Question 1

You are testing Rick's upper extremity function.Which of the following series of tests would you select to yield the most comprehensive information?

Accepted Answer

A)  Manual muscle test, synergy patterns, functional muscle examination 
B)  Manual muscle test, active range of motion (ROM) test, functional motion test, visual perceptual tests 
C)  Manual muscle test, passive ROM test, functional motion test, sensory test 
A)  Manual muscle test, synergy patterns, functional muscle examination 
B)  Manual muscle test, active range of motion (ROM) test, functional motion test, visual perceptual tests 
C)  Manual muscle test, passive ROM test, functional motion test, sensory test C

Question 2

When being trained to use the tenodesis wrist-hand orthosis or flexor hinge hand splint,Rick should be taught to perform palmar prehension by doing which of the following?

Accepted Answer

A)  Flexing the wrist 
B)  Extending the wrist 
C)  Flexing the fingers 
D)  Extending the fingers 
A)  Flexing the wrist 
B)  Extending the wrist 
C)  Flexing the fingers 
D)  Extending the fingers B

Question 3

Rick was wearing a neck brace because of neck instability in the early phases of rehabilitation. During this time you were asked to do a manual muscle test of the upper extremities.What should you do?

Accepted Answer

A)  Perform manual muscle test, following standard procedures for all movements. 
B)  Test forearms and hands only. 
C)  Test shoulders, forearms, and hands, forgoing resistance at end of motion while following the shoulder protocols. 
D)  Defer the test until the brace is removed. 
A)  Perform manual muscle test, following standard procedures for all movements. 
B)  Test forearms and hands only. 
C)  Test shoulders, forearms, and hands, forgoing resistance at end of motion while following the shoulder protocols. 
D)  Defer the test until the brace is removed. C

Question 4

A primary intervention aim for Rick would be to increase the strength of which of the following?

Accepted Answer

A)  Triceps, finger extensors, and finger flexors 
B)  Biceps, pectoralis major, and wrist extensors 
C)  All of the above plus hand intrinsics 
D)  All of the above plus wrist flexors 
A)  Triceps, finger extensors, and finger flexors 
B)  Biceps, pectoralis major, and wrist extensors 
C)  All of the above plus hand intrinsics 
D)  All of the above plus wrist flexors

Question 5

You are testing Rick's sensation/perception. Which of the following tests should be least relevant to his disability?

Accepted Answer

A)  Touch and superficial pain 
B)  Position sense and stereognosis 
C)  Body scheme and visual spatial perception 
D)  Thermal and pressure sensitivity 
A)  Touch and superficial pain 
B)  Position sense and stereognosis 
C)  Body scheme and visual spatial perception 
D)  Thermal and pressure sensitivity

Question 6

Which of the following activities of daily living and instrumental activities of daily living will be most difficult for Rick to perform independently?

Accepted Answer

A)  Feeding himself and brushing his hair 
B)  Upper extremity dressing 
C)  Driving 
D)  Lower extremity dressing 
A)  Feeding himself and brushing his hair 
B)  Upper extremity dressing 
C)  Driving 
D)  Lower extremity dressing

Question 7

Which of the following is another primary goal in the early stage of OT for Rick?

Accepted Answer

A)  Achieve independence in lower extremity dressing 
B)  Improve physical endurance 
C)  Learn transfer skills 
D)  Explore vocational possibilities 
A)  Achieve independence in lower extremity dressing 
B)  Improve physical endurance 
C)  Learn transfer skills 
D)  Explore vocational possibilities

Question 8

While you are treating Rick,he begins to grow pale and faint.According to the text,he is showing signs of _____ and you should _____.

Accepted Answer

A)  Autonomic dysreflexia; elevate his legs 
B)  Postural hypotension; tip the wheelchair back 
C)  Autonomic dysreflexia; rush him to the ward and notify the physician 
D)  Postural hypotension; put his head down between his knees 
A)  Autonomic dysreflexia; elevate his legs 
B)  Postural hypotension; tip the wheelchair back 
C)  Autonomic dysreflexia; rush him to the ward and notify the physician 
D)  Postural hypotension; put his head down between his knees

Question 9

While working with Rick,you notice that he begins to perspire profusely,complains of a severe headache,and looks flushed.He is showing signs of _____,and you should _____.

