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COMPLETE TEST BANK: ADULT PHYSICAL
CONDITIONS – INTERVENTION STRATEGIES
FOR OTAS (LATEST EDITION)
## Section 1: Neurological Conditions (75 questions)
### 1.1 Cerebrovascular Accident (CVA) / Stroke (20 questions)
**1.** A patient with left hemispheric stroke is most likely to exhibit:
A) Left neglect and impulsivity
B) Aphasia and right hemiplegia
C) Bilateral weakness and apraxia
D) Ataxia and dysmetria
**Answer:** B
**Rationale:** Left hemisphere → right-sided motor deficits + language
impairment. Right hemisphere → left neglect, impulsivity.
**2.** During the flaccid stage post-CVA, OTA priority is:
A) Resistive strengthening
B) PROM and positioning
C) Gait training with cane
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D) Constraint-induced therapy
**Answer:** B
**Rationale:** Flaccid stage lacks active movement; PROM prevents
contractures and subluxation.
**3.** (SATA) Interventions for right hemiplegia + neglect:
A) Place items on left side
B) Red anchor line on right wheelchair side
C) Cue scanning to right
D) FES to wrist extensors
E) Avoid family education
**Answers:** B, C, D
**Rationale:** Anchor line and FES address neglect and motor
recovery; items go on affected side; family education essential.
**4.** For a patient with Broca’s aphasia, OTA should:
A) Use complex written instructions
B) Provide yes/no questions and gestures
C) Speak loudly and fast
D) Ignore communication attempts
**Answer:** B
**Rationale:** Broca’s = non-fluent, preserved comprehension. Simple
yes/no, gestures, and picture boards facilitate.
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**5.** Constraint-induced movement therapy (CIMT) is indicated for:
A) Flaccid hemiplegia
B) Some active wrist/finger extension
C) Severe neglect
D) Global aphasia
**Answer:** B
**Rationale:** CIMT requires at least 10° active wrist extension and
10° finger flexion/extension.
**6.** (OR) Positioning supine post-stroke to reduce spasticity:
1. Shoulder abduction
2. Elbow extension
3. Wrist neutral
4. Hip neutral rotation
**Order:** 1→2→3→4
**Rationale:** Abduction reduces adductor spasticity; extension
prevents flexor synergy.
**7.** A patient with pusher syndrome leans strongly to affected side.
Best OTA intervention:
A) Pull patient toward unaffected side
B) Use mirror feedback and visual vertical cues
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C) Restrain unaffected arm
D) Fasten belt tightly in wheelchair
**Answer:** B
**Rationale:** Pusher syndrome = altered perception of vertical. Visual
cues and mirror therapy retrain midline orientation.
**8.** (T/F) Mirror therapy for post-stroke hemiparesis is only effective
within 3 months post-stroke.
**Answer:** False
**Rationale:** Evidence supports mirror therapy even in chronic stroke
(>6 months) for pain and motor function.
**9.** OTA observes shoulder subluxation (one finger width). Initial
intervention:
A) Aggressive PROM
B) Arm trough on wheelchair lap tray
C) Resistive biceps curls
D) Slings only at night
**Answer:** B
**Rationale:** Arm trough supports humeral head, reduces gravitational
pull. Slings not preferred long-term.
**10.** (SATA) Signs of poor safety awareness after right CVA:
COMPLETE TEST BANK: ADULT PHYSICAL
CONDITIONS – INTERVENTION STRATEGIES
FOR OTAS (LATEST EDITION)
## Section 1: Neurological Conditions (75 questions)
### 1.1 Cerebrovascular Accident (CVA) / Stroke (20 questions)
**1.** A patient with left hemispheric stroke is most likely to exhibit:
A) Left neglect and impulsivity
B) Aphasia and right hemiplegia
C) Bilateral weakness and apraxia
D) Ataxia and dysmetria
**Answer:** B
**Rationale:** Left hemisphere → right-sided motor deficits + language
impairment. Right hemisphere → left neglect, impulsivity.
**2.** During the flaccid stage post-CVA, OTA priority is:
A) Resistive strengthening
B) PROM and positioning
C) Gait training with cane
,2|Page
D) Constraint-induced therapy
**Answer:** B
**Rationale:** Flaccid stage lacks active movement; PROM prevents
contractures and subluxation.
**3.** (SATA) Interventions for right hemiplegia + neglect:
A) Place items on left side
B) Red anchor line on right wheelchair side
C) Cue scanning to right
D) FES to wrist extensors
E) Avoid family education
**Answers:** B, C, D
**Rationale:** Anchor line and FES address neglect and motor
recovery; items go on affected side; family education essential.
**4.** For a patient with Broca’s aphasia, OTA should:
A) Use complex written instructions
B) Provide yes/no questions and gestures
C) Speak loudly and fast
D) Ignore communication attempts
**Answer:** B
**Rationale:** Broca’s = non-fluent, preserved comprehension. Simple
yes/no, gestures, and picture boards facilitate.
,3|Page
**5.** Constraint-induced movement therapy (CIMT) is indicated for:
A) Flaccid hemiplegia
B) Some active wrist/finger extension
C) Severe neglect
D) Global aphasia
**Answer:** B
**Rationale:** CIMT requires at least 10° active wrist extension and
10° finger flexion/extension.
**6.** (OR) Positioning supine post-stroke to reduce spasticity:
1. Shoulder abduction
2. Elbow extension
3. Wrist neutral
4. Hip neutral rotation
**Order:** 1→2→3→4
**Rationale:** Abduction reduces adductor spasticity; extension
prevents flexor synergy.
**7.** A patient with pusher syndrome leans strongly to affected side.
Best OTA intervention:
A) Pull patient toward unaffected side
B) Use mirror feedback and visual vertical cues
, 4|Page
C) Restrain unaffected arm
D) Fasten belt tightly in wheelchair
**Answer:** B
**Rationale:** Pusher syndrome = altered perception of vertical. Visual
cues and mirror therapy retrain midline orientation.
**8.** (T/F) Mirror therapy for post-stroke hemiparesis is only effective
within 3 months post-stroke.
**Answer:** False
**Rationale:** Evidence supports mirror therapy even in chronic stroke
(>6 months) for pain and motor function.
**9.** OTA observes shoulder subluxation (one finger width). Initial
intervention:
A) Aggressive PROM
B) Arm trough on wheelchair lap tray
C) Resistive biceps curls
D) Slings only at night
**Answer:** B
**Rationale:** Arm trough supports humeral head, reduces gravitational
pull. Slings not preferred long-term.
**10.** (SATA) Signs of poor safety awareness after right CVA:
