Post-Acute Midterm Review

A client with a recent ankle sprain is receiving cryotherapy as part of their occupational therapy treatment plan. The therapist is monitoring the client's response to the treatment. The therapist should be sure to tell the client they may experience CBAN. Which of the following would you not mention to the client to expect?

• 
  Cold

• Burning

• Adverse Reaction

• Numbness

You are an OTR working in an inpatient hospital on the burn unit when you receive a referral for a client who was recently admitted. The client was in a building fire that occurred on the 7th story at their work. Upon examination, you find that the client's chest, upper back, and the entirety of both arms are completely burned. While talking with the nurse, you inform them that ___% of the client's total body surface area is burned, according to the Rule of Nines.

• 9%

• 27%

• 36%

A 50-year-old patient presents with a large wound on their forearm due to extensive tissue loss from a traumatic injury. The wound is deep, exposing underlying structures such as tendons and muscle tissue. Which surgical procedure would be most suitable to provide adequate coverage and vascular supply to the wound area?

• 
  Full-thickness skin Graft

• Split-thickness skin Graft

• Pedicle Skin Flap

A 7-year-old child presents to the emergency department with a history of falling off the monkey bars at the playground. Physical examination reveals tenderness and swelling over the proximal third of the ulna, along with an obvious deformity at the elbow. The child is unable to fully extend the elbow and is guarding the affected arm. Which of the following is the most likely diagnosis?

• 
  Monteggia Fracture

• Galeazzi Fracture

• Humerus Fracture

A 60-year-old woman presents to the clinic with complaints of shoulder pain and weakness, particularly with overhead activities and reaching behind her back. On physical examination, there is tenderness over the greater tuberosity of the humerus and pain with resisted abduction and external rotation. The patient also reports pain and weakness with the lift-off test, where she is asked to lift her hand off her lower back against resistance. You suspect problems with her rotator cuff. Based on these findings, which test will you most likely NOT use?

• 
  Drop Arm

• Lift off

• Hawkins-Kennedy

A 35-year-old man presents to the emergency department after falling onto his outstretched hand. He complains of pain and swelling at his wrist. On examination, the doctor determines the tip of the radial styloid has been broken. Based on these findings, which fracture is most likely?

• 
  Bartons Fracture

• Chauffeurs Fracture

• Colles Fracture

A 65-year-old woman recovering from a stroke has difficulty using utensils for self-feeding due to decreased coordination. According to the biomechanical FOR, what purposeful activities can an occupational therapist use to improve her hand-eye coordination?

• Engaging in cooking activities that require manipulation of utensils

• Developing a gradual return-to-work plan that considers his physical abilities and job demands

• Modalities such as heat or cold therapy to reduce pain and swelling

What cells are responsible for skin color and what causes the color change?

• Keratinocytes// create more melanocytes which produce more melanin

• Melanocytes// absorbs and scatter the UV light

• Melanocytes//create more pigmentation by increasing # of cells

A 50-year-old man presents to occupational therapy with complaints of shoulder pain and difficulty with reaching and lifting activities. He reports that the pain is worse when reaching overhead or behind his back. On examination, there is tenderness over the anterior and lateral aspects of the shoulder, along with pain and weakness with shoulder abduction and external rotation. Based on these findings, which of the following occupational therapy interventions is most appropriate for this patient?

• 
  Heat therapy to the shoulder

• Strengthening exercises for the rotator cuff muscles

• Passive range of motion exercises for the shoulder

A 60-year-old woman with rheumatoid arthritis experiences joint stiffness and pain, particularly in her hands, limiting her ability to perform activities of daily living (ADLs). Which biomechanical FOR intervention would be most appropriate to address her limitations?

• Energy conservation techniques

• Hand therapy exercises to improve range of motion

• Sensory re-education to improve tactile discrimination