Final Exam Tips & Question

Question 1

Maria, a 30 year-old woman, recently arrived in the United States as a refugee from Venezuela. She now works in a warehouse, which involves heavy lifting and repetitive motions. Maria has been experiencing chronic lower back pain for several months, exacerbated by her new job. During her OT visit, the therapist decides to use hot packs as part of her therapy to relieve muscle tension and improve flexibility.

What measures should the OT take to ensure safety and proper use of hot packs?

A. Always check skin before, during if possible and after.
B. Know that there should be 6-8 layers of towels between skin and the hotpack
C. Hotpack on for 25-30 min
D. Both A & B

Answer 1

D. Both A & B

1. Safety: Always check skin before, during if possible and after.
2. Know that there should be 6-8 layers of towels between skin and the hotpack
3. Hot pack on for 15-20 minutes

Question 2

Indications for Hot Packs: What are the primary benefits of using hot packs in Maria’s treatment plan? (Select two benefits)

a. They are effective for increasing tissue extensibility, and a preparatory intervention prior to ROM which can help improve Maria’s range of motion (ROM) and flexibility.

b. They can decrease pain and muscle spasms, making it easier for Maria to engage in purposeful and occupation-based activities.

c. They reduce inflammation and swelling in the affected area.

d. They provide a long-lasting cooling effect that helps to numb the pain.

Answer 2

Correct A and B

Indication: Hot Packs great for increasing tissue extensibility. Used as a preparatory intervention prior to ROM and purposeful and occupation based activities. Also decreases pain and spasms

Question 3

Before proceeding with Maria preparatory intervention, the therapist reviews the contraindications for using hot packs.Which of the following are contraindications for using hot packs? (Select all that apply)

a. Multiple Sclerosis (MS), because extreme heat can cause a temporary exacerbation.

b. Sensory impairments, as the patient may not be able to feel excessive heat, increasing the risk of burns.

c. Post-surgical patients, as heat can affect the healing process.

d. Infections, because heat can worsen the infection and spread it further.

e. Acute injuries and acute flare-ups of Rheumatoid Arthritis (RA), since heat can exacerbate inflammation.

f. High blood pressure, as hot packs can significantly increase blood pressure levels.

Answer 3

Correct answers: a, b, c, d, e

Question 4

Ronelle, a 23 year old women 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.

A. Cold Pack
B. Paraffin
C. Hot Pack
D. NMES

Answer 4

Answer: Hot Pack

• Cold pack and NMES does not increase extensibility, paraffin would not be used on the elbow*

Question 5

Your 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?

A. Coldpack
B. hot pack
C. wrist orthosis

Answer 5

Answer: Wrist orthosis, all the other answers are a contraindication due to sensory impairment

Question 6

Armando, a 30-year-old veterinarian has recently undergone surgery to repair a torn ligament in his knee. Post-surgery, he has been experiencing pain and swelling in the affected area. His OT has decided to use cold packs as part of his treatment to manage these symptoms.

Safety Procedures: Which of the following safety procedures should the therapist follow when using cold packs on Armando? (Select all that apply)

a. Always check Armando’s skin before, during if possible, and after applying the cold pack.

b. Apply a dry or wet towel between Armando’s skin and the cold pack.

c. Ensure the cold pack is on for at least 30 minutes for maximum effectiveness.

Answer 6

A and B

Question 7

Armando, a 20-year-old drag racer has recently undergone surgery to repair a torn ligament in his knee. Post-surgery, he has been experiencing pain and swelling in the affected area. His OT has decided to use cold packs as part of his treatment to manage these symptoms.

indications for Cold Packs: What are the primary benefits of using cold packs in Armando’s treatment plan? (Select all that apply)

a. Decreases pain.

b. Decreases swelling.

c. Increases tissue extensibility.

d. Used to treat acute injuries and post-surgical repairs

Answer 7

A,B,D

Question 8

Contraindications for Cold Packs: Which of the following are contraindications for using cold packs on Armando ? (Select all that apply)

a. Impaired sensation.

b. Impaired circulation.

c. Recent nerve regeneration.

d. Deep Vein Thrombosis (DVT).

e. Thrombophlebitis.

Answer 8

Correct answers: a, b, c, d, e

Question 9

What steps would you take to ensure Armando’s cold pack technique is done appropriately? (Select all that apply)

A. Apply a dry or wet towel between Armando’s skin and the cold pack.

B. Ensure the cold pack is on for 10-15 minutes.

C. Apply the cold pack directly to the skin without any barrier

Answer 9

Correct answer: A , B

Question 10

COLD PACK QUE on exam:

Shirley is a patient with s/p (Status post) 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?

