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Wheelchair Flashcards

1
Q
  1. The standard dimensions of an adult wheelchair have a
    seat WIDTH: ,
    seat DEPTH:
    seat HEIGHT:

a. 14, 16, 20
b. 16, 16, 20
c. 16, 16, 17.5
d. 18, 16, 20

A

d. 18, 16, 20

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2
Q
  1. Which of the following correctly describes the sequence of a swing-to gait?

a. Both crutches are advanced forward together; weight is shifted onto hands for support and both legs are then swung forward to meet the crutches
b. One crutch and opposite extremity move together, followed by the opposite crutch and extremity
c. Both crutches are advanced forward together; weight is shifted onto hands for support and both legs are swung forward beyond the point of crutch placement
d. Both crutches and involved leg are advanced together, then uninvolved leg is advanced forward

A

a. Both crutches are advanced forward together; weight is shifted onto hands for support and both legs are then swung forward to meet the crutches

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3
Q
  1. A arm rests facilitate use or proximity to a desk or table.

a. Full-length
b. Desk-length
c. Fixed height
d. Removable

A

b. Desk-length

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4
Q
  1. A 12-year-old child with moderate athetosis affecting the head, trunk and upper extremities and extensor spasms of the lower extremities is referred for mobility training. The MOST appropriate type of adaptive equipment is:

a. Manual wheelchair with custom-contoured seating system
b. A wheel prone stander
c. Posterior rollator walker and reciprocating gait orthosis
d. Scooter board

A

a. Manual wheelchair with custom-contoured seating system

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5
Q
  1. A patient with a T4 SCI is being measured for a wheelchair. In determining the correct seat width, the therapist can use as a measure:

a. Clearance between the floor and the foot plate of at least 2 inches
b. Clearance between the floor and the foot plate of at least 4 inches
c. The distance between the greater trochanters plus an inch on each side
d. The distance from the bottom of the shoe to just under the thigh at the popliteal fossa.

A

c. The distance between the greater trochanters plus an inch on each side

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6
Q
  1. A therapist is prescribing a wheelchair for a patient with left hemiplegia who is of average height (5 feet 7 inches). The MOST appropriate feature to include in this prescription is:

a. A 17.5-inch seat height
b. Detachable arm rest
c. A 20-inch seat height
d. Elevating leg rests

A

a. A 17.5-inch seat height

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7
Q
  1. In standard adult wheelchair dimensions for environmental access, what is the height of the arm rest to floor?

a. 24-26 inches
b. 29-30 inches
c. 42-43 inches
d. 34-36 inches

A

b. 29-30 inches

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8
Q
  1. What is the maximum side reach of a patient when seating on a wheelchair?
    a. 15 inches
    b. 24 inches
    c. 48 inches
    d. 60 inches
A

b. 24 inches

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9
Q
  1. Which of the following assistive devices provide the most stability?

a. Parallel bars
b. Walker
c. Unilateral cane
d. Axillary crutches

A

a. Parallel bars

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10
Q
  1. The cuff of forearm crutches should cover the proximal third of the forearm, about below the elbow.
    a. 1 – 1 ½ inches
    b. 1 ½ - 2 inches
    c. 2 – 3 inches
    d. 4 – 5 inches
A

a. 1 – 1 ½ inches

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11
Q
  1. A therapist is guarding a patient during stair training. The most appropriate position for the therapist as the patient ascends the stairs is:

a. In front of the patient & towards the involved side
b. Beside the patient on the involved side
c. Behind the patient on the involved side
d. In front of the patient & towards the uninvolved side

A

c. Behind the patient on the involved side

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12
Q
  1. A patient with a complete T10 paraplegia is receiving initial ambulation training. The patient has received bilateral Craig-Scott knee ankle foot orthoses and is being trained with axillary crutches. Because a reciprocal gait pattern is problematic, the best initial gait pattern to teach is a:

a. Four point
b. Swing to
c. Two point
d. Swing through

A

b. Swing to

Note: This is the initial gait pattern for paraplegia

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13
Q
  1. Hinged, allows advancement of one side of walker at a time; used with reciprocal gait patterns, reciprocating orthoses?

