Physical Therapy Quiz Questions!
27 Questions
| Total Attempts: 441
Questions and Answers
- 1.Case Study 1 (Use with questions 1 - 5) Mrs. Smith is admitted to the SNF s/p L hip fracture. She is being treated by PT 6 times per week, OT 5 times per week. Her last MDS assessment was an RU. She receives 60 min OT and 58 min PT treatment on Monday. On Tuesday, she is put on hold for therapy treatment by her physician for a DVT. She is not seen by any discipline on Tuesday, Wednesday or Thursday. On Friday, her physician orders that therapy services continue. She participates in therapy on Friday. For Mrs. Smith, which OMRA would we complete?
- A.
EOT with SOT OMRA
- B.
EOT - R OMRA
- C.
None
- D.
COT
- 2.Does a new eval need to be initiated?
- A.
Yes
- B.
No
- 3.Should she receive a full treatment on Friday?
- A.
Yes
- B.
No
- 4.Can this treatment be performed by an assistant?
- A.
Yes
- B.
No
- 5.Which RUG category should her scheduled minutes be targeted toward?
- A.
RL
- B.
RM
- C.
RH
- D.
RV
- E.
RU
- 6.Case Study 2 (Use with questions 6 - 9) Mr. Jones is admitted to the SNF s/p CABG. He is being treated by PT and OT 5 times a week for strengthening, ADLs, gait training and functional mobility. His last MDS assessment was an RU. OT completes a planned discharge on Tuesday. He becomes ill and is diagnosed with pneumonia. He starts antibiotics, and refuses physical therapy on Wednesday, Thursday, Friday and Saturday. On Sunday, he agrees to participate in therapy. Physical therapy resumes treatment. For Mr. Jones, what assessment(s) would we complete?
- A.
EOT with SOT OMRA
- B.
EOT - R OMRA
- C.
None
- D.
COT
- 7.Should he receive a full treatment on Sunday?
- A.
Yes
- B.
No
- 8.Does a new eval need to be completed?
- A.
Yes
- B.
No
- 9.Which RUG category should his scheduled minutes be targeted toward?
- A.
RL
- B.
RM
- C.
RH
- D.
RV
- E.
RU
- F.
Whatever is most clinically appropriate
- 10.Case Study 3 (Use with questions 10 - 15) Mrs. Appleby is on OT and PT caseload. She is being seen six times per week by both disciplines. Her last ARD was Wednesday, 10/5 (Day 58) for 720 minutes, RU. The following is a record of her treatments for Wednesday, 10/5 through Thursday 10/13: 10/5 10/6 10/7 10/8 10/9 10/10 10/11 10/12 10/13 PT planned 75 70 70 60 0 60 60 55 75 PT actual 90 65 55 60 0 60 45 50 105 OT planned 75 70 70 0 30 60 60 55 75 OT actual 85 60 60 0 30 60 50 45 100 Does a COT OMRA need to be completed?
- A.
Yes
- B.
No
- 11.What are the total minutes for the COT 7 day observation period?
- A.
720
- B.
545
- C.
640
- 12.If completed, what is the ARD date for the COT OMRA?
- A.
10/12
- B.
10/13
- C.
10/11
- 13.If completed, what would be the RUG level?
- A.
RU
- B.
RV
- 14.If completed, what date would the new RUG level payment start?
- A.
10/5
- B.
10/6
- C.
10/7
- D.
10/11
- E.
10/12
- F.
10/13
- 15.If a COT OMRA were completed, when should the minutes have been adjusted?
- A.
10/7
- B.
10/8
- C.
10/9
- D.
10/10
- E.
10/11
- F.
A or B
- 16.Case Study 4 (Use with questions 16 - 20) Mr. Lyons is receiving PT and OT services five times per week. His last ARD was 10/10 (14 day) for an RV. Below are his planned and actual minutes: 10/10 10/11 10/12 10/13 10/14 10/15 10/16 10/17 10/18 PT planned 75 75 75 75 75 0 0 60 75 PT actual 45 75 75 75 75 0 0 60 60 OT planned 60 75 75 75 75 0 0 60 75 OT actual 60 75 75 75 75 0 0 60 60 Does a COT OMRA need to be completed?
- A.
Yes
- B.
No
- 17.What is the rationale for the above answer?
- A.
Don't know
- B.
RTM increased enough to escalate the RUG category
- C.
RTM decreased enough to reduce the RUG category
- D.
RTM was stable with no change to RUG category
- 18.If completed, what would be the ARD date?
- A.
10/14
- B.
10/16
- C.
10/17
- D.
10/18
- 19.If completed, what would be the RUG level?
- A.
RV
- B.
RU
- C.
RH
- 20.What date does the new RUG level payment start?
- A.
10/10
- B.
10/11
- C.
10/12
- D.
10/16
- E.
10/17
- F.
10/18
- 21.Case Study 5 (Use with questions 21 - 24) Mrs. Ronan is receiving PT, OT and ST services five times per week. ST turned in a 5 day discontinuation notice during the rehab meeting. Their last date of treatment is 10/27. The last ARD was 10/19 for an RU. Mrs. Ronan’s planned minutes are as follows: 10/20 10/21 10/22 10/23 10/24 10/25 10/26 10/27 10/28 10/29 PT 50 50 0 0 50 50 50 50 50 0 OT 50 50 0 0 50 50 50 50 50 0 ST 45 45 0 0 45 45 45 45 45 0 10/30 10/31 11/1 11/2 11/3 11/4 11/5 PT 0 50 50 50 50 50 0 OT 0 50 50 50 50 50 0 ST 0 45 45 45 45 45 0 What is the next COT observation period for this resident?
- A.
10/19 - 10/25
- B.
10/20 - 10/26
- C.
10/21 - 10/27
- D.
10/22 - 10/29
- 22.And the one after that?
- A.
10/26 - 11/1
- B.
10/27 - 11/2
- C.
10/28 - 11/3
- 23.Is it necessary to complete a COT OMRA?
- A.
Yes
- B.
No
- C.
Maybe
- 24.Can the planned minutes be adjusted so as not to have to do a COT OMRA?
- A.
Yes
- B.
No
- 25.Case Study 6 (Use with questions 25 - 27) Therapist Sally has a 60 minute group planned for Friday at 11 am with Mrs. Smith, Mr. Jones, Mrs. Appleby and Mr. Lyons (all of which are skilled under Medicare A). At 11 am Sally begins the group with everyone except Mrs. Smith, who is sick and unable to come to the gym. Sally and the other residents continue and end the group session at noon. Does this meet the new group definition for Medicare A?
- A.
Yes
- B.
No
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