OT Physical Rehabilitation & Musculoskeletal OT 2

Question 1

Which joint protection principle is MOST important to teach a patient with rheumatoid arthritis who presents with ulnar drift?

Accepted Answer

Avoiding activities that promote ulnar deviation of fingers

Answer

Using large muscle groups and larger joints whenever possible

Answer

Maximizing joint use throughout the entire day

Answer

Avoiding all hand-based activities

Question 2

What is the PRIMARY purpose of a dynamic splint in hand therapy?

Accepted Answer

To provide a low-load prolonged stretch to increase range of motion

Answer

To reduce edema through static compression

Answer

To prevent all movement at the targeted joint

Answer

To immobilize the joint during acute tissue healing

Question 3

Which assessment tool is used to evaluate two-point discrimination following peripheral nerve injury?

Accepted Answer

Disk-Criminator or aesthesiometer

Answer

Active range of motion goniometry

Answer

Semmes-Weinstein monofilament testing

Answer

Grip strength dynamometry

Question 4

Following a total hip replacement via the posterior approach, which position is CONTRAINDICATED?

Accepted Answer

Hip flexion beyond 90° combined with internal rotation and adduction

Answer

Lying on the non-operative side with a pillow between the knees

Answer

Hip extension with external rotation

Answer

Sitting with hips at 90°

Question 5

When teaching energy conservation to a patient with osteoarthritis, which principle is MOST important?

Accepted Answer

Pacing activities and taking planned rest breaks throughout the day

Answer

Working through pain to maintain function

Answer

Avoiding all physical activity

Answer

Completing all tasks at once to minimize transitions

Question 6

What is the PRIMARY purpose of retrograde massage in hand therapy?

Accepted Answer

To decrease edema by moving fluid proximally toward the lymphatic system

Answer

To improve joint passive range of motion

Answer

To increase muscle strength in intrinsic muscles

Answer

To desensitize hypersensitive tissue

Question 7

Which patient-reported outcome measure is MOST commonly used to assess upper extremity disability in musculoskeletal conditions?

Accepted Answer

DASH (Disabilities of the Arm, Shoulder and Hand) questionnaire

Answer

Modified Rankin Scale

Answer

FIM (Functional Independence Measure)

Answer

Barthel Index