NBCOT Final Exam Prep Upper Extremity.
1. A high-level nerve injury may result in which character- D. Hyperextension of the
istic deformity? ring and small finger MCP
A. Flexion of the ring and small finger metacarpopha- joints because of loss of
langeal (MCP) joints because of loss of the exten- the extension-controlling
sion-controlling forces of the third and fourth lumbri- forces of the third and
cals fourth lumbricals
B. Hyperextension of the index and middle finger
MCP joints because of loss of the extension-controlling
forces of the first and second lumbricals
C. Unchecked abduction of the ring and small finger
MCP joints because of lack of motor innervation the
third and fourth lumbricals
D. Hyperextension of the ring and small finger MCP
joints because of loss of the extension-controlling
forces of the third and fourth lumbricals
2. A COTA® is educating a client about what to expect A. Inflammation,
in the process of wound healing after surgery. What prolifera- tion, and
are the expected phases of wound healing in the order remodeling
they occur?
A. Inflammation, proliferation, and remodeling
B. Coagulation, tension, and scar formation
C. Proliferation, inflammation, and remodeling
D. Tension, coagulation, and scar formation
3. A COTA® assigned to the stroke unit of an acute care
hospital is implementing treatment for a patient with A. Passive range of mo-
a hemiplegic hand. Based on the expected pattern of tion and positioning of the
progression in the acute phase after a stroke, which attected upper extremity,
areas of focus should be considered at this stage to bed mobility
enable the patient to overcome barriers to ADL perfor-
mance?
, NBCOT Final Exam Prep Upper Extremity.
A. Passive range of motion and positioning of the af-
fected upper extremity, bed mobility
B. Visual and cognition issues, upper-extremity orthot-
ic needs
C. Transfers, therapeutic exercise for upper-extremity
strengthening
D. Community mobility, fine motor coordination
4. A COTA® is treating a 77-year-old client who requires C. Use soft straps and thick
a resting hand splint. Which splint characteristics padding
are MOST important in addressing the natural aging
process of skin and adipose tissue?
A. Use colored splints and no moving parts
B. Use D rings and mark where straps go
C. Use soft straps and thick padding
D. Label the splint with client's name
5. A COTA® is working with a client experiencing a cumu- C. Client can brush teeth
lative trauma disorder of the right upper extremity. To using the involved upper
document client improvement as a result of therapy, extremity without pain.
which occupation-based statement would the COTA®
be MOST likely to write?
A. Client's pain-free AROM of right elbow is now 15° to
110°.
B. Client can perform 30 repetitions of elbow flex-
ion-extension using a 1-lb weight.
C. Client can brush teeth using the involved upper
extremity without pain.
D. Client demonstrates grip strength to maintain grasp
for 15 seconds.
, NBCOT Final Exam Prep Upper Extremity.
6. A. Dexamethasone
, NBCOT Final Exam Prep Upper Extremity.
A COTA® who has been certified to use physical agent
modalities is treating a client with wrist tendinitis sec-
ondary to computer use. Before educating the client
on wrist positions to avoid, the COTA® has applied
iontophoresis to the affected area. Which medication
would the COTA® be MOST likely to use with the ion-
tophoresis?
A. Dexamethasone
B. Acetic acid
C. Lidocaine
D. Magnesium
7. 174; A client with a chronic median nerve compression A. The thumb should be
at the carpal tunnel has severely diminished functional splinted in opposition and
pinch. In what position should the thumb be splinted palmar abduction to facili-
to facilitate functional pinch? tate thumb-to-tip prehen-
A. The thumb should be splinted in opposition and pal- sion.
mar abduction to facilitate thumb-to-tip prehension.
B. The thumb should not be included in a carpal tunnel
orthotic to allow for functional prehension.
C. The thumb should be splinted in opposition and
radial abduction to facilitate thumb-to-tip prehension.
D. The thumb should be splinted in extension to limit
shortening of the extensor pollicus longus.
8. A COTA® is treating a client with decreased digital A. Pneumatic
pump
range of motion and minimal subacute edema of
application
the same hand. After ascertaining that there are no to the hand
contraindications to modality use, which preparatory and digits
method is the BEST choice for before therapeutic ac-
tivities?
