Neuromgt 3 Flashcards
An occupational therapist working in a private clinic receives a referral for a client who incurred a nerve laceration while working as a cable installer and repair person. Upon evaluation, the therapist determines that the client exhibits maximum motor and sensory losses consistent with a radial nerve laceration below the supinator.
- The occupational therapist documents the result of the evaluation. Which deformity should the therapist note that the client is exhibiting?
A. Claw Hand
B. Wrist Drop
C. Ape Hand
D. Saturday Night Palsy
B. Wrist Drop
A: Ulnar nerve
C: Flattening of thenar eminence (Median)
D: Radial dt compression
An occupational therapist working in a private clinic receives a referral for a client who incurred a nerve laceration while working as a cable installer and repair person. Upon evaluation, the therapist determines that the client exhibits maximum motor and sensory losses consistent with a radial nerve laceration below the supinator.
- Through active participation in individual occupational therapy sessions, the client regains functional motor skills. To facilitate return to work, the occupational therapist refers the client to a local work hardening program. This program does not have the exact equipment that the client uses in the job setting. Which action is best for the therapist at the work-hardening program to take in response to this situation?
A. Refer the client to another work hardening program that has the equipment
B. Order and install the equipment necessary to duplicate the work setting
C. Perform some necessary
aspects of rehabilitation in the client’s work settings.
D. Duplicate the job task components as closely as possible.
D. Duplicate the job task components as closely as possible.
Work hardening: May be real or simulated task
A: If hindi kaya na OT
C: Logistics may be difficult
An occupational therapist working in a private clinic receives a referral for a client who incurred a nerve laceration while working as a cable installer and repair person. Upon evaluation, the therapist determines that the client exhibits maximum motor and sensory losses consistent with a radial nerve laceration below the supinator.
- The occupational therapist constructs a splint to facilitate healing and promote function. Which is the most effective splint for the therapist to fabricate for this individual?
A. A dynamic extension splint
B. A figure of eight splint
C. A dynamic flexion splint
D. A splint to support the functional position
A. A dynamic extension splint
Wrist, MP, thumb extension
B: Median and ulnar nerve
D: Not affected
An occupational therapist working in a private clinic receives a referral for a client who incurred a nerve laceration while working as a cable installer and repair person. Upon evaluation, the therapist determines that the client exhibits maximum motor and sensory losses consistent with a radial nerve laceration below the supinator.
- The client successfully completes the work hardening program. However, the client has residual moderate impairment in temperature perception. During the discharge planning session, the therapist discusses how this impairment may impact areas of occupation and suggests activity modifications to facilitate the client’s occupational performance. What is the most appropriate recommendation for the therapist to make to the client?
A. Request reassignment to work activities that do not involve exposure to extreme temperatures
B. Mark all potentially hot objects at home and at work with bright stickers
C. Wear work gloves for activities involving extremes or variations in temperature
D. Wear a protective splint during the work day and at home during home maintenance tasks
C. Wear work gloves for activities involving extremes or variations in temperature
A: Not needed because px has the skill
D: Not adequate protection
- A carpenter complains of tingling of the left thumb, index and middle finger, weakened grasp and right pain secondary to carpal tunnel syndrome. The left thenar eminence appears smaller and more flattened compared to the right thenar eminence. The occupational therapist collaborates with the client to develop an intervention plan. Which recommendation is best to include in this plan?
A. Wrapping wrists with elastic bandages to provide support
B. Modifications of techniques used to hold a hammer
C. Application of hot packs upon waking to decrease pain
D. Performance of wrist flexion and extension exercises with progressively increasing repetitions
B. Modifications of techniques used to hold a hammer
A: Not supportive enough
C: PAMS are prep
D: Avoid wrist flexion
- An OT practitioner is treating a client who demonstrates pain, progressive weakness of the thumb, atrophy of the thenar muscles and numbness and tingling in the thumb, index, long, and half of the ring fingers. The client is not experiencing proximal upper extremity limitations so the practitioner will MOST likely suspect problems with which of the following?
A. Ulnar nerve
B. Median nerve
C. Radial nerve
D. Brachial plexus
B. Median nerve
A: Loss of sensation at the 4th-5th finger
C: Wrist
D: Any or all UE
- A therapist is evaluating an individual with a peripheral nerve injury for strength, range of motion and endurance. The most appropriate frame of reference on which to base the evaluation
A. Rehabilitative FOR
B. Neurodevelopmental FOR
C. Biomechanical FOR
D. Psychoanalytic FOR
C. Biomechanical FOR
- The OT practitioner is treating a person with mild carpal tunnel syndrome. The MOST important Instruction for the therapist to give the patient is to avoid:
A. Extension
B. Flexion
C. Ulnar deviation
D. Radial deviation
B. Flexion
+ Gripping and pinching
- An OT practitioner is fabricating a dynamic splint for a butcher who sustained a low-level radial nerve injury should.
A. Provided wrist extension, MCP flexion, and thumb flexion
B. Prevent wrist extension, MCP extension, and thumb extension
C. Prevent wrist extension, MCP flexion, and thumb flexion
D. Provide wrist extension, MCP extension, and thumb extension
D. Provide wrist extension, MCP extension, and thumb extension
- Guttering of the hand. What nerve is affected?
A. Radial Nerve
B. Median Nerve
C. Ulnar Nerve
D. NOTA
C. Ulnar Nerve
Code: gULtering
- A computer operator presents the ff symptoms during a work site assessment: tingling sensation at the level of the wrist and fingers, pain on prolonged supination of the forearm, and pain at the shoulder and neck all on the right side of the body. You suspect a possible compression injury of the brachial plexus proximally and median nerve distally. Your treatment priority would be:
A. Wrist cock-up splint and reminders to the client to take frequent breaks during the day
B. Wrist cock-up splint and readjustment of her chair and position of the computer keyboard
C. Teach the client gentle positioning exercises that will promote nerve gliding as compression of the brachial plexus is present
D. Advise the client to consider a job change as her condition is not likely to improve given the severity of her symptoms
C. Teach the client gentle positioning exercises that will promote nerve gliding as compression of the brachial plexus is present
- Low Median Nerve Injury
A. Loss of thumb abduction, opposition
B. Loss of FA pronation, wrist and finger flexion, thumb opposition and abduction
C. AOTA
D. NOTA
A. Loss of thumb abduction, opposition
B: High Median Nerve Injury
- An OT practitioner is fabricating a splint for a client who sustained a low-level ulnar nerve injury. The OTR explains that the PRIMARY purpose of an ulnar nerve splint is to:
A. block hyperextension of the PIP joints and allow PIP flexion.
B. block hyperextension of the MCP joints and allow MCP flexion.
C. block PIP flexion and allow for PIP hyperextension.
D. block MCP flexion and allow for MP hyperextension.
B. block hyperextension of the MCP joints and allow MCP flexion.
- A 5 year old boy presents with a waiter’s tip deformity. What roots are possibly involved?
A. C5-C6
B. C7-C8
C. CB-T1
D. T1-T2
A. C5-C6
Code: Tip kaya nasa taas
- What would you expect in a median and ulnar nerve injury?
A. Weakness of flexion of the distal phalanx of the thumb
B. Loss of thumb opposition
C. Claw hand deformity
D. Hypothenar wasting
C. Claw hand deformity
A, B, and D: Median Nerve only
- As part of an initial evaluation of an individual with carpal tunnel syndrome, the OTR evaluates light touch sensation using a cotton ball. After wearing a wrist splint for 2 weeks the patient returns for re- evaluation, which the COTA performs. At this time, the MOST appropriate method for re-evaluation of light touch is to use:
A. a cotton ball
B. an aesthesiometer
C. Semmes-Weinstein monofilaments
D. a pin or straightened paper clip
A. a cotton ball
Since re-evaluation we need na same yung gagamitin to see the difference
- Entrapment of the anterior interosseous nerve between the two heads of the pronator teres may be indicated by a positive:
A. Test for pronator teres syndrome
B. Pinch grip test
C. Wartenberg’s sign
D. Egawa’s sign
B. Pinch grip test
A: Flexion of elbow at 90 degree/ hand shaking position
C: Unable to adduct little finger when hand is abducted
D: Flexed fingers on the table then UD/ RD
- What nerve passes through the carpal tunnel:
A. Median
B. Ulnar
C. Radial
D. Musculocutaneous
A. Median
- Common peroneal nerve is damaged. Client has difficulty with:
A. Inversion
B. Eversion
C. Dorsiflexion
D. Plantarflexion
C. Dorsiflexion
- An occupational therapist receives a referral to construct a splint for an individual with Erb’s palsy. Which orthosis would be most effective for this condition?
A. A flail arm splint
B. An elbow lock splint
C. A figure of eight splint
D. A deltoid sling
B. An elbow lock splint
