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1. Which of the following is not a purpose of a resting hand splint? a. Immobilization b. Slows down further deformity c. Preserves balance b/w extrinsic and intrinsic muscles d. All of the above are functions of the resting hand splint |
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d. All of the above are functions of the resting hand splint |
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2. You have a patient with rheumatoid arthritis that has acute inflammation and pain, and does not currently use their hands for activities but requires support and immobilization. What splint would you make? a. Static wrist splint b. Thumb spica splint c. Resting hand splint d. Posterior elbow splint |
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3. When making a resting hand splint, the forearm trough can be volarly or dorsally based. a. True b. False |
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4. Which of the following are conditions would not require a resting hand splint? a. Rheumatoid arthritis b. Carpel Tunnel c. Burns d. Dupuytren’s disease |
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5. What is the functional position of the wrist for a resting hand splint? a. 20 – 30 degrees extension b. 30 – 40 degrees extension c. 20 – 30 degrees flexion d. 30 – 40 degrees flexion |
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a. 20 – 30 degrees extension |
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6. Which of the following is not a common condition requiring a static wrist splint? a. Carpel tunnel b. Wrist fracture c. Scaphfoid fracture d. Rheumatoid arthritis |
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7. What are methods that would improve the strength of a static wrist splint? a. Folding edges b. Doubling material c. Increasing padding d. Both A & B e. All of the above |
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8. When educating the patient on their new splint, what should you inform your patient of? a. Wearing schedule b. Splint precautions c. How to clean the splint d. All of the above |
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9. When making a static wrist splint for a patient with edema you should be cautious of using: a. Tight elastic bandages b. Padding under straps c. Wide, soft straps d. Bulky bandages |
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a. Tight elastic bandages |
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10. When securing placement of a wrist splint for a patient with cognitive deficits, the following methods could be used: a. Application of strong Velcro b. Apply tape over straps c. Use of an elastic bandage d. All of the above |
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11. What is the easiest position to put the client in for creating an elbow immobilization splint? A. Side Lying B. Prone C. Supine D. Sitting in a chair |
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12. The elbow is particularly prone to contracture and stiffness due to: A. high congruity B. multiple articulations C. Close relationship of ligaments and muscle to joint capsule D. All of the above |
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13. Splinting for rheumatoid arthritis can: A. reduce pain B. slow deformity C. change the progression of RA D. A&B E. A&C |
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14. True or False: TENS can be used for any kind of muscular pain. |
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15.. True or False: Lower pulse rates on TENS unit are the most comfortable setting to use. |
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16. What does Transcutaneous Electrical Neural Stimulation do? (a) a. tricks the brain by sending A fibers so that it doesn't sense pain. b. creates more C fibers to the brain. |
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a. tricks the brain by sending A fibers so that it doesn't sense pain. |
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17. True or false: TENS is a vasodialator and good to use with inflammation? |
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18. When electrodes are placed close together, the current is _______, when the electrodes are placed farther apart, the current is_____. a. deep; shallow b. Shallow; deep c. there is no difference in electrode placement |
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19. Which duty cycle is best to start out with when setting up NMES unit? a. 1:1 b. 1: 5 c. 1:3 |
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20. True or false: Ionto uses CNS for muscle contraction and NMES surpases CNS for direct muscle contraction? (false; switch them) |
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21. True or false: Before administering iontophoresis, it is important to fist pinpoint the area of inflammation. |
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22. The ideal angle for the MCP joints in a resting hand splint is a. 20 degrees b. 90 degrees c. 45 degrees d. 60 degrees |
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23. The position for the wrist in the resting hand splint is a. 30 degrees flexion b. 10 degrees extension c. neutral d. 30 degrees extension |
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24. When making a volar wrist immobilization splint, it is important to also immobilize the MCPs of the digits. a. True b. False |
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25. According to Tim, in the TENS unit, pain is controlled at what pulse rate range (pps)?
