NBCOT Deck 1 Flashcards
(172 cards)
1
Q
Median nerve laceration
A
Flattening of thenar eminence - clawing of INDEX and MIDDLE fingers “Ape Hand”
(loss of thumb opposition and weakness of pinch)
2
Q
Ability to focus on objects in a busy background
A
Figure ground
3
Q
Ability to organize and interpret things seen
A
Visual perception
4
Q
Ability to perceive object/word that is partially hidden
A
Visual closure
5
Q
Ability to recall specifics—learned facts
A
Declarative memory
6
Q
Ability to see subtle differences in objects and/or pictures
A
Visual discrimination
7
Q
Activity Groups:
Assists members in acquiring skills and knowledge to perform a specific activity
A
Thematic Groups
8
Q
Activity Groups:
Evaluation of group interaction (skills and limitations)
A
Evaluation Group
9
Q
Activity Groups:
Explore thoughts and feelings to enhance self-awareness
A
Task-Oreinted Groups
10
Q
Activity Groups:
Group discussion regarding topics outside of a group typical norms
A
Topical Groups
11
Q
Activity Groups:
Maintain the highest optimal quality of life through socialization and meaningful activities
A
Instrumental Groups
12
Q
Activity Groups:
To teach and develop member’s group interaction skills.
A
Developmental Groups
13
Q
Adhesive Capsulitis (Frozen Shoulder)
Stages and what happens (pain and ROM)
A
Freezing: Painful at the end of range
Frozen: Less Pain, Loss of ROM
Thawing: Pain subsides and ROM returns
14
Q
Allen Cognitive Level 4:
Describe
A
Goal directed actions: Can complete familiar, routine tasks, better attention to the environment, follow sequences of steps, need support to problem-solve. self care independent or MIN A
15
Q
Allen Cognitive Level 1:
Describe
A
Automatic Actions: Severe cognitive impairment & responds to internal stimuli (pain/hunger), basic reflexive actions- require 24 hr care for all ADLs, may respond to physical cues, LIMITED AWARENESS
16
Q
Allen Cognitive Level 2:
Describe
A
Postural Actions: Can move body but lack control & purposeful interaction, limited awareness of surroundings and safety, 24 hrs care for safety and assistance with basic tasks
17
Q
Allen Cognitive Level 3:
Describe
A
Manual Actions: can perform simple tasks w/ hands require cues and supervision, focus on immediate surroundings and repetitive tasks, manipulate objects, follow basic instructions, engage in self-care w/ guidance supervision and set up required, MOD A needed
18
Q
Allen Cognitive Level 5:
Describe
A
Exploratory actions: Can learn new information through trial and error, can perform complex tasks struggle w/ abstract thinking INDEPENDENT function
19
Q
Allen Cognitive Level 6:
Describe
A
Planned actions: Normal cognitive function, planning, organizing, anticipating consequences
20
Q
ASIA Scale: A: Complete
A
No motor or sensory function below lesion
21
Q
ASIA Scale: B: Incomplete
A
Sensory but no motor
22
Q
ASIA Scale: C: Incomplete
A
Motor and sensory below lesion, but < 3 muscle grade
23
Q
ASIA Scale: D: Incomplete
A
Motor and sensory below lesion, but > 3 muscle grade
24
Q
ASIA Scale: E: Normal
A
Normal motor and sensory below lesion
25
Automatic sequence, conditioned response - performing morning routine
Procedural Memory
26
Autonomy
Right to self-determination, privacy, confidentiality, and conset
27
Beneficence
Concerns of the well-being and safety of the client
28
"This Frame of Reference focuses on impairments, such as ROM, strength, endurance, MMT, pain, and edema
Biomechanical FOR
29
Bipolar I
One or more manic episodes WITH hypomania or major depressive
30
Bipolar II
One or more major depressive episode At least ONE hypomania episode NO manic episode
31
Capacity to carry out actions in the future (ie. pay bills)
Prospective Memory
32
Carpal Tunnel Syndrome
Median nerve compression ; Narrowing of carpal canal
33
Colles Fracture
DORSAL displacement of the distal radius fracture
34
Common finger fracture leading to mallet finger
Distal phalanx fracture
35
Ranchos Los Amigos:
Level 3
Localized Response
1. Total A
2. React to specific stimuli
36
Ranchos Los Amigos:
Level 1
No Response
1. Unresponsive to Stimuli
37
Ranchos Los Amigos
Level 2
Generalized Response
1. Total A
2. General response to stimulus
38
Cubital Tunnel Syndrome
Ulnar nerve compression at the elbow
39
De Quervein's Syndrome (Mommy's Thumb)
Inflammation of the tendons around the thumb due to repetitive wrist motion
40
Developmental Groups:
Carries out all social, emotional, and functional roles and tasks
Mature Group
OT Role: Peer
41
Developmental Groups:
Fulfilling needs is more important than the activity itself
Cooperative Group
OT Role: Advisor
42
Developmental Groups:
Group interaction is not needed to complete a task
Parallel Group
OT Role: Direct Leader
43
Developmental Groups:
Group interaction is required; short-term activity 2 or more people
