AOTA (musculoskeletal conditions) Questions With
Complete Solutions
activity-specific prosthesis Correct Answers designed for
particular activity or task
Acute RA Correct Answers - pain and tenderness at rest that
increased w/ movement
- limited ROM, overall stiffness, gel phenomenon (inability to
move joints after rest)
- weakness, tingling/numbness, hot, red joints
- cold, sweaty hands, low endurance, weight loss or decreased
appetite, fever
Body-powered prosthesis Correct Answers active prosthesis,
cable driven and uses gross proximal body movements
- uses a harness and cable system that relies on the user's body
movements to operate the prosthetic limb
- good prop feedback, lighter, less expensive but require more
effort to use
Boutonniere deformity Correct Answers hyperflexion of PIP
and extension of DIP
Chronic-active RA Correct Answers - low-grade
inflammation, decreased ROM
- less tingling, pain and tenderness primarily with movement
- low endurance
,Chronic-inactive RA Correct Answers - no signs of
inflammation, low endurance
- pain from stiffness and weakened joints
- morning stiffness primarily related to disuse, limited ROM,
weakness and muscle atrophy, contractures
claw toe Correct Answers hyperextension of the MTP and
flexion of the PIP and DIP
cock-up toe Correct Answers subluxation of the metatarsal
heads
Common deformities and manifestations of RA Correct
Answers - boutonniere deformity
- swan neck deformity
- ankylosis or joint fusion
- extensor tendon rupture
- trigger finger
- mutilans deformity
- claw toe
- hammer toe
- cock-up toe
- hallux valgus or bunion
Components of a prosthesis Correct Answers terminal device,
socket (attaches prosthesis to residual limb), harness and
suspension system, and prosthetic sock or gel liner
UE: control system is combined w/ harness to transmit body
forces to control the cable that operates the TD
LE: pylon is used to connect the TD to the socket
,compression fracture Correct Answers vertebral osteoporosis
Considerations when prescribing an upper limb prosthesis
Correct Answers - length, strength, flexibility, and skin
integrity of the residual limb
- patient preference for appearance and function
- hand dominance
- typical activities to be performed w/ prosthesis
- psychosocial adjustment
- cognition and ability to manage prosthesis care
Education topics for RA Correct Answers - respect pain
- maintain muscle strength and joint ROM
- use each joint in its most stable anatomical and functional
plane
- avoid positions of deformity
- use strongest joint available
- ensure correct patterns of movement
- avoid staying in one position for long periods
- do not start an activity that cannot be stopped immediately if it
becomes too stressful
- balance rest and activity
- reduce force and effort
Electrically powered prosthesis (myoelectric prosthesis) Correct
Answers uses muscle surface electricity to control TD,
increased grip force and more natural appearance. Must have 2
muscle sites that fit within the prosthesis to provide signal
, -uses muscle contractions detected by electrodes to control
movement of prosthetic limb
- offer more precise control and ease of use but are heavier,
more complex and more expensive
facet joint pain Correct Answers inflammation or changes of
the spinal joints
femoral neck fractures Correct Answers can be caused by
slight trauma or rotational force; they occur most commonly in
women older than age 60 with osteoporosis.
Fibromyalgia Correct Answers Consisting of widespread pain
with tenderness and stiffness that is independent of a specific
injury or lesion
- sx: widespread soft tissue pain, nonrestorative sleep, fatigue,
inability to think clearly, paresthesias and joint swelling,
depression, and anxiety
- dx: excessive tenderness in at least 11 of 18 trigger points on
the body
full weight bearing Correct Answers the client may put 100%
of their weight on the affected extremity without causing
damage
Goal of OT for hip replacements Correct Answers help the
client maximize performance skills in occupations while
maintaining precautions
Complete Solutions
activity-specific prosthesis Correct Answers designed for
particular activity or task
Acute RA Correct Answers - pain and tenderness at rest that
increased w/ movement
- limited ROM, overall stiffness, gel phenomenon (inability to
move joints after rest)
- weakness, tingling/numbness, hot, red joints
- cold, sweaty hands, low endurance, weight loss or decreased
appetite, fever
Body-powered prosthesis Correct Answers active prosthesis,
cable driven and uses gross proximal body movements
- uses a harness and cable system that relies on the user's body
movements to operate the prosthetic limb
- good prop feedback, lighter, less expensive but require more
effort to use
Boutonniere deformity Correct Answers hyperflexion of PIP
and extension of DIP
Chronic-active RA Correct Answers - low-grade
inflammation, decreased ROM
- less tingling, pain and tenderness primarily with movement
- low endurance
,Chronic-inactive RA Correct Answers - no signs of
inflammation, low endurance
- pain from stiffness and weakened joints
- morning stiffness primarily related to disuse, limited ROM,
weakness and muscle atrophy, contractures
claw toe Correct Answers hyperextension of the MTP and
flexion of the PIP and DIP
cock-up toe Correct Answers subluxation of the metatarsal
heads
Common deformities and manifestations of RA Correct
Answers - boutonniere deformity
- swan neck deformity
- ankylosis or joint fusion
- extensor tendon rupture
- trigger finger
- mutilans deformity
- claw toe
- hammer toe
- cock-up toe
- hallux valgus or bunion
Components of a prosthesis Correct Answers terminal device,
socket (attaches prosthesis to residual limb), harness and
suspension system, and prosthetic sock or gel liner
UE: control system is combined w/ harness to transmit body
forces to control the cable that operates the TD
LE: pylon is used to connect the TD to the socket
,compression fracture Correct Answers vertebral osteoporosis
Considerations when prescribing an upper limb prosthesis
Correct Answers - length, strength, flexibility, and skin
integrity of the residual limb
- patient preference for appearance and function
- hand dominance
- typical activities to be performed w/ prosthesis
- psychosocial adjustment
- cognition and ability to manage prosthesis care
Education topics for RA Correct Answers - respect pain
- maintain muscle strength and joint ROM
- use each joint in its most stable anatomical and functional
plane
- avoid positions of deformity
- use strongest joint available
- ensure correct patterns of movement
- avoid staying in one position for long periods
- do not start an activity that cannot be stopped immediately if it
becomes too stressful
- balance rest and activity
- reduce force and effort
Electrically powered prosthesis (myoelectric prosthesis) Correct
Answers uses muscle surface electricity to control TD,
increased grip force and more natural appearance. Must have 2
muscle sites that fit within the prosthesis to provide signal
, -uses muscle contractions detected by electrodes to control
movement of prosthetic limb
- offer more precise control and ease of use but are heavier,
more complex and more expensive
facet joint pain Correct Answers inflammation or changes of
the spinal joints
femoral neck fractures Correct Answers can be caused by
slight trauma or rotational force; they occur most commonly in
women older than age 60 with osteoporosis.
Fibromyalgia Correct Answers Consisting of widespread pain
with tenderness and stiffness that is independent of a specific
injury or lesion
- sx: widespread soft tissue pain, nonrestorative sleep, fatigue,
inability to think clearly, paresthesias and joint swelling,
depression, and anxiety
- dx: excessive tenderness in at least 11 of 18 trigger points on
the body
full weight bearing Correct Answers the client may put 100%
of their weight on the affected extremity without causing
damage
Goal of OT for hip replacements Correct Answers help the
client maximize performance skills in occupations while
maintaining precautions
