OT & Productivity 2

1. 1Which of the following is the MOST correct in regard to an occupational therapist’s role in chronic pain intervention:

   1. AWork conditioning, listening to patients’ stories, and providing therapeutic massage.
   2. BActivity scheduling, providing pain medication, and providing therapeutic massage.
   3. CWork conditioning, listening to patient’s stories, and providing advice on pain medication.
   4. DProviding pain medication, performing workplace assessments, and activity scheduling.
2. 2Which of the following does not identify a theme of productivity?

   1. AEconomic
   2. BPersonal
   3. CPractical
   4. DHumanizing
3. 3Job matching is an important purpose of a functional capacity assessment (FCE). Which of the following correctly describes job matching?

   1. APairing adequacy of worker’s abilities to essential functions of a particular job.
   2. BCan be used as an estimate of disability when functional consequences of patient’s impairment are sufficiently severe to potentially result in limitation of ability to work.
   3. Cdirects choices regarding referral for intervention and injured workers’ capacity for return to work.
   4. DCorrelating client’s functional capacity to a range of occupations.
4. 4Which of the following statements best describes an occupational therapists role in enabling productive occupation?

   1. AOccupational therapists are well trained in functional assessments.
   2. BOccupational therapists are skilled in job analysis and are able to allow productive occupation through functional capacity assessments and workplace assessment.
   3. COccupational therapists can successfully apply testing to an individual’s situation in order to determine strengths and weaknesses within the individual’s occupational performance.
   4. DOccupational therapists are able to provide direction for clients in productive occupation due to their training in areas of functional capacity evaluation and environmental assessment.
5. 5On completion of a Job Analysis the occupational therapist is to make an informed judgment regarding the most suitable return to work plan for the injured client. Which of the following is the top level of the Hierarchy of return to work?

   1. APre-injury employer, pre-injury employment
   2. BDifferent employer, pre-injury employment
   3. CPre-injury employer, different employment
   4. DDifferent employer, different employment
6. 6Which of the following is an example of an administrative control?

   1. AStoring stock between knee and shoulder height to reduce awkward postures
   2. BUsing personal protective equipment (PPE) such as shock absorbent shoes
   3. CUsing mechanical lifting aids such as pallets jacks and trolleys to move items
   4. DAutomating a complete job process or aspects of the job task
7. 7Which of the following activity modifications and recommendations for Lateral Epicondylitis is INCORRECT?

   1. AKeep items close to the body when lifting
   2. BMaintain flexed elbow when lifting
   3. CLift objects with the palm of the hand facing down
   4. DAlternate arms during repetitive tasks
8. 8Steve has mild lateral epicondylitis. Which of the following are you most likely to find during your occupational therapy assessment?

   1. AReduced active range of movement during digital extension
   2. BBilateral reduced pincer grip strength
   3. CPain when completing minimal activities such as shaking hands
   4. DSymptoms that develop after the completion of an activity
9. 9Joe is builder. He sustained an injury whilst working. A graded return to work plan has been implemented. Joe’s employer appears disgruntled that another worker is injured. According to the Hierarchy of Return to Work, what option below would be most beneficial for Joe?

   1. ALook for another building job with more supportive employers
   2. BComplete office duties with his current employer for a few weeks
   3. CGet out of the building field and become an office worker for a larger company
   4. DTake six months off employment to discover if building is the right career
10. 10Which of the following is correct about the Örebro Musculoskeletal Pain Questionnaire?

    1. APain is subjective. Therefore, this tool is inaccurate and should not be perceived as clinically useful
    2. BThis is a ‘red flag’ screening tool. Findings must be immediately reported to the referring body
    3. CA cut off score of 105 has been found. Those who score less than 105 have a reduced chance of returning to work
    4. DThis tool predicts long-term disability. It is most accurate when completed four to twelve weeks post soft tissue injury

11. 11Which of the following symptoms is considered a yellow flag for back pain?

    1. AMorning stiffness
    2. BAvoidance of pain provoking activity
    3. CWorsening pain when in supine
    4. DDisturbed bowel or bladder control
12. 12Which of the following is considered an engineering control?

    1. ATask rotation
    2. BWearing safety glasses
    3. CUse of mechanical lifting aide to move heavy loads
    4. DImplementing frequent breaks
13. 13Which of the following is not a feature of good posture?

    1. ARetracted Shoulders
    2. BEngaged abdominals
    3. CEvenly distributed weight
    4. DRounded Shoulders
14. 14Which of the following is not a risk factor for developing a musculoskeletal injury in the workplace?

    1. ARepetition
    2. BTaking regular movement breaks
    3. CDuration
    4. DAwkward Posture
15. 15Which of the following is the least important piece of information to include when writing a return to work plan

    1. AClients preferred tasks to complete in the workplace
    2. BIdentifying client information
    3. CReturn to work goal and prognosis
    4. DPre-injury role and work hours.
16. 16The supported employment model is used to assist those with mental illness when entering into the work-force. Which of the following best describes this model?

    1. AA gradual process of training and assessment to prepare the client for work, followed by placement in the workplace.
    2. Bb. The occupational therapist first assesses the abilities and skills of a client. Based on assessment findings the occupational therapist will then chose a workplace which will best support the specific needs of the client.
    3. Cc. This process begins with the client being placed in employment. Assessment of work performance is then conducted on an ongoing basis, and an employment consultant working with the client provides support to the employer as well.
    4. Dd. A ‘buddy-program’ where the client is supported and provided assistance by other employees during work hours
17. 17Which of the following statements are false?

    1. Aa. The disability discrimination act states that an employer can refuse to employ a person with a disability if their disability prevents them from performing the inherent requirements of a job. However, the employer must consider how a person with a disability could be provided with reasonable adjustments to do the job. An adjustment is reasonable if it does not impose unjustified hardship on the employer.
    2. Bb. The disability discrimination act states that an employer must consult with an Occupational Therapist before refusing to employ a person with a disability, based on the belief that the person’s disability will prevent them from performing the inherent requirement of a job.
    3. CThe disability discrimination act states that an employer cannot refuse to employ a person based on their disability preventing them from performing the inherent requirements of a job, until they have first attempted to gain funding from the government to purchase the required modifications or equipment that may support the individual with the disability to perform the job. An adjustment is reasonable if the person with the disability, or the government agrees to provide the needed funds.
18. 18Which of the following options are considered features of correct posture?

    1. APelvis in a ‘neutral position’ & shoulders are retracted
    2. BEar is over the shoulder & Ankles slightly plantar flexed
    3. CRibs are upright and shoulders are protracted
    4. DPelvis is anteriorly tilted and gravity is head is upright
19. 19Matthew is 42 years old. He lives with his wife and two children. As this is his second episode of low back pain (LBP) he is concerned about his ability to resume full-time work. Matthew has worked as a machine operator for 5 years with the same company, a metal fabrication and manufacturing company. Matthew has experienced non-specific low back pain since he twisted and bent his back whilst operating a machine at work 4 months ago. Scans have not identified any specific pathology. He had a previous incident of LBP 1 year ago after playing football. The pain from this incident resolved in 2 months. Matthew reports experiencing pain and numbness in the sacroiliac area. He rates his pain on a visual analogue scale (VAS) to be 6/10, worse at the beginning of the day. He takes two doses of analgesic medication per day. Range of motion is marginally reduced in the lumbar spine in forward flexion. All other movements and muscle strength are within normal limits. Long-term goal: Matthew will return to usual full-time work duties as a machine operator working on any of the four workstations within 6 weeks.
    Which of the following postures and movements would Matthew be able to do with least pain based on the information given above?

    1. ARepetitive lifting aluminum lengths from the machine to the pallet on the floor for 2 hours (30 times per hour). Weight 2 kg per length.
    2. BPro-longed walking, periodic stationary standing for 2 hours, and repetitive rotating trunk and reaching between hip and chest height.
    3. CRepetitive bending and reaching to hip height at metal punch machine for 2 hours (25 times per hour).
    4. DPro-longed sitting to drill for 2 hours. Occasional standing and reaching to eye level four times per hour to collect the metal pieces from the shelf. Each piece weight 1 kg.
20. 20Matthew is 42 years old. He lives with his wife and two children. As this is his second episode of low back pain (LBP) he is concerned about his ability to resume full-time work. Matthew has worked as a machine operator for 5 years with the same company, a metal fabrication and manufacturing company. Matthew has experienced non-specific low back pain since he twisted and bent his back whilst operating a machine at work 4 months ago. Scans have not identified any specific pathology. He had a previous incident of LBP 1 year ago after playing football. The pain from this incident resolved in 2 months. Matthew reports experiencing pain and numbness in the sacroiliac area. He rates his pain on a visual analogue scale (VAS) to be 6/10, worse at the beginning of the day. He takes two doses of analgesic medication per day. Range of motion is marginally reduced in the lumbar spine in forward flexion. All other movements and muscle strength are within normal limits. Long-term goal: Matthew will return to usual full-time work duties as a machine operator working on any of the four workstations within 6 weeks.
    Which of the following interventions would you prioritize the least in the first 2 weeks for Matthew?

    1. AModify Matthew morning routine to minimize lumbar flexion
    2. BRecommend his employer and modify workstation to reduce lumbar flexion.
    3. CEncourage stretching and strengthening exercises in the afternoon after work.
    4. DCommence domestic tasks at home, such as cleaning roof gutters and taking out garbage bins.
21. 21Based on the Disability Discrimination Act (1992), which of the following is NOT an example of discrimination?

    1. Aa. An employer asks a female candidate about her religion and the plan to have children during interview to decide whether hiring her or not.
    2. BA male is not employed as a policeman due to his diagnosis of Antisocial personality disorder.
    3. CA female is refused access the musical concert due to her visual impairment.
    4. Dd. A family with newborn child is evicted from the rental house as the landlord states “no children are allowed”.
22. 22Steve is a 47-year-old male who works as a warehouse keeper. Steve works for full shift of 8 to 10 hours each day, 5 days per week. His duty is to unload, sort and organize the products within the warehouse. Steve also needs to handle the office duties (answer phones and do paper work). However, he recently injured his low back when he picked up a 15kg box by performing stoop lift. He visited GP and GP noticed Steve had a Grade 1 spondylolisthesis.
    53. GP determined Steve had to undertake a return-to-work (RTW) plan since the job required high physical demand. As you are an OT, you have to design a RTW plan based on hierarchy of RTW for Steve. Which of the following is the most favorable RTW plan?

    1. AAdvise Steve not to get back to work until he is in a full recovery.
    2. BAdvise Steve’s employer to offer Steve a position as a security guard.
    3. Cc. Implement the suitable duties plan including reducing work hours and workload which requires high physical demand in the first few weeks.
    4. Dd. Apply a new part-time office work job in other company for Steve, which is with shorter working hours and less physical demand.
23. 23Steve is a 47-year-old male who works as a warehouse keeper. Steve works for full shift of 8 to 10 hours each day, 5 days per week. His duty is to unload, sort and organize the products within the warehouse. Steve also needs to handle the office duties (answer phones and do paper work). However, he recently injured his low back when he picked up a 15kg box by performing stoop lift. He visited GP and GP noticed Steve had a Grade 1 spondylolisthesis.
    Which of the following describes the BEST risk control in regarding to Steve’s case?

    1. AEstablish a new rule that all heavy products must be lifted by two workers.
    2. BEducate the workers with lifting techniques.
    3. CTo eliminate manual handling, conveyers are installed in warehouse for transporting the products
    4. DUtilize forklift to lift and organize the products in the warehouse.
24. 24Which of the following is NOT a potential risk factor of unemployment or absence of participation in volunteer work?

