*If a person has elbow joint stiffness and you want to increase extensibility, what would be an effective physical agent
modality to select for the patient prior to ROM. Cold Pack, Paraffin, Hot Pack or
NMES
Hot Pack.
Reason: Cold pack and NMES does not increase extensibility,
paraffin would not be used on the elbow
*A patient complains of
numbness and tingling in the thumb, index, middle fingers and radial half of ring
finger. They also report weakness of thumb opposition and grip. Which
intervention would be most effective to address the patients concerns? Cold
pack, hot pack, wrist orthosis or hot pack
Wrist orthosis, all the other answers are a contraindication due to
sensory impairment
*Patient is s/p reverse total shoulder replacement x 2 days ago.
You plan to work with the patient on ADLs, but they are reporting 6/10 pain level.
What physical agent modality would you provide? Hot pack, TENs, Cold Pack or
biofeedback?
Cold Pack best for post-surgical pts and pain. This patient has both
*You receive an order for a patient dx with an acute flare up of
RA to receive paraffin treatments 3 x wk for 4 weeks. What is the best approach
to address the order.
A.) Provide paraffin treatments as per order
B.) Educate the patient in a home program to do paraffin treatments
C.) Provide paraffin but wrap in hott pack to seal in heat
D.) Do not provide paraffin tx and contact MD
D. ) Do not provide paraffin tx and contact MD
two reasons: we would not do paraffin
1)contraindicated for a patient with a flare up
2)paraffin should
never be the used as the only intervention
*Which one of the following should not be used as a therapeutic intervention
during an acute flare up of RA?
A. Compression
B. AROM
C. Hot Pack
D. Resting Hand Orthosis
C. Hot Pack
*A patient diagnosed with Type II Diabetes 3 months ago has developed a frozen
shoulder. What PAMs would be most effective to address the patient’s
diagnosis?
A. Hot Pack
B. Cold Pack
C. Continuous US
D. Pulsed US
C. Continuous US
*True or False: A person with a cardiac history often experience depression
True
*Your patient is s/p median nerve repair. The patient has significant scar tissue
that has formed. The patient has significant nerve pain and is hypersensitive that
interferes with daily activities and sleep. What is most likely the cause of the
patient’s complaints?
A. Wrist contracture
B. Neuroma
C. Overuse of hand
D. Ruptured nerve
B. Neuroma
*What nerve(s) injury is/are responsible for Ape Hand Deformity?
Combined Ulnar/ Median nerve
*Claw hand nerve injury
Ulnar nerve
Reason: The lumbricals and interossei are not innervated
*Early Mobilization Programs?
Zone 2 “no man’s land”
*What is the common orthosis for Duran (early PROM) and Early active motion?
Dorsal Blocking Orthosis
*What does Active Flexion start and end with? (hierarchy of flexion)
-Place hold flexion
-Composite flexion
-Hook fist
-Straight fist
-PIP and DIP blocking
*A patient was referred to OT following a flexor tendon repair for early active
motion program. What orthosis would you make for this patient to wear in between exercise sessions?
a. Resting hand orthosis
b. Stack Orthosis
c. Wrist orthosis
d. Dorsal blocking orthosis
D. Dorsal Blocking Orthosis
*1.)Which tendon would you wear a Stack Splint for?
2.)For how many weeks? 3.)What is the impairment called?
4.) What is another phrase for Stack Splint
1.) Extensor Tendon
2.)6 weeks
3.) Mallot Finger
4.) DIP Extension Orthosis
*How much space is required to turn a wheelchair the full 360 degrees?
5ft by 5ft
*Wheelchair:
1.) How many inches are required for door opening?
2.) How many is ideal?
1.) 32 inches
2.) 36 inches
*What is the ramp ratio?
1/12
*Your new patient is in the ICU is diagnosed with s/p CABG. Which of the following best
describes sternal precautions you would educate the patient to follow:
A. No Twisting or crossing legs
B. No Log rolling or sitting edge of bed unsupported
C. No lifting 10lbs or no reaching/stretching overhead or out to side
D. No hip flexion past 90 degrees or adduction
C. No lifting 10 lbs or no reaching/ stretching overhead or out to side
*An entry level OT works in outpatient OT and is referred a new patient s/p CABG. The
patient was discharged from the hospital and is working on MET level 4-5 activities.
What preparatory intervention would be considered a contraindication for this patient?
A. Isometric Exercises for IR/ER in adducted position
B. Waist level table glides
C. Light theraband for tricep strengthening
D. Wrist and elbow curls using a 2lb dumbbell weight
A. Isometric Exercises for IR/ ER in adducted position
*True or False: Limb protectors are specific to below knee amputations.
True
*A 35 y/o patient s/p BKA (trans tibial) of the right leg has identified being (I) with
transfers as their main goal. Prior to their traumatic amputation, the patient was in good
health and worked out at a gym 3-4x a week. What type of a transfer would you teach
this patient?
A. Squat Pivot transfer
B. Sliding board transfer
C. Stand pivot with a rolling walker
D. Stand pivot with a hemi walker
C. Stand pivot with a rolling walker
*What is the MET level for discharge home?
3.5 - 4.0
*Who would you do change of dominance activities with?
Wrist dislocation or more
