Exam Prep for the OT Exam | The #1 Student …



Stage 1 (1.0 - 1.4 MET)

ADL & MOBILITY: 

Sitting: self-feeding, wash hands/face, bed mobility

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Stage 1 (1.0 - 1.4 MET)

EXERCISE: Supine: active or active-assistive exercise to all extremities (10-15 x/extremity)

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Stage 1 (1.0 - 1.4 MET)

RECREATION: 

reading, radio, table games (noncompetitive), light handiwork

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Stage II (1.4 - 2.0 MET)

ADL & MOBILITY: 

Sitting: self-bathing, shaving, grooming, and dressing in hospital

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Stage II (1.4 - 2.0 MET)

EXERCISE: 

Sitting: active exercise to all extremities, progressively increasing the number of repetitions

NO ISOMETRICS

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Stage II (1.4 - 2.0 MET)

RECREATION: 

Sitting: crafts (painting, knitting, sewing, mosaics, embroidery

NO ISOMETRICS

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Stage III (2.0 - 3.0 MET)

ADL & MOBILITY: 

Sitting: showering in warm water, homemaking tasks with brief standing periods to transfer light items, ironing

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Stage III (2.0 - 3.0 MET)

RECREATION:

Sitting: card playing, crafts, piano, machine sewing, typing

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Stage IV (3.0 - 3.5 MET)

ADL

Standing: total washing, dressing, shaving, grooming, showering in warm water; kitchen/homemaking activities while practicing energy conservation (i.e. light vacuuming, dusting and sweeping, washing light clothes)

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Stage IV (3.0 - 3.5 MET)

EXERCISE:

Standing: Continue all previous exercise, progressively increasing:

1. Number of repetitions

2. Speed of repetitions

May include additional exercises to increase workload up to 3.5 MET, balance and mat activities with mild resistance.

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Stage IV (3.0 - 3.5 MET)

RECREATION:

Candlepin bowling; Canoeing - slow rhythm, pace; Golf putting; Light gardening (weeding and planting); Driving

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Stage V (3.5 - 4.0 MET)

ADL & MOBILITY:

Standing: washing dishes, washing clothes, ironing, hanging light clothes, and making beds

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Stage V (3.5 - 4.0 MET)

EXERCISE:

Standing: continue exercises as in previous stage progressively increasing:

1. Number of repetitions

2. Speed of repetitions

May add additional exercises to increase workload up to 4.0 MET

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Stage V (3.5 - 4.0 MET)

RECREATION:

Swimming (slowly); Light carpentry; Golfing (using power cart); Light home repairs

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Stage VI

ADL & MOBILITY:

Standing: showering in hot water, hanging and/or wringing clothes, mopping, stripping and making beds, raking

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Stage VI

EXERCISE:

Standing: As in previous stage; Ambulation: As in prevous stage, increasing speed to 3.5 mph on level surfaces; Stairs: as in previous stage

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Stage VI

RECREATION:

Swimming (no advanced strokes); slow dancing; Ice or roller skating (slowly); Volleyball; Badminton; Table tennis (noncompetitive); Light calisthenics

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Stage 1 (1.0 - 1.4 MET)

ADL & MOBILITY: Transfers; Progressively increase sitting tolerance

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Stage 1 (1.0 - 1.4 MET)

EXERCISE: Sitting: active or active-assistive to only neck and lower extremities. Include deep breathing exercises

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Stage II (1.4 - 2.0 MET)

ADL & MOBILITY: 

Unlimited sitting

Ambulation: at slow pace, in room as tolerated

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Stage IV (3.0 - 3.5 MET)

MOBILITY:

Ambulation: unlimited distance waling at 0% grade, in and/or outside

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Stage IV (3.0 - 3.5 MET)

EXERCISE:

Ambulation: Unlimited on level surfaces in and/or outside progressively increasing speed and/or duraction for periods up to 15-20 minutes or until target heart rate is reached.

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Stage IV (3.0 - 3.5 MET)

EXERCISE:

Stairs: May begin slow stair climbing to patient's tolerance up to two flights

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Stage IV (3.0 - 3.5 MET)

EXERCISE:

Treadmill: 1 mph at 1% grade, progressing to 1.5 mph at 2% grade

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Stage IV (3.0 - 3.5 MET)

EXERCISE:

Cycling: Up to 5.0 mph without resistance

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Stage V (3.5 - 4.0 MET)

EXERCISE:

Ambulation: Increasing speed up to 2.5 mph on level surfaces

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Stage V (3.5 - 4.0 MET)

EXERCISE:

Stairs: Progressively increasing to patient's tolerance

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Stage V (3.5 - 4.0 MET)

EXERCISE:

Treadmill: 1.5 mph at 2% grade, progressing to 1.5 mph at 4% grade up to 2.5 mph at 0% grade

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Stage V (3.5 - 4.0 MET)

EXERCISE:

Cycling: up to 8 mph without resistance. 