Project Group
OT Role: Less Directive
44
Developmental Groups:
Long-term group activity with 5-10 people; Group chooses activity
Egocentric Group
OT Role: Role Model
45
Diabetic Retinopathy
Changes in blood vessels of the retina causing swelling/leakage causing blurred vision/central vision loss
46
Difficulty understanding and organizing thoughts to perform a task—unfamiliar with item use
Ideational apraxia
47
Double vision
Diplopia
48
Dupuytrens
Disease of the fascia of the palm and digits
49
Fidelity
Treat clients with respect and fairness
50
Hallucinations
False sensory perception NOT in response to external stimuli
51
Identify the position and direction of objects in space
Spatial orientation
52
Illusions
Misperception or Misinterpretation of REAL sensory events
53
Inability to recognize people people or objects
Visual Agnosia
54
Ineffective motor planning and execution—the person knows what they want to do
Ideomotor apraxia
55
Job Analysis
1. Defines the actual demands of the job
2. Includes questionnaires, interviews, observations, or formal measurements
3. Provides a specific understanding of the requirements to complete the job effectively
56
Justice
Promote equality and inclusion
57
Knowing the meaning of words and being able to classify
Semantic Memory
58
Knowledge of personal experiences
Episodic memory
59
Knows what they want to say but cannot say it
Broca's Aphasia - Expressive Aphasia (think 'Broken')
60
Lateral Epicondylitis
Overuse of wrist extensors causes pain on the outer elbow
61
Leadership Styles:
Advisory Leadership
OT practitioner functions as a resource to the group who sets the agenda and determines the group's structure and functioning
62
Leadership Styles:
Direct Leadership
OT practitioner is responsible for the planning and structuring of the group
63
Leadership Styles:
Facilitative Leadership
OT practitioner shares responsibility for group process with fellow members
64
Loss of central vision
age-related macular degeneration
65
Loss of peripheral vision
Glaucoma
66
Mania vs Hypomania
Mania symptoms last ________ while hypomania symptoms last _________
One week ; 4 days
67
MET Level:
1. Seated warm shower
2. Dressing Dusting
3. Play instruments
2-3
68
MET Level:
1.Lightwork in bed
2.Transfers
3.Self-feeding
4.Washing up in bed
1.5-2
69
MET Level:
1. AT Rest
1.0
70
MET Level:
1. Take a hot shower
2. Dancing
3. Change linens
4. Raking/Weeding
4-5
71
MET Level:
1. Take it easy!
2. Standing to take a warm shower
3. Sweeping / gardening
3-4
72
MET Level:
1. F words-- "Fun" "Flirty"
2. Put linens to use Shoveling /Digging
3. Sexual Activity
5-6
73
MET Level:
1. Fast Running
10+
74
MET Level:
1. Running ~5.5 mph
8-9
75
MET Level:
1. Brisk walking
2. ~ 5 mph Basketball
6-7
76
MET Level:
1. Jogging
7-8
77
Modified Ashworth Scale:
(1)
Slight increased tone, catches near the end of ROM
78
Modified Ashworth Scale:
(1+)
Slight increased in tone, but catches and releases slightly for less than half of ROM
79
Modified Ashworth Scale:
(2)
Increased tone through ROM more than half but still EASILY moved through full range
80
Modified Ashworth Scale:
(3)
Significant tone; HARD to do PROM
81
Modified Ashworth Scale:
(4)
Rigid in flexion and extension (IMPOSSIBLE)
82
Nonmaleficence
Do no harm
83
Oblique/cloudy vision in lens -- possible surgery to replace lens
Cataracts
84
Organic loss of an individual's ability to comprehend what has been said to them (Random Speech)
Wernicke's Aphasia -- Receptive Aphasia
85
Osteogenesis Imperfecta
A genetic disorder that causes brittle bones, leading to frequent fractures with minimal or no trauma
86
Osteoporosis
Weak and Brittle Bones
87
Partial/complete loss of vision in one half of each eye
Honomyous hemianopsia
88
Radial Nerve Palsy
Radial nerve compression
89
Ranchos Los Amigos:
Level 4
Confused-Agitated
1. Max A
2. May complete 1-step directions
3. Restraints may be used
90
Ranchos Los Amigos:
Level 5
Confused-Inappropriate
1. Max A
2. Easily distracted and needs redirection
3. May follow simple commands
91
Ranchos Los Amigos:
Level 6
Confused-Appropriate
1. Mod A
2. Attends for 30 mins with cues
3. Poor safety awareness
4. Requires 24-hour supervision
92
Ranchos Los Amigos:
Level 7
Automatic-Appropriate
1. Min A
2. New learning occurs
3. Oreintated to place and routine
93
Ranchos Los Amigos:
Level 8
Purposeful-Appropriate
1. SBA
2. Carryover to learn new tasks
3. Impaired abstract thinking
94
Recall distant past (ie. highschool)
Remote memory aka long term memory
95
Recall past few days
Recent memory aka working memory
96
Recall past few months
Recent past memory
97
Recall within few seconds/minutes
Immediate memory aka short term memory
98
Recognize and label shapes with different orientations and backgrounds.
