Cognitive Decline and Assistive Technology Quiz
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Questions and Answers

What characterizes Very Mild Cognitive Decline?

  • Lack of awareness to surroundings
  • Impaired concentration and anxiety
  • Trouble remembering personal history
  • Reports of memory problems without significant impact (correct)

Which cognitive decline stage involves impaired concentration and anxiety about deficits?

  • Very Severe Cognitive Decline
  • Severe Cognitive Decline
  • Moderate Cognitive Decline
  • Mild Cognitive Decline (correct)

What symptom is associated with Moderate Severe Cognitive Decline?

  • Ability to hold conversations
  • Memory blips without impairment
  • Lack of orientation to time and place (correct)
  • Complete independence in activities of daily living

Which cranial nerve is responsible for sensory function related to smell?

<p>Olfactory (A)</p> Signup and view all the answers

What is a characteristic of Severe Cognitive Decline?

<p>Difficulty with basic self-care tasks (C)</p> Signup and view all the answers

What is the primary purpose of using a tilt-in-space wheelchair?

<p>To manage fatigue and prevent shear (B)</p> Signup and view all the answers

Which wheelchair design is best suited for clients with scoliosis or kyphosis?

<p>Contoured wheelchair (C)</p> Signup and view all the answers

What is the maximum allowable slope for a curb ramp according to ADA guidelines?

<p>8.33% (C)</p> Signup and view all the answers

Which assistive technology is specifically designed for individuals who are unable to sit upright due to hip restrictions?

<p>Reclining wheelchair (A)</p> Signup and view all the answers

What type of switch is designed to respond to minimal force for independent access to services like television?

<p>Plate switch (A)</p> Signup and view all the answers

What are common issues experienced during the pre-prosthetic phase?

<p>Edema of the residual limb (D)</p> Signup and view all the answers

Which intervention is crucial in the pre-prosthetic phase?

<p>Strengthening uninvolved joints (B)</p> Signup and view all the answers

What complication can arise from an ill-fitting prosthesis during the prosthetic phase?

<p>Skin ulcers (A)</p> Signup and view all the answers

Which is a primary focus of upper extremity (UE) treatment in the prosthetic phase?

<p>ADL/IADLs training (C)</p> Signup and view all the answers

How is a body-operated prosthetic terminal device activated?

<p>Using scapula and shoulder movement (B)</p> Signup and view all the answers

What is a goal of prosthesis control training?

<p>Operating each component of the prosthesis (B)</p> Signup and view all the answers

What type of sensory change can occur due to improper prosthesis fitting?

<p>Hyperesthesia (C)</p> Signup and view all the answers

Which of the following is NOT typically assessed during the evaluation in the pre-prosthetic phase?

<p>Continuous physical therapy (A)</p> Signup and view all the answers

What is a common intervention for Dupuytren’s disease following surgical release?

<p>Grasp and release exercises (C)</p> Signup and view all the answers

Which of the following is a common workplace injury?

<p>Carpal tunnel (A), Tennis elbow (C)</p> Signup and view all the answers

Which test is specifically used to assess hand-eye coordination?

<p>O’Conner Dexterity Tweezer Test (C)</p> Signup and view all the answers

What intervention is recommended for DeQuervain’s disease after two weeks?

<p>Gentle AROM of the wrist/thumb (D)</p> Signup and view all the answers

What is the primary prevention goal in a Work Injury Prevention Program?

<p>Promote health and wellness before an injury occurs (C)</p> Signup and view all the answers

Which condition is characterized by thick fascia and flexion deformities in the digits?

<p>Dupuytren’s (C)</p> Signup and view all the answers

What best describes symptom magnification in unconscious behaviors?

<p>Believing the situation is worse than it is due to misunderstandings (C)</p> Signup and view all the answers

For Trigger Finger, which management strategy is employed during the first 0-3 weeks?

<p>Splinting (D)</p> Signup and view all the answers

Which technique would best be utilized for early identification of symptoms in a secondary prevention strategy?

<p>Regular health screenings (D)</p> Signup and view all the answers

Which assessment method would be used for evaluating sensory function in the hands?

<p>Semmes-Weinstein monofilament (B)</p> Signup and view all the answers

In the context of the Occupational Requirements Survey, which factor is not considered when creating occupational profiles?

<p>Personal interests (A)</p> Signup and view all the answers

What condition is associated with pain on ulnar deviation of the wrist and thumb?

<p>DeQuervain’s (C)</p> Signup and view all the answers

Which of the following describes tertiary prevention in a Work Injury Prevention Program?

<p>Restoring the worker role after an injury has occurred (B)</p> Signup and view all the answers

What is a key symptom of Charcot-Marie-Tooth disease?

<p>Weakness in voluntary muscle control (C)</p> Signup and view all the answers

What type of work condition is characterized as 'Sedentary Work' according to the Dictionary of Occupational Titles?

<p>Lifting a negligible amount of weight frequently (A)</p> Signup and view all the answers

Which assessment uses the Quick DASH scale?

<p>Before and after treatment evaluation (C)</p> Signup and view all the answers

Which of the following behaviors is a type of conscious symptom magnification?

<p>Falsifying symptoms for external benefits (D)</p> Signup and view all the answers

What is a common symptom of Trigger Finger?

<p>Flexion of the involved digit (D)</p> Signup and view all the answers

What characterizes profound intellectual disability?

<p>Gravitational insecurity and hypersensitivity (C)</p> Signup and view all the answers

What is the consequence of retained Asymmetric Tonic Neck Reflex (ATNR)?

<p>Difficulty with visual tracking and midline crossing (D)</p> Signup and view all the answers

What does the Palmar Grasp reflex indicate when not integrated?

<p>Reduced fine motor integration and object manipulation (B)</p> Signup and view all the answers

What is the primary role of the Right Reactions reflex?

<p>Assist in maintaining alignment of the head in space (D)</p> Signup and view all the answers

What happens during the Tonic Labyrinthine Reflex (TLR) in supine position?

<p>Body demonstrates extensor tone, making it hard to flex the neck (A)</p> Signup and view all the answers

What behaviors indicate difficulties from the Symmetrical Tonic Neck Reflex (STNR)?

<p>Challenges with ambulation and standing (D)</p> Signup and view all the answers

What reflex is tested by turning the infant's head while supine to assess body alignment?

<p>Neck Righting (A)</p> Signup and view all the answers

What results when the Galant Grasp reflex is stimulated in infants?

<p>Trunk flexes laterally towards the stimulated side (A)</p> Signup and view all the answers

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Flashcards

Pre-prosthetic Phase

The phase following amputation where the limb is prepared for a prosthesis. Involves addressing issues like pain, swelling, and skin complications.

Prosthesis

A device used to replace a missing limb, helping with mobility and function.

Phantom Limb/Pain

A feeling of pain or sensations in the limb that is no longer there. Common after amputation.

Residual Limb

The area of the body where the amputation occurred. Often referred to as the 'residual limb'.

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Prosthetic Terminal Device (TD)

The device attached to the end of a prosthesis that allows interaction with the environment. Examples include hooks or prosthetic hands.

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Body-Operated TD

A type of TD that uses the wearer's shoulder and scapula movements to control the TD. Example: hook or prosthetic hand.

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Myoelectric TD

A type of TD that uses muscle contractions to open and close the TD. This is detected by electrodes placed on the skin.

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Prosthetic Phase

The phase after a prosthesis is fitted. Focuses on getting used to the prosthesis, preventing complications from ill-fitting, and improving functional skills.

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Occupational Profile

A group of individuals with the same occupation, categorized by specific criteria including education, cognitive demands, physical requirements, and environmental conditions.

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Catastrophizing

Unconsciously exaggerating symptoms due to a belief that the situation is worse than reality.

