Practice Questions NBCOT EXAM|
Full Set Correct Solutions
A sixth grader with a diagnosis of athetoid cerebral palsy needs an adapted
computer for communication. Her upper extremity control is poor because
of fluctuating muscle tone. The COTA suggests that the BEST way for her to
operate her computer is to use a:
A. single pressure switch, firmly mounted within easy reach
B. lightweight keyboard placed at midline.
C. low-resistance mouse and pad.
D. mercury switch headband set to respond to minimal movement. - Ans--A.
single pressure switch, firmly mounted within easy reach.
A child with fluctuating muscle tone lacks
A COTA observes that a 10-month-old child is able to sit alone by propping
himself forward on his arms, but consistently loses his balance when
reaching for a toy. This behavior MOST likely indicates:
A. a developmental delay.
B. unintegrated primitive reflexes.
C. normal development.
D. advanced development. - Ans--A. a developmental delay.
Typically developing children (answer C) should be able to sit unsupported
for several minutes by the age of 8 to 9 months; therefore, this child
demonstrates delayed development (answer A). The ability to sit while
propped forward on his arms indicates primitive reflexes have been
integrated (answer B). Sitting unsupported earlier than 8 months could
indicate advanced development (answer D).
An individual demonstrates the ability to pick up a penny from a flat surface.
This represents which of the following prehension patterns?
A. Lateral
B. Palmar
C. Tip
,D. Three-jaw chuck - Ans--C. Tip.
Tip prehension is accomplished by flexing the IP joint of the thumb, and the
PIP and DIP joints of the finger, and bringing the tips of the thumb and finger
together. This type of prehension is used to pick up objects such as a pin,
nail, or coin. Lateral prehension pattern is used for holding a pen, utensil, or
key. Palmar prehension (answer B), also known as three-jaw chuck
(answer D), is formed by positioning the thumb in opposition to the tips of the
index and middle fingers, forming a pad-to-pad opposition. This form of
prehension is commonly used to lift objects from a flat surface and to tie a
shoelace.
In screening a child who has been referred to OT, the PRIMARY goal of the
OT practitioner is to:
A. obtain necessary information for an occupational therapy consultation
with teachers or parents.
B. test a wide variety of developmental behaviors
C. establish an information base for the occupational therapy treatment
plan
D. determine the need for further evaluation. - Ans--D. determine the need
for further evaluation.
The purpose of screening is to determine whether further assessments are
needed and, if so, which tests would be appropriate for that child. A
screening test is not designed for planning programs (answer C) or
consultation (answer A), and they do not test any skills (answer B) in a
comprehensive way.
A supermarket employee with obsessive-compulsive disorder takes an
hour to stock 24 soup cans on the shelf. He reports that once he has placed
all the cans on the shelf, he removes them all and starts over because "all
the labels were not lined up exactly in the same direction." Which of the
following methods would MOST effectively evaluate this individual's work
performance?
A. Functional assessment of work-related skills, such as carrying and
opening cartons and shelving items
B. Cognitive assessment using the Allen's Cognitive Levels evaluation
C. Verbal interview focusing on the requirements of the individual's job
, D. Task evaluation using a "clean" medium like a puzzle - Ans--A.
Functional assessment of work-related skills, such as carrying and opening
cartons and shelving items.
Observation of the individual performing actual job responsibilities will
provide more objective and measureable information about the individual's
strengths and weaknesses in the area of job performance than a verbal
interview (answer C) or task evaluation (answer D). Although a "dirty"
medium may be contraindicated when initially working with an individual
with OCD of the washing type, it would not be an issue for this individual
because his OCD is of the checking type. There is nothing to indicate the
individual has cognitive deficits, therefore a cognitive evaluation (answer B)
would not be indicated.
A person with functional limitations in shoulder abduction and external
rotation is performing self-care activities. Which of the following is MOST
essential for the COTA to assess?
A. Buttoning a shirt
B. Combing the hair
C. Tucking in a shirt in the back
D. Tying a shoe - Ans--B. Combing the hair.
An individual normally abducts and externally rotates the shoulder to comb
his or her hair; therefore, the individual is more likely to have difficulty in this
area than any of the others. Shoulder abduction is not required for buttoning
a shirt (answer A) or tying a shoe (answer D). Tucking in a shirt in the back
(answer C) requires shoulder abduction and internal rotation. Tying
shoelaces (answer D) is less dependent on shoulder motion than on hip and
spine flexibility.
