National OTA Certification Exam
Review and Study Guide 4th
Edition By Rita P. Fleming
Castaldy Questions with Answers
and Rationales 100% Pass |
Graded A+
National OTA Certification Exam Review and Study
Guide 4th Edition By Rita P. Fleming Castaldy
Questions with Answers and Rationales 100% Pass
| Graded A+
David Mungai [Date] [Course title]
,National OTA Certification Exam Review and
Study Guide 4th Edition By Rita P. Fleming
Castaldy Questions with Answers and
Rationales 100% Pass | Graded A+
Function of C1, C2, C3 - Answer>> Sternocleidomastoid,
cervical paraspinal, neck accessories
Neck flexion, extension, rotation
Facial and neck muscles innervated by cranial nerve
Chew, swallow, talk, blow
Inability to clear secretions
Patterns of weakness: total paralysis of trunk, UE's, LE's;
dependent on ventilator.
Intervention for C1, C2, C3 - Answer>> Mobility
Sip and puff electronically controlled reclining w/c
Communication
High-tech computer - mouthstick
Telephone - automatic dialer, headset
Recreation
Games, art, reading,
Vocational
Environmental controls
Attendant education.
Mechanical transfers, 24-hour care
,Function of C4 - Answer>> Diaphragm, upper trapezius,
cervical paraspinal muscles
Scapular elevation, respiration
Neck flexion, extension, rotation, scapular elevation, inspiration
May be able to breathe without a ventilator
Treatment
-Same as for C1-3
-Tilt table
-Hydraulic standing table
Paralysis of trunk, UE, LE, inability to cough, endurance and
respiratory reserve low secondary to paralysis of intercostal.
Function of C5 - Answer>> Biceps, brachialis, brachioradialis,
supinator, infraspinatus, deltoids, rhomboids, serratus anterior
(partially innervated)
Elbow flexion and supination, shoulder external rotation, shoulder
flexion and abduction to 80-90°
Gravity provides shoulder adduction, pronation, internal rotation
Absence of elbow extension, pronation, all wrist and hand
movement, total paralysis of trunk and LEs.
Intervention for C5 - Answer>> Can self-feed using equipment
(scoop dish, universal cuff, swivel utensils)
Splint: ratchet wrist-hand orthosis (WHO), long opponens
Mobile Arm Supports; suspension slings. Elbow control electric
bed
Transfers using board with total assist
, Some can propel manual w/c using handrim modifications
Function of C6 - Answer>> Pectoralis minor = some shoulder
horiz adduction
serratus anterior = reach forward
latissimus dorsi = shoulder adduction, internal rotation &
extension; more respiratory reserve
supinator = supination
radial wrist extensors = wrist extension, tenodesis grasp
Extensor carpi radialis lognus and brevis
Scapular protractor, some hor adduction, forearm supination,
radial wrist extension
Absence of wrist flexion, elbow extension, hand movement, total
paralysis of trunk and LEs
Intervention for C6 - Answer>> Independent self-feeding:
interlacing grip, rocker knife
Splint; dynamic wrist driven WHO for strong palmer pinch
Independent in dressing using button hook, zipper pulls
Independent UB bathing, assisted LB. Can use hand-held
shower, bath mitt, padded shower bench
Assist to independent transfers with board
Assit to indep. hygiene and grooming
B & B: Uses bowel routine, inserts suppositories with adaptive
device. May be indep. with toilet transfers. Self-cath, drain urine
from leg bag.
