OCCTH 585 - MIDTERM 2 QUESTIONS
AND ANSWERS 100% CORRECT
OT Role in Neuro Acute Care - ANSWER-impairment > 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... - ANSWER-a 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 - ANSWER-
progressive, 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... - ANSWER-age, cardiac disease (AF, MI),
hypertension, blood lipids, diabetes mellitus, obesity, cigarette smoker, excessive
alcohol consumption
transient ischemic event vs. sustained ischemic event - ANSWER-transient =
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 - ANSWER-cerebrovascular accident (CVA)
The first the doctors do for acute medical management of Fanny is - ANSWER-
determine 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 _____ - ANSWER-left 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) - ANSWER-hemi-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 - ANSWER-safety - 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 - ANSWER-be 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 ____ - ANSWER-tissue 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... -
ANSWER-there 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... -
ANSWER-taking 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... - ANSWER-at 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... - ANSWER-there 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 - ANSWER-has quite predictable functional deficits
As you wait for the doctors to examine Fanny you recall that an ischemic stroke involves
atherosclerosis which means.. - ANSWER-there 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 -
ANSWER-a bit of plaque build up breaking off and travelling to the brain, blocking the
blood supply
Fanny's infarct occurs are a result of - ANSWER-a thrombosis or embolism
thrombosis refers to - ANSWER-the formation of a thrombus, which is worsened by
antherosclerosis (narrowing of arteries)
embolism refers to - ANSWER-the 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 - ANSWER-Broca'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) - ANSWER-
apraxia (of speech, of gait or of dressing); difficulty walking, dressing, communicating or
transferring; general ADLs
anastomoses in the brain means - ANSWER-there are connections at distal ends of
cerebral arteries - so with a blockage somewhere there may be ways to get around
ACA and MCA watershed stroke will clinically look like - ANSWER-problems with
shoulder and UE + perhaps leg
You are seeing Polly who has experienced a PCA (posterior cerebral artery) CVA. This
is indicated when you see Polly through her displaying - ANSWER-perceptual deficits
(alexia - reading problems; anomia - word retrieval difficulties; visual agnosia;
prospagnosia); memory impairment; homonymous hemianopsia
Wallenberg's syndrome - ANSWER-a classical brainstem stroke in the vertebral or
cerebellar artery
You are seeing a patient for the first time who has Wallenberg's syndrome on their
chart. You know this means stroke and that it will be.. - ANSWER-less functionally
damaging, with experience of pain, temperature loss, dry cold face on the affected side,
ataxia, facial sensory loss with NO significant weakness
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 - ANSWER-
contralateral 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 -
ANSWER-early 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 - ANSWER-no cognitive deficits, only motor and
sensory
AND ANSWERS 100% CORRECT
OT Role in Neuro Acute Care - ANSWER-impairment > 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... - ANSWER-a 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 - ANSWER-
progressive, 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... - ANSWER-age, cardiac disease (AF, MI),
hypertension, blood lipids, diabetes mellitus, obesity, cigarette smoker, excessive
alcohol consumption
transient ischemic event vs. sustained ischemic event - ANSWER-transient =
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 - ANSWER-cerebrovascular accident (CVA)
The first the doctors do for acute medical management of Fanny is - ANSWER-
determine 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 _____ - ANSWER-left 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) - ANSWER-hemi-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 - ANSWER-safety - 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 - ANSWER-be 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 ____ - ANSWER-tissue 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... -
ANSWER-there 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... -
ANSWER-taking 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... - ANSWER-at 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... - ANSWER-there 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 - ANSWER-has quite predictable functional deficits
As you wait for the doctors to examine Fanny you recall that an ischemic stroke involves
atherosclerosis which means.. - ANSWER-there 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 -
ANSWER-a bit of plaque build up breaking off and travelling to the brain, blocking the
blood supply
Fanny's infarct occurs are a result of - ANSWER-a thrombosis or embolism
thrombosis refers to - ANSWER-the formation of a thrombus, which is worsened by
antherosclerosis (narrowing of arteries)
embolism refers to - ANSWER-the 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 - ANSWER-Broca'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) - ANSWER-
apraxia (of speech, of gait or of dressing); difficulty walking, dressing, communicating or
transferring; general ADLs
anastomoses in the brain means - ANSWER-there are connections at distal ends of
cerebral arteries - so with a blockage somewhere there may be ways to get around
ACA and MCA watershed stroke will clinically look like - ANSWER-problems with
shoulder and UE + perhaps leg
You are seeing Polly who has experienced a PCA (posterior cerebral artery) CVA. This
is indicated when you see Polly through her displaying - ANSWER-perceptual deficits
(alexia - reading problems; anomia - word retrieval difficulties; visual agnosia;
prospagnosia); memory impairment; homonymous hemianopsia
Wallenberg's syndrome - ANSWER-a classical brainstem stroke in the vertebral or
cerebellar artery
You are seeing a patient for the first time who has Wallenberg's syndrome on their
chart. You know this means stroke and that it will be.. - ANSWER-less functionally
damaging, with experience of pain, temperature loss, dry cold face on the affected side,
ataxia, facial sensory loss with NO significant weakness
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 - ANSWER-
contralateral 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 -
ANSWER-early 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 - ANSWER-no cognitive deficits, only motor and
sensory
