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Adults Exam 2
| Question | Answer |
|---|---|
| What is the inability to recognize objects presented visually? | Visual Object agnosia |
| What is the inability to recognize a person by looking at their face? | Prosopagnosia |
| What is the inability to follow a familiar route or difficulty finding a way through space? | Topographagnosia |
| What is the inability to recognize more than one object at a time? | Simultanogosia |
| What is the inability to perceive the foreground from the background in a visual array? | Figure ground discrimination dysfunction |
| What are the 2 levels of visual agnosia? | -Apperceptive (unable to recognize and cannot describe) -Associative (unable to recognize, but can describe) |
| What is the inability to remember and recognize specific colors for common objects in the environment? | Color Agnosia |
| What is the inability to pick out a color or name a color on command? | Color anomia |
| What is the visual distortion of objects? | Metamorphopsia |
| What is the inability to attend to subtle variations in form regardless of their position, location or size? | Form Constancy Dysfunction |
| What is the inability to perceive depth in relation to self or objects? | Stereopsis |
| What is a disorder of body schema in which there is a distorted sense of body shape, position and capacity? | Autotopagnosia |
| What is a severe form of neglect in which the pt fails to recognize the presence or severity of their paralysis? | Anosognosia |
| What is the inability to recognize numbers, letters or forms? | Agraphesthesia |
| What is the inability to carry out a motor act on verbal command but can correctly perform an activity when provided with actual object? (unable to properly sequence) | Ideomotor Apraxia |
| What is the inability to carry out complex sequential motor acts caused by a disruption of the conception, rather than the execution of the motor act? (using a tool in the wrong way) | Ideational Apraxia |
| What is more severe ideomotor or ideational apraxia? | Ideomotor |
| What is the remediation approach to visual object agnosia? | Practice naming objects |
| What is the adaptive approach to visual object agnosia? | Rely on intact senses |
| What is the remediation approach to prosopagnosia? | Face matching exercise |
| What is the adaptive approach to prosopagnosia? | Rely on voice recognition, or other unique feature |
| What is the remediation approach to topographagnosia? | Provide landmarks and signs |
| What is the adaptive approach to topographagnosia? | GPS |
| What is the remediation approach to simultanognosia? | Work on attention and facilitate abstract reasoning |
| What is the adaptive approach to simultanognosia? | Provide interventions in familiar contexts |
| What is the remediation approach to figure ground dysfunction? | Challenge location of items in a graded visual array, incorporated with meaningful occupation |
| What is the adaptive approach to figure ground dysfunction? | Mark common objects to easily distinguish them, modify the environment |
| What is the inability to organize and complete a task in its correct order? | Constructional Disorder |
| What daily living tasks would be affected by this disorder? | -Laundry -Cooking -Organizing items in desk/cupboard |
| What is the remediation approach to constructional disorder? | Paper/pencil activities, puzzles, 3d crafts |
| What is the adaptive approach to constructional disorder? | Participation in occupational performance and use of compensatory approaches |
| How do we remediate (general)? | practicing skill lost |
| How do we adapt (general)? | -Rely on other senses -Modify the environment |
| What is the ability to mentally manipulate visual info and integrate it with other? | Visual Cognition |
| If someone has a visual neglect how does that affect their reading? | Negatively impacts scanning, making it difficult to find the beginning of a new line |
| What adaption can we make to assist with reading for someone with a visual neglect? | Anchoring |
| What are the different driving related home program activities? | -Active passenger -MVD practice tests -AAA computer based workshops/Permit prep -Riding a bike |
| What are the different driving evals? | -New driver/Potential to Drive -Comprehensive driver assessment -Senior safety eval -Equipment eval -Passenger Assessment |
| What do DRS look at during a clinical assessment? | -Initial intake -Cognition -Visual acuity/Peripheral vision -Visual perception -Physical Exam -Driver performance analysis system -Optec 2000 |
| What are the different parts of the Driving Assessment? | -Clinical Assessment -Behind the Wheel Assessment -Recommendations and report to MD and DMV |
| What are the different parts of task analysis for driving? | Getting in/out of care, w/c or scooter loading, managing key and seatbelt, shifting gears, backing up, R/L turns, Acceleration/Braking, Coordination of all car functions, Decision making, Judgment time/space, Reaction time, Memory, Orientation, Behavior |