Form constancy
99
"A frame of Reference focuses on independence despite impairments or limitations."
Rehabilitative FOR
100
Rotator Cuff Tendonitis
Inflammation of the tendons in the shoulder, often caused by repetitive overhead movements or injury
101
Shoulder Dislocation
Occurs when the upper arm bone pops out of the shoulder socket, often due to injury or trauma
102
Skier's Thumb (Gamekeeper's Thumb)
Rupture of the ulnar collateral ligament of the MCP joint of the thumb
103
Smith's Fracture
VOLAR displacement of the distal radius fracture
104
Stage of Pressure Ulcers:Full thickness tissue loss with bone, tendon, or muscle visible or directly palpable
What cushions would be used and which group does it belong to?
Stage 4: W/ Group 2 or 3 cushions: air fluidized therapy cushions, dynamic air
105
Stage of Pressure Ulcers: Dermis layer affected with partial thickness loss & presents as shallow open ulcer shiny or dry
What cushions would be used and which group does it belong to?
Stage 2: W/ Group 1 or 2 cushions: air/ alternating pressure cushions/ low air loss cushions
106
Stage of Pressure Ulcers: Full thickness tissue loss with subcutaneous fat possibly visible
What cushions would be used and which group does it belong to?
Stage 3: W/ Group 2 cushions: low air loss cushions, alternating pressure cushions, specialized foam or gel/air cushions
107
Stage of Pressure Ulcers:
Skin intact w/ visible nonblanchable redness over localized area (typically bony prominence)
What cushions would be used and which group does it belong to?
Stage 1: W/ Group 1 cushions: gel, foam, or air
108
Stages of Alzheimer's Disease:
Stage 1(No Cognitive Decline)
No evidence of memory deficit
109
Stages of Alzheimer's Disease:
Stage 2 ( Very Mild Cognitive Decline)
Memory impairment is evident during evaluations
1. Client expresses difficulty with memory (Forgetting Keys)
110
Stages of Alzheimer's Disease:
Stage 3 ( Mild Cognitive Decline)
Caregivers begin to notice deficits
1. Friends and family also begin to notice impairment
111
Stages of Alzheimer's Disease:
Stage 4 (Moderate Cognitive Decline)
Beginning of the "True" Dementia Stage
1. Patient is still oriented to time and space
2. Difficulties with IADLs
112
Stages of Alzheimer's Disease:
Stage 5 (Moderate Cognitive Severe Decline)
The client can't live alone
1. Needs significant assistance with ADLs and IADLs
2. Disoriented to time and place
113
Stages of Alzheimer's Disease:
Stage 6 ( Severe Cognitive Decline)
Severe Symptoms
1. The client can no longer speak in full sentences
2. Can't follow two-step commands
114
Stages of Alzheimer's Disease:
Stage 7 (Very Severe Cognitive Decline)
Bedbound
1. Unable to speak
2. Won't be able to follow any commands
115
Stages of Group Development:
Cohesion Phase
Involves members regrouping after the conflict phase with a greater sense fo purpose and group values
116
Stages of Group Development:
Conflict Phase
Challenges and disagreements arise in the group
117
Stages of Group Development:
Intermediate Phase
Interpersonal bonds, group norms, and goal-directed activities are created
118
Stages of Group Development:
Maturation Phase
Using skills and energies to be productive and contribute to the success of the group
119
Stages of Group Development:
Termination Phase
Conclusion of the group due to goals being obtained
120
Stages of Group Development:
Orientation Phase
Involves members to learn what the group is about. Initial group connections are formed
121
Stages of Group Development:
Origin Phase:
Comprising group protocols and planning of the group
122
Swan Neck Deformity
Orientation: Flexion of MCP, hyperextension of PIP, Flexion of DIP
123
Topographical Disorientation
Difficulty finding one's way in space secondary to memory dysfunction
124
Trigger Finger
Inflammation of the flexor tendon leads to difficulty straightening fingers. (A1-pully)
125
Unawareness of motor deficits
Anosognosia
126
Veracity
Truth
127
Visually perceive two or more objects
Spatial relationships
128
What deformity is common with cubital tunnel syndrome?