A. Hot pack
B. TENs
C. Cold Pack
D. biofeedback

Answer 10

Answer: Cold Pack best for post-surgical pts and pain. This patient has both.

Question 11

What PAMs (Physical Agent Modalities) would you do for a radial nerve Palsy?

Answer 11

• HP (Hot Packs)
• CP (Cold Packs)
• US (Ultrasound)
• NMES (Neuromuscular Electrical Stimulation)

Question 12

Casey, a 24-year-old woman, has been experiencing chronic hand pain and stiffness due to rheumatoid arthritis. She visits her OT for treatment. The therapist decides to use paraffin therapy to help manage Casey’s symptoms.

Safety Procedures: Which of the following safety procedures should the therapist follow when using paraffin therapy on Casey? (Select all that apply)

a. Always check Casey’s skin before, during if possible, and after the paraffin treatment.

b. Ensure the paraffin temperature is between 100-110 degrees Fahrenheit.

c. Ensure the paraffin temperature is between 120-130 degrees Fahrenheit.

Answer 12

Correct answers: a, c

Question 13

Casey, a 24-year-old woman, has been experiencing chronic hand pain and stiffness due to rheumatoid arthritis. She visits her occupational therapist for treatment. The therapist decides to use paraffin therapy to help manage Casey’s symptoms.

Indications for Paraffin: What are the primary benefits of using paraffin therapy in Casey’s treatment plan? (Select all that apply)

a. Increases extensibility of hands.

b. Decreases pain.

c. Moisturizes skin.

d. Scar management.

Answer 13

Correct answers: a, b, c, d

Question 14

Application Methods: Which method of paraffin application is the most common and appropriate for therapeutic effects? (Select one)

a. Dip Method

b. Immersion Method

c. Paint-on Method

Answer 14

Correct answer: a

Application: Dip Method, Immersion Method and pant on method: most common is dip method (5-10 times for therapeutic effects then wrap in plastic wrap and then towel)

Question 15

Casey, a 24-year-old woman, has been experiencing chronic hand pain and stiffness due to rheumatoid arthritis. She visits her occupational therapist for treatment. The therapist decides to use paraffin therapy to help manage Casey’s symptoms.

Contraindications for Paraffin: Which of the following are contraindications for using paraffin therapy on Casey? (Select all that apply)

a. Open wounds.

b. Sensory impairment.

c. Infection.

d. Rheumatoid arthritis.

Answer 15

Contraindications for Paraffin:

Correct answers: a, b, c

Question 16

Question about Paraffin on the exam:

You receive an order for a patient dx with an acute flare up of RA to receive paraffin treatments 2 x wk for 3 weeks. What is the best approach to address the order.

A. Provide paraffin treatments as per order, educate patient in a home program to do paraffin treatments, provide paraffin but wrap in hot pack to seal in heat, or don’t provide paraffin tx and contact MD

B. Don’t provide paraffin tx and contact MD: two reasons we would not do paraffin-1)its contraindicated for a patient with a flare up and2) paraffin should never be the used as the only intervention.

C. Call the MD and Nurse

Answer 16

Answer: Don’t provide paraffin tx and contact MD: two reasons we would not do paraffin-1)its contraindicated for a patient with a flare up and2) paraffin should never be the used as the only intervention

Question 17

Question on PAMs

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

Answer 17

C. Hot Pack

Question 18

Question on PAMs:

Shirley is a patient diagnosed with Type II Diabetes. 3 months ago she 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

Answer 18

C. Continuous US

Question 19

Psychosocial Question:

True or False: A person with a cardiac history often experience depression.

Answer 19

True

Denial, anger, depression & acceptance are stages of the Psychosocial Adjustment Model. Don’t pick a part the denial. Anger can be massive. It can last long. They have to go through these stages to get to acceptance.

Question 20

True or False:
Screening for substance abuse then if appropriate then a SUD assessment

Answer 20

True

Question 21

True or False: The disability movement works on strengths and reaching their goals?

Answer 21

True

Question 22

True or False:
Substance abuse (using pain meds) is common when treating someone with a physical disability.

