Exam Preview for 38144: Addressing Fall Risk: PT, OT, and Audiology

Addressing Fall Risk: PT, OT, and Audiology Assessment and Intervention, presented in partnership with Salus University

Please note: exam questions are subject to change.

1. A 2012 Cochrane Review found what percentage reduction in falls in the elderly if health care providers performed clinical assessments, identified risk factors, and had referral and follow up care? 12% 18% 24% 50%
2. What audiologic-health conditions are related to increased risk of falls? Hearing loss Cognitive decline Vestibular disorders All of the above
3. Which of the following functional screening tool results is indicative of increased falls risk? 30-Second Chair Stand test - inability to stand up from a chair of knee height without using one’s arms. 4-Stage Balance test - inability to perform a tandem stand (ie, heel of one shoe touching toe of the other) for 10 seconds. A Timed Up and Go test time greater than or equal to 12 seconds. All of the above
4. Which of the following is an effective way to identify increased risk for injurious falls? Identify patients with less sleep duration, longer sleep duration, and overall poor sleep quality Assess for inability to stand on 1 leg unassisted for 5 seconds Identify patients with increased visual contrast sensitivity Assess for abnormal VEMPs
5. Extrinsic fall risk factors such as poor lighting, clutter, unstable handrails, and unsecured throw rugs would be assessed with which of the following? Timed Up and Go test Home Safety Assessment Falls Efficacy Scale Occupational Profile
6. Which of the following assistive technologies may be recommended by a health care provider to decrease fall risk? Pill organizer Shower chair Reacher device All of the above
7. Which of the following specialists could design a comprehensive plan for home modifications to support a client who has fallen or who is at risk of falling? Certified Aging-in-Place Specialist General contractor Home lighting technician Chair lift vendor
8. Which of the following interventions has been consistently associated with statistically significant reductions in people experiencing a fall and injurious falls? Exercises for strength, balance, and functional training Vitamin D supplementation Cognitive behavioral therapy Providing educational pamphlets on falls risk
9. If a patient has a vestibular issue such as BPPV or a unilateral vestibular hypofunction, activities shown to effectively reduce falls risk likely include: Avoid moving the head and instead turn head and body together Lift with the knees instead of bending the back to pick up an object from the floor Perform repositioning maneuvers to clear BPPV and vestibular rehabilitation exercises such as gaze stabilization Move the eyes to follow objects and switch eyes between targets while sitting (as in Cawthorne Cooksey exercises)
10. If a severe bilateral vestibular hypofunction is identified, what type of intervention is NOT appropriate? Vestibular suppressant such as meclizine Substitution exercises Assistive devices Lifestyle modifications