OTD 570 Quizzes UPDATED ACTUAL
Questions and CORRECT Answers
A 15 year old boy incurred a traumatic upper extremity amputation a week ago. When evaluating
the status of the post-surgery wound, the occupational therapist notices swelling around the
suture site and no sign of wound infection. In addition, the patient reports constant pain at the
injured site. What is the most effective method for the occupational therapist to use at this stage?
a. apply the RICE protocol to control edema
b. transfer training, stand pivot
c. wrapping to shape residual limb and decrease swelling
d. instruct the client to rest as much as he can - CORRECT ANSWER - a. apply the RICE
protocol to control edema
A 42-year old asian male who has bilateral osteoarthritis at the knee and thumb CMC is referred
to you for enhancing occupational performance. After evaluation, you believe he will benefit
from the fatigue management course. Which of the following should you avoid while
implementing the course?
a. client to be aware of secondary fatigue, e.g. sleep deprivation and depression
b. client to use energy banking and budgeting for a balanced life
c. since fatigue can be hard for others to notice, the client should be encouraged to share his
fatigue issue whenever he needs to
d. client learn to reorganize his living environment to maximize energy use - CORRECT
ANSWER - c. since fatigue can be hard for others to notice, the client should be encouraged
to share his fatigue issue whenever he needs to
A 45-year-old female elementary teacher, who experiences lymphedema of the right upper
extremity 2 weeks post unilateral mastectomy, was referred to OT for complete decongestive
therapy (CDT) with a goal of discharge from hospital the next day. The client values her work
and would like to return to work as soon as she can.
The client has demonstrated significant improvement after working closely with the OT for 4
weeks. She has been performing manual lymph drainage, low-intensity exercise, and applying
compression bandages by herself every day since discharge from hospital. She has determined to
,return to work in two weeks. Which is the most beneficial recommendation for the OT to make
to the client?
a. encourage her to continue current interventions and explore strategies for long-term
management
b. suggest use of pneumatic lymph pumps during breaks
c. apply night garments while sleeping
d. educate on self-care, hy - CORRECT ANSWER - a. encourage her to continue current
interventions and explore strategies for long-term management
A 45-year-old female elementary teacher, who experiences lymphedema of the right upper
extremity 2 weeks post unilateral mastectomy, was referred to OT for complete decongestive
therapy (CDT) with a goal of discharge from hospital the next day. The client values her work
and would like to return to work as soon as she can.
Which is the most beneficial recommendation for the OT to make to the client at the first
treatment session?
a. teach low-intensity exercises
b. teach self-application of compression bandaging techniques with short-stretch bandages and
schedule with the client for daily follow-up
c. educate proper skin and nail care to prevent infection, such as cellulitis
d. perform manual lymph drainage on client - CORRECT ANSWER - b. teach self application
of compression bandaging techniques with short-stretch bandages and schedule with the client
for daily follow-up
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
A client complains of "pins and needles" sensation on the dorsum of his hand and thumb. This
would be documented as:
, a. hypoesthesia
b. hyperesthesia
c. anesthesia
d. paresthesia - CORRECT ANSWER - d. paresthesia
A painter complains of tingling of the left thumb, index and middle finger, weakened grasp, and
night pain secondary to carpal tunnel syndrome (CTS). The left thenar eminence appears smaller
and more flattened compared to the right thenar eminence. The OT collaborates with the client to
develop an intervention plan. Which recommendation is best to include in this plan?
a. performance of wrist flexion and extension exercises with progressively increasing repetitions
b. wrapping wrists with elastic bandages to provide support
c. suggestions for position modification while holding the paintbrush
d. application of hot packs upon waking to decrease pain - CORRECT ANSWER - c.
suggestions for position modification while holding the paintbrush
A patient with a complete injury of the spinal cord at the C5 level completed inpatient
rehabilitation which concentrated on increasing independence in ADL. In the discharge
documentation, which is most likely for the OT to state the client is able to do?
a. tie shoes using thick shoelaces
b. brush teeth using a tenodesis splint
c. use mobile arm supports for feeding
d. button buttons using a button hook - CORRECT ANSWER - c. use mobile arm supports for
feeding
A person recovering from skin grafting due to full-thickness burns is prescribed orthoses to
immobilize the grafted areas in antideformity positions. Which orthotic wearing schedule is best
to include in the splinting protocol for the first 72 hours post-surgery?