Answer 22

True

Question 23

True or False: The Beck Depression Scale is a tool used to measure the severity of depression in individuals.

a. True

b. False

Answer 23

a. True

Question 24

Know neuroma:
A question on Nerve repair might be:

Jestina is a patient with 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

Answer 24

B. Neuroma

Question 25

Shelby, a 23-year-old female, has undergone nerve repair surgery on her right hand following an injury. She has been experiencing hypersensitivity in the affected area, which interferes with her daily activities. Her OT has recommended a desensitization program to help decrease the hypersensitivity. Regarding the desensitization program for Shelby's, answer the following questions: Desensitization Program Frequency: How often should Shelby perform the desensitization exercises? a. 1-2 times daily b. 2-3 times daily c. 4-5 times daily d. 6-7 times daily

Answer 25

c. 4-5 times daily

Question 26

Shelby, a 23-year-old female, has undergone nerve repair surgery on her right hand following an injury. She has been experiencing hypersensitivity in the affected area, which interferes with her daily activities. Her occupational therapist has recommended a desensitization program to help decrease the hypersensitivity. Regarding the desensitization program for Shelby's, answer the following questions: Desensitization Technique: Where should Shelby start applying tactile sensation during her desensitization exercises? a. Directly on the main hypersensitive area b. On the unaffected hand c. In the periphery and then work towards the main hypersensitive area d. On the closest joint to the injury

Answer 26

Desensitization Technique: Correct answer: c

Question 27

Shelby, a 23-year-old female, has undergone nerve repair surgery on her right hand following an injury. She has been experiencing hypersensitivity in the affected area, which interferes with her daily activities. Her occupational therapist has recommended a desensitization program to help decrease the hypersensitivity. Regarding the desensitization program for Shelby's, answer the following questions: Goal of Desensitization: What is the primary goal of the desensitization program for Shelby? a. To completely eliminate any sensation in the affected area b. To provide a tolerable level of tactile sensation c. To increase muscle strength in the affected hand d. To improve circulation in the affected area

Answer 27

Goal of Desensitization: Correct answer: b

Question 28

Ana, a 24-year-old office worker, has been diagnosed with Thoracic Outlet Syndrome (TOS). She experiences pain, numbness, and tingling in her arms and hands, which are aggravated by poor posture and prolonged computer use. Her OT has developed a treatment plan that includes postural exercises, diaphragmatic breathing, and nerve glides to alleviate her symptoms. Regarding the treatment plan for Ana's Thoracic Outlet Syndrome, answer the following questions: Postural Exercises: What is the primary goal of postural exercises in the treatment of Thoracic Outlet Syndrome? a. To strengthen the lower body muscles b. To improve cardiovascular endurance c. To correct posture and reduce compression on the thoracic outlet

Answer 28

Correct answer: c

Question 29

Ana, a 24-year-old office worker, has been diagnosed with Thoracic Outlet Syndrome (TOS). She experiences pain, numbness, and tingling in her arms and hands, which are aggravated by poor posture and prolonged computer use. Her OT has developed a treatment plan that includes postural exercises, diaphragmatic breathing, and nerve glides to alleviate her symptoms. Regarding the treatment plan for Ana's Thoracic Outlet Syndrome, answer the following questions: Diaphragmatic Breathing: How does diaphragmatic breathing benefit Ana in the management of Thoracic Outlet Syndrome? a. It increases lung capacity and oxygen intake b. It reduces stress and promotes relaxation. c. It improves digestion and metabolic rate

Answer 29

Correct answer: b

Question 30

Ana, a 24-year-old office worker, has been diagnosed with Thoracic Outlet Syndrome (TOS). She experiences pain, numbness, and tingling in her arms and hands, which are aggravated by poor posture and prolonged computer use. Her OT has developed a treatment plan that includes postural exercises, diaphragmatic breathing, and nerve glides to alleviate her symptoms. Regarding the treatment plan for Ana's Thoracic Outlet Syndrome, answer the following questions: Nerve Glides: What is the purpose of incorporating nerve glides into Ana's treatment plan for Thoracic Outlet Syndrome? a. To increase muscle mass in the arms and shoulders b. To improve the mobility and reduce the irritation of nerves within the thoracic outlet c. To enhance bone density in the upper limbs

Answer 30

Correct answer: b

Question 31

Ape Hand Deformity: Which nerve injuries are associated with the development of Ape Hand Deformity? a. Radial nerve injury b. Ulnar nerve injury c. Median nerve injury d. Combined ulnar and median nerve injury

Answer 31

d. Combined ulnar and median nerve injury

Question 32

Characteristics of Ape Hand Deformity: Which of the following best describes the appearance of Ape Hand Deformity? a. Wrist drop and inability to extend the fingers b. Clawing of the fourth and fifth fingers c. Thumb is permanently rotated and adducted, resulting in a loss of its opposable function d. Hyperextension of the metacarpophalangeal joints and flexion of the interphalangeal joints

Answer 32

Answer : C

Question 33

Daniela, a 30-year-old pianist, has suffered an injury to her ulnar nerve. During her examination, her fingers are observed to be curled or clawed, indicating a classic sign of ulnar nerve dysfunction. Quiz Question: Claw Hand Deformity: Which nerve injury is associated with Claw Hand deformity and why do the fingers appear curled or clawed? a. Radial nerve injury because the extensors are weakened. b. Median nerve injury because the flexors are paralyzed. c. Ulnar nerve injury because the lumbricals and interossei are not innervated. d. Sciatic nerve injury because the foot muscles are paralyzed.

Answer 33

c. Ulnar nerve injury because the lumbricals and interossei are not innervated.

Question 34

Gabby, a 25-year-old mechanic, has recently been diagnosed with radial nerve palsy following an injury to her arm. During her physical examination, her wrist and fingers are observed to be dropped into flexion. What do you suspect Gabby to have and what nerve is impacted? Which nerve injury is associated with wrist and fingers dropped into flexion? a. Median nerve palsy, Colles Fracture b. Ulnar nerve palsy, Saturday Night palsy c. Radial nerve palsy, Wrist drop

Answer 34

c. Radial nerve palsy, Wrist drop

Question 35

Joanna, a 25-year-old violinist, has undergone a flexor tendon repair in Zone 2 of her hand. Her OT has introduced early mobilization programs to optimize her recovery. Quiz Question: Flexor Tendon Repair and Early Mobilization Programs: Zone 2 Location: Which area of the hand is commonly referred to as "No Man’s Land" in flexor tendon repair? a. Zone 1 b. Zone 2 c. Zone 3 d. Zone 4

Answer 35

b. Zone 2

Question 36

Joanna, a 25-year-old violinist, has undergone a flexor tendon repair in Zone 2 of her hand, commonly referred to as "No Man’s Land." Her OT has introduced early mobilization programs to optimize her recovery. Duran Protocol: What type of early mobilization does the Duran protocol involve for flexor tendon repair? a. Early PROM (Passive Range of Motion) b. Early AROM (Active Range of Motion) c. Immobilization d. Strength training

Answer 36

a. Early PROM (Passive Range of Motion)

Question 37

Joanna, a 25-year-old violinist, has undergone a flexor tendon repair in Zone 2 of her hand, commonly referred to as "No Man’s Land." Her physical therapist has introduced early mobilization programs to optimize her recovery. Early Active Motion: What is the primary goal of introducing early active motion in flexor tendon repair? a. To strengthen the muscles immediately b. To improve flexibility of the joints c. To prevent adhesions and promote tendon gliding d. To reduce inflammation

Answer 37

Correct answer: c

Question 38

What is the common orthosis for flexor tendon repair? A. Dorsal blocking splint B. Anti-claw Splint C. Dynamic Splint

Answer 38

A. Dorsal blocking splint

Question 39

Arrange the hierarchy of active flexion in the correct order: A) Place hold flexion, Composite flexion, Hook fist, Straight fist, PIP and DIP blocking B) Composite flexion, Hook fist, PIP and DIP blocking, Place hold flexion, Straight fist C) Place hold flexion, Composite flexion, PIP and DIP blocking, Hook fist, Straight fist D) PIP and DIP blocking, Hook fist, Composite flexion, Place hold flexion, Straight fist

Answer 39

A) Place hold flexion, Composite flexion, Hook fist, Straight fist, PIP and DIP blocking ## Footnote Pamela (Place hold flexion) Came (compisite flexion) Hanging up (Hook fist), Stevens (striaght fist), Pants and Dock Martens (PIP and DIP blocking)

Question 40

A question on flexor tendon repairs might be: Anjlekia is a patient whom was referred to OT following a flexor tendon repair for early active motion program. What orthosis would you make for Anjelkia to wear in between exercise sessions? a. Resting hand orthosis b. Stack Orthosis c. Wrist orthosis d. Dorsal blocking orthosis

Answer 40

d. Dorsal blocking orthosis

Question 41

Brenna is a patient whom was referred to OT following a diagnosis of a mallet finger. What orthosis would you make for Brenna to wear and for how long? A. Anti-claw splint for three weeks B. Oval ring splint for overnight wear for 3 weeks C. Wears stack splint (DIP Extension orthosis) for six weeks (24/7)

