OTA140 Exam2

Question 1

Ms.Coy 72yr has OA in hips, knees, hands. Struggles w/ standing balance for long periods of time. What would OT recommen

Accepted Answer

placing a stool in the kitchen to sit while measuring & mixing ingredients

Question 2

While in in-pt rehab, which 3 should be focused on in early OT tx for client w/ upper limb loss ?

Accepted Answer

Increasing clients ROM & strength, Edu. client on one-handed techmiques, Edu. client on use of assistive/adaptive equ. during self care tasks

Question 3

A client has difficulty initiating humeral abduction in add. to deltoid muscles. what rotator cuff muscles shuld be eval

Accepted Answer

superspinatus

Question 4

What should OT focus on w/ tx of PD pt's?

Accepted Answer

Focus on functional performance of ADLs and IADLs), Assessment of flexibility, strength, quality of movement, rigidity, balance

Question 5

Which 3 of the following arthritic conditions often include fever as a presenting symptom?

Accepted Answer

systemic lupus erythematosus, RA, Systemic juvenile idiopathic arthritis

Question 6

Which is most important for the OTA to review energy conserv. w/ clients w/ lower limb amput.

Accepted Answer

walking w/ prosthesis places more demand for energy & oxygen on system

Question 7

What are some medical managements for PD

Accepted Answer

Medications, Deep-brain simulation

Question 8

OT management for ALS?

Accepted Answer

independence, communitycommunity, Lots of adaptive techniques and equipmentand equipmentPower mobility, ROM, pain managementROM, pain managementSafe exercise in early stages

Question 9

Who benefits from adaptive driving? Which diagnosis benefit?

Accepted Answer

Stroke survivors, SCI at c5 & c6 if financially equipped, Aging population, amputees

Question 10

Which of the 3 tools are used to compensate for cognitive deficits ?

Accepted Answer

viewing pictures in the bathroom showing steps for grooming, putting on noise canceling headphones while working, Use of smart phone calendar

Question 11

Len had T10 AIS-B SCI. Which of the 3 would the OTA expect to be preserved based on this level of classification ?

Accepted Answer

Sensation in her legs, sensation in her feet, independent breathing

Question 12

Jon has T12 AIS-A SCI & has concerns about sexuality post injury. OTA gives what info to assist?

Accepted Answer

instruction on routine to incorporate self-catheterization before ac.

Question 13

Client is having severe flareup of gout. Which energy conservation tip might be most useful?

Accepted Answer

sit when possible

Question 14

Mary has T4 AIS-B SCI & learning to put on makeup at sinkside in WC. She complains feeling suddenly faint,OT encourages

Accepted Answer

tilting back in w/c until the feeling subsides, & resume activity

Question 15

Which orthotic would you recommend for client w/ osteoarthritis of the thumb CMC joint?

Accepted Answer

hand based orthotic w/ thumb abducted in a position of comfort

Question 16

John has a T4 A SCI/D. where would you suggest he check for water tmep when bathing?

Accepted Answer

his hands

Question 17

what is another term for tetraplegia?

Accepted Answer

Quadriplegia

Question 18

Jack exp. T4? comp. AIS A post motor acc. he feels sudden headache & goosebumps above injury & sweating. low BP what OTA

Accepted Answer

Autonomic dysreflexia

Question 19

While standing at sink for OT the polytrauma pt w/ tracheostomy complains of incr. dizzines, pale skin, diaphoresis.best

Accepted Answer

stop tx, assist client to sitting, & call nurse while staying to monitor

Question 20

Client is referred to out-pt w/ flareup of RA affecting her R shoulder, L wrist & both hands. Which 3 OT interventions?

Accepted Answer

Gentle AROM exercises in bed before getting up in AM, use of wrist-hand orthotic, receving instruction in joint protection techniques

Question 21

Client recovering from bilateral transfemoral ampu. wants to try meal prep. Client states he will not use walker PT gave

Accepted Answer

Have client sit at table when working on meal prep

Question 22

Adaptive driving accommodates for?

