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

Graded motor imagery and progressive desensitization are evidence-based approaches for CRPS that address central sensitization and gradually restore normal sensory processing.

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

Elevating the head of the bed past the allowed angle can create hip flexion beyond 90°, violating posterior hip precautions and risking dislocation.

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

MMT Grade 3 (Fair) means the patient achieves full ROM against gravity only, with no ability to resist additional manual resistance.

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

At 8 weeks post-ACL reconstruction, closed kinetic chain exercises like mini-squats reduce anterior tibial shear forces and are safer and more functional than open kinetic chain knee extension.

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

Daily foot inspection is the most critical preventive measure because peripheral neuropathy reduces the ability to detect injury, allowing small wounds to progress to serious complications.

Occupational Therapy Assistant Test Practice Test

Occupational Therapy Assistant Test Practice Test

OTA Physical Rehabilitation 5