A. 80-100 pps B. 110-130 pps C. 100-150 pps D. 150-175 pps |
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26. At Advanced Arm Dynamics, Bridget OTR said there how many phases that a patient with will go through while seeking services there. A. 5 B. 3 C. 2 D. 6 |
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27. T or F Elbow immobilization splints can be posterior or anterior. |
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28. T or F If a person with rheumatoid arthritis has pain in the wrist, the therapist includes the wrist in the thumb immobilization splint. |
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29. Which type of terminal devices will allow for three kinds of grip configurations?
A. Otto Bock Sensor Speed Hand B. Electronic Terminal Device C. Otto Bock Speed Griefer D. Touch Bionics I Limb System |
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D. Touch Bionics I Limb System |
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30. Socket design is critical in the overall scope of the prosthetic design.
A. True B. False |
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31. Which of the following is NOT a purpose of resting hand splint?
A. Provides localized rest to tissues of hand and wrist B. Preserves a balance between extrinsic and intrinsic muscles C. Control motion (P.236 Dynamic splinting) D. Maintains the hand in a functional or antideformity position. |
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C. Control motion (P.236 Dynamic splinting) |
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32. Which of the following is a goal of wrist splinting after carpal tunnel release surgery?
A. Minimize pressure on median nerve B. Increase wrist extension C. Reduce spasticity D. Substitute for loss of muscle function |
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A. Minimize pressure on median nerve (p. 127) |
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33. The elbow splint immobilizes the elbow joint from moving in external and internal rotation.
True False |
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34. Anterior elbow splinting is indicated in situations where there_____________
A. is a posterior wound that cannot tolerate posterior pressure or contact. B. Used to prevent or correct elbow flexion contractures. C. Used as a serial static splint to slowly gain extension of the elbow over time by remolding the splint in increased extension at weekly intervals. D. All of the above E. None of the above |
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35. Which splint is good for de Quervain’s tenosynovitis ? a. Hand –based thumb immobilization splint b. Long forearm-based or radial gutter splint c. Volar forearm thumb splint |
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Long forearm-based or radial gutter splint |
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36. What is the beneficial for hand-based thumb splints? a. Provide stabilization for the thumb while allowing for wrist mobility b. Decrease the pain wrist as the splint provides support. |
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Provide stabilization for the thumb while allowing for wrist mobility |
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37. Which splint is good for the distal biceps tendon rupture? a. Posterior elbow splint locked at 90 degrees of flexion and the forearm immobilized in pronation. b. Anterior elbow splint locked at 70 degrees. |
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Posterior elbow splint locked at 90 degrees of flexion and the forearm immobilized in pronation. |
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38. Which splint is the best for Cubital Tunnel Syndrome? a. Posterior elbow splint b. Anterior elbow splint c. Anterior elbow extension splint d. Static progressive elbow flexion splint |
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Anterior elbow extension splint |
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39. What did the social worker at Advanced Arm Dynamics state is the most important thing she does? a. Find funding sources b. Provide counseling c. Case management d. Find doctors |
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40. Decreasing pain at a motor level does which of the following: A. Increase endorphins release B. Decreases pain for longer amounts of time C. Decreases endorphins release D. A & B |
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41. In the first stage of Rheumatoid arthritis, the goal of splinting is to: a. correct a swan-neck deformity b. rest the joints and reduce inflammation c. prepare the client's limb for surgery d.correct a boutonniere's deformity |
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b. rest the joints and reduce inflammation p.165 |
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42. Cubital tunnel syndrome is the________ most common site of nerve compression in the upper extremity: a. first b. second c. third d. fourth |
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43. In which of these situations is an anterior elbow splint indicated: a. when there is a posterior wound that cannot tolerate posterior pressure or contact b. to prevent or correct elbow flexion contractures c. in blocking elbow flexion such as with ulnar nerve compression neuropathies d. all of the above |
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d. all of the above p.218,219 |
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44. True or False: Perforated material is not preferable for elbow splints because the holes lessen the strength of the material. p.219 |
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45. Which of the following is NOT a Role of OT in an upper limb rehabilitation program with amputations? A. Pre-Prosthetic training B. Interim prosthetic training C. Prosthetic fabrication D. Advanced prosthetic training |
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C. Prosthetic fabrication |
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46. True/False If the socket does not fit correctly, all other factors are mute. A. True B. False |
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