Accepted Answer

Seating, Primary controls, Entry

Question 23

Mira has a C5 AIS-A SCI & will be returning home w/ fam. Which 3 expectations should the OTA educate fam on?

Accepted Answer

she can expect to brush teeth w/ some A, She can expect to driver her PWC (I) w/ alter. controls, she can expect to perform pressure releif (I) w/ use of tilt/recline on PWC

Question 24

When is it important at address shaping of a residual limb w/ a client ?

Accepted Answer

before client gets the prosthesis

Question 25

What should the OTA do if a clients heart rate is 40 bpm while bathing in standing position?

Accepted Answer

stop tx

Question 26

ALS: Medical Management

Accepted Answer

Rilutek, Radacava to slow the progression of the disease, Pseudobulbar affect- uncontrollable laughing and cryingand crying, Tracheostomy, feeding tube

Question 27

What are the primary symptoms of PD?

Accepted Answer

Rigidity - stiffness caused by involuntary increase in muscle tone, Postural instability - sense of imbalance, stooped posture, Tremor at rest - involuntary shaking, Bradykinesia - slowness of movement

Question 28

Kim has C7 D-SCI & is regaining gross strength in (R) hand & fine motor strength in (L) hand. Most accurate ex. of (R)

Accepted Answer

hold a water bottle w/ his (R) hand

Question 29

Number one cause of SCI?

Accepted Answer

Motor vehicles accidents

Question 30

Most common motor neuron disease. Progressive upper/lower motor neurons gradually degenerate and die.

Accepted Answer

ALS (Lou Gehrigs)

Question 31

MS has a disease course, which are there?

Accepted Answer

Primary progressive, Secondary progressive, Progressive relapsing, Relapsing and remitting

Question 32

Tim has a C6 AIS-C SCI from gunshot wound to neck. Stretching his UEs & LEs what mechanism would the OTA want to protect

Accepted Answer

Tenodesis: flexing the wrist while ext. fingers

Question 33

Deficiency of neuroter dopamine due to degeneration of certain neurons in basal of certain neurons in the basal ganglia

Accepted Answer

Parkinsons disease

Question 34

OT precautions for MS pts

Accepted Answer

avoid heat, guard against soft tissue injury and safety issues, (I) can fluctuate throughout the day, avoid - over fatigue

Question 35

Difference btw complete and incomplete SCI ?

Accepted Answer

complete spinal cord injury causes a total loss of muscle movement&sensatio

Question 36

What are some clinical syndromes related to SCI?

Accepted Answer

Brown-Sequard syndrome, Cauda Equina (Peripheral), Anterior Spinal Cord Syndrome, Central Cord syndrome

Question 37

. What does ASIA stand for with regards to SCI

Accepted Answer

American Spinal Injury Association

Question 38

A pt is suffering from fatigue, diplopia (double vision), weakness in muscles, spasms, dysfunction in their bladder

Accepted Answer

Multiple Sclerosis

Question 39

Client w/ SCI has lack of wrist & hand strength, use of dorsal wrist support w/ univ. cuff attach. can incr.(I) w/ BADLs

Accepted Answer

True

Question 40

An autoimmune disease that affects the CNS, attacking the myelin in various areas leaving scars,scleroses,plaque&lesions

Accepted Answer

Multiple sclerosis

Question 41

During a transfer from bed-tilt in space shower chair, Ben complains dizziness, nausea, ringing in ears. What is this?

Accepted Answer

orthostatic hypotension

Question 42

Mrs. Cald fell while desc. flight of stairs resulting C6 comp. SCI. She doesnt have strength in her hands to hold utensi

Accepted Answer

universal cuff

Question 43

A pt has a cogwheel rigidity-jerky, ratchet-like movement and freezes when they walk?

Accepted Answer

Parkinsons

OTA140 Exam2

Questions 43

OTA140 Exam2

Questions 43