SMS Postural Support and Positioning 3

Question 1

A suboccipital headrest is indicated for clients who need support primarily at the:

Accepted Answer

Occiput and upper cervical region

Answer

Mid-cervical spine

Answer

Base of the skull

Answer

Thoracic spine

Question 2

Which seating system feature is most appropriate for a client with high tone who frequently extends into extensor patterns?

Accepted Answer

Anterior trunk support and tilt-in-space

Answer

90-degree back angle

Answer

Firm flat cushion

Answer

Elevated leg rests

Question 3

Which measurement determines the appropriate seat depth for a wheelchair user?

Accepted Answer

Distance from the back of the buttock to the back of the knee minus 1-2 inches

Answer

Distance from the back of the knee to the heel

Answer

Sitting height from seat to top of head

Answer

Width across the greater trochanters

Question 4

What is the primary purpose of a pommel or medial knee block in seating?

Accepted Answer

Reduce hip adduction and internal rotation

Answer

Prevent forward sliding

Answer

Provide footrest support

Answer

Reduce pressure under the ischial tuberosities

Question 5

A client with C5 level spinal cord injury typically requires which type of upper extremity support in the wheelchair?

Accepted Answer

Arm troughs or lap tray to support flaccid arms

Answer

No upper extremity support needed

Answer

Wrist splints only

Answer

Elbow extension splints

Question 6

Flexible versus fixed postural deformities are distinguished during assessment because:

Accepted Answer

Flexible deformities can be corrected by the seating system while fixed deformities must be accommodated

Answer

Fixed deformities require surgery before seating

Answer

Flexible deformities always worsen without intervention

Answer

Only fixed deformities affect pressure distribution