NOTCE Exam - Adult/Older Adult OT REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+

NOTCE Exam - Adult/Older Adult OT REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+ When are hip protectors typically recommended? - ANSWER- after a hip fracture surgery rather than total hip replacement as they do not provide the correct type of protection. When is an NDT approach appropriate? - ANSWER- for managing tone after stroke task oriented approach - ANSWER- client-centered and enhances movement and functional use When is CIMT most often recommended? - ANSWER- for learned non-use at a later point in recovery true or false: muscle strengthening exercises are appropriate for upper motor lesions - ANSWER- false. Muscle strengthening exercises are generally contraindicated for those with upper motor lesions what is a common join protection strategy for those with a chronic disease e.g. RA/OA - ANSWER- adapting occupations or tools used for occupational performance e.g. making handles larger for those with arthritis what is recommended to achieve the goal of supporting wrist/hand of client? - ANSWER- wrist/hand splints At what stage of RA are resting hand splints recommended? - ANSWER- In the acute phase true or false: hot wax baths are contraindicated for conditions that are associated with inflammation - ANSWER- true What is the 3P approach for pain management? - ANSWER- 1) Physical 2) Psychological 3) Pharmaceutical Chronic pain - ANSWER- pain that persists for typically longer than 3 mos true or false: exploring funding options is an area of OT practice - ANSWER- true. Ots are able to fill out applications for funding or govt assistance, do not need to refer out to SW. order in which you should explore funding options - ANSWER- 1) government/ provincial funding 2) private funding benefits or non-profit community funding agencies 3) alternative optiosn e.g. housing What is the most important thing to consider when assessing/fitting for wheelchair? - ANSWER- the pelvis what is important to consider when assessing or considering wheelchair/mobility device use in home? - ANSWER- - turning radius - is the client renting? most likely won't be able to do permanent modifications unless you get permission from own landlord When is it more appropriate to make larger modifications or long-term modifications to a house? - ANSWER- When there is a chronic or progressive disease. e.g. not making permanent renovations if someone had hip repalcement surgery what types of goals are well suited to be addressed by power mobility? - ANSWER- goals related to community mobility o r comunity access. Not other types of mobility e.g. in home, in retirement facility, LTC, indoor mobility etc. true or false: strategies for managing acute anxiety symptoms are more physical focused - ANSWER- true what are the 3 levels of OT competency for driving? - ANSWER- 1) generalist 2) specialist 3) advanced specialist when is it most appropriate to discuss driving cessation and community mobility options for aging clients? - ANSWER- when they are diagnosed with progressive cognitive disease. however this is context/case specific For parkinson's disease what is an effective way to manage/address akinesia/freezing? - ANSWER- cueing and using auditory beats true or false: it is common to see language impairments such as aphasia for a left sided stroke - ANSWER- true How should an OT decide whether to use CIMT or task-oriented approaches? - ANSWER- - if a client is affected by learned non-use > CIMT - if a client has more acute motor impairments > task-oriented approaches What type of car modifications are appropraite for high level SCI? - ANSWER- wheelchair lifts and wide angle mirrors what type of car modifications are appropraite for T level SCi or below? - ANSWER- mechanical hand controls true or false: insulin will affect cognition negatively if not managed properly - ANSWER- true for dementia what is an appropriate form to teach way-finding? - ANSWER- teach land marks harm reduction model - ANSWER- allow participation in the occupation but in a safer manner e.g. by providing clean needles Macular degeneration impacts what field of vision? - ANSWER- central true or false: individuals with macular degeneration are unable to utilize mobility devices such as power scooters - ANSWER- false. They have the ability to scan and make use of peripheral vision For those with below knee amputations that do not have support of the knee when sitting, what are they at risk for? What impact can this have? - ANSWER- they are at risk for flexion contractures because knee is constantly flexed. This can impact future candidacy for prosthetics and/or may require surgical correction Rheumatoid arthritis - ANSWER- chronic, systemic, autoimmune disorder. Joint lining becomes inflammed causing pain, deterioration of joint and limited movement. Disease can have exacerbations "flare-ups" and go into remission. Cause is uknown, occurs most commonly in women between 30-40 presentation of RA - ANSWER- - rapid; over weeks to months - fequent fatigue, low grade fever, anorexia, muscle/joint achesk ,stiffness, extraarticular manifestations: rheumatoid nodules, sjogrens syndrom, felty syndrom - joints are painful, swollen and stiff - affects joints symmetrically - primarily affects small joints, but also large ones - joints are swollen, red, warm, tender and painful - MCP and PIP are affected - morning stiffness for > 1 hour - stiffness occurs in periods of rest - movement decreasees pain = bony erosions, soft tissue swelling, angular deformities, pariarticular osteopenia - crepitation: joints degerate, grating, crunching or popping sensation or sound that occurs during joint or tendon motion