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Flashcards in NBCOT exam Deck (45):
1

Carpal tunnel syndrome
splints and interventions?

- wrist immobilizer used at night.
-ergonomic evaluation of work station and education in proper positioning.
-AROM /stretching program for computer-users or those performing repetitive tasks.
-nerve gliding and tendon gliding exercises

2

swan neck deformity

Joint deformity consisting of PIP hyperextension and DIP flexion commonly associated with rheumatoid arthritis and tendon trauma Intervention may include a tri-point ring orthosis to prevent PIP hyperextension

3

Boutonnieres deformity

Joint deformity consisting of PIP flexion and DIP hyperextension, commonly associated with rheumatoid arthritis and PIP joint trauma intervention may include fabrication of orthosis to support the PIP in extension while allowing movement at the DIP

4

Mallet finger

Inability to extend DIP joint due to rupture of the distal end of extensor tendon Intervention may include static orthosis to maintain DIP in extension

5

Dypnea

Shortness of breath due to impaired breathing in response to activity or at rest, may require:
medical attention
modification to activity demands
instruction in breathing techniques
dyspnea control postures

6

Dysphagia
client will need?

Difficulty in swallowing associated with:
neurological, developmental, or oral motor condition
sensory, motor, or behavioral dysfunction

7

Ranchos los amigos

Level I - No Response.
Patient does not respond to external stimuli and appears asleep.
____ (2) Level II - Generalized Response.
Patient reacts to external stimuli in nonspecific, inconsistent, and nonpurposeful manner with
stereotypic and limited responses.
____ (3) Level III - Localized Response.
Patient responds specifically and inconsistently with delays to stimuli, but may follow simple
commands for motor action.
____ (4) Level IV - Confused, Agitated Response.
Patient exhibits bizarre, nonpurposeful, incoherent or inappropriate behaviors, has no shortterm
recall, attention is short and nonselective.
____ (5) Level V - Confused, Inappropriate, Nonagitated Response.
Patient gives random, fragmented, and nonpurposeful responses to complex or unstructured
stimuli - Simple commands are followed consistently, memory and selective attention are
impaired, and new information is not retained.
____ (6) Level VI - Confused, Appropriate Response.
Patient gives context appropriate, goal-directed responses, dependent upon external input for
direction. There is carry-over for relearned, but not for new tasks, and recent memory
problems persist.
____ (7) Level VII - Automatic, Appropriate Response.
Patient behaves appropriately in familiar settings, performs daily routines automatically, and
shows carry-over for new learning at lower than normal rates. Patient initiates social
interactions, but judgment remains impaired.
____ (8) Level VIII - Purposeful, Appropriate Response.
Patient oriented and responds to the environment but abstract reasoning abilities are
decreased relative to premorbid levels.

8

Pitting edema

Type of interstitial swelling in the extremities in which an indent appears after pressure is applied, typically graded from absent (0) to severe (3+)

9

Wheelchair length doorways and
hallways
average wheelchair width

a minimum of 32 inches ideal is 36 for doorways and 36 inches for hallways

24-26 inches

10

Bariatric wheelchair

wide heavy duty wheelchair designed for obese individuals

11

Tilt in Space wheelchair

indicated for pressure relief or for an individual with severe extensor spasms

12

tetraplegia

same as quadriplegia partial or total loss of all four limbs

13

C1-C3 spinal cord injury

Head and neck control some head and neck sensation respirator dependent

14

C4 injury

Good head/ neck sensation & motor control
-Scapular elevation
-Diaphragm moves
Max A in ADLs

15

C5 injury

Full head/ neck movement &sensation
Shoulder strength
Shoulder external Rotation
Shoulder abd. 90*Elbow flexion & supination
self-feeding with adaptive equipment limited self-care and dressing with adaptive equipment

16

C6 injury

Full shoulder movement
Forearm pronation
Wrist extension
Tenodesis Self- feeding w/ equip. like universal cuff
Upper & lower dressing w/ adaptive equip

17

C7

elbow extension
full shoulder
wrist extension finger flexion
Independent w/ self-feeding, dressing, & grooming w/ adaption
Independent bed mobility & transfers
Meal prep w/ adaption
Can drive w/ hand controls

18

C8-T1

Independent with self-care and most ADL requiring UE

19

T1-T6

reserve long muscles of the back
Standing is possible w/ asst. but not practical for ADLs.
Independent self- cath.



20

T6-T12

Good trunk control
Limited ambulation is possible w/ lower extremity orthotics & assistive devices.

21

T12-L4
L4-L5

Hip flexion
Hip adduction
Knee extension
Functional ambulation possible w/ orthotics & assistive devices
Wheel chair used for energy conservation.

22

Brown Sequard syndrome

ipsilateral paralysis and ipsilateral loss of position sense inpsilateral loss of discriminative touch and contralateral loss of pain and thermal sense.

23

Anterior cord

motor function, pinprick, temperature sensation and pain are loss bilaterally proprioception and light touch are preserved

24

Cauda equina/ Conus Medullaris

Could result in lower extremity motor and sensory loss and areflexic bowel and bladder

25

Central cord

resulting from hyper-extension injuries more UE deficits vs LE defecits

26

developmental grasp patterns

First ulnar, next palmar grasp, last is radial grasp

27

Diplopia

double vision individual will need an eye patch for performing ADL's

28

Dysphagia and swallowing intervention

Thin liquids are always contraindicated in dysphagia and development of swallow response

29

Shunt cord

UE weakness headache and short attention span

30

Circumstantiality

difficult understanding circumstances

31

Recommended height for countertops

31 inches

32

compression garments

provide equal pressure over area to prevent scarring

33

wound grafting

biological dressing for wound covering and pain relief

34

Elevation

reduces edema

35

Airplane splints

prevent tightening of the Axilla

36

Class 1 heart disease

No limitations or restrictions on lifting

37

Sensory integration principles

-adaptive responses facilitate integration of sensory stimuli
-controls sensory input that is child driven play-based to improve sensory processing, facilitate sensory integration, and elicit an adaptive response.

38

Spinner knob

intended to help make steering with one hand less difficult or faster.

39

instrumental groups

help individuals function at their highest level for as long as possible, prevent regression, maintain function, and meet mental health needs

40

Froment sign

asses motor function of the adductor policis which is innervated by the ulnar nerve

41

Charcot Marie Tooth disease

progrssive weakness in distal muscle of the arms and feet

42

supression

divert uncomfortable feeling into socially acceptable ones

43

regression

returning to an earlier stage of development to avoid conflict (acting childlike)

44

displacement

redirection of an emotion or reaction from one object to a similar but less threatening one

45

projection

somemeone who feels guilty interprets statements from others as blaming him or her