May use up to 7-10 lbs of weight for upper and lower extremity exercise in sitting

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Stage VI

EXERCISE:

Treadmill: 1.5 mph at 5-6% grade, progressing to 3.5 mph at 0% grade

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Stage VI

EXERCISE: 

Cycling: up to 10 mph without resistance

May use up to 10-15 lb of weight in upper and lower extremity exercises in sitting

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Stage III (2.0 - 3.0 MET)

EXERCISE:

Sitting: (A) exercises to all extremities and trunk, progressively increasing number of reps

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Stage III (2.0 - 3.0 MET)

EXERCISE:

may include balance exercises and light mat exercises without resistance

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Stage III (2.0 - 3.0 MET)

EXERCISE:

ambulation: begin progressive ambulation at 0% grade and comfortable pace

1.5-2 METs

What MET level would be considered in the following activities?

- Desk work, driving auto, calculating machine operation

- Light housework, polishing furniture

- Washing clothes

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1.5-2 METs

What MET level would be considered in the following activities?

- Standing, strolling (1mph), flying, motorcycling

- Playing cardes, sewing, knitting

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2-3 METs

What MET level would be considered in the following activities?

- Auto repair, radio and television repair

- Janitorial work, bartending, riding lawn mower

- Light woodworking

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2-3 METs

What MET level would be considered in the following activities?

- Level walking (2mph), level bicycling (5mph)

- Billards, bowling, skeet shooting, shuffleboard

- Powerboat driving, golfing with power cart

- Canoeing, horseback riding at a walk

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3-4 METs

What MET level would be considered in the following activities?

- Brick laying, plastering, wheelbarrow (100 lbs load)

- Machine assembly, welding (moderate load)

- Cleaning windows, mopping floors, vacuuming

- Pushing light pwer mower

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3-4 METs

What MET level would be considered in the following activities?

- Walking at 3mph, bicycling at 6mph, horseshoe pitching

- Volleyball (6 person, non-competitive)

- Golfing (pulling bag cart), Archery

- Sailing (handling a small boat)

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3-4 METs

What MET level would be considered in the following activities?

- Flying fishing (standing in waders)

- Horse back riding (trotting)

- Badminton (social doubles)

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4-5 METs

What MET level would be considered in the following activities?

- Painting, masonry, paperhanging, light carpentry

- Scrubbing floors, raking leaves, hoeing

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4-5 METs

What MET level would be considered in the following activities?

- Walking at 3.5mph, bicycling at 8mph, table tennis

- Golfing (carrying clubs), dancing (foxtrot)

- Badminton (singles), tennis (doubles)

- Many calisthenics, ballet

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5-6 METs

What MET level would be considered in the following activities?

- Digging garden shoveling light earth

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5-6 METs

What MET level would be considered in the following activities?

- Walking at 4mph, bicycling at 10mph, canoeing (4mph)

- Horseback riding (posting to trotting)

- Stream fishing (walking in light current in waders)

- Ice or roller sking (9mph)

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6-7 METs

What MET level would be considered in the following activities?

- Shoveling 10x/min (4.5kg or 10 lb)

- Splitting wood, snow shoveling, hand lawn mowing

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6-7 METs

What MET level would be considered in the following activities?

- Walking (5mph), bicycling (11mph),

- Competitive badminton, tennis (singles)

- Folk and square dancing, light downhill skiing

- Ski touring (2.5 mph), water skiing, swimming (20 yd/min)

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7-8 METs

What MET level would be considered in the following activities?

- Digging ditches, carrying 36kg or 80 lbs, sawing hardwood

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7-8 METs

What MET level would be considered in the following activities?

- jogging at 5mph, bicycling at 12 mph

- Horseback riding (gallop), vigorous downhill skiing

- Basketball, mountain climbing, ice hockey

- Canoeing (5mph), touch football, paddleball

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8-9 METs

What MET level would be considered in the following activities?

- Shoveling 10x/min (5.5kg or 14 lbs)

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8-9 METs

What MET level would be considered in the following activities?