1. A high-level nerve injury may result in which character- D. Hyperextension of the
istic deformity? ring and small finger MCP
A. Flexion of the ring and small finger metacarpopha- joints because of loss of
langeal (MCP) joints because of loss of the exten- the extension-controlling
sion-controlling forces of the third and fourth lumbri- forces of the third and
cals fourth lumbricals
B. Hyperextension of the index and middle finger
MCP joints because of loss of the extension-controlling
forces of the first and second lumbricals
C. Unchecked abduction of the ring and small finger
MCP joints because of lack of motor innervation the
third and fourth lumbricals
D. Hyperextension of the ring and small finger MCP
joints because of loss of the extension-controlling
forces of the third and fourth lumbricals
2. A COTA® is educating a client about what to expect A. Inflammation,
in the process of wound healing after surgery. What prolifera- tion, and
are the expected phases of wound healing in the order remodeling
they occur?
A. Inflammation, proliferation, and remodeling
B. Coagulation, tension, and scar formation
C. Proliferation, inflammation, and remodeling
D. Tension, coagulation, and scar formation
3. A COTA® assigned to the stroke unit of an acute care
hospital is implementing treatment for a patient with A. Passive range of mo-
a hemiplegic hand. Based on the expected pattern of tion and positioning of the
progression in the acute phase after a stroke, which attected upper extremity,
areas of focus should be considered at this stage to bed mobility
enable the patient to overcome barriers to ADL perfor-
mance?
, NBCOT Final Exam Prep Upper Extremity.
A. Passive range of motion and positioning of the af-
fected upper extremity, bed mobility
B. Visual and cognition issues, upper-extremity orthot-
ic needs
C. Transfers, therapeutic exercise for upper-extremity
strengthening
D. Community mobility, fine motor coordination
4. A COTA® is treating a 77-year-old client who requires C. Use soft straps and thick
a resting hand splint. Which splint characteristics padding
are MOST important in addressing the natural aging
process of skin and adipose tissue?
A. Use colored splints and no moving parts
B. Use D rings and mark where straps go
C. Use soft straps and thick padding
D. Label the splint with client's name
5. A COTA® is working with a client experiencing a cumu- C. Client can brush teeth
lative trauma disorder of the right upper extremity. To using the involved upper
document client improvement as a result of therapy, extremity without pain.
which occupation-based statement would the COTA®
be MOST likely to write?
A. Client's pain-free AROM of right elbow is now 15° to
110°.
B. Client can perform 30 repetitions of elbow flex-
ion-extension using a 1-lb weight.
C. Client can brush teeth using the involved upper
extremity without pain.
D. Client demonstrates grip strength to maintain grasp
for 15 seconds.
, NBCOT Final Exam Prep Upper Extremity.
6. A. Dexamethasone
, NBCOT Final Exam Prep Upper Extremity.
A COTA® who has been certified to use physical agent
modalities is treating a client with wrist tendinitis sec-
ondary to computer use. Before educating the client
on wrist positions to avoid, the COTA® has applied
iontophoresis to the affected area. Which medication
would the COTA® be MOST likely to use with the ion-
tophoresis?
A. Dexamethasone
B. Acetic acid
C. Lidocaine
D. Magnesium
7. 174; A client with a chronic median nerve compression A. The thumb should be
at the carpal tunnel has severely diminished functional splinted in opposition and
pinch. In what position should the thumb be splinted palmar abduction to facili-
to facilitate functional pinch? tate thumb-to-tip prehen-
A. The thumb should be splinted in opposition and pal- sion.
mar abduction to facilitate thumb-to-tip prehension.
B. The thumb should not be included in a carpal tunnel
orthotic to allow for functional prehension.
C. The thumb should be splinted in opposition and
radial abduction to facilitate thumb-to-tip prehension.
D. The thumb should be splinted in extension to limit
shortening of the extensor pollicus longus.
8. A COTA® is treating a client with decreased digital A. Pneumatic
pump
range of motion and minimal subacute edema of
application
the same hand. After ascertaining that there are no to the hand
contraindications to modality use, which preparatory and digits
method is the BEST choice for before therapeutic ac-
tivities?
