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

Avoiding activities that create ulnar deviation forces at the MCP joints is critical to preventing progression of ulnar drift in rheumatoid arthritis.

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

Dynamic splints apply low-load prolonged stress to remodel connective tissue and increase passive range of motion through creep and stress relaxation.

Question 3

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

Accepted Answer

Disk-Criminator or aesthesiometer

Answer

Two-point discrimination is assessed with a Disk-Criminator or aesthesiometer, which measures the minimum distance at which two simultaneous touch stimuli are perceived as separate.

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

The combination of hip flexion beyond 90°, internal rotation, and adduction places the femoral head at risk for posterior dislocation after posterior-approach total hip replacement.

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

Pacing activity with scheduled rest breaks prevents fatigue-induced joint stress, reduces pain flares, and allows sustained participation in meaningful occupations.

OT - Master of Occupational Therapy Practice Test

OT - Master of Occupational Therapy Practice Test

OT Physical Rehabilitation & Musculoskeletal OT 2