NBCOT Exam Prep

Therapist brings in targets from different areas in the field, and the client indicates when targets are seen and their location.

True

<p>Color agnosia</p> Signup and view all the answers

<p>Automatic motor responses &amp; changes in ANS</p> Signup and view all the answers

<p>Loss of ability to name objects or retrieve names of people.</p> Signup and view all the answers

<p>Alexia</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>Ankylosis = Abnormal condition of stiffness Crepitis = Audible or palpable crunching or popping in joints Subluxation = Characterized by volar or dorsal displacement of joints Nodes = Bony enlargements indicative of cartilage damage from osteoarthritis</p> Signup and view all the answers

<p>Screening tool to estimate cognitive level of function</p> Signup and view all the answers

<p>Approximate imitations, Pacing, bending, stretches</p> Signup and view all the answers

<p>Manipulation of familiar objects</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>Age-related macular degeneration (ARMD or AMD) = Drusen deposits in the retina causing scotomas Astigmatism = Oval cornea resulting in light rays converging at multiple points Diabetic retinopathy = Bleeding from blood vessels leading to vision loss Presbyopia = Age-related loss of accommodation</p> Signup and view all the answers

<p>Atherogenic</p> Signup and view all the answers

<p>Atrial Fibrillation (A fib) = Rapid irregular atrial rhythm of the heart myo wall Myocardial Infarction = Severe substernal pain lasting more than 20 minutes, necrosis of heart tissue Congestive Heart Failure = Inability of the heart to maintain adequate circulation of blood, leading to increased weight, cough, and fatigue</p> Signup and view all the answers

<p>Pneumonia</p> Signup and view all the answers

<p>Congestive heart failure</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>Pain management, residual limb shaping &amp; shrinking, promoting skin hygiene, promote care of insensate skin, maintaining &amp; restoring passive &amp; active ROM, maintaining &amp; restoring UE strength &amp; endurance</p> Signup and view all the answers

<p>Deformity of at least 1 of 10 selected joints</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>Pursed Lip</p> Signup and view all the answers

<p>Resting hand splints = Acute stage Ulnar drift splint = Preventing deformity Dynamic MCP extension splint = Post-operative MCP arthroplasties Opponens splint = Median nerve injury</p> Signup and view all the answers

<p>rest, modify activity for wrist posture, vibration and decrease repetition, NSAID's, local steroid injection, tendon-gliding exercises, wrist neutral splint at night and during strenuous activity</p> Signup and view all the answers

<p>cubital tunnel syndrome</p> Signup and view all the answers

<p>extensor carpi radialis brevis</p> Signup and view all the answers

<p>Tinel test of radial nerve</p> Signup and view all the answers

<p>wrist cock-up splint (wrist 0-30 degrees extension)</p> Signup and view all the answers

<p>flexor carpi radialis</p> Signup and view all the answers

<p>Finkelstein's Test</p> Signup and view all the answers

<p>forearm-based thumb spica</p> Signup and view all the answers

<p>ineffective grip, inability to open hand to grasp large objects, propensity for wrist flexion contracture</p> Signup and view all the answers

<p>ineffective grip, inability to use pinch grip due to loss of thumb adduction control, sensory loss to ulnar side of hand</p> Signup and view all the answers

<p>safety issues due to sensation loss to volar surface of hand, reduced grip strength, reliance on visual feedback</p> Signup and view all the answers

<p>teach new behaviors or provide support to individuals in exploring problem solutions</p> Signup and view all the answers

<p>helping patients recognize inappropriate behavior and replace it with more adaptive behavior</p> Signup and view all the answers

<p>perceiving familiar events and context, guiding habitual behavior</p> Signup and view all the answers

<p>failure to recognize that behavior is unacceptable or inability to perform a desired skill</p> Signup and view all the answers

<p>failure to demonstrate a skill with necessary consistency in specific situations</p> Signup and view all the answers