a. Non-folding walker
b. Hemi walker
c. Reciprocal walker
d. Standard walker

A

c. Reciprocal walker

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14
Q
  1. This assistive device allows weight bearing on the forearm and used for patients who are unable to bear weight through their hands like patients with arthritis?

a. Axillary crutches
b. Loftstrand crutches
c. Forearm platform crutches
d. Canadian crutch

A

c. Forearm platform crutches

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15
Q
  1. A therapist adjusts the height of the parallel bars in preparation for client ambulation. When at the appropriate height, the parallel bars should provide degrees of elbow flexion.

a. 5-15
b. 30-40
c. 15-25
d. 35-45

A

c. 15-25

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16
Q
  1. A therapist instructs a 65-year-old female in ambulation activities. The therapist instructs the patient to place her affected foot on the ground, but to avoid transmitting weight through the foot. The therapist’s instructions best describe this weight bearing technique.

a. Touch down
b. Semi-weight bearing
c. Non-weight bearing
d. Partial weight bearing

A

a. Touch down

Touch down = intended for NWB + balance

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17
Q
  1. Cane measurement:

I. 20-30 degrees of elbow flexion is desirable
II. measure from the greater trochanter to a point 6 inches to the side of the toes
III. In the standing position, one can subtract 16 inches from the patient’s height

a. I and II
b. I and III
c. II and III
d. I, II and III

A

a. I and II

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18
Q
  1. The most difficult gait pattern for crutches when ambulating is:

a. 2-point gait
b. 4-point gait
c. Swing-to-gait
d. Swing-through gait

A

d. Swing-through gait

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19
Q
  1. A walker should be measured at a distance of in front of the patient:

a. 8-10 inches
b. 10-12 inches
c. 12-14 inches
d. 14-16 inches

A

b. 10-12 inches

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20
Q
  1. The MOST appropriate position to guard a patient post-fracture who is descending stairs for the first-time using crutches and non-weight bearing on the right is to stand:

a. In front and slightly to the right side
b. In front and slightly to the left side
c. Behind and slightly to the left side
d. Behind and slightly to the right side

A

a. In front and slightly to the right side

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21
Q
  1. A therapist serves as an accessibility consultant for a local retail store. What is the MINIMUM width required for a patient using a wheelchair to safely traverse through a door?

a. 24 inches
b. 30 inches
c. 32 inches
d. 36 inches

A

c. 32 inches

22
Q
  1. A patient is unable to bring the foot up on the next step during a training session on stair climbing. The therapist’s best course of action to promote learning of this task is to have the patient practice:

a. Marching in place in the parallel bars.
b. Standing up from half kneeling.
c. Step-ups on to a low step while in the parallel bars.
d. Balance on the stairs while the therapist passively brings the foot up.

A

c. Step-ups on to a low step while in the parallel bars.

23
Q
  1. Characteristics of walkers:

I. widen base of support
II. provide increased lateral and anterior stability
III. can reduce weight-bearing on one or both lower extremities
IV. frequently prescribed for patients with debilitating conditions, poor balance, or lower extremity injury when use of crutches is precluded like elderly patients

a. I and III
b. II and IV
c. I, II and III
d. I, II, III and IV

A

d. I, II, III and IV

24
Q
  1. A child with spastic diplegia is now independent in using a walker. Additional goals desired by the therapist include increasing energy-efficiency and velocity while ambulating. In this case, the selection of walker that is most likely to help improve these factors is:

a. A standard anterior walker with no heels
b. An anterior rollator walker with two wheels
c. A posterior rollator walker with 4 wheels
d. A posterior rollator walker with two wheels

A

c. A posterior rollator walker with 4 wheels

25
Q
  1. A therapist orders a wheelchair for a patient with C7 tetraplegia. Which wheelchair would be the most appropriate for the patient?

a. Manual wheelchair with friction surface hand rims
b. Power wheelchair with sip and puff controls
c. Power wheelchair with joystick controls
d. Manual wheelchair with hand rim projections

A

a. Manual wheelchair with friction surface hand rims

A: Either horizontal or friction lang if C7
B: C4
C: C5

26
Q
  1. A therapist attempts to secure a wheelchair for a patient with an incomplete SCI. The patient is a 28-year-old female that is very active and relies on wheelchair as her primary mode of transportation. Which type of wheelchair would be the most appropriate for the patient?

a. Standard wheelchair with a rigid frame
b. Lightweight wheelchair with a rigid frame
c. Standard wheelchair with a folding frame
d. Lightweight wheelchair with a folding frame

A

b. Lightweight wheelchair with a rigid frame

27
Q
  1. Home stairs has a uniform riser height of ___ with a tread depth of ___

a. 4 inches; 12 inches
b. 11 inches; 7 inches
c. 7 inches; 11 inches
d. 18 inches; 26 inches

A

c. 7 inches; 11 inches

28
Q
  1. In assessing a patient for a wheelchair, the measurement that will have no influence on the amount of pressure to be placed on the ischial tuberosities is the seat:
    a. Depth
    b. Height
    c. Back height
    d. Tilt
A

c. Back height

29
Q
  1. Weight transmission of a walker is:

a. 20-25%
b. 40-50%
c. 85%
d. 15-20%

A

c. 85%

30
Q
  1. Landmarks for measuring the seat height of a wheelchair:

a. Popliteal area to medial malleolus of patient, add 2 inches
b. Popliteal area to heel of patient, add 2 inches
c. Tibial crest to heel of patient, minus 2 inches
d. Tibial crest to medial malleolus, minus 2 inches

A

b. Popliteal area to heel of patient, add 2 inches

31
Q
  1. A 360-degree turning of a wheelchair will require a space of

a. At least 32 inches
b. At least 36 inches
c. At least 60 inches
d. 60 inches x 60 inches

A

d. 60 inches x 60 inches

Not: If meters, 1.5 x 1.5 m

32
Q
  1. When evaluating a client for a wheelchair, a therapist determines that the client’s hip width in sitting and the measurement from the back of the buttock to the popliteal space are each 16 inches. Given the measurements, which of the following wheelchair sizes would best fit this client?

a. Seat depth 14 inches, seat width 16 inches
b. Seat depth 14 inches, seat width 18 inches
c. Seat depth 18 inches, seat width 18 inches
d. Seat depth 18 inches, seat width 16 inches

A

b. Seat depth 14 inches, seat width 18 inches

Depth: Size – 2 inches
Width: Size + 2 inches

33
Q
  1. What is the minimum height for kitchen sink?

a. 20 inches
b. 27 inches
c. 34 inches
d. 42 inches

A

b. 27 inches

Para makapasok yung tuhod ng px

Max: 34 inches

34
Q
  1. Casters diameter intended for easy turning:

a. 3 inches
b. 5 inches
c. 8 inches
d. 12 inches

A

a. 3 inches

35
Q
  1. Considerations for amputee wheelchairs:

a. Lower camber
b. Should be light weight
c. Rear axles moved 2 inches posteriorly
d. Rear axles moved 5 degrees posteriorly

A

c. Rear axles moved 2 inches posteriorly

36
Q
  1. A patient with a complete SCI at the T6 level is being discharged home after 2 weeks of rehabilitation. In preparation for the discharge, the rehabilitation team visits the home and finds three standard-height steps going into his home. A ramp will have to be constructed for wheelchair access. The recommended length of his ramp should be:

a. 5 feet
b. 10 feet
c. 16 feet
d. 21 feet

A

d. 21 feet

37
Q
  1. The rehabilitation team is completing a home visit to recommend environmental modifications for a patient who is scheduled to be discharged next week. The patient is wheelchair dependent. The bathroom has not been adapted. Which of the following recommendations is NOT appropriate?

a. Adding a tub seat
b. Taking the door off to widen the entrance to 32 inches
c. Adding horizontal grab bars positioned at 45 inches
d. Rising the toilet seat to 18 inches

