FREE Ultimate Occupational Therapy Assistant Question and Answers

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What therapy approach is contraindicated for a patient with RSD of the upper extremity?

Correct! Wrong!

Explanation:
The symptoms of reflex sympathetic dystrophy (RSD) include discomfort, edema, skin color changes, and temperature fluctuations. Clients with RSD are frequently reluctant to try to move because the pain is frequently excessive compared to the harm. Passive stretching should not be used because it will make the pain worse and discourage motion. For a client with RSD, reducing pain and edema is the primary goal. To extend the range of motion, mild PROM and active range motion should be employed.

Which of the following doesn't fit under the category of energy conservation?

Correct! Wrong!

Explanation:
It could be exceedingly challenging for a client to recoup the energy necessary to finish a task if they engage in an activity until they become exhausted. The conservation of energy includes teaching customers to take breaks before they get fatigued.

The elbow should be in the following positions when measuring elbow flexion:

Correct! Wrong!

Explanation:
The movement axis serves as the goniometer's axis of rotation. The lateral epicondyle of the humerus serves as the axis for elbow flexion.

A COTA is performing grooming chores with a client who has a right hemisphere lesion CVA. Only the right side of the client's teeth are seen to be brushed, and only the right side of his face is seen to be washed. Which kind of shortfall do these actions most likely point to?

Correct! Wrong!

Explanation:
Neglecting one side without considering the other is referred to as unilateral neglect. Clients with neglect frequently lack awareness of the affected side of the body as well as the space on the affected side, which is frequently seen in right brain lesions. A visual field deficiency known as homonymous hemianopsia reduces the field of vision. The client can turn his head to make up for the loss of vision. Apraxia is a motor planning disorder. Visual agnosia is the inability to identify objects despite having normal vision.

Which side should the patient lead the transfer with when starting stand pivot training with a client who has hemiparesis?

Correct! Wrong!

Explanation:
It is simpler to transfer with the stronger side leading when beginning transfer training with a client who has hemiparesis. As long as the client is able to support weight on one or both lower limbs, a pivot transfer is a beneficial training technique. The client should have practiced transferring with the involved side leading after becoming proficient with the non-involved side leading because there will be times when he will need to do so.

What is anticipated to happen to the blood pressure while a client is exercising?

Correct! Wrong!

Explanation:
The body's increased need for oxygen causes an increase in systolic blood pressure. Since diastolic blood pressure is a measurement of the blood vessel pressure between heartbeats, it stays constant.

A finger deformity that has the MPs extended, the PIP joint flexed, and the DIP joint extended is referred as:

Correct! Wrong!

Explanation:
The central slip's stretch or tear results in the Boutonniere deformity. The PIP joint is in flexion and the DIP joint is hyperextended in this malformation.

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