OTA Physical Rehabilitation 5

Question 1

An OTA is treating a patient with complex regional pain syndrome (CRPS) Type I in the right hand. Which early intervention approach has the MOST evidence?

Accepted Answer

Graded motor imagery and desensitization techniques

Answer

Complete immobilization of the affected limb

Answer

High-intensity resistive exercises

Answer

Avoidance of all tactile stimulation

Question 2

A patient with a femoral neck fracture repaired with hemiarthroplasty is given posterior hip precautions. Which bed position violates these precautions?

Accepted Answer

Supine with the hip flexed past 90° by elevating the head of the bed too high

Answer

Supine with hip in neutral rotation

Answer

Side-lying on the non-operated side with a pillow between knees

Answer

Supine with legs in slight abduction

Question 3

Which MMT grade indicates the patient can move the limb through full ROM against gravity but cannot tolerate any additional resistance?

Accepted Answer

Grade 3 (Fair)

Answer

Grade 2 (Poor)

Answer

Grade 4 (Good)

Answer

Grade 5 (Normal)

Question 4

An OTA is designing a strengthening program for a patient post-ACL reconstruction at 8 weeks. Which exercise is MOST appropriate at this stage?

Accepted Answer

Closed kinetic chain mini-squats within a pain-free range

Answer

Open kinetic chain knee extension at full range

Answer

Full depth open kinetic chain leg press at maximum resistance

Answer

Aggressive plyometric jumping drills

Question 5

A patient with peripheral neuropathy from diabetes mellitus is receiving foot care education. Which instruction is MOST critical for preventing complications?

Accepted Answer

Inspect feet daily for cuts, blisters, or color changes

Answer

Soak feet in hot water daily to improve circulation

Answer

Walk barefoot indoors to improve tactile feedback

Answer

Trim toenails in a curved shape following the toe contour

Question 6

When measuring a patient for a standard wheelchair, which measurement MOST directly determines the appropriate seat width?

Accepted Answer

Hip width plus 2 inches

Answer

Shoulder width

Answer

Chest circumference divided by 2

Answer

Thigh length from hip to knee

Question 7

An OTA is providing therapeutic exercise for a patient with frozen shoulder (adhesive capsulitis) in the early inflammatory phase. Which intervention is MOST appropriate?

Accepted Answer

Pendulum exercises and gentle active-assisted ROM within pain-free limits

Answer

Aggressive stretching to break up adhesions immediately

Answer

Resistive shoulder strengthening with weights

Answer

Joint mobilization at end-range in all directions