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A&AII Final Exam
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Exam of 16 pages for the course ARRT CI Exam Study Guide at ARRT CI Exam Study Guide (A&AII Final Exam)
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A&AII Final Exam___ in every ___ humeral shaft fractures have radial nerve palsy - ANS-1 in every 10
1st degree burn - ANS-- epithelial layer
- red, no blisters
- re-epithelization within 48 hours
- mild discomfort
- example: sunburn
2-point discrimination (static or moving) - ANS-- vision occluded, dorsal part of hand on
table
- apply pressure, holding down for 3 seconds
- start with 5mm for static & 8mm for moving
- ask client if they feel 1 or 2 adjacent points
3 peripheral nerves - ANS-- ulnar
- median
- radial
3rd degree burn - ANS-- involved the entire dermis & destroys potential of
reepithelization
- not painful
- requires skin grafting
4th degree burn - ANS-- prolonged thermal contact & involves tissue down to the
underlying tissue including tendon & bone
- extensive reconstructive surgery & often amputation
A client sustained partial-thickness and deep-thickness burns over a total body surface
area of 60%, including the bilateral arms and legs. In the acute phase postburn, on what
should the OTR® focus?
A: Fluid retention
B: Scar management
C: Sensory reeducation
D: Deformity prevention - ANS-D: Deformity prevention
A client who has rheumatoid arthritis (RA) has difficulty with ADL tasks and has been
referred to occupational therapy. Which statement reflects a principle of joint protection?
,A: The client should use an alternate grip on a walker, to provide more stability during
ambulation.
B: The client should lift items on the kitchen countertop instead of sliding them.
C: The client should use a handheld purse instead of a backpack, to reduce stress on
joints.
D: The client should modify daily tasks, such as replacing elastic shoelaces with regular
laces, to reduce stress on joints. - ANS-A: The client should use an alternate grip on a
walker, to provide more stability during ambulation.
A client with Parkinson's disease has experienced a significant decrease in participation
in activities in the home. The OTR® finds that this decrease in activity is related to the
client's postural instability and the caregiver's fear that the client will fall. Which
intervention is BEST to restore this client's participation in home activities?
A: Refer the client to another profession to address mobility
B: Instruct the caregiver in ways to assist the client's participation in activities
C: Train the client in energy conservation techniques to improve posture
D: Assist the client in finding new activities to be involved with at home - ANS-B: Instruct
the caregiver in ways to assist the client's participation in activities
A client with rheumatoid arthritis (RA) presents with the right index finger in 30° of
proximal interphalangeal (PIP) flexion and 20° of distal interphalangeal (DIP)
hyperextension. What type of finger deformity does the client have?
A: Swan neck deformity
B: Mallet finger deformity
C: Ulnar drift deformity
D: Boutonnière deformity - ANS-D: Boutonnière deformity
A COTA recently attended a two-day splinting workshop. She asks the OT supervisor to
revise her caseload to include more cases that require splinting interventions. The most
appropriate action for the OT to take is to:
A: Decline the request because splinting is an advanced practice skill
B: Establish the COTA's service competency in splinting
C: Ask the COTA to give an inservice about splinting to demonstrate her knowledge
base
D: Collaborate with the COTA and other members of the dept. to distribute the
department's caseload to meet the COTA's request - ANS-B: Establish the COTA's
service competency in splinting
A therapy group of clients with rheumatoid arthritis is meeting once a week. These
clients may benefit from a group education approach to teach which technique?
, A: Exercises to increase stability of the hands and digits
B: Medication management to ensure proper use of prescribed medications
C: Joint protection strategies to help prevent further joint stress or injury
D: Night splinting in a position of antideformity - ANS-C: Joint protection strategies to
help prevent further joint stress or injury
An individual complains of perspiration, which is causing his resting hand splint to be
uncomfortable. The BEST action for the OT practitioner to take is to:
A: Recommend putting talcum powder in the splint
B: Line the splint with moleskin
C: Fabricate a new resting hand splint with perforated material
D: Provide a stockinette sleeve for the individual to wear inside the splint - ANS-D:
Provide a stockinette sleeve for the individual to wear inside the splint
An OT is fabricating a splint for an individual who has carpal tunnel syndrome. Which of
the following splint fabrication techniques should be adhered to in order to allow for
adequate digit motion?
A: Trim lines of the splint should extend distal to the distal palmar crease
B: Trim lines of the splint should extend proximal to the DIP joint
C: Trim lines of the splint should extend proximal to the distal palmar crease
D: Trim lines of the splint should extend distal to the ulnar fifth MCP crease - ANS-C:
Trim lines of the splint should extend proximal to the distal palmar crease
An OT is treating an individual who has been refusing to wear his splint, and now
reports it is lost. Prior to fabricating another splint, the therapist should FIRST:
A: Give the individual 48 hours to locate the splint, then fabricate a new one if the first
cannot be found
B: Determine if there are any motivational or cultural issues interfering with splint-wear
compliance
C: Ask the individual to find the splint and demand that he begins wearing it or you will
call his physician
D: Discharge the individual because he has no interest in regaining function - ANS-B:
Determine if there are any motivational or cultural issues interfering with splint-wear
compliance
An OTR® fabricated a thermoplastic splint for a client with carpometacarpal (CMC)
osteoarthritis to support the CMC joint. The client is unable to wear it during work hours
because some movement of the joint is required to complete tasks. Which positioning
device would BEST suit this client's needs?
A: CMC plaster of Paris cast
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