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Malingering

Intentionally faking or exaggerating illness to gain benefits, such as avoiding work or seeking attention.

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Primary Prevention

The process of identifying and reducing risks to prevent injuries before they occur.

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Secondary Prevention

The process of early identification of symptoms to reduce the duration, severity, and cost of an injury.

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Tertiary Prevention

The process of treating an injury and restoring a worker's role after an injury has occurred.

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Dictionary of Occupational Titles (DOT) Physical Demands Levels

A rating system used to define the physical demands of different jobs, with levels ranging from "sedentary" to "heavy."

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Occupational Requirements Survey (ORS)

A data source that provides information about the physical and mental requirements of different jobs, used for workplace injury prevention and rehabilitation.

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Recline Wheelchair

A type of wheelchair that allows the user to recline back to nearly horizontal, ideal for users with limited hip ROM or those who need to rest frequently.

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Contoured Wheelchair

A type of wheelchair designed to reduce pressure and prevent skin breakdown, particularly beneficial for users with scoliosis, kyphosis, or pelvic obliquity.

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Contoured Wheelchair

A wheelchair that supports the user's position with minimal assistance, preventing skin breakdown and providing stability and support.

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Plate Switch

A switch that responds to minimal force, allowing independent access to devices like TVs.

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AAC systems

A type of assistive technology that helps individuals with communication challenges to express themselves.

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No Cognitive Decline

The first stage of cognitive decline, where there are no noticeable impairments in executive functioning or cognitive abilities.

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Very Mild Cognitive Decline

The second stage of cognitive decline, marked by reports of memory problems that are usually minor and have little impact on daily life.

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Mild Cognitive Decline

The third stage of cognitive decline, where individuals experience noticeable impairments in concentration, difficulty performing tasks at work, and may deny or feel anxious about their cognitive deficits.

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Severe Cognitive Decline

The sixth stage of cognitive decline, characterized by a complete lack of awareness of surroundings and activities, requiring assistance with all activities of daily living (ADLs) like eating, dressing, and toileting.

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Oh Oh Oh To Touch And Feel Very Good Vagina, Ah Heaven

A mnemonic used to remember the 12 cranial nerves, representing their names and order.

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Dupuytren's Contracture

A condition involving thickening of the fascia in the hand, leading to flexion deformities in affected fingers. Symptoms include limited range of motion and difficulty with hand functions.

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De Quervain's Tenosynovitis

Inflammation of the tendons that control thumb movement, causing pain and tenderness on the thumb side of the wrist. Often triggered by repetitive movements.

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Trigger Finger

A condition where a finger gets stuck in a bent position, often due to inflammation of the flexor tendon. It may involve a snapping or clicking sensation upon extending the finger.

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Charcot-Marie-Tooth Disease

A neurological disorder affecting the peripheral nerves, resulting in muscle weakness, atrophy, and sensory loss. It can affect the hands, causing difficulty with fine motor skills and coordination.

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Goniometry

A way to assess hand range of motion using a specialized tool. It measures the angles of joint movements.

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Jebsen-Taylor Hand Function Test

A test designed to evaluate hand dexterity and coordination, assessing tasks common in daily living, such as writing, picking up objects, and eating.

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Crawford Small Parts Dexterity Test

A standardized test for assessing fine motor coordination and dexterity, involving tasks using tweezers and a screwdriver.

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Purdue Pegboard Test

A test that assesses fine motor coordination, speed, and dexterity using tasks that involve placing pegs into holes.

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Quick DASH

A quick evaluation tool used to assess functional limitations and improvements after hand therapy.

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Closed Kinetic Movement

A type of movement where the end point of the moving body part stays fixed during the movement.

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Galant Grasp

A primitive reflex (32 weeks gestation to 2 months) that helps with hip movement and range of motion for crawling and walking. To test, place the infant prone, stroke their spine on one side from top to bottom, and they should laterally flex towards that side.

