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AOP 2 Adults Flashcards | StudBud
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AOP 2 Adults
AOP 2 Adults
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1
You suspect your patient has CMC arthritis. Which test would you perform to verify this finding?
Ligamentous test
PROM of the thumb
Grind test
Laterial pinch
2
The following diseases are systemic EXCEPT
Ankylosing Spondylitis
Lupus
OA
RA
3
The following are joint protection treatment strategies EXCEPT?
Sliding objects across the table instead of lifting
Use of larger joints during ADL
Warm baths and rest breaks
Use of adaptive equipment to decrease stress on joints
4
Brushing your hair with a brush, as an “occupations as means” would help with all of the following areas EXCEPT
Grip rom/strength
Elbow and shoulder range
Fine motor coordination
Attention to task
5
At the acute stage of RA in the hand, which of the following treatment would be best?
Adaptive Equiptment
PROM
Strengthening
Rest
6
A patient’s blood pressure reading is 110/80 at rest. Which of the following is the correct interpretation?
Hypotension
110mmHg diastolic pressure/80mmHg systolic pressure
110mmHg systolic pressure/80mmHg diastolic pressure
Hypertension
7
What is the standard position for dynamometer grip testing?
Shoulder 90 degrees, elbow 0 degrees, forearm neutral
Shoulder neutral, elbow 90 degrees, forearm neutral
Shoulder and elbow at 45 degree
Shoulder neutral, elbow 90 degrees, forearm pronated
8
Patient w RA in bilateral hands w pain in both hands & upon inspection, joints swollen, warm,& red. Evaluate all
but:
Occupations interview
Dynamometer testing
Sensation
Gentle AROM
9
Patients shoulder flexion AROM=120, however PROM=70 w/ report of 7/10 pain. Which abnormal end feel?
Empty
Capsular
Muscular Spasms
Bone to bone
10
What is the main purpose of splinting a patient with RA at the acute stage?
Increase stability of the joints
Increase function
Increase mobility of the joint
Rest & Immobilize the joints
11
Patient you are assigned to has a nonblanchable erythema (red area) on his sacrum. What stage is this decubitus ulcer?
Stage II
Stage IV
Stage III
Stage I
12
Reducing the steps to make a meal is what treatment approach for people with RA?
Work simplification
Adaptive Equiptment
Task practice
Joint protection strategy
13
The following are OT interventions for pain management at the acute stage EXCEPT:
Advil
Cold Packs
Rest
Joint protection
14
A patient whose right elbow flexors are graded as poor (or grade 2) should be able to sit at the table and do which?
Pick up a washcloth and bring to face
Simulate washing his left arm, shoulder and neck with a washcloth
Clean table w forearm supported on table w cloth & slide arm toward body
Hold empty styrofoam cup and bring it to his mouth to simulate drinking
15
Patient has fine motor coordination issues due to arthritis. Best evaluation for patient from a rehabiliative approach?
Observation of grooming with a brush
9-hole peg test
Purdue Peg Test
Observation of buttoning a shirt
16
Which of the following is the OTs strategy to provide autonomy for their client as per client-centered practice?
Not imposing own values
Partnership with the client regarding goals
Providing a flexible schedule for the client
Providing treatment choices to the client
17
Which of the following is most common after PIP chronic synovitis?
Boutonniere Deformity
Swan Neck deformity
Mallet Finger
Subluxation
18
Swan Neck deformity presents as:
MCP flexion, PIP hyperextension, DIP flexion
MCP, PIP, DIP flexion
PIP flexion and DIP hyperextension
MCP hyperextension, PIP & DIP flexion
19
What is the main role of the OT for a person with low platelets?
Energy conservation
No role
Strengthening and endurance training
Educate to prevent bruising &bleeding:fall prevention, avoid contact sports
20
Patient who had a knee replacement is complaining of pain in back of operated knee that's red & warm to touch. Likely?
Pulmonary Embolism
Pressure sore stage 2
Deep vein thrombosis (DVT)
Muscle spasm
21
At the chronic phase, which would be the best treatment approach for stiff hands in the morning?
Warm shower, PROM and ADLs
Adaptive equiptment
Icing and relaxing
Rest and splinting
22
Whis is the correct description of the lateral pinch?
Tip of thumb to tip of index finger
Thumb to tip of index and middle finger
Full grip
Thumb of side of index finger
23
The cardinal signs of inflammatory Rheumatic Diseases are the following:
Swelling, warmth, decreased ROM
Pain, decreased ROM
Pain, Swelling, Warmth, decreased ROM
Pain, Swelling, Warmth
24
Patient has a stage II pressure ulcer on their sacrum and have limited mobility. Best wheelchair cushion?
Gel Cushion
Any cushion
Air cushion
Foam
25
The following procedures for dynamometer testing are the following EXCEPT:
Zeroing the dynamometer before each test
Shoulder at 0 degrees and elbow at 90 degrees
Using the same dynamometer at assessment and re-evaluation
Average of 2 scores for each hand
26
Patient is standing & demonstrates 180 degrees of shoulder flexion AROM. Patient has at least a grade of ____ on MMT
Fair (⅗)
Good (⅘)
Poor (⅖)
Trace (⅕)
27
What is the expected end feel during range of motion of a typical elbow joint?
Bone to bone during extension and flexion
Bone to bone during extension and soft tissue approximation during flexion
Soft tissue approximation during flexion and extension
Bone to bone during flexion and soft tissue approximation during extension
28
You assessed shoulder flexion AROM&PROM, both 120& patient can't accept any manual resistance. How do you document this?
2/5
3+/5
3-/5
3/5
