NBCOT Occupational Therapy Certification Preparedness
Baseline Exam Knowledge Questions with Expertly written
solution 2024/2025
TRICARE provides health coverage for - correct answer The military
The Children's Health Insurance Program provides coverage for - correct answer
Children and families who cannot qualify for Medicaid and cannot afford health
insurance
The Federal Employees Health Benefit Program provides coverage for - correct
answer Federal employees
What is indicated for De Quervain's tenosynovitis? - correct answer • Splints typically
applied during the acute phase of injury
• Splint typically prescribed: forearm-based thumb Spica splint
(immobilize the wrist, thumb CMC and MCP joints, placing the abductor pollicis longus
and extensor pollicis brevis at rest)
• Avoid excessive radial and ulnar deviation
• Use of telephone headset and built-up handled writing implements may relieve or
reduce stress on thumb and wrist joints
"?" established the mandate to provide complementary paratransit services under Title
II, Part B - correct answer The Americans With Disabilities Act of 1990
"?" eliminated unnecessary segregation of people with disabilities and was not specific
to transportation - correct answer The Supreme Court's decision in Olmstead v. L. C.
,"?" authorized federal surface transportation programs and did not address
transportation rights - correct answer The Safe, Accountable, Flexible, Efficient
Transportation Equity Act: A Legacy for Users (SAFETEA-LU)
"?" expanded civil rights for people with disabilities but did not mandate access to
paratransit services - correct answer The Rehabilitation Act
Suspicion is characteristic of "?" stage dementia - correct answer Early-stage
dementia
(Common for clients to think misplaced items have been stolen or that their spouse may
be unfaithful)
Pacing, difficulty choosing appropriate clothing, and vulgar or rude language are all
common behavioral symptoms of "?" stage dementia - correct answer Middle-stage
dementia
(Related to loss of impulse control and difficulty communicating needs)
A volar antispasticity hand splint can - correct answer Decrease a soft-tissue
contracture once minimal or moderate abnormal tone has been inhibited
A client with a below-the-knee amputation tends to flex the knee when sitting in a
wheelchair. Use of a knee extension splint can decrease the knee flexion contracture.
A C bar splint can - correct answer Maintain or improve the first web space affected
by a median nerve injury
A knee extension splint can - correct answer Decrease the knee flexion contracture
for a ct with a below-the-knee amputation
(Tends to flex the knee when sitting in a wheelchair)
,A boney block can only be removed - correct answer Surgically
What strategy might an OTR appropriately recommend to caregivers of a client with
Alzheimer's disease to assist with fall prevention? - correct answer Engagement in
activity-based interventions & daily structure
(Documented to assist in fall prevention)
The Modified Ashworth Scale is a measure of - correct answer Spasticity
Trigger point evaluation is a measure of - correct answer Localized soft-tissue pain
The FIM is a measure of - correct answer ADL independence
A client with Huntington's disease presents with decreased motor planning. What is the
most effective intervention for an OTR to implement with this cognitive impairment? -
correct answer Mental imagery
(Effective strategy to improve motor abilities for clients with decreased motor planning)
Healing of the heart muscle takes "?" weeks
MET limitations during this time? - correct answer 4 to 8 weeks
• During this time, activities are limited to the 2 to 4 MET range
• Carrying groceries upstairs requires 6 to 10 mets
Which test assesses a client's ability to visually select features that differentiate objects?
- correct answer Selective attention
, • A.K.A. focal attention
• Ability to disregard irrelevant information or stimuli and attend to what is relevant
The OTR is treating a client who presents with hemiplegia from a CVA. The client's
hand is flaccid. To fabricate a custom resting hand orthosis, in what position should the
OTR place the wrist and mcps? - correct answer A resting hand orthosis keeps soft
tissue positioned in optimal mobility --> Flexion of the mcps at 45° to 60°
25° of slight extension would maintain the wrist in a position that would not compromise
the median nerve
• mcps at 0° of flexion would shorten the collateral ligaments and increase potential for
flexion stiffness
• Wrist positioned in flexion would compromise the median nerve
This condition can lead to heart failure and inadequate oxygenation of the brain -
correct answer Patent ductus arteriosus (PDA)
• Heart defect that is common in premature children and people with Down syndrome
• A defect of the ductus arteriosus results in a lack of constriction --> heart failure and
inadequate oxygenation of the brain
This condition can lead to increased blood pressure and rapid heart rate - correct
answer Tachycardia
This condition can lead to difficulties with feeding and shortness of breath - correct
answer Supraventricular tachycardia
Job coaching provides - correct answer Vocational evaluation to identify a client's
vocational interests and abilities along with physical and mental tolerances for general
job activities
Baseline Exam Knowledge Questions with Expertly written
solution 2024/2025
TRICARE provides health coverage for - correct answer The military
The Children's Health Insurance Program provides coverage for - correct answer
Children and families who cannot qualify for Medicaid and cannot afford health
insurance
The Federal Employees Health Benefit Program provides coverage for - correct
answer Federal employees
What is indicated for De Quervain's tenosynovitis? - correct answer • Splints typically
applied during the acute phase of injury
• Splint typically prescribed: forearm-based thumb Spica splint
(immobilize the wrist, thumb CMC and MCP joints, placing the abductor pollicis longus
and extensor pollicis brevis at rest)
• Avoid excessive radial and ulnar deviation
• Use of telephone headset and built-up handled writing implements may relieve or
reduce stress on thumb and wrist joints
"?" established the mandate to provide complementary paratransit services under Title
II, Part B - correct answer The Americans With Disabilities Act of 1990
"?" eliminated unnecessary segregation of people with disabilities and was not specific
to transportation - correct answer The Supreme Court's decision in Olmstead v. L. C.