<p>Closed reduction (nonoperative), ORIF (operative), External Fixation</p> Signup and view all the answers

<p>Ulnar flexion of wrist, loss of palmar abduction and opposition, loss of pronation, sensory loss</p> Signup and view all the answers

<p>Loss of thenar eminence, loss of palmar abduction, loss of opposition, sensory loss</p> Signup and view all the answers

<p>Clawing of the ring and small fingers, loss of hypothenar muscles, loss of intrinsic muscles, greader IP flexion deformity</p> Signup and view all the answers

<p>Clawing of the ring and small finger, wrist positioned in radial extension, slight IP joint flexion deformity, loss of hypothenar muscles, loss of intrinsic muscles</p> Signup and view all the answers

<p>To prevent hyperextension of the MCP's of the ring and small finger by using an extension block splint, placing the ring and little finger in slight flexion at the MCP's, pronation of forearm, wrist flexion, thumb in palmar abduction</p> Signup and view all the answers

<p>Incomplete MP joint extension, loss of sensation in radial nerve distribution in forearm and hand, radial wrist extension, loss of finger and thumb extension</p> Signup and view all the answers

<p>Radial wrist extension, loss of finger and thumb extension, incomplete MP joint extension of fingers and thumb, distal sensory loss</p> Signup and view all the answers

<p>Colles fracture of the distal radius</p> Signup and view all the answers

<p>Scaphoid</p> Signup and view all the answers

<p>Kienbock's Disease</p> Signup and view all the answers

<p>Neuropraxia: bruising contusion of nerve without wallerian degeneration, nerve recovers function without intervention within a few days or weeks; Axonotmesis: nerve fibers distal to site of injury degenerate but internal structure of nerve remains intact, typically 6 months recovery, no surgical intervention needed; Neurotmesis: complete laceration of both nerve and fibrous tissues, surgery required</p> Signup and view all the answers

<p>1 year if a motor nerve has not reinnervated its muscle</p> Signup and view all the answers

<p>Between the distal palmar crease and the insertion of the flexor digitorum superficialis</p> Signup and view all the answers

<p>Excessive tension on the rubber band or incomplete PIP extension within the splint</p> Signup and view all the answers

<p>Complete immobilization for roughly 3-4 weeks</p> Signup and view all the answers

<p>IV = Carpal Tunnel, V = forearm</p> Signup and view all the answers

<p>I = insertion of flexor digitorum profundus to insertion of flexor digitorum superficialis, III = A1 Pulley to the distal edge of the carpal tunnel</p> Signup and view all the answers

<p>Dorsal blocking splint is worn to keep the wrist flexed and MCP at 70 degrees flexion. Day 3 post-surgery, client instructed on a regimen of passive flexion and extension. At 4.5 weeks, dorsal splint removed, and rubber band traction is used.</p> Signup and view all the answers

<p>6 weeks postop after discontinuation of splints</p> Signup and view all the answers

<p>At 8 weeks post-op</p> Signup and view all the answers

<p>On the dorsal surface, where venous and lymphatic systems provide return of fluid to the heart</p> Signup and view all the answers

<p>Start with a cool bath for 1 min, then warm bath for 1 min, total of 20 min. Repeat the cycle for maintenance post hand injury.</p> Signup and view all the answers

<p>Adhesive capsulitis</p> Signup and view all the answers

<p>Subacromial impingement</p> Signup and view all the answers

<p>Rotator cuff tendinitis</p> Signup and view all the answers

<p>Rotator cuff tear</p> Signup and view all the answers

<p>Impingement Test--subacromial impingement</p> Signup and view all the answers

<p>Drop arm test--rotator cuff tear</p> Signup and view all the answers

<p>Adson Maneuver involves abduction of both arms to 90 degrees, shoulder external rotation, and elbow flexion to 90 degrees for 3 minutes while alternating between an open hand and clenched fist. A positive test suggests Thoracic Outlet Syndrome.</p> Signup and view all the answers

<p>Roos test involves abducting both arms to 90 degrees, shoulder external rotation, and elbow flexion to 90 degrees for 3 minutes while alternating between an open hand and clenched fist. A positive sign suggesting inability to maintain position or symptoms arising before the end of 3 minutes is indicative of Thoracic Outlet Syndrome.</p> Signup and view all the answers

<p>Tinel's Sign involves tapping along the course of a peripheral nerve to elicit a tingling sensation in the fingertip. A positive test linked to carpal tunnel syndrome.</p> Signup and view all the answers

<p>Phalen's Test is done by pressing the back of hands together with fully flexed wrists. Reverse Phalen's Test is done by pressing palms together with fully extended wrists for 1 minute.</p> Signup and view all the answers

<p>Pressure is placed over the median nerve in the carpal tunnel for up to 30 seconds looking for provocative signs.</p> Signup and view all the answers

<p>The elbow flexion test involves the client fully flexing the elbows with the wrists fully extended for 3-5 minutes. A positive sign is tingling along the ulnar nerve area of the forearm and hand, indicating Cubital Tunnel Syndrome.</p> Signup and view all the answers

<p>Wartenberg's Sign is when the client is unable to adduct the small finger when the hand is placed palm down on the table with the fingers passively abducted.</p> Signup and view all the answers

<p>Ask the client to extend the wrist and fingers.</p> Signup and view all the answers

<p>Ask the client to oppose the thumb to the fingers and flex the fingers.</p> Signup and view all the answers

<p>Sensory mapping should be done from proximal to distal, and radial to ulnar directions. Mapping should be repeated monthly during nerve regeneration.</p> Signup and view all the answers

<p>Two objective tests for sympathetic function are the Wrinkle Test, where denervated skin does not wrinkle, and the Ninhydrin Test, which evaluates sweating of the finger.</p> Signup and view all the answers

<p>Some signs of sympathetic dysfunction include smooth, shiny skin, nail changes, and tapering of fingers (pencil-pointing).</p> Signup and view all the answers

<p>6 mm or less</p> Signup and view all the answers

<p>The modified Moberg Pick-Up Test involves placing 9 or 10 small objects on a table, asking the client to pick them up and place them in a small container as quickly as possible with vision. The test is then repeated with vision occluded.</p> Signup and view all the answers

<p>Measuring hand volume at different points during the day helps assess the effect of interventions, activities, rest, and the benefits of splinting on the client's edema.</p> Signup and view all the answers

<p>A mean of 3 trials for each hand should be noted.</p> Signup and view all the answers

<p>A physical assessment should be done before a functional assessment postoperative nerve repair to analyze how physical dysfunction impacts functional impairment.</p> Signup and view all the answers

<p>Postoperative nerve repair intervention involves immobilization (2-3 weeks) with minimal tension on the repaired nerve, followed by protective ROM (4-6 weeks) with protective stretching and active ROM. Dynamic splinting is then used to reduce contractures and strengthen weak muscles.</p> Signup and view all the answers

<ul> <li>Pain</li> <li>Heat/cold</li> <li>Touch pressure</li> </ul> Signup and view all the answers

<ul> <li>Two-point discrimination</li> <li>Moberg Pick-Up Test</li> </ul> Signup and view all the answers

<ul> <li>Wrinkle Test</li> <li>Ninhydrin Test</li> <li>Nerve-conduction Test</li> </ul> Signup and view all the answers

<p>The sensory distribution of the Median Nerve includes the volar surface of the thumb, index, middle, and radial half of the ring finger.</p> Signup and view all the answers

<p>The sensory distribution of the Ulnar Nerve includes the dorsal and volar surface of the small finger, dorsal and volar surface of the ulnar half of the ring finger.</p> Signup and view all the answers

<p>The sensory distribution of the Radial Nerve includes the posterior upper arm and forearm, dorsum of the thumb, index, middle, and radial half of the ring finger distal to the PIP joint.</p> Signup and view all the answers