NBCOT Practice questions (Hands)**

The task that would be MOST DIFFICULT for an individual who has ulnar nerve palsy would be

An adult, who had a brachial plexus injury two weeks ago, has no sensation in the affected upper extremity. INITIAL intervention should focus on:

A patient who has rheumatoid arthritis and bilateral ulnar drift of the MCPs reports difficulty managing utensils for feeding. The OTR should adapt the utensils by:

An OTR is treating a patient who has rheumatoid arthritis. When discussing joint protection techniques, the OTR should instruct the patient to use:

An OTR is fabricating a static splint for an individual with hand burns. To ensure that maximum length of the collateral ligaments of the MCP joints is maintained, the splint should be designed to position the fingers and wrist as indicated below:

After one week of treatment, an OTR re-measures a patient's AROM and finds an increase in shoulder flexion form 105° to 110°. The patient reports no changes in functional abilities and remains able to complete upper body dressing using adaptive equipment. The OTR should document the change in ROM as:

A resident of a long-term care facility who had a fracture of the index finger has repeatedly removed the metal immobilization splint. Evaluation shows significant swelling and bruising of the index finger, thumb, and web space, and bruising on the palm at the distal, palmar crease where the metal splint rested. The OTR should INITIALLY:

An OTR has a physician referral to use a paraffin bath as a treatment modality to increase joint mobility for a patient who has a degenerative joint disease of the hand. In accordance with AOTA's guidelines on physical agent modalities, it would be BEST for the OTR to use this modality:

While working, a 25 year-old cable repairman suffered a left median nerve injury from a laceration. Initially, he showed maximum motor and sensory losses. Prior to discharge to the work setting, he shows only moderate impairment in temperature perception. The therapist recommends that the repairman:

A 30 year-old received daily OT after suffering lacerations, and median and ulnar nerve damage from shattered glass. The wounds are healed and the patient is being discharged. The final evaluation shows minimal limitations in palmar sensation, as well as joint ROM lacking 10-20° of full ROM, and palmar scarring. The discharge home program should include instruction on:

A secretary is referred to OT. Over the past few months, she has been experiencing increasing pain in the thumb CMC joint of the dominant hand, edema, weakness, and difficulty grasping. These symptoms are characteristic of:

A 16 year-old baseball pitcher attends OT for intervention following a rotator cuff injury. The therapist progressively *grades resistive* exercises by increasing:

An occupational therapist receives a referral to construct a Kleinert splint. The condition most likely to indicate a need for this type of Orthosis is:

An individual is being treated in an outpatient clinic for complex regional pain syndrome, type I. The most appropriate activity for the OTR to recommend for the person to complete at home is:

An occupational therapist conducts a manual muscle test. When the biceps are tested, they are *weak* and the client reports *pain.* The occupational therapist documents these facts and interprets them as an indication of: