OT Exam Questions - CVA - Kitsum Li
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| A patient w/ flaccid hemiplegia secondary to a CVA develops edema in the affected hand.Which method should OTR include in the intervention plan for 1st managing the hand edema? Compression wrapping, Positional elevation, Retrograde massage, PROM Exercises | Positional elevation
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| For a patient who has sustained a CVA and has expressive aphasia, the OTR will adapt the sensation evaluation how? | Provide pictures for the patient to point to for the correct answer. Adopt nodding and shaking of the head.
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| T/F - A shoulder subluxation due to CVA ALWAYS induces pain. | False
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| What is an involuntary movement or patterned, reflexive increase in muscle tone and limb position on the hemiplegic side that occurs in stressful situations? | Associated reaction
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| Identify: For UE: scapular protraction, shoulder horizontal adduction and internal rotation, elbow extension, and forearm pronation. | Extensor Synergy
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| State of readying neurons to depolarize and propagate in impulse or to make contraction of a muscle or a reflex response more likely. | Facilitation
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| The neuromuscular response to increasing resistance where the electrical activity of the interneuronal pool continues to rise with more and more motor units recruited to fire. Muscles are recruited in a predictable manner. | Overflow
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| The mechanism whereby contraction of an agonist muscle produces inhibition of its antagonist. | Recipricol Inhibition
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| Respiration, facial motions, tongue motions, swallowing, and bowel and bladder control. | Vital functions
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| Process of changing excessive tone (hypertonia) to a state of normal tone needed for normal motor responses. | Normalization of tone
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| Bilateral asymmetrical D2 flexion. One arm performs the lift, while the other arm maintains contact on the lateral flexor side of the forearm. The opposite of this pattern is called reverse of lift. | Lifting
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| To elicit volitional movement for elbow flexion in patient with CVA, what is the most appropriate for the therapist to use? | Fast brushing of the biceps muscle belly
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| According to Signe Brunnstrom, a person who demonstrates developing spasticity on the hemiplegic side of the body with weak, associated movements in synergy and little active finger flexion would be in which stage of recovery? I, II, III, IV, V, or VI | II
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| The components of the flexor synergy posture of the shoulder include...? | Humeral adduction and internal rotation
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| Flexors synergy is most commonly seen in the UE. Humeral adduction and internal rotation, elbow, wrist and finger _________, and forearm supination. | Flexion
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| Extensors synergy is most commonly seen in the LE. Hip and knee extension, plantar ______ at ankle. | Flexion
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| Precautions for CVA patient include, cardiac distress,BP changes, dizziness, and ____? | HR
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| Which of the following is not an NDT priciple of management: Teach 24-hour management; Forced use in the hemiplegic side in occupational performances; Individualized functional outcomes; teach use of existing motor control in occupational performances. | Forced use of the hemiplegic side in occupational performances is NOT in NDT
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| A therapist facilitates right UE weight-bearing on the mat table when the Pt. attempts to don her R sock w/ her R leg crossed ontop of the L. According to Rood, this is an example of _____? | Co-contraction
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| Constraint-Induced Therapy is NOT which one of the following: Evidence-based practice; 24-hour management; Forced use of the involved UE; Inappropriate with significant cognitive deficit. | 24-hour management
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| Can someone with receptive aphasia participate in sensory testing? | Individuals with this disorder cannot comprehend spoken or written words or symbols. Individuals cannot understand verbal directions or respond to sensory stimuli.
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| What is agnosia? | Agnosia is a category of defecits where the patient lacks recognition of familiar object as perceived by the senses. This could involve all the senses and manifests with problems in body scheme, such as somatognosia and anosognosia.
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| What is somatognosia? | Lack of awareness of one's body parts.
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| What is anosognosia? | Anosognosia: Transient, severe form of neglect. Patient does not recognize the presence or severity of his paralysis.
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| What is prosopagnosia? | Face blindness. Inability to identify an individual by their face.
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| What is visual-spacial agnosia? | Affects perception of spatial relationship between objects, or between objects and self.
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| What is auditory agnosia? | Inability to recognize sounds, words and non-words.
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| What is visual agnosia? | Lack of ability to recognize common objects and demonstrate their use in an activity.
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| What is apraxia? | Loss of the ability to execute or carry out learned (familiar) movements, despite having the desire and the physical ability to perform the movements
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| What is ideomotor apraxia? | Inability to imitate gestures or perform a purposeful motor task on command, even though the patient is able to fully understand the idea or concept of a task. This is often associated with left hemisphere damage.
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| What is ideational apraxia? | The disability of carrying out complex sequential motor acts. Caused by a disruption of the conception, rather than execution. (Loss of tool function knowledge)
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| What is constructional apraxia? | Unable to produce designs in 2 or three dimensions by copying, drawing, or constructing.
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| What is oral apraxia? | Difficulty in forming and organizing intelligable words, though the musculature required to do so is in tact. Differs from disarthria because no muscles are affected and speech is not slurred.
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| What is a neuroma? | A complication of nerve structure or amputation. A traumatic ______ is an unorganized mass of nerve fibers resulting from accidental or surgical cutting of the nerve. Results in sharp, radiating pain.
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| What is ataxia? | Ataxia describes a lack of coordination while performing voluntary movements. It may appear as clumsiness, inaccuracy, or instability.
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