OCCTH 585 - Midterm 2 Exam
Questions and Answers 100% Pass
OT Role in Neuro Acute Care - ✔✔impairment > activity > participation
You are seeing your client Fanny. She has trouble speaking but is trying to say that she
is having vision problems, weakness, headaches and is dizzy. You know its time to act
FAST because Fanny is likely experiencing... - ✔✔a stroke
Fanny continues describing her experience as you wait for the stroke ambulance to
arrive from the UofA hospital. Fanny would likely describe her symptoms as -
✔✔progressive, spread across hours or days, starting with mild arm numbness or
morning paralysis, with onset during sleeping at night time
You know Fanny is at a higher risk for experiencing a stroke based on her having ALL
these risk factors for a stroke including... - ✔✔age, cardiac disease (AF, MI),
hypertension, blood lipids, diabetes mellitus, obesity, cigarette smoker, excessive
alcohol consumption
Katelyn Whitman, All Rights Reserved © 2025 1
,transient ischemic event vs. sustained ischemic event - ✔✔transient = progressive
symptoms of numbness or tingling to bring awareness to something not being right;
occurs before the actual infarction
complete/sustained = results in neurologic deficits that lasts for
days/weeks/permanent
When you get Fanny to the hospital the doctors refer to her condition of a stroke as ___,
as the medical term - ✔✔cerebrovascular accident (CVA)
The first the doctors do for acute medical management of Fanny is - ✔✔determine the
nature of the stroke and size
The doctors are referring to Fanny's condition as a right CVA, which you know will
result in _____ impacting her _____ - ✔✔left hemiplegia; left side
with Fanny's right CVA, what will be important for you as an OT to assess, based on
what you may be expecting to potentially see as a result of the region of this stroke
(functional implications in what areas) - ✔✔hemi-neglect to the left side (may only
dress or groom one side of the body, only eat food on one side of the plate, may be
unaware of people or cars approaching from the left side); lack of insight into own
deficits; impulsivity with mobility; communication difficulties
Katelyn Whitman, All Rights Reserved © 2025 2
,why is it important for you to assess Fanny's functional ability to complete tasks after a
right hemisphere stroke - ✔✔safety - with hemi-neglect (visually), impulsivity with
mobility and lack of insight into deficits
the doctors tell you they will be doing thrombolytic management with Fanny which
you know means they will - ✔✔be helping to breakdown the blood clot and disrupt the
occlusion with intra-arterial administration of tPA (tissue plasminogen activator)
the doctors tell you about tPA which stands for _____, and ask when the onset of
Fanny's stroke was because for best results tPA should be administered within _____
but explains current practice is ____ - ✔✔tissue plasminogen activator; within 1 hour
for best results; current practice is 4.5 hours up to 6 hours
Doctors determine that tPA is not a viable option to treat Fanny potentially because... -
✔✔there is a hemorrhagic component to her stroke or the size of the stroke is greater
than 1/3 of the hemisphere
other acute medical management options that doctors present for Fanny include... -
✔✔taking out the clots, or administering anti-coagulation medication (ie. aspirin, etc.)
The blockage resulting in Fanny's right CVA was most likely to occur at which point in
the brain... - ✔✔at the branches in the brain's arteries, as there is a higher risk fo
formation of plaque at the branch off areas of the vessel
Katelyn Whitman, All Rights Reserved © 2025 3
, The doctors are saying that Fanny had an ischemic stroke, which is the most common
type of stroke which means... - ✔✔there is a blockage or loss of blood supply (could also
be ischemic necrosis, infarction, hypo-perfusion)
Knowing the type of stroke Fanny has had is good for you as an OT because an
ischemic stroke - ✔✔has quite predictable functional deficits
As you wait for the doctors to examine Fanny you recall that an ischemic stroke
involves atherosclerosis which means.. - ✔✔there is a plaque build up inside the arteries
that could be cholesterol, which narrows the arteries
Fanny's ischemic stroke, with the involvement of antherosclerosis is likely due to - ✔✔a
bit of plaque build up breaking off and travelling to the brain, blocking the blood
supply
Fanny's infarct occurs are a result of - ✔✔a thrombosis or embolism
thrombosis refers to - ✔✔the formation of a thrombus, which is worsened by
antherosclerosis (narrowing of arteries)
embolism refers to - ✔✔the process by which the blood vessel is getting stuck
While on the stroke unit you see Brian, who experienced a left CVA stroke to the MCA.