When evaluating sensation of an individual with hemiplegia, the COTA
should FIRST:
A. apply the stimuli distally to proximally
B. test the involved area then the uninvolved area
C. present test stimuli in an organized pattern to improve reliability during
retesting
Full Set Correct Solutions
A sixth grader with a diagnosis of athetoid cerebral palsy needs an adapted
computer for communication. Her upper extremity control is poor because
of fluctuating muscle tone. The COTA suggests that the BEST way for her to
operate her computer is to use a:
A. single pressure switch, firmly mounted within easy reach
B. lightweight keyboard placed at midline.
C. low-resistance mouse and pad.
D. mercury switch headband set to respond to minimal movement. - Ans--A.
single pressure switch, firmly mounted within easy reach.
A child with fluctuating muscle tone lacks
A COTA observes that a 10-month-old child is able to sit alone by propping
himself forward on his arms, but consistently loses his balance when
reaching for a toy. This behavior MOST likely indicates:
A. a developmental delay.
B. unintegrated primitive reflexes.
C. normal development.
D. advanced development. - Ans--A. a developmental delay.
Typically developing children (answer C) should be able to sit unsupported
for several minutes by the age of 8 to 9 months; therefore, this child
demonstrates delayed development (answer A). The ability to sit while
propped forward on his arms indicates primitive reflexes have been
integrated (answer B). Sitting unsupported earlier than 8 months could
indicate advanced development (answer D).
An individual demonstrates the ability to pick up a penny from a flat surface.
This represents which of the following prehension patterns?
A. Lateral
B. Palmar
C. Tip
,D. Three-jaw chuck - Ans--C. Tip.
Tip prehension is accomplished by flexing the IP joint of the thumb, and the
PIP and DIP joints of the finger, and bringing the tips of the thumb and finger
together. This type of prehension is used to pick up objects such as a pin,
nail, or coin. Lateral prehension pattern is used for holding a pen, utensil, or
key. Palmar prehension (answer B), also known as three-jaw chuck
(answer D), is formed by positioning the thumb in opposition to the tips of the
index and middle fingers, forming a pad-to-pad opposition. This form of
prehension is commonly used to lift objects from a flat surface and to tie a
shoelace.
In screening a child who has been referred to OT, the PRIMARY goal of the
OT practitioner is to:
A. obtain necessary information for an occupational therapy consultation
with teachers or parents.
B. test a wide variety of developmental behaviors
C. establish an information base for the occupational therapy treatment
plan
D. determine the need for further evaluation. - Ans--D. determine the need
for further evaluation.
The purpose of screening is to determine whether further assessments are
needed and, if so, which tests would be appropriate for that child. A
screening test is not designed for planning programs (answer C) or
consultation (answer A), and they do not test any skills (answer B) in a
comprehensive way.
A supermarket employee with obsessive-compulsive disorder takes an
hour to stock 24 soup cans on the shelf. He reports that once he has placed
all the cans on the shelf, he removes them all and starts over because "all
the labels were not lined up exactly in the same direction." Which of the
following methods would MOST effectively evaluate this individual's work
performance?
A. Functional assessment of work-related skills, such as carrying and
opening cartons and shelving items
B. Cognitive assessment using the Allen's Cognitive Levels evaluation
C. Verbal interview focusing on the requirements of the individual's job
, D. Task evaluation using a "clean" medium like a puzzle - Ans--A.
Functional assessment of work-related skills, such as carrying and opening
cartons and shelving items.
Observation of the individual performing actual job responsibilities will
provide more objective and measureable information about the individual's
strengths and weaknesses in the area of job performance than a verbal
interview (answer C) or task evaluation (answer D). Although a "dirty"
medium may be contraindicated when initially working with an individual
with OCD of the washing type, it would not be an issue for this individual
because his OCD is of the checking type. There is nothing to indicate the
individual has cognitive deficits, therefore a cognitive evaluation (answer B)
would not be indicated.
A person with functional limitations in shoulder abduction and external
rotation is performing self-care activities. Which of the following is MOST
essential for the COTA to assess?
A. Buttoning a shirt
B. Combing the hair
C. Tucking in a shirt in the back
D. Tying a shoe - Ans--B. Combing the hair.
An individual normally abducts and externally rotates the shoulder to comb
his or her hair; therefore, the individual is more likely to have difficulty in this
area than any of the others. Shoulder abduction is not required for buttoning
a shirt (answer A) or tying a shoe (answer D). Tucking in a shirt in the back
(answer C) requires shoulder abduction and internal rotation. Tying
shoelaces (answer D) is less dependent on shoulder motion than on hip and
spine flexibility.
When evaluating sensation of an individual with hemiplegia, the COTA
should FIRST:
A. apply the stimuli distally to proximally
B. test the involved area then the uninvolved area
C. present test stimuli in an organized pattern to improve reliability during
retesting
