OTD 570 Questions with 100% Correct Answers

A brief sexual history or "intimacy history" should include the following: a. therapeutic use of self b. all of the above c. rapport with client d. comfortable and nonthreatening environment Correct Answer b. all of the above Annon's PLISSIT model: a. is used commonly by physicians b. is an acronym for pleasure, information, specific, suggestions, and therapy c. can be used for psychological or psychiatric care and intervention d. can be used for client, staff, or caregiver education and remediation Correct Answer d. can be used for client, staff, or caregiver education and remediation Which of the following statements would be true of the Nine-hole peg test? a. when testing the board should be on the testing side b. it has better normative data for children and adolescents than the Perdue pegboard c. it has both unilateral and bilateral subtests d. it is a timed test (not time limited) Correct Answer d. it is a timed test (not time limited) You've completed the evaluation session with a 55 year old client who is the manager of a whole foods market in Hillsboro. If your client scored at the tenth (10th) percentile on the Assembly subtest of the Purdue Pegboard Peg test you would interpret the score as... (Note: +- 1 SD = 68%, +- 2 SD + 96%) a. WNL b. mild deficit c. moderate-severe deficit Correct Answer a. WNL A therapist who is working with a 15 year old female, a high school student who was hit by a car while riding her bike to school 2 weeks ago. According to the physician's referral and results of the the evaluation, the client does not have any physical injuries, except a 3 inch by 3 inch wound (yellow color) over the dorsal elbow area. In addition, she demonstrates signs of learned non-use of her right upper extremity, particularly, decreased active shoulder movements. The therapist has decided that restoring active shoulder movements would assist the client resume her occupations and life roles. Prior to passively ranging the shoulder joint of a seated client, the therapist should: a. make sure that the scapula is not tight (i.e. that it moves when the humerus moves) b. make sure that the pelvis is posteriorly tilted and the spine is curved in flexion c. make sure the wound at the elbow is covered with bulky dressin Correct Answer a. make sure that the scapula is not tight (i.e. that it moves when the humerus moves) You work with a 75 year old male who enjoys volunteering as a literacy teacher at a local elementary school. He reports experiencing several episodes of having difficulty using his left upper extremity to getting his cellphone out of his backpack placed on the floor. After checking the ROM of the left upper extremity, you notice that you are able to move his elbow to touch the shoulder. He is able to touch his shoulder by himself, but you noticed that his whole body tilts to the right side. What would you interpret your client's problem? a. he has ROM limitation b. he may have muscle weakness at the elbow c. he may have a cognitive problem as he did not follow the evaluation instructions d. his condition is within functional/normal limits Correct Answer b. he may have muscle weakness at the elbow Your colles fracture client is in a forearm cast. The MD has ordered a controlled range of motion program. You are seeing the patient 3 weeks post-injury (there is no clinical union), according to the biomechanical approach, which of the following should be part of your treatment? (choose all that apply) a. grip and pinch strength testing b. active ranging of shoulder through full arc c. active motion of fingers and thumb through full arc d. strengthening to elbow flexion/extension Correct Answer b. active ranging of shoulder through full arc c. active motion of fingers and thumb through full arc If you were working with a person who had a heart attack 4 months ago, which of the following types of intervention activities would you avoid? a. loading dishes into the dishwasher from the countertop b. putting empty cardboard boxes in the recycling bin c. carrying a bag of groceries into the house from the garage d. preparing a bowl of salad for lunch Correct Answer c. carrying a bag of groceries into the house from the garage If the 10 RM of your client's wrist extensors was 6 lbs. and you chose progressive resistive exercise (PRE) method as a method of strengthening, what weight would you use for the first 10 repetitions? a. 10 lbs b. 4.5 lbs c. 6 lbs d. 3 lbs Correct Answer d. 3 lbs You are working with a client who has fair minus (3-) elbow extension. Which of the following activities/exercises would be most appropriate to begin strengthening her elbow extensors (assume your client is seated at a standard height table)? a. playing checkers using checkers pieces stabilized by small pegs and with the checkerboard tilted down 20 degrees on a standard height table (far end is low) b. bilateral sanding with 5lb of resistance and 30 degree incline c. playing checkers using checker pieces stabilized by small pegs and with the checkerboard tilted up at a 40 degree angle on a standard height table and graded up (far end is high)