Practice Questions Flashcards
(39 cards)
- A top down approach begins with:
a. Assessment of ROM, occupations, and strength
b. Assessment of occupations and roles
c. Assessment of ROM, strength, sensation, and muscle tone
d. Assessment using the COPM and ROM, strength, sensation, and muscle tone
B. Assessment of occupations and roles
- The OT portion of the IRF-PAI is a questionnaire to assess patients’ ability to care for themselves (T or F)
a. True
b. False, the IRF-PAI is a questionnaire and observation to assess patients’ ability to care for themselves.
c. False, the IRF-PAI is an observation to assess patients’ ability to care for themselves
d. False, the IRF-PAI is a questionnaire provided to caregivers to assess the patients’ ability to care for themselves.
c. False, the IRF-PAI is an observation to assess patients’ ability to care for themselves
- You are working with a patient who has severe arthritis in both hands and are educating them on the use of enlarged utensils for feeding. This treatment approach is considered:
A. Remediation
B. Task training without adaptation
C. Adaptation
D. Remediation and adaptation
C. Adaptation
- You are having a patient with a hip fracture stand at the kitchen counter to make a sandwich. The goal of this intervention is to work on standing balance and tolerance. This treatment best describes?
a. Compensation and adaptation (use of adaptive equipment)
b. Occupations as an end (the goal would be to make a sandwich)
c. Prevention
d. Occupations as a mean
d. Occupations as a mean
- A bottom up approach focuses on which area first?
a. Impairments
b. ADLs
c. Participation
d. The environment
a. Impairments
- The following are top-down approach assessments EXCEPT:
a. IRF-PAI
b. Role-checklist
c. ROM, MMT, sensation
d. COPM
c. ROM, MMT, sensation
- The AOTA occupational profile comes from which of the following?
a. ICF
b. OTPF
c. MOHO
d. Biomechanical frame of reference
b. OTPF
- OTs should provide clients with different treatment options. Which concept is this related to regarding client centered practice?
a. Partnership
b. Contextual congruence
c. Respect for diversity
d. Autonomy
d. Autonomy
- You are working with a patient who had a stroke and their hand strength is limiting their functional performance, thus you provide them with theraputty for a home-based exercise program. The aim of the treatment is which of the following?
a. Prevention of secondary impairments
b. Remediation
c. Activity based training
d. Compensation
b. Remediation
- You review your patients charts and it states they are on “contact precautions” (physical contact with them/something they touched, don’t need to worry about droplets) because of MRSA. What precautions do you need to take?
a. Washing hands only
b. Washing hands, gown, gloves, fitted mask
c. Washing hands, gown, gloves
d. Washing hands, gown, gloves, goggles
c. Washing hands, gown, gloves
- A person with TB would be on which of the following precautions?
a. Standard precautions
b. Respiratory precautions or airborne
c. Contact precautions
d. Strict isolation/droplet precautions
b. Respiratory precautions or airborne
- You are working with a paraplegic patient and just performed supine to sit. The patient reported feeling dizzy and turned white. What would you do at this point?
a. Lie them back down and elevate the head
b. Continue therapy
c. Keep them sitting and immediately go get a nurse
d. Lie them back down and elevate the legs (may be orthostatic hypotension)
d. Lie them back down and elevate the legs (may be orthostatic hypotension)
- What is clinically acceptable oxygen saturation?
a. 95%
b. 90%
c. 80%
d. 85%
a. 95%
- You have a stroke patient in the acute care setting and the patient is extremely lethargic, has decreased attention, and requires total assistance for all transfers and ADLs. A caregiver wants to help. What would be the best item to educate them on first?
a. ADL retraining
b. Pressure relief and positioning
c. Awareness and orientation training
d. PROM
b. Pressure relief and positioning
- You are working with a patient who had a bilateral knee replacement. You come to their bedside and the patient complains of pain in the right calf. Upon inspection, you notice swelling and redness. The next step is to?
a. Perform UE exercises then tell the nurse
b. Get the patient to sit at the edge of the bed (really bad)
c. Do not treat the patient and tell the nurse (DVT symptoms)
d. AROM exercise for bilateral legs in bed (really bad)
c. Do not treat the patient and tell the nurse (DVT symptoms)
- You are rolling a patient in bed and notice a reddening over the ischial tuberosity but no broken skin. Which decubitus ulcer stage is this? (common in heel, elbow, knee, sacrum [posterior pelvic tilt], ischial tuberosities, back of head, scapula)
a. Stage 1 (can act to prevent)
b. Stage 2 (can act to prevent)
c. Stage 3
d. Stage 4
a. Stage 1 (can act to prevent)
How to prevent decubitis ulcers:
Seating cushion (air vs gel), constantly monitoring vulnerable areas, positioning & repositioning, nutrition, hydration, patient/family education
- You are working with a patient who had an ischemic stroke and they are placed on blood thinners. The following patient education/recommendations would be appropriate EXCEPT:
a. Ultra soft toothbrush
b. Fall prevention
c. Bed rest and limited mobility (doesn’t mean they shouldn’t move around unless they had DVT and weren’t cleared for moving)
d. Electric razor (prevent cuts)
c. Bed rest and limited mobility (doesn’t mean they shouldn’t move around unless they had DVT and weren’t cleared for moving)
- What is the difference between acute and chronic RA
Chronic - less inflammation, might wake up with stiffness, but there is not a lot of inflammation, swelling, pain
Treatment:
- Chronic: keep mobile, heat treatment, endurance training, ROM, more upright functioning, can be more aggressive (but respect sharp pain)
- Acute: pain management, inflammation management, rest and ice (no heat), no strengthening, do not promote pain, maybe splinting, strategies to compensate
- RA vs OA
a. RA: systemic, lots of inflammation, chronic synovitis
b. OA: not systemic, at specific joints, the repetition causes breakdown of cartilage (need hip and knee replacements)
- The following are aspects of the biomechanical framework EXCEPT:
a. Evaluation and treatment aimed at impairment level
b. Remedial approach
c. Assumes impairment level gains will improve occupational performance
d. Top down approach (it is bottom up)
d. Top down approach (it is bottom up)
- You are seeing a patient with a total hip replacement and you are working on standing tolerance and ability to perform meal prep with adaptive equipment 2* (secondary) to RA in the hands. Which frame of reference are you using?
a. Rehabilitative
b. Biomechanical
c. Biomechanical and rehabilitative, respectively
d. Rehabilitative and biomechanical, respectively
c. Biomechanical and rehabilitative, respectively
- Increased balance ability (rehab) but also use adaptive equipment (biomech)
- You decide to provide a splint for a patient that positions the thumb into opposition for improved ability to grasp objects. This is what type of intervention?
a. High load brief stretch
b. Low load prolonged stretch
c. Remediation
d. Rehabilitative
d. Rehabilitative
- You are adapting their finger in a diff position so they can grasp - you are putting something on to change their finger so they can do the movement
- Biomechanical would be exercising their thumb back and forth to improve grip
- The following procedures for dynamometer testing are the following EXCEPT:
a. Shoulder at 0º and elbow at 90º
b. Average of 2 scores for each hand
c. Zeroing the dynamometer before each test
d. Using the same dynamometer at assessment and reevaluation
b. Average of 2 scores for each hand (should be 3 times but if they can’t tolerate 3x document that)
