PCM Final questions with verified
answers
Features & Activities of Wheel Chairs:
Tipping levers - correct answer ✔✔assists caregiver to help elevate castor wheels for curbs
Features & Activities of Wheel Chairs:
anti-tipping bars - correct answer ✔✔can be adapted to the tipping level to prevent user from
raising castor wheels
Features & Activities of Wheel Chairs:
propulsion - correct answer ✔✔10:00-12:00 hand position depending on patient ROM
measuring a wheelchair:
seat width - correct answer ✔✔distace b/w client & sides of chair
measuring a wheelchair:
how to measure seat width - correct answer ✔✔measure the widest aspect of user's hips while
seated, then ADD 2in.
measuring a wheelchair:
seat depth - correct answer ✔✔measure from posterior butt
measuring a wheelchair:
how to measure seat depth - correct answer ✔✔measure along the lateral thigh to the popliteal
fold, then SUBTRACT 2in
,measuring a wheelchair:
leg length - correct answer ✔✔distance from popliteal fold to bottom of foot
measuring a wheelchair:
how to measure leg length - correct answer ✔✔measure from bottom of heel to popliteal fold
measuring a wheelchair:
seat height - correct answer ✔✔distance from floor to seat surface
measuring a wheelchair:
how to measure seat height - correct answer ✔✔ADD 2in. to the leg length measurement
measuring a wheelchair:
back height - correct answer ✔✔measure from seat of the chair to the axillla w/ the users
shoulder flexed at 90º
measuring a wheelchair:
how to measure back height - correct answer ✔✔SUBTRACT 4in.; top of seat should fall below
the inferior angle of the scapula
measuring a wheelchair:
armrest height - correct answer ✔✔measure from the seat of the chair to the olecranon procss
w/ patient's elbow flexed at 90º
measuring a wheelchair:
how to measure armrest - correct answer ✔✔ADD 1in.
,improper fit:
seat depth: seated too high/low - correct answer ✔✔patient will not feel stable & won't have
enough support; sitting too low results in decreased trunk stability; sitting too high results in
increase pressue to the popliteal area
improper fit:
seat height: too high/low - correct answer ✔✔can lead to insuffucuent trunk support if too
hight, if too low transfers are difficult
improper fit:
seat width: too wide/narrow - correct answer ✔✔if too wide, the user will hvave difficulty
reaching the hand rim to propel & encourage bad posture; if too narrow, there will be pressure
on the greater trochanter or skin irritation in middle thighs
improper fit:
leg length: too long/short - correct answer ✔✔too long will cause pressure on posterior aspect
of distal femur; too short will cause increased pressure on the ischial tuberosities
improper fit:
back height: too high/low - correct answer ✔✔too high the patient may experience difficult
propelling the chair b/c it will be more difficult to use the arms comfortably; too low there is
decreased trunk stability
improper fit:
armrest height - correct answer ✔✔too high user will have difficulty reaching hand rims; too
low, there will be posture issues, inadequate balance, & difficulty pushing from sit to stand
Types of Wheel Chairs:
, Standard - correct answer ✔✔-can hold 200lbs or less
-limited use on rough surfaces
Types of Wheel Chairs:
heavy duty - correct answer ✔✔-can hold 200lbs or more
-can perform vigorous functional activities
Types of Wheel Chairs:
lightweight/ultralight - correct answer ✔✔-solid rigid frame that doesn't have additional
hardware & mechanisms of a standard wheelchair
-everything is built in & integrated into the chair making it less bulky & easier for patient to
manage on their own
-capacity of to 300lbs
-titanium design for easy maneuvering
-efficient propulsion
Types of Wheel Chairs:
semi-reclining - correct answer ✔✔-allows adjustments to bring the whelchair back in a reclined
position to 30º of extension & brought up to an upright position
Types of Wheel Chairs:
fully-reclining - correct answer ✔✔-allows the wheelchair back to be in a fully flat position
-the rear wheels will need to be places more posterior to prevent the wheelchair from tipping
back
Types of Wheel Chairs:
tilt-in-space - correct answer ✔✔-client can perform pressure relief on their own
answers
Features & Activities of Wheel Chairs:
Tipping levers - correct answer ✔✔assists caregiver to help elevate castor wheels for curbs
Features & Activities of Wheel Chairs:
anti-tipping bars - correct answer ✔✔can be adapted to the tipping level to prevent user from
raising castor wheels
Features & Activities of Wheel Chairs:
propulsion - correct answer ✔✔10:00-12:00 hand position depending on patient ROM
measuring a wheelchair:
seat width - correct answer ✔✔distace b/w client & sides of chair
measuring a wheelchair:
how to measure seat width - correct answer ✔✔measure the widest aspect of user's hips while
seated, then ADD 2in.
