1
OTR MICHIGAN JURISPRUDENCE EXAM
WITH COMPLETE SOLUTIONS.
Comprehensive Licensing Examination Assessment
60 Questions with Detailed Rationales
──────────────────────────────────────────────────────────────────────
SECTION DISTRIBUTION
Section # Questions
Michigan Public Health Code – Occupational 15
Therapy
Licensure Requirements 8
Scope of Practice & Supervision 12
Prohibited Conduct & Disciplinary Actions 10
Continuing Competence 6
Patient Rights & Informed Consent 5
Fee Schedule, Advertising & Business 4
Practices
TOTAL 60
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SECTION 1: MICHIGAN PUBLIC HEALTH CODE – OCCUPATIONAL THERAPY
══════════════════════════════════════════════════════════════════════
Q1: Under the Michigan Public Health Code, which of the following is within the legal scope of
practice for a licensed occupational therapist (OTR)?
A. Diagnosing a patient with carpal tunnel syndrome
B. Prescribing gabapentin for neuropathic pain
C. Performing a manual muscle test to assess upper extremity strength
D. Ordering an MRI of the cervical spine
Correct Answer: C
Rationale: Correct because occupational therapists evaluate through assessment techniques such as
manual muscle testing but cannot diagnose medical conditions, prescribe medications, or order
advanced imaging without physician authorization.
,2
Q2: The Michigan Public Health Code defines occupational therapy services as including all of
the following EXCEPT:
A. Evaluation and intervention planning
B. Discharge planning and outcomes assessment
C. Prescribing medication for a patient's condition
D. Consultation and education
Correct Answer: C
Rationale: Correct because prescribing medication is outside the scope of occupational therapy
practice under the Michigan Public Health Code; OTs may evaluate, plan interventions, consult, and
educate but cannot prescribe.
Q3: Under Michigan law, the practice of occupational therapy does NOT include:
A. Adaptive equipment training
B. Spinal manipulation as a primary treatment modality
C. Sensory integration techniques
D. Activity of daily living (ADL) retraining
Correct Answer: B
Rationale: Correct because spinal manipulation is a prohibited service for occupational therapists in
Michigan; it falls outside the scope of practice and requires a chiropractic or medical license.
Q4: The Michigan Board of Occupational Therapy is created within which department?
A. Michigan Department of Health and Human Services
B. Department of Licensing and Regulatory Affairs (LARA)
C. Michigan Department of Education
D. Michigan Department of Labor
Correct Answer: B
Rationale: Correct because the Michigan Board of Occupational Therapy operates under the
Department of Licensing and Regulatory Affairs (LARA), which oversees all health profession licensing
in the state.
Q5: Under the Public Health Code, an occupational therapist may NOT perform which of the
following invasive procedures?
, 3
A. Wound care dressing changes
B. Surgical debridement
C. Application of topical medications
D. Splinting for positioning
Correct Answer: B
Rationale: Correct because surgical debridement is an invasive procedure requiring a medical or
nursing license; occupational therapists may perform non-invasive wound care but not surgical
procedures.
Q6: The Michigan Public Health Code requires that occupational therapy services be provided
by:
A. Anyone trained in rehabilitation techniques
B. A person licensed by the Michigan Board of Occupational Therapy
C. A physical therapist with additional training
D. A certified nursing assistant under physician orders
Correct Answer: B
Rationale: Correct because Michigan law mandates that only individuals licensed by the Board of
Occupational Therapy may legally practice occupational therapy; unlicensed practice is prohibited.
Q7: Under the Public Health Code, the definition of "occupational therapy" includes services
that promote:
A. Only physical health and wellness
B. Health and wellness, prevent disability, and preserve functional capabilities
C. Only mental health treatment
D. Only vocational rehabilitation
Correct Answer: B
Rationale: Correct because Michigan Compiled Laws define occupational therapy services as
promoting health and wellness, preventing disability, and preserving functional capabilities across
physical, cognitive, and psychosocial domains.
Q8: An OTR wishes to provide occupational therapy services via telehealth to a patient in rural
Michigan. Under current Michigan OT regulations:
OTR MICHIGAN JURISPRUDENCE EXAM
WITH COMPLETE SOLUTIONS.
Comprehensive Licensing Examination Assessment
60 Questions with Detailed Rationales
──────────────────────────────────────────────────────────────────────
SECTION DISTRIBUTION
Section # Questions
Michigan Public Health Code – Occupational 15
Therapy
Licensure Requirements 8
Scope of Practice & Supervision 12
Prohibited Conduct & Disciplinary Actions 10
Continuing Competence 6
Patient Rights & Informed Consent 5
Fee Schedule, Advertising & Business 4
Practices
TOTAL 60
══════════════════════════════════════════════════════════════════════
SECTION 1: MICHIGAN PUBLIC HEALTH CODE – OCCUPATIONAL THERAPY
══════════════════════════════════════════════════════════════════════
Q1: Under the Michigan Public Health Code, which of the following is within the legal scope of
practice for a licensed occupational therapist (OTR)?
A. Diagnosing a patient with carpal tunnel syndrome
B. Prescribing gabapentin for neuropathic pain
C. Performing a manual muscle test to assess upper extremity strength
D. Ordering an MRI of the cervical spine
Correct Answer: C
Rationale: Correct because occupational therapists evaluate through assessment techniques such as
manual muscle testing but cannot diagnose medical conditions, prescribe medications, or order
advanced imaging without physician authorization.
,2
Q2: The Michigan Public Health Code defines occupational therapy services as including all of
the following EXCEPT:
A. Evaluation and intervention planning
B. Discharge planning and outcomes assessment
C. Prescribing medication for a patient's condition
D. Consultation and education
Correct Answer: C
Rationale: Correct because prescribing medication is outside the scope of occupational therapy
practice under the Michigan Public Health Code; OTs may evaluate, plan interventions, consult, and
educate but cannot prescribe.
Q3: Under Michigan law, the practice of occupational therapy does NOT include:
A. Adaptive equipment training
B. Spinal manipulation as a primary treatment modality
C. Sensory integration techniques
D. Activity of daily living (ADL) retraining
Correct Answer: B
Rationale: Correct because spinal manipulation is a prohibited service for occupational therapists in
Michigan; it falls outside the scope of practice and requires a chiropractic or medical license.
Q4: The Michigan Board of Occupational Therapy is created within which department?
A. Michigan Department of Health and Human Services
B. Department of Licensing and Regulatory Affairs (LARA)
C. Michigan Department of Education
D. Michigan Department of Labor
Correct Answer: B
Rationale: Correct because the Michigan Board of Occupational Therapy operates under the
Department of Licensing and Regulatory Affairs (LARA), which oversees all health profession licensing
in the state.
Q5: Under the Public Health Code, an occupational therapist may NOT perform which of the
following invasive procedures?
, 3
A. Wound care dressing changes
B. Surgical debridement
C. Application of topical medications
D. Splinting for positioning
Correct Answer: B
Rationale: Correct because surgical debridement is an invasive procedure requiring a medical or
nursing license; occupational therapists may perform non-invasive wound care but not surgical
procedures.
Q6: The Michigan Public Health Code requires that occupational therapy services be provided
by:
A. Anyone trained in rehabilitation techniques
B. A person licensed by the Michigan Board of Occupational Therapy
C. A physical therapist with additional training
D. A certified nursing assistant under physician orders
Correct Answer: B
Rationale: Correct because Michigan law mandates that only individuals licensed by the Board of
Occupational Therapy may legally practice occupational therapy; unlicensed practice is prohibited.
Q7: Under the Public Health Code, the definition of "occupational therapy" includes services
that promote:
A. Only physical health and wellness
B. Health and wellness, prevent disability, and preserve functional capabilities
C. Only mental health treatment
D. Only vocational rehabilitation
Correct Answer: B
Rationale: Correct because Michigan Compiled Laws define occupational therapy services as
promoting health and wellness, preventing disability, and preserving functional capabilities across
physical, cognitive, and psychosocial domains.
Q8: An OTR wishes to provide occupational therapy services via telehealth to a patient in rural
Michigan. Under current Michigan OT regulations:
