
    therapist as the patient ascends the stairs is:

a. In front of the patient & towards the involved
side
b. Beside the patient on the involved side
c. Behind the patient on the involved side
d. In front of the patient & towards the
uninvolved side

A

‎c. Behind the patient on the involved side

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11
Q
  1. It has two posterior extensions and additional
    handgrips off of the rear legs for use on stairs?

a. Reciprocal walker
b. Rolling walker
c. Hemi walker
d. Stairclimbing walker‎

A

‎d. Stairclimbing walker‎

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12
Q

. Hinged, allows advancement of one side of walker
at a time; used with reciprocal gait patterns,
reciprocating orthoses?

a. Non-folding walker
b. Hemi walker
c. Reciprocal walker
d. Standard walker

A

‎c. Reciprocal walker

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13
Q

This assistive device allows weight bearing on the
forearm and used for patients who are unable to
bear weight through their hands like patients with
arthritis?

a. Axillary crutches
b. Loftstrand crutches
c. Forearm platform crutches
d. Canadian crutch

A

‎c. Forearm platform crutches

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14
Q

A therapist adjusts the height of the parallel bars
in preparation for client ambulation. When at the
appropriate height, the parallel bars should
provide _____ degrees of elbow flexion.

a. 5-15
b. 30-40
c. 15-25
d. 35-45

A

‎‎c. 15-25

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15
Q

A therapist instructs a 65-year-old female in
ambulation activities. The therapist instructs the
patient to place her affected foot on the ground,
but to avoid transmitting weight through the foot.
The therapist’s instructions best describe this
___________ weight bearing technique.

a. Touch down
b. Semi-weight bearing
c. Non-weight bearing
d. Partial weight bearing

A

‎a. Touch down

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16
Q
  1. Cane measurement:

I. 20-30 degrees of elbow flexion is
desirable
II. measure from the greater trochanter to a
point 6 inches to the side of the toes
III. In the standing position, one can subtract
16 inches from the patient’s height

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

A

‎‎‎a. I and II

III - crutches

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17
Q
  1. The most difficult gait pattern for crutches when
    teaching a patient is:

a. 2-point gait gait
b. 4-point gait
c. Swing-to
d. Swing-through gait

A

‎b. 4-point gait - teaching a pt.

when/while amb - swing through

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18
Q
  1. A walker should be measured at a distance of
    _____ in front of the patient:

a. 8-10 inches inches
b. 10-12 inches
c. 12-14 d.
14-16 inches

A

‎b. 10-12 inches

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19
Q
  1. The MOST appropriate position to guard a patient
    post-fracture who is descending stairs for the
    first-time using crutches and non-weight bearing
    on the right is to stand:

a. In front and slightly to the right side
b. In front and slightly to the left side
c. Behind and slightly to the left side
d. Behind and slightly to the right side

A

‎a. In front and slightly to the right side

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20
Q
  1. A therapist serves as an accessibility consultant
    for a local retail store. What is the IDEAL width
    required for a patient using a wheelchair to safely
    traverse through a door?

a. 24 inches
b. 30 inches
c. 32 inches
d. 36 inches

A

‎d. 36 inches

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21
Q
  1. Characteristics of crutch rubber tips?

I. 1.5 inches in diameter
II. 2 inches in height
III. Minimize slippage

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

A

‎d. I, II and III

22
Q
  1. Characteristics of walkers:

I. widen base of support
II. provide increased lateral and anterior
stability
III. can reduce weight-bearing on one or both
lower extremities
IV. frequently prescribed for patients with
debilitating conditions, poor balance, or
lower extremity injury when use of
crutches is precluded like elderly patients

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

A

‎d. I, II, III and IV

23
Q
  1. A child with spastic diplegia is now independent in
    using a walker. Additional goals desired by the
    therapist include increasing energy-efficiency and
    velocity while ambulating. In this case, the selection
    of walker that is most likely to help improve these
    factors is:

a. A standard anterior walker with no heels
b. An anterior rollator walker with two wheels
c. A posterior rollator walker with 4 wheels
d. A posterior rollator walker with two wheels

A

‎c. A posterior rollator walker with 4 wheels

24
Q
  1. A therapist orders a wheelchair for a patient with
    C7 tetraplegia. Which wheelchair would be the
    most appropriate for the patient?

a. Manual wheelchair with friction surface hand
rims
b. Power wheelchair with sip and puff controls
c. Power wheelchair with joystick controls
d. Manual wheelchair with hand rim projections

A

‎a. Manual wheelchair with friction surface hand

rims

25
Q
  1. A therapist attempts to secure a wheelchair for a
    patient with an incomplete SCI. The patient is a
    28-year-old female that is very active and relies on
    wheelchair as her primary mode of transportation.
    Which type of wheelchair would be the most
    appropriate for the patient?