,"?" authorized federal surface transportation programs and did not address
transportation rights - correct answer The Safe, Accountable, Flexible, Efficient
Transportation Equity Act: A Legacy for Users (SAFETEA-LU)
"?" expanded civil rights for people with disabilities but did not mandate access to
paratransit services - correct answer The Rehabilitation Act
Suspicion is characteristic of "?" stage dementia - correct answer Early-stage
dementia
(Common for clients to think misplaced items have been stolen or that their spouse may
be unfaithful)
Pacing, difficulty choosing appropriate clothing, and vulgar or rude language are all
common behavioral symptoms of "?" stage dementia - correct answer Middle-stage
dementia
(Related to loss of impulse control and difficulty communicating needs)
A volar antispasticity hand splint can - correct answer Decrease a soft-tissue
contracture once minimal or moderate abnormal tone has been inhibited
A client with a below-the-knee amputation tends to flex the knee when sitting in a
wheelchair. Use of a knee extension splint can decrease the knee flexion contracture.
A C bar splint can - correct answer Maintain or improve the first web space affected
by a median nerve injury
A knee extension splint can - correct answer Decrease the knee flexion contracture
for a ct with a below-the-knee amputation
(Tends to flex the knee when sitting in a wheelchair)
,A boney block can only be removed - correct answer Surgically
What strategy might an OTR appropriately recommend to caregivers of a client with
Alzheimer's disease to assist with fall prevention? - correct answer Engagement in
activity-based interventions & daily structure
(Documented to assist in fall prevention)
The Modified Ashworth Scale is a measure of - correct answer Spasticity
Trigger point evaluation is a measure of - correct answer Localized soft-tissue pain
The FIM is a measure of - correct answer ADL independence
A client with Huntington's disease presents with decreased motor planning. What is the
most effective intervention for an OTR to implement with this cognitive impairment? -
correct answer Mental imagery
(Effective strategy to improve motor abilities for clients with decreased motor planning)
Healing of the heart muscle takes "?" weeks
MET limitations during this time? - correct answer 4 to 8 weeks
• During this time, activities are limited to the 2 to 4 MET range
• Carrying groceries upstairs requires 6 to 10 mets
Which test assesses a client's ability to visually select features that differentiate objects?
- correct answer Selective attention
, • A.K.A. focal attention
• Ability to disregard irrelevant information or stimuli and attend to what is relevant
The OTR is treating a client who presents with hemiplegia from a CVA. The client's
hand is flaccid. To fabricate a custom resting hand orthosis, in what position should the
OTR place the wrist and mcps? - correct answer A resting hand orthosis keeps soft
tissue positioned in optimal mobility --> Flexion of the mcps at 45° to 60°
25° of slight extension would maintain the wrist in a position that would not compromise
the median nerve
• mcps at 0° of flexion would shorten the collateral ligaments and increase potential for
flexion stiffness
• Wrist positioned in flexion would compromise the median nerve
This condition can lead to heart failure and inadequate oxygenation of the brain -
correct answer Patent ductus arteriosus (PDA)
• Heart defect that is common in premature children and people with Down syndrome
• A defect of the ductus arteriosus results in a lack of constriction --> heart failure and
inadequate oxygenation of the brain
This condition can lead to increased blood pressure and rapid heart rate - correct
answer Tachycardia
This condition can lead to difficulties with feeding and shortness of breath - correct
answer Supraventricular tachycardia
Job coaching provides - correct answer Vocational evaluation to identify a client's
vocational interests and abilities along with physical and mental tolerances for general
job activities