Accepted Answer

A)  Postural hypotension; tip the wheelchair back for a few minutes 
B)  Autonomic dysreflexia; elevate his legs 
C)  Malingering; continue intervention and ignore complaints 
D)  Autonomic dysreflexia; seek medical assistance 
A)  Postural hypotension; tip the wheelchair back for a few minutes 
B)  Autonomic dysreflexia; elevate his legs 
C)  Malingering; continue intervention and ignore complaints 
D)  Autonomic dysreflexia; seek medical assistance

Exam 38: Spinal Cord Injury

You are testing Rick's upper extremity function.Which of the following series of tests would you select to yield the most comprehensive information?

When being trained to use the tenodesis wrist-hand orthosis or flexor hinge hand splint,Rick should be taught to perform palmar prehension by doing which of the following?

Rick was wearing a neck brace because of neck instability in the early phases of rehabilitation. During this time you were asked to do a manual muscle test of the upper extremities.What should you do?

A primary intervention aim for Rick would be to increase the strength of which of the following?

You are testing Rick's sensation/perception. Which of the following tests should be least relevant to his disability?

Which of the following activities of daily living and instrumental activities of daily living will be most difficult for Rick to perform independently?

Which of the following is another primary goal in the early stage of OT for Rick?

While you are treating Rick,he begins to grow pale and faint.According to the text,he is showing signs of _____ and you should _____.

While working with Rick,you notice that he begins to perspire profusely,complains of a severe headache,and looks flushed.He is showing signs of _____,and you should _____.

The Occupational Therapy Practice Framework and the Practice of Occupational Therapy for People With Physical Disabilities

The Occupational Therapy Practice Framework and the Practice of Occupational Therapy for People With Physical Disabilities

History and Practice Trends in Physical Dysfunction Intervention

Application of the Occupational Therapy Practice Framework to Physical Dysfunction

Evidence-Based Practice for Occupational Therapy

Health Promotion and Wellness for People With Physical Disabilities

Documentation of Occupational Therapy Services

Documentation of Occupational Therapy Services

Infection Control and Safety Issues in the Clinic

Infection Control and Safety Issues in the Clinic

Activities of Daily Living

Activities of Daily Living

Mobility

Mobility

Work Evaluation and Work Programs

Work Evaluation and Work Programs

Americans With Disabilities Act and Related Laws That Promote Participation in Work, leisure, and Activities of Daily Living

Leisure Occupations

Americans With Disabilities Act and Related Laws That Promote Participation in Work, leisure, and Activities of Daily Living

Leisure Occupations

Occupation-Based Functional Motion Assessment

Joint Range of Motion

Joint Range of Motion

Evaluation of Muscle Strength

Evaluation of Muscle Strength

Evaluation of Sensation and Intervention for Sensory Dysfunction

Evaluation of Sensation and Intervention for Sensory Dysfunction

Eating and Swallowing

Evaluation and Treatment of Visual Deficits Following Brain Injury

Evaluation and Pain Management

Evaluation and Pain Management

Orthotics

Orthotics

Traditional Sensorimotor Approaches to Intervention

Degenerative Diseases of the Central Nervous System

Cerebrovascular Accident Stroke

Spinal Cord Injury

Disorders of the Motor Unit

Disorders of the Motor Unit

Arthritis

Arthritis

Hand and Upper Extremity Injuries

Low Back Pain

Hand and Upper Extremity Injuries

Burns and Burn Rehabilitation

Burns and Burn Rehabilitation

Amputations and Prosthetics

Amputations and Prosthetics

Oncology

HIV Infection and Aids

Filters

While you are treating Rick,he begins to grow pale and faint.According to the text,he is showing signs of _ and you should _.

While working with Rick,you notice that he begins to perspire profusely,complains of a severe headache,and looks flushed.He is showing signs of _,and you should _.