OTA Physical Rehabilitation 3

Question 1

A patient is using a transcutaneous electrical nerve stimulation (TENS) unit for pain management. Which electrode placement pattern uses the gate control theory of pain?

Accepted Answer

Placing electrodes proximal and distal to the pain site at sensory intensity

Answer

Placing electrodes over trigger points only

Answer

Placing electrodes at acupuncture points at high intensity

Answer

Placing electrodes over the contralateral limb

Question 2

An OTA is working with a patient post-total knee arthroplasty (TKA). Which precaution is MOST important during early rehabilitation?

Accepted Answer

Follow weight-bearing status prescribed by the surgeon

Answer

Avoid any knee flexion beyond 45°

Answer

Avoid all strengthening exercises for 6 weeks

Answer

Keep the knee in full extension at all times

Question 3

During intervention for a patient with Parkinson's disease, which strategy has the MOST evidence for improving gait?

Accepted Answer

Visual or auditory rhythmic cues

Answer

Passive stretching only

Answer

Avoiding any dual-task activities

Answer

High-speed treadmill training exclusively

Question 4

A patient with a T4 complete SCI needs to perform a pressure relief while seated in a manual wheelchair. Which method is MOST appropriate?

Accepted Answer

Push-up pressure relief off the armrests

Answer

Lateral weight shifts

Answer

Forward trunk lean

Answer

Wheelchair tilt-in-space with caregiver assistance

Question 5

An OTA is applying ultrasound over scar tissue to improve extensibility. Which parameter is MOST appropriate?

Accepted Answer

Continuous ultrasound at 1 MHz, 1.5 W/cm²

Answer

Pulsed ultrasound at 3 MHz, 0.5 W/cm²

Answer

Pulsed ultrasound at 1 MHz, 3.0 W/cm²

Answer

Continuous ultrasound at 3 MHz, 2.5 W/cm²

Question 6

Which functional mobility outcome is MOST appropriate for a patient with moderate TBI who is at Rancho Los Amigos Level V?

Accepted Answer

Supervised mobility with minimal verbal cuing for safety

Answer

Independent community ambulation with no cues

Answer

Dependent positioning in wheelchair only

Answer

Independent driving with adaptive equipment

Question 7

A patient reports sharp pain at the lateral epicondyle with resisted wrist extension. The OTA should FIRST:

Accepted Answer

Discontinue the resistive exercise and report to the supervising OT

Answer

Increase resistance to strengthen the wrist extensors

Answer

Apply ice and continue the exercise at lower resistance

Answer

Recommend the patient rest at home without further treatment