- Running (5.5mph), bicycling (13mph), ski touring (4mph)

- Squahs (social), handball (social)

- Fencing, basketball (vigorous)

- Swimming (30 yd/min), rope skipping

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10+ METs

What MET level would be considered in the following activities?

- Shoveling 10x/min (7.5kg or 16 lbs)

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10 METs

What's the MET level of the following activity?

- Running at 6 mph

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11.5 METs

What's the MET level of the following activity?

- Running at 7 mph

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13.5 METs

What's the MET level of the following activity?

- Running at 8 mph

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15 METs

What's the MET level of the following activity?

- Running at 9 mph

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17 METs

What's the MET level of the following activity?

- Running at 10 mph

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10+ METs

What's the MET level of the following activities?

- Ski touring (5+ mph), handball (competitive)

- Squash (competitive), Swimming (> 40 yd/min)

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If patient's capacity is very low

Activity at 2 - 3 METs level are very low in energy level, however, may promote endurance to individuals if:?

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Continous and Target Heart Rate is reached

Activities at 3- 4 MET level may promote endurance to individuals if there are:?

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Continous and lasting > 2 min

Recreational activities at 4 - 5 MET level may promote endurance, however, occupational activities at this MET level in order to promote endurance they must be:?

1. A person is 5 days post coronary artery bypass graft (CAPG). He expresses anxiety about performing any type of activity and reports chest pain during ambulation. The cardiologist has approved activities at a met level of 2-3. An activity appropriate for the therapist to begin intervention with is:

A. Grooming in sitting: (1-2 met level)

b. showering in standing (3-4 met level)

c. performing light housework

d. grooming while standing at the sink.

2. The manager of a large ot department is planning to expand the inpatient cardiopulmonary rehab program to include outpatient services. The most relevant information in the proposal to the hospital’s administrative board is

a. Data ont eh inpatient rehab program’s outcomes ( when discharged they can carry out activities at a 3.5 -4 met level. Since many iadl are at 4 met level. )

b. Testimonials from patients regarding their satisfaction with the inpatient cardiopulmonary program

c. Statistics on physicians referrals to the acute unit and the average inpatient length of stay.

d. Literature on cardiopulmonary rehab across the continuum of care.

3. An ot is discussing recommended activities with an individual who is at stage 2 of cardiac recovery. The therapist recommends.

A. Isometric exercises.(contraindicated for all stages of cardiac rehab).

b. doing a tabletop craft of interest.

c. light gardening. (4)

d. listening to radio (1)

4. an individual who recently experienced an mi has been referred to ot. To determine the indv current endurance level, the ot plans to monitor performance of self-care activities. The first step is to

a. take the indv vital signs after performance of self-care activities. (3rd)

b. observe the indiv for signs and symptoms of exhaustion during self care activities. (2nd)

c. take the indv vital signs at rest. (first step_

d. take the vital signs 5 min after the indv has completed self-care activities. (last)

5. which of the following activities would best represent an expected outcome for an individual who completes an energy conservation program?

a. getting dressed without becoming fatigued. (prevention of fatigue is the primary purpose of energy conservation)

b. lifting heavy cookware without pain. (proper body mechanics)

c. doing handicraft without damaging his or her joints.

d. dusting and vacuuming more quickly. (techniques result in slower not faster)

6. many indiv who participate in outpatient cardiac rehab programs take beta blockers. The best method for evaluation tolerance for exercise with these indv is to:

a. perform isometric testing. (contraindicated for cardiac conditions)

b. use a perceived exertion scale (i.e. berg scale”how do you feel you are exerting.”

c. monitor heat rate and blood pressure.

d. calculate maximum age-adjusted heart rate. –(to calculate appropriate exercise intensity, but relies on accurate hr calculations).

(beta blockers can result in inaccurate hr calculations).

7. the ot is instructing an indv with copd in energy conservation techniques. Which of the following should the otr recommend in order to limit the amount of work needed during bathing?

a. a reacher (limited reach)

b. a shower chair and terry bath robe (bathing is strenuous because of the hot, humid air makes breaking difficulty)

c. a bath mitt (limited reach)

d. proper body mechanics. (for back injuries)

8. when treating pts in the acute phase of cardiac rehab, it is important for the otr to first select activities that

a. can be accomplished without causing fatigue (they will get tired)

b decrease the effects of prolonged inactivity (thromboembolism, orthostatic hypotension, and muscle atrophy. Safely providing a program of monitored activity performance to maximize function, reinforcing cardiac precautions, and providing instructions in energy conservation techniques.

c. promote strength, rom, and endurance

d. can be carried out indep after discharge.

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