a. 1 hour on, 10 min off
b. 8 hours on, 30 min off
c. 4 hours on, 20 min off
Questions and CORRECT Answers
A 15 year old boy incurred a traumatic upper extremity amputation a week ago. When evaluating
the status of the post-surgery wound, the occupational therapist notices swelling around the
suture site and no sign of wound infection. In addition, the patient reports constant pain at the
injured site. What is the most effective method for the occupational therapist to use at this stage?
a. apply the RICE protocol to control edema
b. transfer training, stand pivot
c. wrapping to shape residual limb and decrease swelling
d. instruct the client to rest as much as he can - CORRECT ANSWER - a. apply the RICE
protocol to control edema
A 42-year old asian male who has bilateral osteoarthritis at the knee and thumb CMC is referred
to you for enhancing occupational performance. After evaluation, you believe he will benefit
from the fatigue management course. Which of the following should you avoid while
implementing the course?
a. client to be aware of secondary fatigue, e.g. sleep deprivation and depression
b. client to use energy banking and budgeting for a balanced life
c. since fatigue can be hard for others to notice, the client should be encouraged to share his
fatigue issue whenever he needs to
d. client learn to reorganize his living environment to maximize energy use - CORRECT
ANSWER - c. since fatigue can be hard for others to notice, the client should be encouraged
to share his fatigue issue whenever he needs to
A 45-year-old female elementary teacher, who experiences lymphedema of the right upper
extremity 2 weeks post unilateral mastectomy, was referred to OT for complete decongestive
therapy (CDT) with a goal of discharge from hospital the next day. The client values her work
and would like to return to work as soon as she can.
The client has demonstrated significant improvement after working closely with the OT for 4
weeks. She has been performing manual lymph drainage, low-intensity exercise, and applying
compression bandages by herself every day since discharge from hospital. She has determined to
,return to work in two weeks. Which is the most beneficial recommendation for the OT to make
to the client?
a. encourage her to continue current interventions and explore strategies for long-term
management
b. suggest use of pneumatic lymph pumps during breaks
c. apply night garments while sleeping
d. educate on self-care, hy - CORRECT ANSWER - a. encourage her to continue current
interventions and explore strategies for long-term management
A 45-year-old female elementary teacher, who experiences lymphedema of the right upper
extremity 2 weeks post unilateral mastectomy, was referred to OT for complete decongestive
therapy (CDT) with a goal of discharge from hospital the next day. The client values her work
and would like to return to work as soon as she can.
Which is the most beneficial recommendation for the OT to make to the client at the first
treatment session?
a. teach low-intensity exercises
b. teach self-application of compression bandaging techniques with short-stretch bandages and
schedule with the client for daily follow-up
c. educate proper skin and nail care to prevent infection, such as cellulitis
d. perform manual lymph drainage on client - CORRECT ANSWER - b. teach self application
of compression bandaging techniques with short-stretch bandages and schedule with the client
for daily follow-up
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
A client complains of "pins and needles" sensation on the dorsum of his hand and thumb. This
would be documented as:
, a. hypoesthesia
b. hyperesthesia
c. anesthesia
d. paresthesia - CORRECT ANSWER - d. paresthesia
A painter complains of tingling of the left thumb, index and middle finger, weakened grasp, and
night pain secondary to carpal tunnel syndrome (CTS). The left thenar eminence appears smaller
and more flattened compared to the right thenar eminence. The OT collaborates with the client to
develop an intervention plan. Which recommendation is best to include in this plan?
a. performance of wrist flexion and extension exercises with progressively increasing repetitions
b. wrapping wrists with elastic bandages to provide support
c. suggestions for position modification while holding the paintbrush
d. application of hot packs upon waking to decrease pain - CORRECT ANSWER - c.
suggestions for position modification while holding the paintbrush
A patient with a complete injury of the spinal cord at the C5 level completed inpatient
rehabilitation which concentrated on increasing independence in ADL. In the discharge
documentation, which is most likely for the OT to state the client is able to do?
a. tie shoes using thick shoelaces
b. brush teeth using a tenodesis splint
c. use mobile arm supports for feeding
d. button buttons using a button hook - CORRECT ANSWER - c. use mobile arm supports for
feeding
A person recovering from skin grafting due to full-thickness burns is prescribed orthoses to
immobilize the grafted areas in antideformity positions. Which orthotic wearing schedule is best
to include in the splinting protocol for the first 72 hours post-surgery?
a. 1 hour on, 10 min off
b. 8 hours on, 30 min off
c. 4 hours on, 20 min off