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Palmar Grasp

A primitive reflex (32 weeks gestation to 4-6 months) involving finger flexion when an object is placed on the palm. Lack of integration can lead to reduced fine motor skills, difficulty releasing objects, and manipulating objects.

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Asymmetric Tonic Neck Reflex (ATNR)

A primitive reflex (37 weeks gestation to 4 - 6 months) involving extension of the arm on the face side and flexion of the arm on the opposite side when the baby's head is turned laterally while lying supine. If retained, it can affect reading skills, midline crossing (crossing the body's center), visual tracking, hand-eye coordination, and bimanual coordination.

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Tonic Labyrinthine Reflex (TLR)

A primitive reflex (37 weeks gestation to 6 months) that affects body tone. In supine, the body assumes an extensor tone, making it difficult to flex the neck and sit up. In prone, the body is in flexor tone. Retention can lead to poor posture, motor coordination, and difficulties extending the head in prone and lifting the head from supine.

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Righting Reactions

A group of righting reactions that develop between 3 and 6 months, helping the baby maintain head alignment in space. These reactions are essential for head control, rolling, crawling, and standing.

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Neck Righting

A righting reaction within the 3-6 month timeframe that helps the baby bring their body in alignment with their head by turning their entire body towards their head when they are turned in supine. It is a precursor to rolling.

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Body Righting

A righting reaction within the 3-6 month timeframe that helps the baby align their head and body when they are turned to one side. It involves segmental rolling of the body to keep the head aligned.

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Symmetrical Tonic Neck Reflex (STNR)

A primitive reflex (4-12 months) that is a precursor to crawling. In neck flexion, the hips and legs extend, resisting movement to sit up. Testing includes holding the baby in a sitting position and observing the hip and leg extension.

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Study Notes

Burn Rehabilitation

  • Superficial Burns: Healing: 3-7 days. Evaluation/intervention: check ROM 72 hours post-op; check strength/sensation once wound heals.
  • Superficial Partial-Thickness Burns: Healing: <2 weeks. Evaluation/intervention: Wound care, debridement, dressing changes; gentle AROM and PROM as tolerated; edema control; splinting as needed.
  • Deep Partial-Thickness Burns: Healing: <2 weeks. Evaluation/intervention: Same as superficial partial-thickness; medical/OT treatment needed; strengthening once wound healed; contracture prevention ASAP.
  • Full-Thickness Burns: Healing: months. Evaluation/intervention: Check ROM 5-7 post-op; check sensation/strength once wound heals; ROM and endurance; ADL/IADL retraining; compensation for limited sensation; skin integrity/edema: lubricate, massage, stretch skin, compression garments; compression w/ bandage for vascular support.
  • Subdermal Burns: Chemical/electrical. Evaluation/intervention: Peripheral nerve damage; pain management; relaxation techniques, visual imagery, pain meds; amputation risk; scar management: compression w/ TED hose, elastic bandage, isotoner-style gloves; dressing changes every 72 hours after surgery; contracture prevention ASAP.

Cardiopulmonary

  • Heart: body--> RA-> RV-> lungs-> LA-> LV-> body.
  • Systolic Pressure: pressure in heart during ventricular contraction.
  • Diastolic Pressure: pressure in heart between ventricular beats.
  • BP: 120/80.
  • High BP: >140/90.
  • Low BP: <90/60.
  • O2: 98-100%.
  • Cardiac: <90%.
  • Pulmonary: <85%.
  • INR: how long it takes blood to clot; Normal: 1.0.
  • Cardiac issues: 2-3.
  • Tendency towards clotting: 3-4.
  • High bleeding risk: 2-2.5.

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NBCOT Study Guide PDF

Description

Test your knowledge on cognitive decline stages and related symptoms, along with assistive technology applicable to various conditions. This quiz covers aspects from Very Mild to Severe Cognitive Decline and features questions about wheelchair design and ADA guidelines. Perfect for those studying psychology or occupational therapy.

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