Answer 41

C. Wears stack splint (DIP Extension orthosis) for six weeks

Question 42

What is the primary characteristic of mallet finger? A) Injury to the flexor tendon of the thumb B) Injury to the extensor tendon of the distal phalanx C) Injury to the ulnar collateral ligament of the thumb D) Injury to the radial collateral ligament of the wrist

Answer 42

B) Injury to the extensor tendon of the distal phalanx

Question 43

What is the minimum width required for a wheelchair to make a full 360-degree turn? A) 3 feet by 3 feet B) 4 feet by 4 feet C) 5 feet by 5 feet D) 6 feet by 6 feet

Answer 43

C) 5 feet by 5 feet

Question 44

How much space does a wheelchair needs to turn? (select all that apply) A. 32" B. 36" C. 40"

Answer 44

A and B 36" is ideal

Question 45

What is the ramp ratio needed for a wheelchair? A. 3/14" B. 2/32" C. 1/12"

Answer 45

C. 1/12"

Question 46

How would you measure a wheel seat width? A. Across the widest point of the hip and/ or thighs and add 5 inches to measurement. B. Across the widest point of the hip and/ or thighs and add 1 inches to measurement. C. Across the widest point of the hip and/ or thighs and add 4 inches to measurement. D. Across the widest point of the hip and/ or thighs. Then add 2 inches.

Answer 46

D. Across the widest point of the hip and/ or thighs. Then add 2 inches.

Question 47

How would you measure a wheel seat depth? A. With the person seated, measure from the rear if the buttocks to behind the knee. Then to determine proper seat depth SUBTRACT 1 to 2 inches from measurement. B. With the person seated, measure from the rear if the buttocks to behind the knee. Then to determine proper seat depth SUBTRACT 2 to 3 inches from measurement. C. With the person seated, measure from the rear if the buttocks to behind the knee. Then to determine proper seat depth ADD 2 to 3 inches from measurement.

Answer 47

B. With the person seated, measure from the rear if the buttocks to behind the knee. Then to determine proper seat depth SUBTRACT 2 to 3 inches from measurement.

Question 48

True or False: Measuring the seat height and foot rest adjustment range by lowering the leg from behind the bent knee to the bottom of the heel with the foot at about 90 degree to the lower leg. For the footrest should be adjusted is that the under side of the thigh is raised slightly off off the front edge of the seat. Visually confirm that the knee is about level with the hip and that the thigh is horizontal. Ensure that the step plate is at least 2inch clearance above the floor

Answer 48

True

Question 49

You are an OT working on ergonomics. You are developing a work conditioning program. What would you consider? A. 3 x wk – strengthening, lifting and work simulation activities B. 6 x wk – resting, lifting and work simulation activities C. 2 x wk – strengthening, bending and work simulation activities

Answer 49

A. 3 x wk – strengthening, lifting and work simulation activities

Question 50

Computer ergonomics: What would you do to ensure your client is maintaining the "90, 90, 90" prevention for good body mechanics ? A. The angle of the keyboard, mouse, and monitor B. The height of the chair, desk, and keyboard C. The frequency of breaks recommended during computer work D. The type of ergonomic chair recommended

Answer 50

A. The angle of the keyboard, mouse, and monitor ensures that it is appropriate.

Question 51

What does a Functional Capacity Evaluation (FCE) encompass? A. Standardized and un-standardized tests assessing clients overall physical ability B. Psychological assessments for job readiness C. Nutritional counseling for workplace performance D. Ergonomic assessments for workstation setup

Answer 51

A. Standardized and un-standardized tests assessing clients overall physical ability

Question 52

What is the function of the FCE? A. Ergonomic assessments for workstation setup B. Psychological assessments for job readiness C. Encompasses the physical demands of work as defined by the US Department of Labor in the Dictionary of Occupational Titles (DOT).

Answer 52

C. Encompasses the physical demands of work as defined by the US Department of Labor in the Dictionary of Occupational Titles (DOT).

