Guillain-Barre Post-Polio Syndrome Misc.
100
An OTR completes an initial evaluation on a client with Guillain-Barre Syndrome in an inpatient rehab facility. The patient is paraplegic and on a ventilator. What should the OTR’s interventions look like?

a) Bed positioning, PROM, and recommendations of EADLs
b) Practicing modified dressing techniques
c) Caregiver education on strengthening exercises
d) Passive ROM, positioning, splinting
a) Bed positioning, PROM, and recommendations of EADLs
100
Who can develop or contract PPS?

a) Anyone
b) Individuals who are around or caring for those who have had Poliomyelitis
c) Individuals with immune-compromised systems
d) Survivors of Poliomyelitis
d) Survivors of Poliomyelitis
100
An OTR sees a client with muscle weakness, pain, impaired coordination, decreased vital capacity, and deficits in trunk and postural control. Which of the following does the client MOST LIKELY have?

a) Postpolio Syndrome
b) Multiple Sclerosis
c) ALS
d) Guillain-Barre Syndrome
d) Guillain- Barre
500
The OTR is seeing a client with Postpolio syndrome. He is afraid of how the illness is affecting him and keeps referring to how terrible it was when he was diagnosed with Polio. He has quit his job and left his bowling league. He feels hopeless and hates being a burden on his wife, who has become his primary caretaker. What is an intervention you could use to help this client? Write one psychosocial goal for this client.
- Educate the client and his wife on his condition. Help them to understand that they can still live well if they are willing to modify their lifestyle and use adaptable equipment. Give examples of a few easy, non-intrusive adaptations or modifications they can make and how it can make life easier.
-Connect the client and his wife with a support group.
- Talk to the healthcare team about a CBT

Example of goal: In one week, client will verbalize two adaptations or modifications he is willing to use in order to improve his independence with ADLs.
200
The OTR has been seeing a client diagnosed with Guillain-Barre Syndrome in inpatient rehab for two months. The client’s symptoms are decreasing, and she is recovering her physical abilities. What should the OTR teach the client to look for as she increases activity during the recovery phase?
Energy conservation, work simplification, avoidance of overstretching and overuse of muscles
200
What interventions OT can do for PPS?

a) Energy conservation techniques with ADL’s/occupations
b) Adaptive equipment as needed to participate in individual occupations
c) Small and gradual modification of performance patterns and lifestyle changes
d) Chronic pain management through splinting and support of weakened muscles
e) All of the above
e) All of the above
200
The OTR is completing the initial evaluation on a client diagnosed with GB syndrome and is completing a MMT assessment on a muscle. The muscle completes full ROM in a gravity minimized plane. The OTR would assign which MMT score to the muscle?

a) Fair-
b) Poor +
c) Poor
d)Trace
c) poor
300
The OTR has been seeing a client diagnosed with Guillain-Barre Syndrome in inpatient rehab for two months. The client’s symptoms are decreasing, and she is recovering her physical abilities. Which is the BEST intervention to include in the client’s rehabilitation program?

a) Facilitate distal muscle movements first, with proximal joints supported (eg, using mobile arm supports)
b) Gradually increase activity with close monitoring of pain or fatigue after each intervention session
c) Progressive resistive exercises, increasing even with muscle fatigue and muscle belly tenderness
b) Gradually increase activity with close monitoring of pain or fatigue after each intervention session
300
What is the most debilitating symptom of PPS?
Fatigue
300
During the plateau phase of Guillain-Barre Syndrome, the focus should be on...

a) Reintegration into the workplace and leisure
b) Mobility and strengthening
c) Splinting for ROM activities with wrists, fingers and ankles
d) Communication, control of the environment, comfort and modified positioning
d) Communication, control of the environment, comfort and modified positioning
400
The OTR is assessing a client with GB Syndrome. What are four assessments the OTR could use for a client with GB?
Any of the following: ROM, MMT, Sensation testing, Swallowing assessment, functional assessment (quality of movement, coordination, and self-care), occupational profile, COPM, Ways of Coping Scale
400
Name one assessment that is appropriate for a patient with PPS?
Any of the following: COPM, BORG, and/or FSS (for fatigue levels and perceived exertion)
400
Paralysis is usually from...

a) Proximal to distal
b) Distal to proximal
c) LE’s only
d) UE’s only
e) All over the body
b) distal to proximal
500
The OTR is seeing a client recovering from GB in inpatient rehab. The OTR should grade activities...

a) Up so the client is always aware that they have improvements to make
b) For success as strength and endurance improve
c) Down so the client feels that they are improving
b) For success as strength and endurance improve
500
An OTR is seeing a client who recently began experiencing side effects of Postpolio Syndrome. The client wants to continue with his previous occupations and says the fatigue is what bothers him most. How can the OTR help this client?

a) Educate the client about work simplification, energy conservation, and adaptive equipment
b) Create a home exercise program for the client and educate them on the benefits of exercise for PPS
c) Provide the client with information about how the disease will progress and the other symptoms he may experience
a) Educate the client about work simplification, energy conservation, and adaptive equipment
500
When introducing lifestyle changes for a client with PPS, the OTR should...

a) Introduce them all at once so the client is prepared and supported as their condition declines
b) Introduce them gradually because the client may be psychologically fragile and have difficulty coping with their declining abilities
c) Not introduce them at all if the client is psychologically fragile and having difficulty coping their declining abilities
b) Introduce them gradually because the client may be psychologically fragile and have difficulty coping with their declining abilities






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