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Exam (elaborations)

Cva Midterm Questions With Correct Answers..

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CVA MIDTERM QUESTIONS WITH CORRECT ANSWERS

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A woman who had a CVA exhibits random movements in all four extremities. What is
the MOST appropriate switch to use on the controls of her wheelchair?
A. Infrared switch
B. Sip and puff switch
C. Piezoelectric switch
D. Rocking level switch


Give this one a try later!


B. Sip and puff switch
This switch is operated by a breath control and is unaffected by random
movements of the extremities.




When teaching a man who has had a CVA to propel his wheelchair, the therapist must
tell him to use:
A. The uninvolved leg and involved arm
B. The involved led and involved arm

,C. The uninvolved leg and uninvolved arm
D. The involved leg and uninvolved arm


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C. The uninvolved leg and uninvolved arm




A woman who had a stroke tried to unsuccessfully to put on a blouse using a one
handed technique. She states, "I can do it, I'm just not trying hard enough." The COTA
most accurately recognizes this as:
A. denial
B. projection
C. rationalization
D. regression


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A. Denial
This individual may be having difficulty accepting her stroke and is using
denial to avoid dealing with it.




A patient who had a CVA has difficulty using his left UE for reaching activities because
of fluctuating muscle tone. According to NDT approach, one of the MOST effective
ways to teach a person to normalize high muscle tone in affected extremities prior to
functional activities is by:
A. placing a weighted cuff on the extremity.
B. weight bearing through the UE in sitting or standing
C. using the unaffected arm for all reaching activities
D. "forced use" of the affected extremity


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, B weight bearing through the UE in sitting or standing
Weight bearing is the most effective way of normalizing tone, according to
the NDT approach for adult hemiplegia.




A patient is beginning to demonstrate return in the right UE following CVA, but has
mildly impaired proprioception in the right hand, which results in uneven letter
formation during writing activities. Which would be the BEST method to help improve
letter formation?
A. The COTA verbally describes how to make a letter as the individual writes.
B. The individual watches her grip on a felt tip pen while writing.
C. The individual works with the "theraputty" to strengthen her hand.
D. The individual traces letters through a pan of rice with fingers.


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D. The individual traces letters through a pan of rice with her fingers.
This method involves greater input of sensory info to the brain by
performing a gross movement in a more stimulating environment.




An individual who recently had a CVA and has mild edema in the affected hand is
preparing for discharge to live alone at home. To promote edema reduction, the
COTA should provide the patient with home program instructions for:
A: wearing a resting hand splint at all times.
B. performing retrograde massage techniques.
C. preparing paraffin baths using a slow cooker.
D. using a functional electrical stimulation unit.


Give this one a try later!


B. performing retrograde massage techniques.

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