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

Log rolling to the side before pushing up minimizes lumbar spine flexion and torsion, which is the safest technique for patients with low back pain.

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

Patients with COPD frequently experience oxygen desaturation during unsupported arm elevation because accessory respiratory muscles are recruited for arm movement rather than breathing.

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

A springy end-feel (rebound sensation) in the elbow at a non-physiologic range suggests intra-articular loose bodies or early capsular restriction rather than a normal end-feel.

Question 4

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

Accepted Answer

Universal cuff with utensil slot

Answer

A universal cuff allows utensils to be secured to the hand for patients with C5 SCI who lack grip strength but retain shoulder and elbow function.

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

A resting hand splint positions the wrist in 20–30° extension, fingers in slight flexion at all joints, and the thumb in palmar abduction to maintain functional alignment and prevent deformity.

Occupational Therapy Assistant Test Practice Test

Occupational Therapy Assistant Test Practice Test

OTA Physical Rehabilitation 4