OTA Physical Rehabilitation 4

Question 1

When teaching a patient with low back pain to perform a supine-to-sit transfer, the OTA should instruct the patient to:

Accepted Answer

Log roll to the side then push up to sitting

Answer

Sit straight up using trunk flexors

Answer

Reach overhead and pull on the bedrail

Answer

Perform a quick sit-up to minimize spine flexion time

Question 2

A patient with COPD is participating in upper extremity strengthening. When does oxygen desaturation MOST commonly occur for these patients?

Accepted Answer

During unsupported arm elevation activities

Answer

During lower extremity exercises only

Answer

During seated rest periods

Answer

During passive range of motion activities

Question 3

An OTA is performing passive ROM on a patient's elbow after removal of an external fixator. The OTA feels a springy end-feel at 30° of extension. This MOST likely indicates:

Accepted Answer

Capsular tightness or presence of loose bodies

Answer

Normal bone-to-bone end-feel

Answer

Soft tissue approximation

Answer

Muscle spasm

Question 4

Which adaptive equipment would BEST help a patient with C5 SCI independently feed themselves?

Accepted Answer

Universal cuff with utensil slot

Answer

Rocker knife

Answer

Built-up handle spoon only

Answer

Plate guard only

Question 5

An OTA is applying a resting hand splint to a patient with a median nerve injury. What is the CORRECT position for the wrist and fingers?

Accepted Answer

Wrist in 20–30° extension, fingers in slight flexion, thumb in palmar abduction

Answer

Wrist in neutral, fingers in full extension, thumb abducted

Answer

Wrist in 30° flexion, fingers in full flexion

Answer

Wrist in full extension, MCP joints flexed to 90°

Question 6

During a home visit, the OTA observes that the patient's bathroom has a step-in tub. The patient has right hip precautions post-THR. What is the BEST recommendation?

Accepted Answer

Recommend a tub transfer bench with a non-skid mat

Answer

Suggest the patient shower standing in the tub

Answer

Recommend converting to a walk-in shower immediately

Answer

Advise the patient to skip bathing until precautions are lifted

Question 7

A patient with multiple sclerosis reports significant fatigue by mid-afternoon. Which energy conservation strategy is MOST appropriate for the OTA to teach?

Accepted Answer

Prioritize demanding tasks in the morning and schedule rest before activity

Answer

Perform all strenuous activities in the afternoon when the patient is adapted to fatigue

Answer

Eliminate all physical activity to preserve energy

Answer

Increase caffeine intake to manage fatigue