| What are the parts of vehicle training? | -Vehicle control -Rules of the road -Defensive driving |
| What is the goal of vehicle training? | Consistency in performance over time |
| What is an active passenger assessment? | Looks at: -Decision making/judgement/speed of processing -Visual search and divided attention -Rules of road/Defensive driving knowledge -Road sign comprehension -Anticipation for lane change/turns -Attention to turn lane |
| What is a Symes level amputation? | Amputation through ankle joint |
| What is the energy increase for a partial foot amputation? | 10 to 20% |
| What is the energy increase for a symes level amputation? | 0 to 30% |
| What is the energy increase for a BKA? | 40 to 50% |
| What is the energy increase for a AKA? | 90 to 100% |
| What is the energy increase for a bilateral BKA? | 60 to 100% |
| What is a passive hand prosthesis? | Made to look like a natural UE, cosmetic |
| What is a conventional hand prosthesis? | Uses body motion through a system of harnessing cables that control the elbow and/or terminal device, more functional |
| What is the goal of pre-prosthetic training/sensation training? | Prepare the residual limb so that it will accommodate touch and pressure in preparation for encasement in the socket |
| What interventions can be used s/p amputation? | -Reduce WBing, brush agains surfaces instead -Massage -Tapping, rubbing, Vibration -Residual limb wrapping desensitization -Cleaning of limb |
| What replaces the ACE wrap after the suture line can tolerate distraction forces associated with donning? | Residual Limb Shrinker |
| What is OT responsible for s/p amputation? | -ADLs including balance and endurance -UE strengthening -Safety -ECT and body mechanics -AD -Diet and nutrition |
| What is the sequence ADLs should be addressed? | 1. Bed mob 2. H/G 3. Dressing including prosthetic 4. W/c propulsion 5. t/fs 6. Kitchen skills |
| What are administrative controls in ergonomics? | Workplace policy, procedures, and practices that minimize exposure of worker to risk conditions |
| What are engineering controls in ergonomics? | May include changing weight of objects, work surface heights, and lifting aids |
| What are the common solutions for ergonomics? | -Worker education -Exercise breaks -Mechanical assists -Better tools -Work site redesign -Job rotation |
| What is the most ergonomic seated posture? | 90-90-90 |
| Do we want hips more open or closed? | Open to lessen compressive force on the lumbar spine |
| Ergonomically do we want knees higher than the hips? | No |
| Ergonomically do we want a soft or firm BOS? | Firm |
| What position is the least compressive force? | Supine |
| What compressive force on the lumbar is present while standing? | 100% |
| What compressive force on the lumbar is present while sitting? | 140% |
| What compressive force on the lumbar is present while slouching? | 190% |
| What are the electronic challenges ergonomically post covid? | -Less employer input into workstations -Laptop usage which do not facilitate neutral postures |
| Where should the top of the monitor be ergonomically? | ~20 degrees below eye level |
| What is the primary work zone? | Where frequently items should be, only requires lower arm reach |
| What is the secondary work zone? | Where occasionally used items should be; involves upper and lower arm reach |
| What is the tertiary work zone? | Where infrequently used items should be; requires forward/side reach or standing |
| What is the distance for primary work zone? | 15-20 inches |
| What is the distance for secondary work zone? | 20-28 inches |
| What is the distance for tertiary work zone? | >28 inches |
| What is ADA title I? | Employment |
| What is ADA title II? | Public Service |
| What is ADA title III? | Public Accommodations |
| What is ADA title IV? | Telecommunications |
| What is ADA title V? | Misc. Provisions |
| What are the details around title II? | Covers state and local governments from discriminating agains people with disabilities |
| What are the details around title III? | Covers private sectors prevents these entities from discriminating against people with disabilities and making accomodations to make their establishments accessible to everyone |
| What is the circular turning space required? | 60 inches minimum |
| What is the T-shaped turning space required? | One side needs to be at lease 60 inches wide, others can be 36, 24, or 12 |
| What is the required slope for ramps? | 1 foot of ramp for every 1 inch of rise |
| At what amount of rise are railings on both sides required? | Anything higher than 6 inches |
| How often is a landing or level surface required, and how big is that landing? | -Every 30ft of ramp -Bottom and top of ramp -5 ft long |
