Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

AOP Adults II > Practice Questions > Flashcards

Practice Questions Flashcards

1
Q
  1. 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

A

B. Assessment of occupations and roles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
  1. 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.

A

c. False, the IRF-PAI is an observation to assess patients’ ability to care for themselves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q
  1. 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

A

C. Adaptation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
  1. 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

A

d. Occupations as a mean

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q
  1. A bottom up approach focuses on which area first?

a. Impairments
b. ADLs
c. Participation
d. The environment

A

a. Impairments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
  1. The following are top-down approach assessments EXCEPT:

a. IRF-PAI
b. Role-checklist
c. ROM, MMT, sensation
d. COPM

A

c. ROM, MMT, sensation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
  1. The AOTA occupational profile comes from which of the following?

a. ICF
b. OTPF
c. MOHO
d. Biomechanical frame of reference

A

b. OTPF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
  1. 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

A

d. Autonomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
  1. 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

A

b. Remediation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
  1. 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

A

c. Washing hands, gown, gloves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
  1. 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

A

b. Respiratory precautions or airborne

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
  1. 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)

A

d. Lie them back down and elevate the legs (may be orthostatic hypotension)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q
  1. What is clinically acceptable oxygen saturation?

a. 95%
b. 90%
c. 80%
d. 85%

A

a. 95%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q
  1. 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

A

b. Pressure relief and positioning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q
  1. 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)

A

c. Do not treat the patient and tell the nurse (DVT symptoms)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q
  1. 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

a. Stage 1 (can act to prevent)

17
Q

How to prevent decubitis ulcers:

A

Seating cushion (air vs gel), constantly monitoring vulnerable areas, positioning & repositioning, nutrition, hydration, patient/family education

18
Q
  1. 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)

A

c. Bed rest and limited mobility (doesn’t mean they shouldn’t move around unless they had DVT and weren’t cleared for moving)

19
Q
  1. What is the difference between acute and chronic RA
A

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

20
Q
  1. RA vs OA
A

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)

21
Q
  1. 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)

A

d. Top down approach (it is bottom up)

22
Q
  1. 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

A

c. Biomechanical and rehabilitative, respectively

  • Increased balance ability (rehab) but also use adaptive equipment (biomech)
23
Q
  1. 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

A

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
24
Q
  1. 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

A

b. Average of 2 scores for each hand (should be 3 times but if they can’t tolerate 3x document that)

25
Q
  1. You assessed shoulder flexion AROM and then PROM and the measurements were both 120 degrees and the patient was unable to accept any manual resistance. How would you document this score?

a. 3/5
b. 2/5
c. 3+/5
d. 3-/5

A

a. 3/5 (bc AROM and PROM are the same)

26
Q
  1. Your patient’s shoulder flexion AROM is 120, however PROM is 70 degrees with report of 7/10 pain. This clinical finding demonstrates which abnormal end feel?

a. Bone to bone (elbow ext)
b. Capsular
c. Empty (only the pain limits ROM)
d. Muscular spasms

A

c. Empty (only the pain limits ROM)

27
Q
  1. You are seeing a patient with a diagnosis of RA in bilateral hands. The patient reported pain in both hands and upon inspection, the joints are swollen, warm to touch, and reddish. The following evaluation would include the following EXCEPT:

a. Gentle AROM
b. Occupations interview
c. Dynamometer testing
d. Sensation (might have decreased sensation due to swelling)

A

c. Dynamometer testing (don’t want to do anything too strenuous in acute phase)

28
Q
  1. The following diseases are systemic EXCEPT

a. RA
b. Lupus
c. Ankylosing spondylitis
d. OA

A

d. OA

29
Q
  1. The cardinal signs of inflammatory Rheumatic Diseases are the following:

a. Pain, swelling, warmth, decreased ROM
b. Pain, decreased ROM
c. Pain, swelling, warmth
d. Swelling, warmth, decreased ROM

A

a. Pain, swelling, warmth, decreased ROM (there are 4 signs)

30
Q
  1. Swan neck deformity presents as:

a. PIP flexion and DIP hyperextension
b. MCP, PIP, DIP flexion
c. MCP flexion, PIP hyperextension, DIP flexion
d. MCP hyperextension, PIP and DIP flexion

A

c. MCP flexion, PIP hyperextension, DIP flexion

  • Inflammation of MP joint causes this, use oval 8 splint on PIP
  • DIP/mallet finger - splint it and keep on for 6 weeks
31
Q
  1. You suspect your patient has CMC arthritis. Which test would you perform to verify this finding?

a. PROM of the thumb
b. Lateral pinch
c. Grind test (hold hand and hold MP and “grind” CMC, there should not be pain or noise with it - pain and cracking is positive)
d. Ligamentous test (when MCP is extended, ligaments are slack - joint is mobile. when MCP flexed, joint should be less mobile, if it is still mobile that is a positive test)

A

c. Grind test (hold hand and hold MP and “grind” CMC, there should not be pain or noise with it - pain and cracking is positive)

32
Q
  1. Which of the following is most common after PIP chronic synovitis?

a. Swan neck deformity
b. Mallet finger
c. Boutonniere deformity
d. Subluxation

A

c. Boutonniere deformity

33
Q
  1. At the acute stage of RA in the hand, which of the following treatment would be best?

a. PROM
b. Rest
c. Strengthening
d. Adaptive equipment for the affected hand

A

b. Rest (want inflammation and swelling to decrease, but don’t want too much rest bc they will lose mobility)

34
Q
  1. The following are joint protection treatment strategies EXCEPT?

a. Use of larger joints during ADL
b. Sliding objects across the table instead of lifting
c. Warm baths and rest breaks
d. Use of adaptive equipment to decrease stress on joints

A

c. Warm baths and rest breaks (not joint protection, this is energy conservation)

35
Q
  1. At the chronic phase, which would be the best treatment approach for stiff hands in the morning?

a. Rest and splinting
b. Warm shower, PROM, and ADLs
c. Adaptive equipment
d. Icing and relaxing

A

b. Warm shower, PROM, and ADLs (at this stage you want them to move)

36
Q
  1. The following are OT interventions for pain management at the acute stage EXCEPT:

a. Cold packs
b. Rest
c. Advil
d. Joint protection

A

c. Advil

37
Q
  1. What is the main purpose of splinting a patient with RA at the acute stage?

a. Rest and immobilize the joints
b. Increase function
c. Increase stability of the joints
d. Increase mobility of the joint

A

a. Rest and immobilize the joints

38
Q
  1. Reducing the steps to make a meal is what treatment approach for people with RA?

a. Joint protection strategy
b. Work simplification
c. Task practice
d. Adaptive equipment

A

b. Work simplification

39
Q
  1. Evaluation of strength, ROM, sensation, and skin integrity are examples of which approach?

a. Bottom-up evaluations
b. Top-down evaluations
c. Activity limitation evaluations
d. Performance context evaluations

A

a. Bottom-up evaluations

AOP Adults II (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions