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Final Exam 417 practice Flashcards | StudBud
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Final Exam 417 practice
Final Exam 417 practice
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1
which intervention strategy is recommended for clients with apraxia after a stroke?
Using a "hand-over-hand" approach and tactile-kinesthetic cues
Remediation of underlying cognitive deficits
Providing complex verbal instructions
Focusing solely on visual cues
2
type of CVA damage= with left-sided hemiparesis, L-body and visual neglect, difficulty with spatial tasks+ impulsivity
Left hemisphere damage
Cerebellar lesion
Cerebellar lesion
Right hemisphere damage
3
what does the Epicritic system (Dorsal Column Medial Lemniscal Pathway) primarily process?
Arousal
Pain and temp
Discriminative touch and proprioception
Crude light touch
4
which bodily functions are NOT typically affected by an ALS diagnosis?
Motor
Respiratory effort
Swallowing
Eye, bowel/bladder, sensory
5
which degenerative neuromuscular disease is also known as Lou Gehrig’s Disease?
Amyotrophic Lateral Sclerosis (ALS)
Alzheimer's Disease
Huntington’s Disease
Multiple Sclerosis
6
In Dunn's Sensory Processing Model, individuals with a high threshold require more stimulation to detect input, they are
Sensory seeking
Sensory sensitive
Low registration
High registration
7
According to the sources, what are the two categories of pain in MS?
Local and Generalized
Acute and Chronic
Primary (due to disease) and Secondary (due to posture, gait, positioning)
Mild and Severe
8
What is the definition of muscle tone as felt by an examiner?
The strength of a muscle contraction during active movement
The ability of a muscle to generate force against resistance.
The resistance felt by the examiner while passively moving a client’s limb.
The speed at which a muscle can contract and relax.
9
How is muscle tone primarily assessed by an examiner?
By observing functional task performance.
By feeling resistance during passive range of motion (PROM).
By testing active muscle strength with a dynamometer.
By measuring the velocity of limb movement.
10
what type of tactile input is generally described as more arousing?
Lighter, quicker, cooler, or sharper touch
Deep, slow, warmer touch
11
.
Moderate spasticity
Mild spasticity
Severe flaccidity
No spasticity
12
For children who are hyporesponsive (under-responsive) to vestibular input and crave prolonged rotary stimulation,
Passive movement only
Isolation from other sensory inputs
Proprioception and engagement in purposeful activities
Verbal instruction only
13
why is it challenging to accurately and consistently measure hypertonicity?
Because it can only be measured subjectively by the examiner
Because it requires sophisticated equipment not available in most clinics.
Because it is changeable due to various internal and external influences
Because standardized scales like the MAS are not reliable.
14
What is one of the characteristics that differentiates intervention protocols that produce positive results in SI?
It relies primarily on visual and auditory input
Includes application of many forms of sensory input tailored to child needs
It involves a dosage of only a few sessions over a couple of weeks
It focuses on using 1 type of sensory stimulation, such as a weighted vest.
15
Hypertonus often occurs with lesions in which areas of the central nervous system?
Lower Motor Neurons (LMNs)
Premotor cortex, basal ganglia, or descending pathways (UMNs).
Cerebellum.
Peripheral nerves.
16
interventions for tactile dysfunction in children who are hyperresponsive should consider which approach
Imposing input on the child regardless of their initiation
Using behavioral punishments for behaviors triggered by stimulation
Providing only wet or sticky textures
Providing child unusual textures, (dry, rough over wet and sticky)
17
what intervention approach is "Top-Down" and developed specifically for children with DCD using Goal Plan Do Check
Sensorimotor Intervention
Ayres Sensory Integration (ASI)
Cognitive Orientation to Daily Occupational Performance (CO-OP)
Motor Learning Theories
18
what is a "down regulation" of neural activity in the lesioned hemisphere occurring immediately post-stroke
neuroplasticity
recovery plateau
spasticity
cerebral shock
19
Based on the sources, how is flaccidity defined?
Decreased tone, diminished DTRs, some functional movement.
Increased tone, hyperactive DTRs, restricted movement
^tone in agonists&antagonists, normal DTRs, difficulty initiating movement.
The absence of tone, DTRs, and active movement
20
when teaching the hemi-dressing technique for donning a shirt, you should always begin with which side?
affected side
unaffected side
21
what type of stroke is like a stroke but all symptoms resolve quickly, serving as a warning sign?
Thrombus
Embolism
TIA
Hemorrhage
22
in the early stages of ALS, besides optimizing strength and ROM, what is another focus of OT intervention?
Focusing on enabling the caregiver to assist the client safely
Enabling communication via augmentative equipment
Maintain function in ADL and IADL
Assessing and managing dysphagia
23
in which stage of AD might a person experience moderate memory loss, difficulty learning new tasks, & need supervision?
Stage 2: MCI due to AD
Moderate dementia due to AD
Stage 3: Mild dementia due to AD
Stage 1: Preclinical stage
24
what does the Ayres SI (OTSI) principle of "Fidelity" refer to?
Using only standardized assessments
Duration of intervention sessions
Number of goals achieved by client
Staying true to the treatment principles of SI
25
an ischemic stroke caused by a blood clot originating in the heart or arteries outside the brain is called a(n):
hemorrhage
TIA
thrombus
embolism
26
What is a major focus of treatment for cognitive functioning and behavioral changes in degenerative neuro condition
Remediation of cognitive abilities
Compensation
Focusing solely on physical exercise
Intensive cognitive training
27
what is the primary goal during the Acute Recovery Phase of CVA intervention in a hospital setting?
return to work
Restoring performance skill deficits
Community reintegration
medical stabilization
28
in which stage of AD can changes in brain function be detected by imaging, but clinical signs are not yet seen
Stage 3: Mild dementia due to AD
Stage 4: Moderate dementia due to AD
Stage 1: Preclinical stage of AD
Stage 2: MCI due to AD
29
which UE intervention technique for stroke involves placing the soft tissues on submaximal stretch for prolonged periods
bilateral UE use
guiding
weightbearing
low-load/prolonged stretch
30
what is the evidence-based approach for addressing visual field deficits after a stroke?
Remediation through eye exercises
Adaptive/Compensatory approaches, such as strategy training + environment
visual field deficits are always remediable with therapy.64...
Prisms alone are always sufficient for remediation.
31
.
Contracture of the L triceps
L UE extensor synergy
Mild flaccidity L UE
Clasp-knife phenomenon L elbow
32
what are some possible symptoms of vestibular disorders, in addition to dizziness or vertigo
Difficulty breathing, chest pain, and blurred speech
Hearing loss, vision loss, and loss of taste
Muscle weakness, joint stiffness, and tremors
Seasick" feeling, motion sickness, and feeling of fullness in the ears
33
which maneuver is used to assess posterior canal function (+ response on the Dix-Hallpike maneuver in cases of BPPV)
Dix-Hallpike maneuver
Canalith repositioning maneuver
Head thrust test
Romberg test