NBCOT Musculoskeletal Impairments Exam Prep Questions and Answers

NBCOT Musculoskeletal Impairments Exam Prep Questions and Answers A COTA® working at a rehabilitation hospital is given orders for a client who recently underwent a right hip replacement. The COTA® notices a foam wedge between the client's legs. What is the wedge meant to prevent? A. Adduction of the client's lower extremities B. Abduction of the client's lower extremities C. Internal rotation of the client's lower extremities D. External rotation of the client's lower extremities A. Adduction of the client's lower extremities A COTA®, in conjunction with an OTR®, is preparing a presentation on ergonomics to the local carpenters union. What factor is MOST associated with the onset of lower back pain? A. Low job satisfaction B. Poor physical fitness C. High anxiety behaviors D. High socioeconomic status B. Poor physical fitness Which client is MOST LIKELY to experience a hip fracture? A. A 40-year-old man with diabetes B. A 55-year-old woman with osteoporosis C. A 17-year-old athletic girl D. A 55-year-old man with dementia B. A 55-year-old woman with osteoporosis A client has been diagnosed with lateral epicondylitis (tennis elbow). The client works in the maintenance department of a large factory and has been unable to complete some work tasks because of pain. The client fears losing this job if the pain does not improve quickly. What is the BEST strategy to assist the client with work tasks while providing relief from pain? A. Ask the client for permission to call his boss and request 3 to 4 weeks off for his arm to heal. B. Identify environmental modifications to help the client complete work tasks without aggravating symptoms. C. Give the client a tennis elbow strap and a stretching home exercise program and follow up in 1 week. D. Suggest the client keep an ice pack at work, and instruct the client to ice the arm on breaks. B. Identify environmental modifications to help the client complete work tasks without aggravating symptoms. A client with rheumatoid arthritis (RA) is a salesman for a computer company. Part of the client's job is to work in a trade exhibition booth at conferences (10-15 times a month). This task requires the client to stand continuously for 2-4 hours talking with potential buyers. The client reports that at the end of this time, the client's feet, knees, hips, and back are in severe pain, and the client is so fatigued that the client has to go straight home to bed. What is the BEST reasonable accommodation for this job task? A. The client should obtain proper footwear (e.g., orthotic shoes) and wear them while at tradeshows. B. The client should bring antifatigue matting to stand on when talking to customers at tradeshows. C. The client should bring a tall, adjustable sit-stand stool and sit on it throughout tradeshows. D. The client should request that this task be shared with another worker so the client attends fewer t C. The client should bring a tall, adjustable sit-stand stool and sit on it throughout tradeshows. Which of the following exercise programs is MOST appropriate for a client with rheumatoid arthritis (RA) during an acute flare-up that involves significant pain and swelling? A.Daily PROM of the joints through full comfortable ROM B. Daily AROM of the joints through full comfortable ROM C. Isotonic progressive resistive exercises of the joints as tolerated D. Isometric, alternating resistance, exercises of the joints as tolerated A.Daily PROM of the joints through full comfortable ROM A COTA® is seeing a client who sustained a severe wound to the right forearm 4 days ago. Given that the client is in the inflammatory stage of wound healing, what would the goal for therapy be with this client? A. Perform aggressive scar management to eliminate adhesions. B. Control excessive edema and inflammation. C. Ensure that no bleeding of the wound is occurring. D. Educate the client to move the involved limb as little as possible. B. Control excessive edema and inflammation. According to the Americans With Disabilities Act of 1990 (ADA), what is the definition of essential job functions when considering employment of a person with a disability? A. Functions that an employer determines are to be completed by each employee B. The physical functions of a job task, such as hand manipulation skills for writing C. The speed with which each task must be performed on the job to meet productivity standards D. Functions that an employee must be able to complete, with or without a reasonable accommodation D. Functions that an employee must be able to complete, with or without a reasonable accommodation A COTA® is instructing a client post-hip surgery on after-toileting cleansing while adhering to appropriate hip precautions. What method is the BEST to prevent further injury? A. Advise the client to wipe between the legs in a standing position over the commode. B. Instruct the client to wipe between the legs while seated on an elevated toilet seat. C. Advise the client to wipe from behind the legs in a standing position over the commode. D. Instruct the client to wipe from behind the legs while seated on an elevated toilet seat. B. Instruct the client to wipe between the legs while seated on an elevated toilet seat. A COTA® working in an acute care setting has just instructed a client with a hip replacement on a proper sit-to-stand technique from the chair. What is the BEST method to record the client's adherence to hip precautions? A. Ask the client to demonstrate the activity in the clinic. B. Have the client demonstrate the activity in the room. C. Observe the client in the dining room performing the activity. D. Require the caregiver to demonstrate how they are performing transfers. C. Observe the client in the dining room performing the activity. What is the MOST effective method that an OTR® and COTA® team can use to prevent osteoporosis in community-dwelling adults? A. Distribute a pamphlet on the risk factors and preventive strategies for osteoporosis. B. Work with the community to provide vitamin D and calcium supplements to adults. C. Work in the community to evaluate all adults older than age 50 for symptoms of osteoporosis. D. Work with community leaders to develop a walking and education program for women older than age 50. D. Work with community leaders to develop a walking and education program for women older than age 50. A COTA® is treating a client who works on an assembly line. The client presents with symptoms of cubital tunnel syndrome. In educating the client, what position does the COTA® advise the client to avoid? A. Sustained elbow extension B. Sustained elbow flexion C. Sustained wrist extension while making a fist D. Sustained wrist flexion while making a fist B. Sustained elbow flexion A COTA®, in conjunction with an OTR®, has been asked to provide an inservice for a facility's nursing assistants to prevent back pain or on-the-job injury. What principle BEST reflects safe patient lifting? A. Keep feet together to maintain a high center of gravity. B. Place foot on stool for ease of weight shifting. C. Use a stoop lift to assist clients in tub transfers. D. Maintain the client's body as close as possible while transferring. D. Maintain the client's body as close as possible while transferring. A client is currently under partial weight-bearing (PWB) status after a recent hip fracture. How is this weight-bearing restriction BEST described? A. The client may judge how much weight to put on the affected leg. B. The client's affected large toe may touch the ground for balance purposes only. C. Only 10% of the client's weight should be placed on the affected leg. D. Only 50% of the client's weight should be placed on the affected leg. D. Only 50% of the client's weight should be placed on the affected leg.