a. Standard wheelchair with a rigid frame
b. Lightweight wheelchair with a rigid frame
c. Standard wheelchair with a folding frame
d. Lightweight wheelchair with a folding frame

A

‎b. Lightweight wheelchair with a rigid frame

26
Q
  1. Home stairs has a uniform riser height of
    _________ with a tread depth of _________.

a. 7 inches; 11 inches
b. 4 inches; 12 inches
c. 11 inches; 7 inches
d. 18 inches; 26 inches

A

a. 7 inches; 11 inches‎

27
Q
  1. Muscles that hold crutch to side of the chest:

a. Scapular depressors
b. Shoulder adductors
c. Elbow extensors
d. Shoulder flexors, extensors, & abductors

A

‎b. Shoulder adductors

28
Q
  1. Weight transmission of axillary crutches?

a. 20-25%
b. 40-50%
c. 80-90%
d. 15-20%

A

‎‎c. 80-90%

29
Q
  1. Landmarks for measuring the seat height of a wheelchair:
    a. Popliteal area to medial malleolus of patient,
    add 2 inches
    b. Popliteal area to heel of patient, add 2 inches
    c. Tibial crest to heel of patient, minus 2 inches
    d. Tibial crest to medial malleolus, minus 2
    inches
A

‎a. Popliteal area to medial malleolus of patient,

add 2 inches

30
Q 
30. A 360-degree turning of a wheelchair will require a
space of \_\_\_\_\_\_\_\_\_.
a. At least 32 inches
b. At least 36 inches
c. At least 60 inches
d. 60 inches x 60 inches
A

‎d. 60 inches x 60 inches

31
Q
  1. The therapist is crutch training a 26-year-old man
    who underwent (R) knee arthroscopy 10 hours
    ago. The patient’s weight bearing status is toetouch weight bearing on (R) LE. If the patient is
    going up steps, which of the following is the
    correct sequence of verbal instructions?

a. Have someone stand below you while going
up, bring the (L) leg up first, then the crutches
and the (R) leg.
b. Have someone stand above you while going
up, bring the (L) leg up first then the crutches
and the (R) leg.
c. Have someone stand below you while going
up, bring the (R) leg up first, then the
crutches and the (L) leg.
d. Have someone stand above you while going
up bring the (R) leg up first, then the crutches
and the (R) leg.

A

‎a. Have someone stand below you while going
up, bring the (L) leg up first, then the crutches
and the (R) leg.

32
Q

Kitchen sink height should be at least:

a. 20 inches
b. 27 inches
c. 34 inches
d. 42 inches

A

b. 27 inches

34 MAX

33
Q
  1. Caster diameter intended for easy turning:
    a. 3 inches c. 8 inches
    b. 5 inches d. 12 inches
A

‎a. 3 inches

34
Q
  1. Considerations for amputee wheelchairs:

a. Lower camber
b. Should be light weight
c. Rear axles moved 2 inches posteriorly
d. Rear axles moved 5 degrees posteriorly

A

‎c. Rear axles moved 2 inches posteriorly

35
Q

. You are assisting a patient with bed to wheelchair
transfers. In order to complete the task, you have
to provide the patient with 50% assist. How would
you document this level of assist?

a. Minimal assist
b. Moderate assist
c. Contact guard
d. Maximal assist

A

‎b. Moderate assist

36
Q
  1. The rehabilitation team is completing a home visit
    to recommend environmental modifications for a
    patient who is scheduled to be discharged next
    week. The patient is wheelchair dependent. The
    bathroom has not been adapted. Which of the
    following recommendations is NOT appropriate?

a. Adding a tub seat
b. Taking the door off to widen the entrance to
32 inches
c. Adding horizontal grab bars positioned at 45
inches
d. Rising the toilet seat to 18 inches

A

‎c. Adding horizontal grab bars positioned at 45

inches

37
Q
  1. A patient with complete C7 SCI is having difficulty
    with push-ups while in his wheelchair. The MOST
    appropriate lead-up activity to enhance
    wheelchair push-ups is:

a. Shoulder shrugs
b. Prone-on-elbow push-ups
c. Supine bench press using 50% one repetition
max
d. Supine-on-elbows push-ups

A

‎b. Prone-on-elbow push-ups

38
Q 
38. Vertical projections for wheelchair push rims
indicated for \_\_\_\_\_\_ SCI level.
a. C5 c. C7
b. C6 d. C8
39. A 45-year-old male is 4 weeks stat
A

‎C6

39
Q
  1. A 45-year-old male is 4 weeks status-post (L) THR
    & is FWB of the (L) using a straight cane during
    gait activities. As he begins to make a 180-degree
    turn, the most important reminder is:

a. He should turn towards the unaffected side
b. He should turn away from the unaffected side
c. Keep the cane in front
d. It does not matter which way he pivots if in
FWB

A

‎

a. He should turn towards the unaffected side

40
Q
  1. The muscle required for ambulation using
    crutches are:

a. Shoulder depressors, biceps, wrist extensors
b. Shoulder depressors, biceps, triceps, wrist
flexors
c. Shoulder depressors, triceps, wrist & finger
flexors
d. Shoulder depressors, triceps, wrist extensors
& finger flexors

A

‎d. Shoulder depressors, triceps, wrist extensors

& finger flexors

41
Q

You are instructing a patient how to rise from a
chair so that they begin ambulation using a
walker. Which of the following instructions should
you give the patient?

a. While holding the walker with one hand push
up on the chair with the other hand
b. Push up on the chair with both hands & reach
for the walker once you are standing
c. Place both hands on the walker & pull
yourself into standing position
d. Push up on the chair using both hands &
reach for the walker while rising

A

‎b. Push up on the chair with both hands & reach

for the walker once you are standing

42
Q
  1. Therapist’s position while assisting a CVA patient
    during sessions of ascending stairs?

a. Posterolateral & to patient’s weak side
b. Anterolateral & to patient’s weak side
c. Posterolateral & to patient’s strong side
d. Anterolateral & to patient’s strong side

A

‎‎a. Posterolateral & to patient’s weak side

43
Q
  1. A patient is unable to bring her foot up on the next
    step during a training session on stair climbing.
    The therapist’s best course of action to promote
    learning of this task is to have the patient:

a. Practice standing-up from half-kneeling
b. Practice marching in place in the parallel bars
c. Step up onto a low step while in the parallel
bars
d. Balance on the stairs while the therapist
passively brings the foot up

A

c. Step up onto a low step while in the parallel

bars

44
Q
  1. According to ADA, what is the recommended
    grade for ramps?
    a. 10.4% c. 8.3%
    b. 9.5% d. 6.2%
A

‎c. 8.3%

45
Q
  1. A patient is recovering from a fracture of both
    tibia and fibula in the right lower leg which has
    been casted. The referral is for gait training, nonweight bearing on right lower extremity. The
    safest gait pattern for this patient to use is a:

a. Two-point
b. Four-point
c. Three-point
d. Swing-to

A

‎‎c. Three-point

46
Q
  1. A PT observes a physical therapist assistant
    ambulating a patient for the first time after a left
    total hip replacement. The patient is using
    crutches and is practicing on a level surface. The
    PTA should guard the patient by standing slightly:

a. Behind & to the intact side, one hand on the
gait belt
b. In front of the patient, walking backward, with
one hand on the gait belt & one hand on the
shoulder
c. Behind & to the left side, one hand on the gait
belt
d. Behind the patient with both hands on the gait
belt

A

‎c. Behind & to the left side, one hand on the gait

belt

47
Q
  1. Specialized wheelchair for patients who engage in
    sports:

a. Solid frames, standard wheelchair, high back
height
b. Solid frames, lightweight, low back, low seat,
decrease camber
c. Solid frames, higher camber, lightweight, low
back, low seat
d. Solid frames, long

A

‎c. Solid frames, higher camber, lightweight, low

back, low seat

48
Q
  1. In descending steep ramps, the patient should:
    a. Perform wheelie
    b. Lean forward
    c. Perform backward approach
    d. All of these
A

a. Perform wheelie‎

49
Q
  1. Which of the following correctly describes the
    sequence of a swing-through gait?

a. Both crutches are advanced forward together;
weight is shifted onto hands for support and
both legs are then swung forward to meet the
crutches
b. One crutch and opposite extremity move
together, followed by the opposite crutch and
extremity
c. Both crutches are advanced forward together;
weight is shifted onto hands for support and
both legs are swung forward beyond the point
of crutch placement
d. Both crutches and involved leg are advanced
together,

A

‎c. Both crutches are advanced forward together;
weight is shifted onto hands for support and
both legs are swung forward beyond the point

50
Q
  1. A therapist attempts to confirm the fit of a
    wheelchair for a patient recently admitted to a
    skilled nursing facility. After completing the
    assessment, the therapist determines the
    wheelchair has too wide seat width. Which
    adverse effect results from too wide seat width:

a. Patient might develop scoliosis
b. Patient will have insufficient support for the
thighs
c. Patient will slide forward
d. No effect on the patient

A

‎a. Patient might develop scoliosis

Post Lec Exam (14 decks)

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