A
38
Q
  1. A patient with complete C7 SCI is having difficulty with push-ups while in his wheelchair. The MOST appropriate lead-up activity to enhance wheelchair push-ups is:

a. Shoulder shrugs
b. Prone-on-elbow push-ups
c. Supine bench press using 50% one repetition max
d. Supine-on-elbows push-ups

A
39
Q
  1. Standard push rims for wheelchair is indicated for ____ SCI level.

a. C5
b. C6
c. C7
d. C8

A
40
Q
  1. A 45-year-old male is 4 weeks status-post (L) THR & is PWB of the (L) using a straight cane during gait activities. As he begins to make a 180-degree turn, the most important reminder is:

a. He should turn towards the unaffected side
b. He should turn away from the unaffected side
c. Keep the cane in front
d. It does not matter which way he pivots if in FWB

A
41
Q
  1. The muscle/s required for ambulation using crutches are:

a. Shoulder depressors, biceps, wrist extensors
b. Shoulder depressors, biceps, triceps, wrist flexors
c. Shoulder depressors, triceps, wrist & finger flexors
d. Shoulder depressors, triceps, wrist extensors & finger flexors

A
42
Q
  1. You are instructing a patient how to rise from a chair so that they begin ambulation using a walker. Which of the following instructions should you give the patient?

a. While holding the walker with one hand push up on the chair with the other hand
b. Push up on the chair with both hands & reach for the walker once you are standing
c. Place both hands on the walker & pull yourself into standing position
d. Push up on the chair using both hands & reach for the walker while rising

A
43
Q
  1. A therapist instructs a client to ascend stairs using axillary crutches. Which of the following statements most accurately reflects proper guarding technique?

a. The therapist is positioned posterior and lateral on the affected side behind the client
b. The therapist is positioned anterior and lateral on the affected side in front of the client
c. The therapist is positioned posterior and lateral on the nonaffected side behind the client
d. The therapist is positioned anterior and lateral on the nonaffected side behind the client

A
44
Q
  1. A therapist instructs a client in ambulation activities using axillary crutches. What point/s of control should be used when guarding the client?

I. Thorax
II. Hip
III. Elbow
IV. Shoulder

a. I, II and III
b. II and IV
c. I and III
d. Only IV
e. None of these

A
45
Q
  1. According to ADA, what is the recommended grade for ramps?

a.10.4%
b.9.5%
c. 8.3%
d. 6.2%

A
46
Q
  1. A patient is recovering from a fracture of both tibia and fibula in the right lower leg which has been casted. The referral is for gait training, non- weight bearing on right lower extremity. The safest gait pattern for this patient to use is a:

a. Two-point
b. Four-point
c. Three-point
d. Swing-to

A
47
Q
  1. A patient with long standing TBI comes in to an outpatient clinic using a standard wheelchair. The patient demonstrates sacral sitting with a rounded, kyphotic upper back. The therapist suspects the cause of this posture is:

a. Uneven weight distribution on the thighs and ischial seat.
b. Decreased floor to seat height
c. Excessive leg length from seat to the foot plate
d. Excessive seat width

A
48
Q
  1. Specialized wheelchair for patients who engage in sports:

a. Solid frames, standard wheelchair, high back height
b. Solid frames, lightweight, low back, low seat, decrease camber
c. Solid frames, higher camber, lightweight, low back, low seat
d. Solid frames, longer seat depth, low back, wider seat width

A
49
Q
  1. In descending steep ramps, the patient should:

a. Perform wheelie
b. Lean forward
c. Perform backward approach
d. All of these

A
50
Q
  1. All of the following are possible means of fitting a patient for adjustable axillary crutches with the exception of:

a. Placing the patient supine and measuring form the anterior axillary fold to the bottom of the foot and adding 2 inches
b. Placing the patient in standing with shoes on, and the crutches placed 6 inches lateral to the foot
c. Placing the patient supine and measuring from the anterior axillary fold to a point 6 inches lateral to the foot
d. Subtracting 16 inches from the height of the patient

A

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