    1. AHigher mortality
    2. BMusculoskeletal disorders
    3. CPoorer mental health and/or psychological distress
    4. DHigher medical consultation, medication consumption & hospital admission rates
25. 25When increasing the capacity for work with a recovering employee what is an appropriate use of additional rest breaks?

    1. AThe employee is to rotate between different tasks that allow for changes in physical demand
    2. BThe employee is to take regular short breaks from all tasks
    3. CThe employee is to take occasional long breaks from all tasks
    4. DThe employee is to take extended break times during normal work break times
26. 26Which of the following is known risk factor of epicondylitis?

    1. ATasks that involve long durations of vibration
    2. BLong durations of using a keyboard
    3. Crepetitive grasping or pinching movements
    4. Doccupations and tasks that require forceful repetitive movement of the forearm
27. 27Which of the following abnormal postural is usually found with tightened upper abdominals, intercostals and hamstrings?

    1. AKyphosis-Lordosis
    2. BFlat back
    3. CSway-back
    4. DMilitary type
28. 2859. People are afraid of movement due to pain. The fear of movement can lead to increased time to return to participating in pre-injury work or activities. Which of the follow statement best describe this situation?

    1. AErgophobia
    2. BLigyrophobia
    3. CHemophobia
    4. DKinesiophobia
29. 29Which of the following is defined as Return to Work (RTW)?

    1. AThe processes in collaboration among the employee, employer and health profession disciplines
    2. BThe process in establishing, implementing, progressing and evaluating a work reintegration plan
    3. CThe process in enabling a worker with an-injury to a suitable work either to resume the pre-injury or to start a new employment.
    4. DAll the above
30. 30Why should an OT working in rehabilitation assess the meaning of work for a person with a disability, sickness or injury early in the OT process?

    1. AA person with a disability, sickness or injury may not be able to work again and this should be identified early in the rehabilitation process
    2. BPaid employment is very meaningful to all people and should be a main focus of rehabilitation
    3. CThe OT and client will need to communicate with a workplace immediately if the client desires to retain employment
    4. DIf an individual attributes positive meaning to work, this can act as motivation for returning to work
31. 31Alan is 45 years old and has developed Lateral Epicondylitis (LE). Which scenario below is the most likely cause of his LE diagnosis?

    1. APlaying an occasional game of tennis every two months
    2. BUsing a jackhammer over two days, whilst recently landscaping his backyard
    3. CWorking as a painter 5 days a week for the last 25years
    4. DRepetitive strain from squatting at the gym with his knees in an incorrect position
32. 32Which factor is NOT a primary consideration when an OT is organising a job match for a client returning to work following a workplace injury?

    1. AAvailable duties
    2. BPhysical demand factors of assessed duties
    3. CExpectation placed on worker by colleagues
    4. DKnown risk and certified capacity
33. 33Which of the following risk controls would be considered an ‘administrative control’?

    1. AElimination of hazard.
    2. BUse of personal protective equipment.
    3. CIsolate hazard from people.
    4. DSubstitute the hazard with a safer alternative.
34. 34Which of the following is an example of a ‘yellow flag’, with regards to acute lower back pain?

    1. AHistory of cancer.
    2. BBladder or bowel dysfunction.
    3. CBack pain worsening when supine.
    4. DAvoiding activity due to fear of pain.
35. 35Which of the following is the most appropriate example of a return to work plan for a nurse, after a lower back injury.

    1. AGradually increasing both work hours and work tasks, so that client is able to return to work without high risk of re-injuring lower back.
    2. BWorking one day a week for the first 4 weeks (normally works five days per week), so that client is able to rest back for a long period of time between each day of work.
    3. CReturning to work and completing all tasks as per usual, so that client is not letting down other team members by not doing the full job.
    4. DReturning to work and only completing paperwork for the first 3 weeks, as client does not want to hurt back doing any other tasks.

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Occupational Therapy Quiz on OT & Productivity 2, created by Joanne Jubb on 15/11/2018.

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Joanne Jubb

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