MUSCULOSKELETAL (NBCOT) QUESTIONS WITH
ALL CORRECT ANSWERS
An OTR® is working with a young adult experiencing acute lower back pain.
What INITIAL activity is most appropriate in mediation? correct answer -
Education in basic body mechanics
An OTR® is working with a client presenting with a claw hand deformity who
has both decreased grip and lateral pinch strength. Before reading the medical
notes, what type of injury would the OTR® suspect? correct answer -Ulnar
nerve injury
An OTR® is seeing a client 1 day post laminectomy surgery for back pain.
What would the treatment session MOST likely emphasize? correct answer
-Instruction in log rolling and sitting and standing postures
A client with a unilateral transradial amputation is undergoing pre-
positioning training for a myoelectric arm. Which of the following is the MOST
appropriate goal? correct answer -Within 1 week, the client will be able to
accurately identify how to arrange the wrist of the myoelectric terminal
device to be able to optimally grasp different objects.
A client has a unilateral transradial amputation. The client will be fitted with a
prosthetic device in 1 month. One of the client's goals is to be independent
with BADL as soon as possible. The client refuses to use the uninvolved hand
for toileting tasks, citing cultural reasons. What INITIAL action should the
OTR® take in this situation? correct answer -Talk with the client about
using alternative strategies.
A resident in a long term care facility has a severe elbow contracture. The
OTR® has just finished applying a bivalved splint to provide low load
prolonged stress to the affected elbow. What MUST the OTR® do as part of
the care plan for maximizing the effectiveness of this splinting intervention?
correct answer -Provide nursing staff with specific instructions for a graded
daily splint-wearing schedule.
An OTR® is preparing to discharge a client to home after hip replacement.
The client reports having a high-step tub with a shower door and no money to
,buy additional equipment. Which recommendation is MOST appropriate for
bathing? correct answer -Recommend the client sponge-bathe at the sink
until equipment can be purchased
An OTR® needs to choose an assessment for a client experiencing
fibromyalgia that provides information on the client's sleep patterns, level of
fatigue, cognition, and mood changes. Which assessment can BEST provide
this information? correct answer -Daily activity log
For which condition is a custom wheelchair seating system MOST
appropriate? correct answer -Multiple sclerosis (MS)
A client had surgery 6 weeks ago. The surgeon used a plate to fix a metacarpal
shaft fracture. The client is experiencing moderate edema that makes it
difficult to make a fist. Grasping containers and manipulating clothing
fasteners are the most difficult tasks. What is the BEST approach for the
OTR® to take to address the client's edema? correct answer -Cold packs
and compression glove
According to the Americans With Disabilities Act of 1990 (ADA), what is the
definition of essential job functions when considering employment of a person
with a disability? correct answer -Functions that an employee must be
able to complete, with or without a reasonable accommodation
An OTR® is working with a client 8 weeks after a unilateral traumatic
transtibial amputation. The client's residual limb is well healed, and the team
has identified prosthetic fitting and training as the next step. The client wants
to use a prosthesis but indicates that the residual limb is not healed enough
and is fearful about wearing it. The client's mother currently performs all limb
care, including washing, dressing, and wrapping. What is the BEST strategy to
progress the client to prosthetic training? correct answer -Have the client
talk with other clients who have similar amputations.
An inpatient who has Stage III lung cancer undergoes surgery for removal of
axillary lymph nodes of the dominant upper extremity, followed by palliative
chemotherapy. The patient is referred to occupational therapy for ROM,
edema management, and preparation for hospice care at home. What
information about the patient MUST the OTR® obtain prior to initiating
, intervention? correct answer -Postsurgical precautions and mobility
limitations
What advantage does using a functional motion assessment provide an OTR®
when evaluating a client? correct answer -The OTR can assess range of
motion (ROM), strength, and motor control in a natural environment.
In a functional motion assessment, an OTR observes a client during functional
tasks to assess ROM, strength, and motor control in a natural environment.
The OTR can also observe cognitive function, awareness, and sensory deficits.
An OTR® is working with a client who has had a cerebrovascular accident
(CVA). One of the client's goals is independence in baking activities. Which
modality intervention is BEST used to decrease shoulder subluxation of the
nonpainful hemiparetic arm during this task? correct answer -
Neuromuscular electrical stimulation (NMES)
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? correct answer -The client should use an
alternate grip on a walker, to provide more stability during ambulation.
An OTR® is working with a client who was recently diagnosed with de
Quervain syndrome. In addition to the medical treatment of corticosteroid
injection, what nonoperative treatment is MOST appropriate for this
condition? correct answer -Forearm-based thumb spica splint
An OTR® is preparing to discharge a client who recently underwent hip
surgery. The client is planning to ride home in a very small car with bucket
seats. What is the BEST recommendation for the client's circumstances?
correct answer -Suggest an arrangement for alternative transportation to
limit stress on the hip.
An OTR® is working with a client with newly diagnosed osteoporosis. The
client's insurance will only cover one community evaluation. Which of the
following would be the MOST important environmental evaluation to
complete? correct answer -An evaluation of the home for fall risk
ALL CORRECT ANSWERS
An OTR® is working with a young adult experiencing acute lower back pain.
What INITIAL activity is most appropriate in mediation? correct answer -
Education in basic body mechanics
An OTR® is working with a client presenting with a claw hand deformity who
has both decreased grip and lateral pinch strength. Before reading the medical
notes, what type of injury would the OTR® suspect? correct answer -Ulnar
nerve injury
An OTR® is seeing a client 1 day post laminectomy surgery for back pain.
What would the treatment session MOST likely emphasize? correct answer
-Instruction in log rolling and sitting and standing postures
A client with a unilateral transradial amputation is undergoing pre-
positioning training for a myoelectric arm. Which of the following is the MOST
appropriate goal? correct answer -Within 1 week, the client will be able to
accurately identify how to arrange the wrist of the myoelectric terminal
device to be able to optimally grasp different objects.
A client has a unilateral transradial amputation. The client will be fitted with a
prosthetic device in 1 month. One of the client's goals is to be independent
with BADL as soon as possible. The client refuses to use the uninvolved hand
for toileting tasks, citing cultural reasons. What INITIAL action should the
OTR® take in this situation? correct answer -Talk with the client about
using alternative strategies.
A resident in a long term care facility has a severe elbow contracture. The
OTR® has just finished applying a bivalved splint to provide low load
prolonged stress to the affected elbow. What MUST the OTR® do as part of
the care plan for maximizing the effectiveness of this splinting intervention?
correct answer -Provide nursing staff with specific instructions for a graded
daily splint-wearing schedule.
An OTR® is preparing to discharge a client to home after hip replacement.
The client reports having a high-step tub with a shower door and no money to
,buy additional equipment. Which recommendation is MOST appropriate for
bathing? correct answer -Recommend the client sponge-bathe at the sink
until equipment can be purchased
An OTR® needs to choose an assessment for a client experiencing
fibromyalgia that provides information on the client's sleep patterns, level of
fatigue, cognition, and mood changes. Which assessment can BEST provide
this information? correct answer -Daily activity log
For which condition is a custom wheelchair seating system MOST
appropriate? correct answer -Multiple sclerosis (MS)
A client had surgery 6 weeks ago. The surgeon used a plate to fix a metacarpal
shaft fracture. The client is experiencing moderate edema that makes it
difficult to make a fist. Grasping containers and manipulating clothing
fasteners are the most difficult tasks. What is the BEST approach for the
OTR® to take to address the client's edema? correct answer -Cold packs
and compression glove
According to the Americans With Disabilities Act of 1990 (ADA), what is the
definition of essential job functions when considering employment of a person
with a disability? correct answer -Functions that an employee must be
able to complete, with or without a reasonable accommodation
An OTR® is working with a client 8 weeks after a unilateral traumatic
transtibial amputation. The client's residual limb is well healed, and the team
has identified prosthetic fitting and training as the next step. The client wants
to use a prosthesis but indicates that the residual limb is not healed enough
and is fearful about wearing it. The client's mother currently performs all limb
care, including washing, dressing, and wrapping. What is the BEST strategy to
progress the client to prosthetic training? correct answer -Have the client
talk with other clients who have similar amputations.
An inpatient who has Stage III lung cancer undergoes surgery for removal of
axillary lymph nodes of the dominant upper extremity, followed by palliative
chemotherapy. The patient is referred to occupational therapy for ROM,
edema management, and preparation for hospice care at home. What
information about the patient MUST the OTR® obtain prior to initiating
, intervention? correct answer -Postsurgical precautions and mobility
limitations
What advantage does using a functional motion assessment provide an OTR®
when evaluating a client? correct answer -The OTR can assess range of
motion (ROM), strength, and motor control in a natural environment.
In a functional motion assessment, an OTR observes a client during functional
tasks to assess ROM, strength, and motor control in a natural environment.
The OTR can also observe cognitive function, awareness, and sensory deficits.
An OTR® is working with a client who has had a cerebrovascular accident
(CVA). One of the client's goals is independence in baking activities. Which
modality intervention is BEST used to decrease shoulder subluxation of the
nonpainful hemiparetic arm during this task? correct answer -
Neuromuscular electrical stimulation (NMES)
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? correct answer -The client should use an
alternate grip on a walker, to provide more stability during ambulation.
An OTR® is working with a client who was recently diagnosed with de
Quervain syndrome. In addition to the medical treatment of corticosteroid
injection, what nonoperative treatment is MOST appropriate for this
condition? correct answer -Forearm-based thumb spica splint
An OTR® is preparing to discharge a client who recently underwent hip
surgery. The client is planning to ride home in a very small car with bucket
seats. What is the BEST recommendation for the client's circumstances?
correct answer -Suggest an arrangement for alternative transportation to
limit stress on the hip.
An OTR® is working with a client with newly diagnosed osteoporosis. The
client's insurance will only cover one community evaluation. Which of the
following would be the MOST important environmental evaluation to
complete? correct answer -An evaluation of the home for fall risk
