OCCTH 585 - Midterm 2 Exam Questions and Answers
OT Role in Neuro Acute Care - Answerimpairment > activity > participation
/.You are seeing your client Fanny. She has trouble speaking but is trying to say that
she is having vision problems, weakness, headaches and is dizzy. You know its time to
act FAST because Fanny is likely experiencing... - Answera stroke
/.Fanny continues describing her experience as you wait for the stroke ambulance to
arrive from the UofA hospital. Fanny would likely describe her symptoms as -
Answerprogressive, spread across hours or days, starting with mild arm numbness or
morning paralysis, with onset during sleeping at night time
/.You know Fanny is at a higher risk for experiencing a stroke based on her having ALL
these risk factors for a stroke including... - Answerage, cardiac disease (AF, MI),
hypertension, blood lipids, diabetes mellitus, obesity, cigarette smoker, excessive
alcohol consumption
/.transient ischemic event vs. sustained ischemic event - Answertransient = progressive
symptoms of numbness or tingling to bring awareness to something not being right;
occurs before the actual infarction
complete/sustained = results in neurologic deficits that lasts for days/weeks/permanent
/.When you get Fanny to the hospital the doctors refer to her condition of a stroke as
___, as the medical term - Answercerebrovascular accident (CVA)
/.The first the doctors do for acute medical management of Fanny is - Answerdetermine
the nature of the stroke and size
/.The doctors are referring to Fanny's condition as a right CVA, which you know will
result in _____ impacting her _____ - Answerleft hemiplegia; left side
/.with Fanny's right CVA, what will be important for you as an OT to assess, based on
what you may be expecting to potentially see as a result of the region of this stroke
(functional implications in what areas) - Answerhemi-neglect to the left side (may only
dress or groom one side of the body, only eat food on one side of the plate, may be
unaware of people or cars approaching from the left side); lack of insight into own
deficits; impulsivity with mobility; communication difficulties
/.why is it important for you to assess Fanny's functional ability to complete tasks after a
right hemisphere stroke - Answersafety - with hemi-neglect (visually), impulsivity with
mobility and lack of insight into deficits
,/.the doctors tell you they will be doing thrombolytic management with Fanny which you
know means they will - Answerbe helping to breakdown the blood clot and disrupt the
occlusion with intra-arterial administration of tPA (tissue plasminogen activator)
/.the doctors tell you about tPA which stands for _____, and ask when the onset of
Fanny's stroke was because for best results tPA should be administered within _____
but explains current practice is ____ - Answertissue plasminogen activator; within 1
hour for best results; current practice is 4.5 hours up to 6 hours
/.Doctors determine that tPA is not a viable option to treat Fanny potentially because... -
Answerthere is a hemorrhagic component to her stroke or the size of the stroke is
greater than 1/3 of the hemisphere
/.other acute medical management options that doctors present for Fanny include... -
Answertaking out the clots, or administering anti-coagulation medication (ie. aspirin,
etc.)
/.The blockage resulting in Fanny's right CVA was most likely to occur at which point in
the brain... - Answerat the branches in the brain's arteries, as there is a higher risk fo
formation of plaque at the branch off areas of the vessel
/.The doctors are saying that Fanny had an ischemic stroke, which is the most common
type of stroke which means... - Answerthere is a blockage or loss of blood supply (could
also be ischemic necrosis, infarction, hypo-perfusion)
/.Knowing the type of stroke Fanny has had is good for you as an OT because an
ischemic stroke - Answerhas quite predictable functional deficits
/.As you wait for the doctors to examine Fanny you recall that an ischemic stroke
involves atherosclerosis which means.. - Answerthere is a plaque build up inside the
arteries that could be cholesterol, which narrows the arteries
/.Fanny's ischemic stroke, with the involvement of antherosclerosis is likely due to -
Answera bit of plaque build up breaking off and travelling to the brain, blocking the
blood supply
/.Fanny's infarct occurs are a result of - Answera thrombosis or embolism
/.thrombosis refers to - Answerthe formation of a thrombus, which is worsened by
antherosclerosis (narrowing of arteries)
/.embolism refers to - Answerthe process by which the blood vessel is getting stuck
/.While on the stroke unit you see Brian, who experienced a left CVA stroke to the MCA.
