Free Ultimate Occupational Therapy Assistant Question and Answers

Question 1

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

Accepted Answer

boutonniere deformity

Answer

A boutonniere deformity is a specific finger deformity characterized by hyperextension of the metacarpophalangeal (MP) joint, flexion of the proximal interphalangeal (PIP) joint, and hyperextension of the distal interphalangeal (DIP) joint. This condition typically results from damage to the central slip of the extensor tendon at the PIP joint, causing the lateral bands to slip volarly and create the characteristic posture.

Question 2

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

Accepted Answer

Passive stretching

Answer

Passive stretching is contraindicated for patients with Reflex Sympathetic Dystrophy (RSD), now known as Complex Regional Pain Syndrome (CRPS), because it can exacerbate pain and sympathetic nervous system activity. This aggressive approach can worsen the patient's symptoms, leading to increased inflammation, pain, and dysfunction. Instead, gentle, active range of motion, stress loading, and pain management techniques are typically preferred to avoid aggravating the condition.

Question 3

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

Accepted Answer

The non-involved side

Answer

When performing a stand pivot transfer with a client who has hemiparesis, the patient should lead with their non-involved (stronger) side. This allows the patient to bear weight and initiate movement more effectively with their stronger limb, providing greater stability and control during the transfer. Leading with the non-involved side minimizes the risk of falls and maximizes the patient's independence and safety.

Question 4

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?

Accepted Answer

Unilateral neglect

Answer

These actions, where the client only attends to the right side of their body during grooming tasks, are characteristic of unilateral neglect. This condition often results from a right hemisphere lesion CVA, causing the client to ignore or be unaware of the left side of their body or environment. Unlike homonymous hemianopsia (visual field loss), the client can physically see the left side but fails to attend to it.

Question 5

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

Accepted Answer

Systolic will go up and diastolic will stay the same

Answer

During dynamic exercise, it is anticipated that systolic blood pressure (SBP) will increase due to the heart's increased cardiac output to meet the body's metabolic demands. However, diastolic blood pressure (DBP) typically remains the same or may even slightly decrease. This is because vasodilation occurs in the working muscles, which helps to reduce peripheral resistance and maintain DBP stability.

Occupational Therapy Assistant Test Practice Test

Occupational Therapy Assistant Test Practice Test

Free Ultimate Occupational Therapy Assistant Question and Answers