This means he will see impacts with - ✔✔Broca's aphasia (loss of speech or expression)
or Wenicke's aphasia (comprehension, understanding of speech)
Katelyn Whitman, All Rights Reserved © 2025 4
Questions and Answers 100% Pass
OT Role in Neuro Acute Care - ✔✔impairment > activity > participation
You are seeing your client Fanny. She has trouble speaking but is trying to say that she
is having vision problems, weakness, headaches and is dizzy. You know its time to act
FAST because Fanny is likely experiencing... - ✔✔a stroke
Fanny continues describing her experience as you wait for the stroke ambulance to
arrive from the UofA hospital. Fanny would likely describe her symptoms as -
✔✔progressive, spread across hours or days, starting with mild arm numbness or
morning paralysis, with onset during sleeping at night time
You know Fanny is at a higher risk for experiencing a stroke based on her having ALL
these risk factors for a stroke including... - ✔✔age, cardiac disease (AF, MI),
hypertension, blood lipids, diabetes mellitus, obesity, cigarette smoker, excessive
alcohol consumption
Katelyn Whitman, All Rights Reserved © 2025 1
,transient ischemic event vs. sustained ischemic event - ✔✔transient = progressive
symptoms of numbness or tingling to bring awareness to something not being right;
occurs before the actual infarction
complete/sustained = results in neurologic deficits that lasts for
days/weeks/permanent
When you get Fanny to the hospital the doctors refer to her condition of a stroke as ___,
as the medical term - ✔✔cerebrovascular accident (CVA)
The first the doctors do for acute medical management of Fanny is - ✔✔determine the
nature of the stroke and size
The doctors are referring to Fanny's condition as a right CVA, which you know will
result in _____ impacting her _____ - ✔✔left hemiplegia; left side
with Fanny's right CVA, what will be important for you as an OT to assess, based on
what you may be expecting to potentially see as a result of the region of this stroke
(functional implications in what areas) - ✔✔hemi-neglect to the left side (may only
dress or groom one side of the body, only eat food on one side of the plate, may be
unaware of people or cars approaching from the left side); lack of insight into own
deficits; impulsivity with mobility; communication difficulties
Katelyn Whitman, All Rights Reserved © 2025 2
,why is it important for you to assess Fanny's functional ability to complete tasks after a
right hemisphere stroke - ✔✔safety - with hemi-neglect (visually), impulsivity with
mobility and lack of insight into deficits
the doctors tell you they will be doing thrombolytic management with Fanny which
you know means they will - ✔✔be helping to breakdown the blood clot and disrupt the
occlusion with intra-arterial administration of tPA (tissue plasminogen activator)
the doctors tell you about tPA which stands for _____, and ask when the onset of
Fanny's stroke was because for best results tPA should be administered within _____
but explains current practice is ____ - ✔✔tissue plasminogen activator; within 1 hour
for best results; current practice is 4.5 hours up to 6 hours
Doctors determine that tPA is not a viable option to treat Fanny potentially because... -
✔✔there is a hemorrhagic component to her stroke or the size of the stroke is greater
than 1/3 of the hemisphere
other acute medical management options that doctors present for Fanny include... -
✔✔taking out the clots, or administering anti-coagulation medication (ie. aspirin, etc.)
The blockage resulting in Fanny's right CVA was most likely to occur at which point in
the brain... - ✔✔at the branches in the brain's arteries, as there is a higher risk fo
formation of plaque at the branch off areas of the vessel
Katelyn Whitman, All Rights Reserved © 2025 3
, The doctors are saying that Fanny had an ischemic stroke, which is the most common
type of stroke which means... - ✔✔there is a blockage or loss of blood supply (could also
be ischemic necrosis, infarction, hypo-perfusion)
Knowing the type of stroke Fanny has had is good for you as an OT because an
ischemic stroke - ✔✔has quite predictable functional deficits
As you wait for the doctors to examine Fanny you recall that an ischemic stroke
involves atherosclerosis which means.. - ✔✔there is a plaque build up inside the arteries
that could be cholesterol, which narrows the arteries
Fanny's ischemic stroke, with the involvement of antherosclerosis is likely due to - ✔✔a
bit of plaque build up breaking off and travelling to the brain, blocking the blood
supply
Fanny's infarct occurs are a result of - ✔✔a thrombosis or embolism
thrombosis refers to - ✔✔the formation of a thrombus, which is worsened by
antherosclerosis (narrowing of arteries)
embolism refers to - ✔✔the process by which the blood vessel is getting stuck
While on the stroke unit you see Brian, who experienced a left CVA stroke to the MCA.
This means he will see impacts with - ✔✔Broca's aphasia (loss of speech or expression)
or Wenicke's aphasia (comprehension, understanding of speech)
Katelyn Whitman, All Rights Reserved © 2025 4