Claw hand
129
What functions do a patient have at SCI level C1-C3?
Neck flexion, extension, and rotation
130
What functions do a patient have at SCI level C4?
Neck flexion, extension, rotation, scapular elevation, inspiration
131
What functions do a patient have at SCI level C5?
Shoulder flexion, abduction, extension; elbow flexion and supination; scapular adduction and abduction (protraction and retraction
132
What functions do a patient have at SCI level C6?
Scapular protraction and retraction; horizontal adduction, forearm supination; wrist extension
133
What functions do a patient have at SCI level C7-C8?
Elbow extension, wrist extension /flexion; Finger flexion/extension; thumb flexion, extension, and abduction
134
What functions do a patient have at SCI level L2-S5?
Abdominals intact, Good trunk stability, (partial control of legs/hips depends on ASIA level)
135
What functions do a patient have at SCI level T1-T9?
UE intact; limited trunk stability
136
What functions do a patient have at SCI level T10-L1?
UE intact; good trunk stability
137
What is an Ethical Dilemma?
Two or more morally correct ways to solve a problem. However, solutions are exclusive so choosing one course prohibits acting on another
138
What is Ethical Distress?
Provider knows the correct action but barriers exist
139
What is hyperopia?
Farsightedness
140
What is myopia?
Nearsightedness
141
What is the age range for release skill development below: Involuntary
1-4 months
142
What is the age range for release skill development below: No release
0-1 month
143
What is the age range for release skill development below: one stage transfer
6-7 months
144
What is the age range for release skill development below: two stage transfer
5-6 months
145
What is the age range for release skill development below: voluntary release
7-9 months
146
Work conditioning
1. Physical conditioning including strength aerobic fitness, flexibility, coordination, and endurance
2. Involves a single discipline
3. Job simulation
147
Work Hardening
1. Formal, multidisciplinary program
2. Work Simulation
3. Job site evaluation
4. Graded Activity
5. Job simulation using actual equipment
148
Zone 1 and 2 Injury
Mallet Finger Deformity
Orientation: Flexion of DIP
149
Zone 3 and 4 Injury
Boutonniere Deformity
Orientation: Extension of MCP, Flexion of PIP. Flexion of DIP
150
Ulnar nerve laceration deformity
Claw hand
(loss of power grip and decreased pinch)
151
Radial nerve injury deformity
What's the difference between high and low lesions?
wrist drop
sensory loss for HIGH lesions
motor loss for LOW lesions
152
Rheumatoid arthritis
What are common deformities?
body immune system attacks the synovium
ulnar drift & subluxation of MCP joints
boutonneire deformity
swan neck deformity
zig-zag deformity
153
Osteoarthritis
Degenerative joint disease, not systemic but wear and tear - hyaline cartilage
154
Static Orthosis
Non-moving, immobilize joint
155
Dynamic orthosis
resilient component that an individual moves
156
Serial static
Use of casting material that is remolded to address changes in joint motion
157
Static progressive
Static adjustment part that allows the tension or angle to increase motion
158
Episodic Memory
Memory for events that have happened
159
Procedural Memory
Memory about how to do something
160
Long-Term Memory
Accumulation of memories over a lifetime
161
Semantic Memory
Memory for Facts
162
Metamorphopsia
Visual Distortion of objects including the physical properties of the object (ex. If you see a group of balls knowing when to distinguish that this is a basketball and not a football)
163
Color Agnosia
Inability to recognize specific colors
164
Color Anomia
Inability to name the color
165
Simultanagnosia
Inability to recognize and interpret a visual array as a whole
166
Anomic Aphasia
Difficulty with word retrieval
167
Praxis
Ability to plan and perform motor movement during activities
168
Somatagnoisa
Diminished awareness of one's body parts
169
Anosognosia
Unawareness of motor deficits
170
Nystagmus
Involuntary, rapid, and repetitive eye movements
171
Stark Law
Prohibits physician self-referrals specifically if a financial relationships exists between referrals
172
PSQIA (Patient Safety and Quality Improvement Act of 2005)
Protects workers who report unsafe work conditions or practices in the work place
