Wheelchair & Assistive Devices Flashcards by Moses ‎

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

‎c. Lateral trunk supports

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

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

‎b. Desk-length

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

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

‎a. Hemiplegia

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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

‎b. 18, 16, 20

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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

‎d. A 17.5-inch seat height

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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

‎b. 29-30 inches

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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

‎b. 24 inches

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Which type of assistive device provides the least
stability:

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

‎c. Standard adjustable offset cane

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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. 1 – 1 ½ inches

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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

‎c. Behind the patient on the involved side

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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

‎d. Stairclimbing walker‎

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. 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

‎c. Reciprocal walker

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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

‎c. Forearm platform crutches

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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

‎‎c. 15-25

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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. Touch down

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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. I and II

III - crutches

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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

‎b. 4-point gait - teaching a pt.

when/while amb - swing through

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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

‎b. 10-12 inches

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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. In front and slightly to the right side

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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

‎d. 36 inches

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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

‎d. I, II and III

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

‎d. I, II, III and IV

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

‎c. A posterior rollator walker with 4 wheels

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. Manual wheelchair with friction surface hand

rims

25. 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

‎b. Lightweight wheelchair with a rigid frame

26. 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. 7 inches; 11 inches‎

27. Muscles that hold crutch to side of the chest: a. Scapular depressors b. Shoulder adductors c. Elbow extensors d. Shoulder flexors, extensors, & abductors

‎b. Shoulder adductors

28. Weight transmission of axillary crutches? a. 20-25% b. 40-50% c. 80-90% d. 15-20%

‎‎c. 80-90%

29. 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. Popliteal area to medial malleolus of patient, | add 2 inches

``` 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 ```

‎d. 60 inches x 60 inches

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

Kitchen sink height should be at least: a. 20 inches b. 27 inches c. 34 inches d. 42 inches

b. 27 inches 34 MAX

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

‎a. 3 inches

34. 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

‎c. Rear axles moved 2 inches posteriorly

. 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

‎b. Moderate assist

36. 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

‎c. Adding horizontal grab bars positioned at 45 | inches

37. 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

‎b. Prone-on-elbow push-ups

``` 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 ```

‎C6

39. 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. He should turn towards the unaffected side

40. 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

‎d. Shoulder depressors, triceps, wrist extensors | & finger flexors

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

‎b. Push up on the chair with both hands & reach | for the walker once you are standing

42. 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. Posterolateral & to patient’s weak side

43. 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

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

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

‎c. 8.3%

45. 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

‎‎c. Three-point

46. 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

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

47. 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

‎c. Solid frames, higher camber, lightweight, low | back, low seat

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

a. Perform wheelie‎

49. 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,

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

50. 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. Patient might develop scoliosis