Final Exam 537

You are working with a client whose goal is to be able to eat independently post CVA. You recently finished simulated eating activities and for this session, the client is using a fork with built up handle while eating apple pieces. What stage of the treatment continuum is this?

• Adjunctive Methods
• Enabling activities
• Purposeful activities
• Performance of occupational roles

You need to apply heat to the shoulder of a client with a large wound that is currently infected. What PAM(s) should you NOT use? (choose all that apply))

• Fluidotherapy
• Ultrasound
• NMES
• Cryotherapy

Generally speaking, what are the main goals of OT during the remodeling/proliferative phase (choose all that apply)?

• Control edema
• Provide stress to the forming scar
• Maintain wound environment
• Topical antibiotic management

Meredith is involved in an MVA and is diagnosed with a volar displacement of the distal radius. What is the name of this injury?

• Colle's fracture
• Monteggia fracture
• Smith's fracture
• Chauffeurs fracture
• Barton's fracture

You are an OT working in a wound clinic. A client's wound is in the inflammatory stage. What is the BEST goal for this client? (Tissue Healing, 17)

• Maintain AROM of the surrounding joints
• Manual massage scar tissue to prevent contracture
• Drain wound
• Make a custom orthosis

Kyyyle presents to the clinic with a diagnosis of subacromial impingment. Which of the following structures may is likely not the cause?

• Supraspinatus tendon
• Subacromial bursa
• Middle deltoid tendon
• Long head of the biceps tendon

You are seeing a client diagnosed with OA at an OP clinic. Which of these interventions is the LEAST likely to be addressed at this session? (OA, RA, 34, 43)

• Edema management
• Joint protection methods
• Theurapeutic activities and exercise
• Medication management

A client has been admitted to your inpatient clinic post 3rd degree burns on 9.5% of their body, including the R hand and forearm. What is the optimal position of orthosis for this individual to prevent contracture? (orthosis fabrication, 21-23)

• Wrist = 20-45° extension MPs = 45-60 ° flexion PIPs = 45 ° flexion DIPs = relaxed flexion
• Wrist = 30° extension MPs = 70 ° flexion PIPs = 0 ° flexion DIPs = 0 ° flexion
• Wrist = 0-20° extension MPs = 30-45 ° flexion PIPs = 20-40 ° flexion DIPs = slight flexion
• Wrist = 10-20° flexion MPs = 40-60 ° flexion PIPs = 0-20 ° extension DIPs = slight extension

Upper limb amputations are about twice as common as lower limb amputations.

• True
• False

An individual states that they are having difficulty raising their shoulder to perform housekeeping tasks. Which tape might be best?

• Dynamic Tape
• Kinesiotape
• Athletic tape
• Painter's tape