This means he will see impacts with - AnswerBroca's aphasia (loss of speech or
expression) or Wenicke's aphasia (comprehension, understanding of speech)
, /.While seeing Brain, with a left hemisphere CVA, what areas of functional implication
will you consider as an OT (as part of an interdisciplinary team on the unit) -
Answerapraxia (of speech, of gait or of dressing); difficulty walking, dressing,
communicating or transferring; general ADLs
/.You are the OT for Marissa on the stroke unit who has experienced a right MCA
stroke. As the OT you are expecting to potentially see what functional deficits -
Answercontralateral hemisensory loss; hemiplegia; visual field deficits; visuospatial
deficits, apraxia; perseveration; poor judgement; emotional problem, apathy
/.Working with Marissa as an OT in the acute phase post-stroke, you will focus on -
Answerearly mobilization; working with the scapula in managing joint subluxation;
working on proper transfer techniques, bed and sitting positioning, examining skin
pressure and breakdown in order to lower risk of secondary complications; preventing
contractures/deformities; ensuring biomechanical alignment; return to self-care; patient
and caregiver education; falls prevention
/.You see in a clients chart that they have a lacunar stroke, and you know with your
intervention this means you will see - Answerno cognitive deficits, only motor and
sensory
/.Your client Amy has had a lacunar stroke, in the lenticulostriate arteries, you are
expecting to see - Answerpure motor effects, with clumsy hand syndrome and ataxic
hemiparesis
/.Your client Larry has had a lacunar stroke in the lateral thalamus, you know this will
effect his - Answersensory - somatosensory loss to all primary modalities in the
contralateral face, arm and body
/.With Larry, and his lucunar infarct, you may work in which areas (as an OT) with him -
Answereating and feeding; fine motor including handwriting, dressing or typing; safety
(with sensory issues including water temperature)
/.Your patient Bob has had a CVA in the ACA (anterior cerebral artery). You know this
blood supply is to the medial, anterior and posterior parietal lobes of the brain, with
functional implications to - Answerprimarily motor and sensory, also cognition; affects
legs, bowel, and bladder, shoulder, and some behavioural disturbances
/.You will expect to see these functional deficits with Bob's CVA in the ACA -
Answerbehavioural disturbance; apraxia (with motor planning); contralateral
hemisensory loss; hemiparesis (especially in the foot)
/.You see that the doctors have added a note that Bob's stroke has been classified
further as a LEFT CVA in the ACA, which will have functional deficits on - Answerinertia
of speech or mutism affecting communication
OT Role in Neuro Acute Care - Answerimpairment > activity > participation
/.You are seeing your client Fanny. She has trouble speaking but is trying to say that
she is having vision problems, weakness, headaches and is dizzy. You know its time to
act FAST because Fanny is likely experiencing... - Answera stroke
/.Fanny continues describing her experience as you wait for the stroke ambulance to
arrive from the UofA hospital. Fanny would likely describe her symptoms as -
Answerprogressive, spread across hours or days, starting with mild arm numbness or
morning paralysis, with onset during sleeping at night time
/.You know Fanny is at a higher risk for experiencing a stroke based on her having ALL
these risk factors for a stroke including... - Answerage, cardiac disease (AF, MI),
hypertension, blood lipids, diabetes mellitus, obesity, cigarette smoker, excessive
alcohol consumption
/.transient ischemic event vs. sustained ischemic event - Answertransient = progressive
symptoms of numbness or tingling to bring awareness to something not being right;
occurs before the actual infarction
complete/sustained = results in neurologic deficits that lasts for days/weeks/permanent
/.When you get Fanny to the hospital the doctors refer to her condition of a stroke as
___, as the medical term - Answercerebrovascular accident (CVA)
/.The first the doctors do for acute medical management of Fanny is - Answerdetermine
the nature of the stroke and size
/.The doctors are referring to Fanny's condition as a right CVA, which you know will
result in _____ impacting her _____ - Answerleft hemiplegia; left side
/.with Fanny's right CVA, what will be important for you as an OT to assess, based on
what you may be expecting to potentially see as a result of the region of this stroke
(functional implications in what areas) - Answerhemi-neglect to the left side (may only
dress or groom one side of the body, only eat food on one side of the plate, may be
unaware of people or cars approaching from the left side); lack of insight into own
deficits; impulsivity with mobility; communication difficulties
/.why is it important for you to assess Fanny's functional ability to complete tasks after a
right hemisphere stroke - Answersafety - with hemi-neglect (visually), impulsivity with
mobility and lack of insight into deficits
,/.the doctors tell you they will be doing thrombolytic management with Fanny which you
know means they will - Answerbe helping to breakdown the blood clot and disrupt the
occlusion with intra-arterial administration of tPA (tissue plasminogen activator)
/.the doctors tell you about tPA which stands for _____, and ask when the onset of
Fanny's stroke was because for best results tPA should be administered within _____
but explains current practice is ____ - Answertissue plasminogen activator; within 1
hour for best results; current practice is 4.5 hours up to 6 hours
/.Doctors determine that tPA is not a viable option to treat Fanny potentially because... -
Answerthere is a hemorrhagic component to her stroke or the size of the stroke is
greater than 1/3 of the hemisphere
/.other acute medical management options that doctors present for Fanny include... -
Answertaking out the clots, or administering anti-coagulation medication (ie. aspirin,
etc.)
