Ch20 Orthopedic Considerations Spine, Complete Test Bank

Chapter 20: Orthopedic Considerations: Spine, Pelvis, Hip, and Knee

Multiple Choice

1. A client is currently being seen for back pain caused by ankylosing spondylitis. This condition is due to which of the following issues with the vertebrae?

a. Displacement of the vertebrae

b. Inflammation between the vertebrae

c. Infection of the bone

d. Heterotopic ossification

OBJ: 20.1

2. An OTA is working with a population of older adults at a senior community center. What can the OTA educate them on to help reduce the risk of pelvic fractures?

a. Fall prevention

b. Safe driving techniques

c. Safe weight-bearing techniques

d. Cognitive strategies

OBJ: 20.1

3. A client has a fractured hip that will require surgery to repair. The physician has stated that the client will receive a replacement of the ball portion of the hip, but not the socket. Which procedure will this client be undergoing?

a. Hip compression screw

b. Hemiarthroplasty

c. Open reduction internal fixation

d. Anterolateral joint replacement

OBJ: 20.2

4. A client is experiencing an increased amount of knee pain due to osteoarthritis. When would a surgeon most likely consider a knee-replacement surgery?

a. When medication is no longer effective

b. When insurance approves the procedure

c. When the client requests the surgery

d. When the pain is reduced

OBJ: 20.2

5. An OTA is working with a client who underwent an anterior total hip replacement 3 days ago. What should the OTA emphasize with the client for precautions following this procedure?

a. No hip abduction beyond neutral

b. No hip internal rotation

c. No hip extension

d. No hip flexion past 90 degrees

OBJ: 20.3

6. An OTA is working with a client who has recently undergone surgery to relieve back pain. The OTA is working with the client to prepare her for discharge and to eventually go back to work in the healthcare field. Which technique will the OTA be instructing the client on in relation to safe lifting and back precautions?

a. Keep back straight, with no twisting, and bend the knees when lifting.

b. When sitting, change positions after several hours.

c. Maintain an upright posture with an anterior pelvic tilt when standing.

d. Hold heavier items on one hip for support.

OBJ: 20.3

7. An elderly client has sustained a pelvic fracture and is getting ready to return home. The client enjoys knitting and would like to resume this hobby because she does not have to be mobile to enjoy it. What type of seating should the OTA recommend to this client to use while her fracture is healing?

a. A firm seat at the kitchen table

b. A padded, taller armchair in the living room

c. Legs outstretched on the bed

d. A soft couch

OBJ: 20.4

8. An OTA is teaching a client who has a total hip replacement safe mobility around his environment using a walker. The client stated that he would like to be able to carry items as well because there will be times that he will be by himself. What should the OTA recommend?

a. Use a walker basket so that both hands can stay on the walker.

b. Carry items with one hand and hold on to the walker with the other.

c. Carrying can be done for short distances without the walker.

d. Use a cane rather than a walker so that one hand is free.

OBJ: 20.4

9. A client develops a deep vein thrombosis after orthopedic surgery. What should the OTA do first once he notices these symptoms in the client?

a. Continue therapy after alerting the nursing staff.

b. Reduce the level of activity, and then return the client to his room.

c. Call the physician to come to the therapy gym to clear the client.

d. Notify the team members and return the client to bed.

OBJ: 20.5

10. An OTA is treating a client who has just received a total knee replacement. The physical therapist is working on stretching/ROM to assist with mobility of the joint. What can the OTA do to assist with this process?

a. Encourage knee flexion and extension during ADLs.

b. Discuss with the physical therapist when the level of flexion should be adjusted.

c. Provide adaptive equipment to use while in the room.

d. Have the client perform squatting motions when retrieving items from the floor.

OBJ: 20.5