Question 53

You are dealing with a wheelchair patient in need of a replacement. Their seat width measurement comes out to 25 inches. What is the correct seat width that the replacement chair should have for this patient? A. 27 Inches B. 30 inches C. 26 Inches

Answer 53

Answer: 27 inches (seat width adds two so 25 + 2 = 27)

Question 54

Your patient is returning home after their treatment in a wheelchair. You measure their door opening and find it to be 30 inches. Is this an adequate door opening measure? Yes or No

Answer 54

No (32 inches is the minimum and 36 inches is the ideal measurement)

Question 55

You are pushing a patient and come across a ramp with a 3 inch rise. Based on this information, how many inches of step is the ramp in total? A. 32 inches B. 34 inches C. 36 inches

Answer 55

C. 36 inches (For every 1 inch of rise, there's 12 inches of step. 3 x 12 = 36)

Question 56

You are designing an orthosis for a patient with early-stage flexor tendonitis. What type of orthosis would be best to design? A.Dorsal blocking splint B. Anti-claw splint C. Progressive splint

Answer 56

A.Dorsal blocking splint

Question 57

When dealing with a flexor tendon repair, as an OT what is your main focus? A. Early mobilization B. PAM C. Splints

Answer 57

A. Early mobilization

Question 58

You’ve been cleared to begin an early active motion protocol. Which of the following exercise motions would be best to START with? A. PIPI and DIP blocking B. Hook fist C. Composite flexion D. Place hold flexion

Answer 58

Answer: Place hold flexion (Following the hierarchy of active flexion)

Question 59

Your patient presents with a combined median and ulnar nerve injury. This injury is more commonly known as a

Answer 59

Ape hand deformity

Question 60

Your patient presents with an ulnar nerve deformity resulting in their lumbricals and interossei not being innervated. The patient's fingers are also stuck in a curled position. What is the name of this deformity?

Answer 60

Claw hand

Question 61

Your patient presents with a neuroma resulting in nerve pain and sensitivity that interferes with their ability to sleep. What is the best treatment option for this? A.Desensitization B. PAM C. Ice therapy

Answer 61

A.Desensitization

Question 62

A patient has hypersensitivity following a recent nerve injury. What intervention would be most appropriate as a treatment and for what duration of time?

Answer 62

Desensitization on the periphery (outside of sensitive area) 4-6 times a week Explanation: Desensitization is best for patients dealing with hypersensitivity. A neuroma is when a nerve ending gets caught in scar tissue resulting in pain and hypersensitivity.

Question 63

What is the recommended positioning for computer ergonomics? A. Hips, knees, and elbows all at 90 degrees with the wrist in neutral B. Hips, knees, and elbows all at 80 degrees with the wrist in flexion C. Hips, knees, and elbows all at 90 degrees with the wrist in extension

Answer 63

A. Hips, knees, and elbows all at 90 degrees with the wrist in neutral

Question 64

Armando has been out of work for 1 year and is very discouraged about going back due to other issues besides strength. To compromise, you place him in a work program. What type of work based program would be best to place him in? A. Work conditioning program B. Work hardening program C. Work exercise

Answer 64

B. Work hardening program (intensive multidisciplinary program best for those suffering from depression, lack of motivation, and other issues not related to strength. Teaches biomechanics, proper lifting, and more)

Question 65

While at work, Stephanie falls and fractures her wrist. After going through about 10 weeks of regular OT sessions, she is still unable to be cleared to go back to work. What type of work based program would be appropriate for Stephanie? A. Work conditioning program B. Work hardening program C. Work exercise

Answer 65

A. Work conditioning program (less intense program run by an OT or PT with a focus on strengthening, endurance, and work stimulation activities)

Question 66

Which of the following is a purpose of a FCE? ( Select all that apply) A. Determine a person's work potential (rehabilitation) B. Determine their return to work status C. Helps with settlement of cases D. Disability status E. Pre-work employment and post offer testing

Answer 66

All of the above

Question 67

Your patient recently had an open heart surgery. Which of the following sternal precautions would you educate the person in? Which of the following are sternal precautions to consider ? (select all that apply) A. No lifting, pushing, or pulling greater than 10 pounds B. No bilateral stretching of UE’s C. No propelling of w/c with arms D. No UE hyperextension E. Limit use of arms during bed mobility/transfer

Answer 67

All of the above

Question 68

What is BLT stand for for spinal precautions? A. No (bending, lifting, or twisting) B. No (bending, licking, or twisting) C. No (breaking, lifting or triggering)

Answer 68

A. No BLT (bending, lifting, or twisting)

Question 69

Which of the following are THR precautions? (select all that apply) A. No hip flexion past 90 degrees B. No hip internal rotation or adduction C. No crossing legs (crossing ankles is ok) D. No proning E. No bridging

Answer 69

All of the above

Question 70

Cindy is referred to OT due to a Colle’s fracture but is experiencing a pain beyond what is expected for her diagnosis. She is experiencing severe pain, temperature change heat and edema. What do you suspect her to have and what splint would you recommend? A. Radial nerve palsy, wrist splint B. CRPS ( Complex Regional Pain Syndrome), Safe position splint C. Median Nerve injury, dynamic splint

Answer 70

CRPS ( Complex Regional Pain Syndrome), Safe position splint

Question 71

Cindy is referred to OT due to a Colle’s fracture but is experiencing a pain beyond what is expected for her diagnosis. She is experiencing CRPS. What are contraindications of CRPS ? A. PROM B. AROM C. MMT

Answer 71

A. PROM

Question 72

Cindy is referred to OT due to experiencing CRPS (complex regional pain syndrome). What OT interventions will you do with Cindy? ( select all that apply) A. TENS B. Edema = compression wrapping technique, elevation, retrograde massage C. Stress loading = weight bearing (scrub brushing ) and distracting D. ADL’s such as meal prep E. AROM = forearm, hand, wrist and HEP F. Sensory management = desensitization

Answer 72

All of the above

Question 73

What is the best intervention for CRPS? A. PROM B. Have them move a lot C. Rest

Answer 73

B. Have them move a lot

Question 74

Brianna is your new patient in the ICU who is diagnosed with s/p CABG (coronary artery bypass grafting). 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

Answer 74

C. No lifting 10lbs or no reaching/stretching overhead or out to side

Question 75

An entry level OT works in outpatient OT and is referred a new patient s/p CABG (coronary artery bypass grafting). 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

Answer 75

A. Isometric Exercises for IR/ER in adducted position

Question 76

Limb Protectors are specific to above knee amputations. True or false

Answer 76

False

Question 77

True or False: The protocol for amputation is a Figure of 8 wrapping/diagonal (at least 1 x daily) and is used to decrease swelling and shaping of the residual limb and starts within 2 days of amputation. (Coban for digits & ace wrap for UE or LE amputations )

Answer 77

True

Question 78

True or False: The protocol for amputation is a Figure of 8 wrapping/diagonal (at least 1 x daily) is used to decrease swelling and shape residual limb and starts within 2 days of amputation. (Coban for digits & ace wrap for UE or LE amputations )

Answer 78

True

Question 79

___ is pain that affects the remaining part of your limb (stump) that's still on your body after an amputation. Common after surgery and often subsides when wounds heal and edema decreases. Can become chronic or reoccur, but not as common. A. Phantom Limb Pain B. Phantom Limb Syndrome C. Residual Limb Pain

Answer 79

C. Residual Limb Pain

Question 80

____ is pain and other sensations like touch, pressure, itch, temperature and vibrations in an area of your body that experienced an amputation. A. Phantom Limb Pain B. Phantom Limb Syndrome C. Residual Limb Pain

Answer 80

A. Phantom Limb Pain

Question 81

____ Very intense striking pain perceived in the amputated limb. A. Phantom Limb Pain B. Phantom Limb Syndrome C. Residual Limb Pain

Answer 81

A. Phantom Limb Pain

Question 82

Which of the following is symptoms of phantom limb pain? ( select all that applies) A. Intense pain B. Burning C. Itching D. Stabbing E. Throbbing

Answer 82

All of the above

Question 83

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

Answer 83

C. Stand pivot with a rolling walker

Question 84

What movements are needed to open and 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

Answer 84

C. Scapula abduction and shoulder flexion

Question 85

___ MET indicates patient is independent and ready to go home and be discharged. A. 2.0 MET B. 4.0 MET C. 3.5 MET

Answer 85

B. 4.0 MET

Question 86

Which of the following devices is considered for reimbursement by Medicare? A. 3 in 1 DME Commode B. Shower bench chair C. Shower handle

Answer 86

A. 3 in 1 DME Commode

Question 87

True or False: Once approved for strengthening: When working with cardiac patients use no more than than 50% of maximal resistance.

Answer 87

True

Question 88

Which of the following would you stop OT treatment when working with cardiac patient ? (Select all that apply) A) Onset of angina B) Excessive rise in BP C) Failure of monitoring equipment

Answer 88

Answer: A,B,C

Question 89

True or False: A forearm based thumb orthosis is best used for DeQuervains.

Answer 89

True

Question 90

Which diagnosis would be best used for a wrist orthosis ? (select all that applies) A. Carpal Tunnel B. Wrist fx C. DeQuervains

Answer 90

A. Carpal Tunnel B. Wrist fx

Question 91

While conducting a movement interventions in the ICU for a patient with multiple lines (e.g., IV lines, catheter, oxygen tubing), what are the key considerations to ensure safety and efficacy of the therapy session? A. Use a buddy system where another healthcare professional assists in managing the lines. B. Perform a thorough assessment of the lines' placement and integrity before starting the intervention. C. Ensure that all lines are secured and management of lines are secured during movement intervention

Answer 91

C. Ensure that all lines are secured and management of lines are secured during movement intervention

Question 92

When managing your patient with a nasogastric (NG) tube, At what degree should the head of bed be raised during feeding? A. 50 degree or less B. 30 degrees or more C. 10 degree or more

Answer 92

B. 30 degrees or more

Question 93

True or False: You DO NOT bend wrist when an arterial line is placed in the radial artery.

Answer 93

True

Question 94

Which of the following are site location for arterial line to be placed? (Select all that apply) A. Radial artery B. Ulnar artery C. Brachial artery D. Axillary artery E. Posterior tibial artery F. Femoral artery G. Dorsails peds artery

Answer 94

All of the above A. Radial artery B. Ulnar artery C. Brachial artery D. Axillary artery E. Posterior tibial artery F. Femoral artery G. Dorsails peds artery

Question 95

True or False: You DO NOT take BP on ipsilateral (same) side of IV line for medication.

Answer 95

True

Question 96

Namoi is a 25 year old female patient with a Foley catheter. What pre-cations should the OT ensure when staring treatment? A. don’t drop on floor B. hang on side below bladder C. Raise it above bladder level and hang on IV pole

Answer 96

A. don’t drop on floor B. hang on side below bladder

Question 97

Sami is your patient in the ICU with a vendoynes applied on her lower leg? What is the primary purpose of using venodynes (sequential compression devices) ? A. To assist with circulation and prevent blood clots. B. To support the muscles of the lower leg during activity. C. To immobilize the leg and prevent movement. D. To provide warmth and comfort to the lower legs.

Answer 97

A. To assist with circulation and prevent blood clots.

Question 98

What precautions should be taken when a patient has a Peripherally Inserted Central Catheter (PICC) line in an extremity? A. No specific precautions are necessary for the extremity with the PICC line. B. Only avoid exercise on the extremity with the PICC line. C. Only avoid taking blood pressure measurements on the extremity with the PICC line. D. Avoid taking blood pressure measurements, exercise, and splinting on the extremity with the PICC line.

Answer 98

D. Avoid taking blood pressure measurements, exercise, and splinting on the extremity with the PICC line.

Question 99

In the acute and outpatient settings, what is the target range on the Borg RPE scale for patient exertion? A) 6-8 B) 9-10 C) 11-13 D) 14-16

Answer 99

Answer: C) 11-13

Question 100

Which of the following is the correct PPE sequence order? A. Gloves, gown and mask B. Gown, mask, glove C. Gloves, mask, gown

Answer 100

A. Gloves, gown and mask

Question 101

What is the minimum daily duration of therapy that patients must be able to tolerate for rehabilitation purposes? A) 1 hour B) 2 hours C) 3 hours D) 4 hours

Answer 101

Answer: C) 3 hours

Question 102

What do the P-wave and QRS complex together represent on an electrocardiogram (ECG)? A) Ventricular relaxation B) Atrial and ventricular depolarization, representing one complete heartbeat C) Atrial relaxation and ventricular depolarization D) Ventricular depolarization and repolarization

Answer 102

Answer: B) Atrial and ventricular depolarization, representing one complete heartbeat

Question 103

Breast Cancer: What are some key actions that an occupational therapist (OT) can take to assist in the care of breast cancer patients, particularly in managing lymphedema, throughout the continuum of care? (select all that applies) A) Conduct pre-education sessions and baseline circumference measurements for all breast cancer patients in collaboration with radiology. B) Complete a lymphedema certification course to provide specialized care. C) Participate in Cancer Rounds/Meetings to stay informed and contribute to patient care plans. D) Only participate in community cancer programs without getting lymphedema certification or collaborating with radiology for pre-education sessions.

Answer 103

Answer: A, B, C

Question 104

Which of the following statements is true regarding the management of Cancer-Related Fatigue (CRF) during and after active cancer treatment? A) Pharmacological interventions are more effective than physical activity and psychosocial interventions in managing CRF. B) Physical activity and psychosocial interventions are more effective than pharmacological interventions in treating CRF during and after active cancer treatment. C) Physical activity and psychosocial interventions have no impact on CRF compared to pharmacological interventions. D) The combination of physical activity and psychosocial interventions is less effective than pharmacological treatments for CRF.

Answer 104

B) Physical activity and psychosocial interventions are more effective than pharmacological interventions in treating CRF during and after active cancer treatment.