/.The blockage resulting in Fanny's right CVA was most likely to occur at which point in
the brain... - Answerat the branches in the brain's arteries, as there is a higher risk fo
formation of plaque at the branch off areas of the vessel
/.The doctors are saying that Fanny had an ischemic stroke, which is the most common
type of stroke which means... - Answerthere is a blockage or loss of blood supply (could
also be ischemic necrosis, infarction, hypo-perfusion)
/.Knowing the type of stroke Fanny has had is good for you as an OT because an
ischemic stroke - Answerhas quite predictable functional deficits
/.As you wait for the doctors to examine Fanny you recall that an ischemic stroke
involves atherosclerosis which means.. - Answerthere is a plaque build up inside the
arteries that could be cholesterol, which narrows the arteries
/.Fanny's ischemic stroke, with the involvement of antherosclerosis is likely due to -
Answera bit of plaque build up breaking off and travelling to the brain, blocking the
blood supply
/.Fanny's infarct occurs are a result of - Answera thrombosis or embolism
/.thrombosis refers to - Answerthe formation of a thrombus, which is worsened by
antherosclerosis (narrowing of arteries)
/.embolism refers to - Answerthe process by which the blood vessel is getting stuck
/.While on the stroke unit you see Brian, who experienced a left CVA stroke to the MCA.
This means he will see impacts with - AnswerBroca's aphasia (loss of speech or
expression) or Wenicke's aphasia (comprehension, understanding of speech)
, /.While seeing Brain, with a left hemisphere CVA, what areas of functional implication
will you consider as an OT (as part of an interdisciplinary team on the unit) -
Answerapraxia (of speech, of gait or of dressing); difficulty walking, dressing,
communicating or transferring; general ADLs
/.You are the OT for Marissa on the stroke unit who has experienced a right MCA
stroke. As the OT you are expecting to potentially see what functional deficits -
Answercontralateral hemisensory loss; hemiplegia; visual field deficits; visuospatial
deficits, apraxia; perseveration; poor judgement; emotional problem, apathy
/.Working with Marissa as an OT in the acute phase post-stroke, you will focus on -
Answerearly mobilization; working with the scapula in managing joint subluxation;
working on proper transfer techniques, bed and sitting positioning, examining skin
pressure and breakdown in order to lower risk of secondary complications; preventing
contractures/deformities; ensuring biomechanical alignment; return to self-care; patient
and caregiver education; falls prevention
/.You see in a clients chart that they have a lacunar stroke, and you know with your
intervention this means you will see - Answerno cognitive deficits, only motor and
sensory
/.Your client Amy has had a lacunar stroke, in the lenticulostriate arteries, you are
expecting to see - Answerpure motor effects, with clumsy hand syndrome and ataxic
hemiparesis
/.Your client Larry has had a lacunar stroke in the lateral thalamus, you know this will
effect his - Answersensory - somatosensory loss to all primary modalities in the
contralateral face, arm and body
/.With Larry, and his lucunar infarct, you may work in which areas (as an OT) with him -
Answereating and feeding; fine motor including handwriting, dressing or typing; safety
(with sensory issues including water temperature)
/.Your patient Bob has had a CVA in the ACA (anterior cerebral artery). You know this
blood supply is to the medial, anterior and posterior parietal lobes of the brain, with
functional implications to - Answerprimarily motor and sensory, also cognition; affects
legs, bowel, and bladder, shoulder, and some behavioural disturbances
/.You will expect to see these functional deficits with Bob's CVA in the ACA -
Answerbehavioural disturbance; apraxia (with motor planning); contralateral
hemisensory loss; hemiparesis (especially in the foot)
/.You see that the doctors have added a note that Bob's stroke has been classified
further as a LEFT CVA in the ACA, which will have functional deficits on - Answerinertia
of speech or mutism affecting communication
