OTD 433 EXAM 1 QUESTIONS AND
ANSWERS 100% PASS 2026/2027
What are the components of evidence based practice? - ANS -clinical expertise
-what is important to the patient
-what is the best research available
Define Evidenced based practice - ANS integration of clinical expertise , patient values, and
the best research evidence into decision making process for patient care
Clinical Expertise - ANS clinicians cumulated experience, education and clinical skills
T/F The patient brings to the encounter his or her own personal and unique concerns,
expectations and values - ANS True
Best evidence is usually found in _______________ relevant research that has bee conducted
using sound ____________. - ANS clinically; methodology
T/F the evidence by itself makes the decision for you. - ANS False: it can help support patient
care process.
@2026 ALLRIGHTS RESERVED 1
,Functional Training - ANS used to improve ability to perform physical actions, tasks, or
activities in an efficent, typically expected, or competent maner
ADL Training - ANS self care, accomodation/modification of home barriers, bathing, bed
mobility, transfer, developmental activities, dressing, eating, feedings, grooming, toileting
,wheelchair, external supports
IADL training - ANS domestic life; accomodation/modif. of home barriers, caring for
dependents, driving/transportation, home maintenance, meal prep, shopping, yard work
AOTA addressed the issue dur to challenges to OT practice in _________ and ______________. -
ANS florida, new york
What is the scope of practice issue with PAMS - ANS challenge to the "use of heat, light,
water, sound.."
T/F AOTA had an official position on PAMS - ANS false
PAm task force was created in ____________ to explore issues and philosophical positions -
ANS 1990
Professional issues with PAMS - ANS -many opposed
-inconsistent with professions theory and philosophy
______% physical disability practicioners felt PAMs was a natural evolution toward new
technologies - ANS 80%
_________% thought PAMS was consistent with the philosophical base - ANS 58%
@2026 ALLRIGHTS RESERVED 2
,Where do you go to find out about a state's modalities/thermal agent's specific law? -
ANS Department of Health and Human Services
Outcome of PAMS - ANS - inconsisitency between desire to clinicians to obtain education and
training at an academic level
-contributed to states adopting regulatory language to outline skills and training needed
_________ states with liscensing language or regulations specifiying training requiement for
PAMS application - ANS >26
FL, NY, IL, NE, SD, CA, MT, NH, NJ, GA, MD, KY, TN - ANS states that identify education/training
requirements for PAMS and require seperate liscense.
Educational programs only need to ____________ but not _______________ application of
PAMS. - ANS demonstrate; perform
-lack of understanding of theoretical framework
-Top-down approach
-occupation as the end and means
-no reference to dx in the OT practice framework
-insecurity and inconsistency in whether OT's diagnose - ANS Theoretical issues of PAMS
What is the OTPF missing? - ANS - we don't diagnose
-but we can have a clinical impression
@2026 ALLRIGHTS RESERVED 3
, Activity demand - ANS components and characteristic of activity will determine demand of
activity and impact the skill or completion of performance
Activity demands are __________ to specific __________ _________. - ANS linked; client
factors
Client factors - ANS components which reside within or are unique biophysiological factors of
teh individual
Client factors __________ the ability to ___________ in occupations. - ANS affects; engage
Difference between OT and PT education - ANS -PT said to be medically based/ reductionistic
-We went from reductionistic to a hybrid of medical and community components
-OT needs to be better at medical component
What kind of patient has a better outcome after a hip or knee replacement? - ANS patient
who are physically active prior to srugery
At what point do you put in a shoulder arthroplasty? - ANS - when they have uncontrolled
pain
- movement needs to be at 90 flexion and abduction
Significance of PAMS - ANS - impact CF
-influence biophysiological fctn of tissue
-influence cardio, hematological, and immunological systems
-use preparatory to treating a variety of neuro-musculo, movement mrelated and sensory
functions
@2026 ALLRIGHTS RESERVED 4
ANSWERS 100% PASS 2026/2027
What are the components of evidence based practice? - ANS -clinical expertise
-what is important to the patient
-what is the best research available
Define Evidenced based practice - ANS integration of clinical expertise , patient values, and
the best research evidence into decision making process for patient care
Clinical Expertise - ANS clinicians cumulated experience, education and clinical skills
T/F The patient brings to the encounter his or her own personal and unique concerns,
expectations and values - ANS True
Best evidence is usually found in _______________ relevant research that has bee conducted
using sound ____________. - ANS clinically; methodology
T/F the evidence by itself makes the decision for you. - ANS False: it can help support patient
care process.
@2026 ALLRIGHTS RESERVED 1
,Functional Training - ANS used to improve ability to perform physical actions, tasks, or
activities in an efficent, typically expected, or competent maner
ADL Training - ANS self care, accomodation/modification of home barriers, bathing, bed
mobility, transfer, developmental activities, dressing, eating, feedings, grooming, toileting
,wheelchair, external supports
IADL training - ANS domestic life; accomodation/modif. of home barriers, caring for
dependents, driving/transportation, home maintenance, meal prep, shopping, yard work
AOTA addressed the issue dur to challenges to OT practice in _________ and ______________. -
ANS florida, new york
What is the scope of practice issue with PAMS - ANS challenge to the "use of heat, light,
water, sound.."
T/F AOTA had an official position on PAMS - ANS false
PAm task force was created in ____________ to explore issues and philosophical positions -
ANS 1990
Professional issues with PAMS - ANS -many opposed
-inconsistent with professions theory and philosophy
______% physical disability practicioners felt PAMs was a natural evolution toward new
technologies - ANS 80%
_________% thought PAMS was consistent with the philosophical base - ANS 58%
@2026 ALLRIGHTS RESERVED 2
,Where do you go to find out about a state's modalities/thermal agent's specific law? -
ANS Department of Health and Human Services
Outcome of PAMS - ANS - inconsisitency between desire to clinicians to obtain education and
training at an academic level
-contributed to states adopting regulatory language to outline skills and training needed
_________ states with liscensing language or regulations specifiying training requiement for
PAMS application - ANS >26
FL, NY, IL, NE, SD, CA, MT, NH, NJ, GA, MD, KY, TN - ANS states that identify education/training
requirements for PAMS and require seperate liscense.
Educational programs only need to ____________ but not _______________ application of
PAMS. - ANS demonstrate; perform
-lack of understanding of theoretical framework
-Top-down approach
-occupation as the end and means
-no reference to dx in the OT practice framework
-insecurity and inconsistency in whether OT's diagnose - ANS Theoretical issues of PAMS
What is the OTPF missing? - ANS - we don't diagnose
-but we can have a clinical impression
@2026 ALLRIGHTS RESERVED 3
, Activity demand - ANS components and characteristic of activity will determine demand of
activity and impact the skill or completion of performance
Activity demands are __________ to specific __________ _________. - ANS linked; client
factors
Client factors - ANS components which reside within or are unique biophysiological factors of
teh individual
Client factors __________ the ability to ___________ in occupations. - ANS affects; engage
Difference between OT and PT education - ANS -PT said to be medically based/ reductionistic
-We went from reductionistic to a hybrid of medical and community components
-OT needs to be better at medical component
What kind of patient has a better outcome after a hip or knee replacement? - ANS patient
who are physically active prior to srugery
At what point do you put in a shoulder arthroplasty? - ANS - when they have uncontrolled
pain
- movement needs to be at 90 flexion and abduction
Significance of PAMS - ANS - impact CF
-influence biophysiological fctn of tissue
-influence cardio, hematological, and immunological systems
-use preparatory to treating a variety of neuro-musculo, movement mrelated and sensory
functions
@2026 ALLRIGHTS RESERVED 4