| What is meant by the term reasonable accommodation? | changes that can be made to accommodate person with disability that will not fundamentally change the organization or their operations |
| What is he opening size needed for entrance doors as well as the amount of distance for clear wall space on the pull side of the door? | -32 inches of clear space -18 inches of clear wall space |
| What are specifics for door handles including height and shape? | -Shape must be easy to grasp with 1 hand and does not require tight grasping, pinching or twisting of the wrist to operate -Sliding doors have to have hardware exposed and usable from both sides |
| How high from the floor are handles? | 34-48 inches above the floor |
| What is the necessary width of aisles and pathways for ADA accessibility? | 36 inches clear width Passing space of at least 5 ft |
| What about the turning space is required in a single occupant toilet room? | 60 inches |
| What diagnosis uses a hand based anti-claw splint? | Ulnar n. damage |
| What diagnoses uses wrist stabilization and dynamic finger extension splint? | -Fractures -CVA |
| What diagnoses uses hand based thumb spica? | -CMC OA -Gamekeepers Thumb |
| What diagnoses uses forearm based thumb spica? | -Scaphoid Fx -DeQuervain's |
| What diagnoses use safe position resting hand splint in lumbrical plus position? | -Tendon healing -MCP fx |
| Safe position ventral wrist cock-up splint? | Carpal Tunnel |
| What disorder is replicated with a Roos test? | Thoracic Outlet syndrome |
| What disorder is replicated with an Allens test? | Blood refill |
| What disorder is replicated with a Finkelsteins test? | DeQuervains |
| What disorder is replicated with a Phalens test? | Carpal Tunnel |
| What disorder is replicated with a Tinels test? | Carpal Tunnel |
| What disorder is replicated with a GRIT test? | Ulnar impaction syndrome |
| What disorder is replicated with a Piano key test? | Presence of TFCC tear or triquetral instability |
| How do we test for lateral epicondylitis? | Grip strength testing with dynamometer- elbow extended and forearm pronated |
| What is a positive lateral epicondylitis test? | test with increased pain at lateral epicondyle, decreased grip strength as compared to standardized method for grip test, or both |
| What is the cycle of dysfunction in hand therapy? | Injury leading to pain, immobilization or adhesions which all then lead to joint stiffness and dysfunction |
| What are the goals with fx management? | -Restore osseous anatomy & immobilize -Maximize rate of healing -Management of soft tissue injuries -Minimize secondary issues -Control edema |
| What are the different methods of fixation after fx? | -Cast -Splint -Traction -ORIF -Ex fix |
| What are the 2 types of distal radius fx's? | -Colles -Smiths |
| What is the displacement in a colles fx? | Dorsal |
| What is the displacement in a smiths fx? | Volar |
| What procedure is usually performed at the same time as a smiths fx fixation? | Median n. release |
| What is the most common type of a distal radius fx? | Colles |
| What is the most common carpal fx? | Scaphoid |
| What is a boxers fx? | Fx in the 5th metacarpal |
| What is a Bennetts fx? | Fx of the base of the first metacarpal continuing into the CMC joint |
| What are the splint/strap used for a TFCC issue? | -Muenster splint -Bullseye wrist strap |
| What is Kienbocks disease? | Avascular necrosis of lunate |
| What are the s/s of OA? | Articular breakdown d/t mechanical and chemical factors that result in pain with motion, and crepitus |
| What are the s/s of RA? | -Swelling -Pain -Tenderness, heat, redness -Decreased ROM and strength -Fever and weight loss -Fatigue -Loss of appetite -Anemia -Morning stiffness |
| Does RA or OA have longer morning stiffness? | RA |
| Is RA or OA an autoimmune disorder? | RA |
| What is the tx during the acute phase of RA? | -Splinting -Joint protection, AD -PAMs -AROM/AAROM c/o pain -No stretch -Isometrics |
| What is the tx during the subacute phase of RA? | -less restrictive splinting during the day, splinting continued at night -joint protection, ADs -PAMs -gentle AROM or AAROM w/o pain w/ gentle stretch, proper positioning -functional activities to tolerance, isometric exercise |
| What is the tx during the chronic phase of RA? | -joint protection, splinting as needed, AD as needed -PAMs as needed -AROM or PROM with stretch at end range -resistive exercises (isometric or isotonic), cardiovascular exercises, increased functional activities |
| What are the OA nodules at the PIP called? | Bouchards |
| What are the OA nodules at the DIP called? | Herberdens |
| What deformity has PIP hyperextension and DIP slight flexion? | Swan Neck |
| What deformity has PIP flexion and DIP hyperextension? | Boutonniere |
| What is the minimal grip strength needed for ADLs? | 20# |
| What is the minimal pinch strength needed for ADLs? | 5-7#'s |
Created by:
jkranz93
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