OTR Therapeutic Interventions & Techniques 4

Question 1

Which splinting position is recommended for a patient at risk for intrinsic-minus deformity of the hand?

Accepted Answer

Wrist extension, MCP flexion, IP extension (intrinsic-plus position)

Answer

Wrist neutral, MCP extension, IP flexion

Answer

Wrist flexion, all digits in full extension

Answer

Thumb opposition with all fingers extended

Question 2

An OTR is implementing cognitive rehabilitation with a TBI patient using errorless learning. What is the core feature of this technique?

Accepted Answer

Structuring the environment so the patient succeeds without making errors during acquisition

Answer

Allowing the patient to make errors and self-correct for deeper learning

Answer

Using trial-and-error to test memory consolidation

Answer

Providing no feedback so the patient develops internal error monitoring

Question 3

When fabricating a dorsal blocking splint after flexor tendon repair (Zone II), what position should be maintained?

Accepted Answer

Wrist flexion 20-30°, MCPs flexion 60-70°, IPs in full extension

Answer

Wrist extension 30°, MCPs in extension, IPs in extension

Answer

Wrist neutral, all joints at 0°

Answer

Wrist flexion 45°, all digits fully flexed

Question 4

Which intervention strategy is BEST aligned with the Recovery Model for a patient with serious mental illness?

Accepted Answer

Supporting the client's self-determined goals and meaningful roles despite ongoing symptoms

Answer

Focusing treatment solely on symptom reduction

Answer

Providing structured activity to prevent relapse

Answer

Prioritizing medication adherence above occupational participation

Question 5

A patient with Parkinson's disease is having difficulty initiating gait. Which cueing strategy is MOST evidence-based?

Accepted Answer

Rhythmic auditory stimulation (e.g., metronome or music) to initiate and regulate gait

Answer

Verbal reminders to 'think about walking'

Answer

Ankle weights to increase proprioceptive feedback

Answer

Reducing distractions in the environment only

Question 6

In hand therapy, which test is used specifically to evaluate two-point discrimination and tactile spatial acuity?

Accepted Answer

Disk-Criminator or static/moving two-point discrimination test

Answer

Semmes-Weinstein monofilament test

Answer

Purdue Pegboard Test

Answer

Grip dynamometry

Question 7

An OTR is treating a child with developmental coordination disorder (DCD). Which intervention approach has the strongest evidence base?

Accepted Answer

Task-oriented approach using motor learning principles and practice of functional tasks

Answer

Sensory integration therapy focusing on vestibular input

Answer

Neurodevelopmental treatment to normalize tone

Answer

Passive stretching and strengthening programs

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