measuring a wheelchair:
seat depth - correct answer ✔✔measure from posterior butt
measuring a wheelchair:
how to measure seat depth - correct answer ✔✔measure along the lateral thigh to the popliteal
fold, then SUBTRACT 2in
,measuring a wheelchair:
leg length - correct answer ✔✔distance from popliteal fold to bottom of foot
measuring a wheelchair:
how to measure leg length - correct answer ✔✔measure from bottom of heel to popliteal fold
measuring a wheelchair:
seat height - correct answer ✔✔distance from floor to seat surface
measuring a wheelchair:
how to measure seat height - correct answer ✔✔ADD 2in. to the leg length measurement
measuring a wheelchair:
back height - correct answer ✔✔measure from seat of the chair to the axillla w/ the users
shoulder flexed at 90º
measuring a wheelchair:
how to measure back height - correct answer ✔✔SUBTRACT 4in.; top of seat should fall below
the inferior angle of the scapula
measuring a wheelchair:
armrest height - correct answer ✔✔measure from the seat of the chair to the olecranon procss
w/ patient's elbow flexed at 90º
measuring a wheelchair:
how to measure armrest - correct answer ✔✔ADD 1in.
,improper fit:
seat depth: seated too high/low - correct answer ✔✔patient will not feel stable & won't have
enough support; sitting too low results in decreased trunk stability; sitting too high results in
increase pressue to the popliteal area
improper fit:
seat height: too high/low - correct answer ✔✔can lead to insuffucuent trunk support if too
hight, if too low transfers are difficult
improper fit:
seat width: too wide/narrow - correct answer ✔✔if too wide, the user will hvave difficulty
reaching the hand rim to propel & encourage bad posture; if too narrow, there will be pressure
on the greater trochanter or skin irritation in middle thighs
improper fit:
leg length: too long/short - correct answer ✔✔too long will cause pressure on posterior aspect
of distal femur; too short will cause increased pressure on the ischial tuberosities
improper fit:
back height: too high/low - correct answer ✔✔too high the patient may experience difficult
propelling the chair b/c it will be more difficult to use the arms comfortably; too low there is
decreased trunk stability
improper fit:
armrest height - correct answer ✔✔too high user will have difficulty reaching hand rims; too
low, there will be posture issues, inadequate balance, & difficulty pushing from sit to stand
Types of Wheel Chairs:
, Standard - correct answer ✔✔-can hold 200lbs or less
-limited use on rough surfaces
Types of Wheel Chairs:
heavy duty - correct answer ✔✔-can hold 200lbs or more
-can perform vigorous functional activities
Types of Wheel Chairs:
lightweight/ultralight - correct answer ✔✔-solid rigid frame that doesn't have additional
hardware & mechanisms of a standard wheelchair
-everything is built in & integrated into the chair making it less bulky & easier for patient to
manage on their own
-capacity of to 300lbs
-titanium design for easy maneuvering
-efficient propulsion
Types of Wheel Chairs:
semi-reclining - correct answer ✔✔-allows adjustments to bring the whelchair back in a reclined
position to 30º of extension & brought up to an upright position
Types of Wheel Chairs:
fully-reclining - correct answer ✔✔-allows the wheelchair back to be in a fully flat position
-the rear wheels will need to be places more posterior to prevent the wheelchair from tipping
back
Types of Wheel Chairs:
tilt-in-space - correct answer ✔✔-client can perform pressure relief on their own
