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Exam (elaborations)

NBCOT Practice Exam 1

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NBCOT Practice Exam 1

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NBCOT Practice Exam ji ji ji



1
1.An OT is preparing to evaluate a toddler who has upper extremity orthopedic c
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oncerns. How will the OT MOST likely obtain the majority of initial assess-
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ment data?
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A. Measurement tools that assess visual-motor skills ji ji ji ji ji

B. Dynamometer and pinch meter readings. ji ji ji ji

C. Observation of child during activities in the child-care center. ji ji ji ji ji ji ji ji


D. Functional independence measures.: C. Observation of child during activi ji ji ji ji ji ji ji ji

ties in the child-care center.
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Through observation of the child during child- ji ji ji ji ji ji

care center activities, the OT can collect information about the child's
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motor performance skills and participation in activities that require up
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per extremity/hand skill. Naturalistic observation is a
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method of ecological assessment, which is "a primary mechanism for obtai
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ning data relevant to the child's performance context
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..............................................................
Skilled observation of child performing ji ji ji ji

a functional task offers..... important information about the child's perform
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ance". Answers A, B, ad D are all appropriate choices after the child is old en
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ough for these assessments. ji ji ji


2.During an initial evaluation, the OT suspects that a child has somatodys-
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praxia. In what area should the OT focus the evaluation?
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A. Ability to print or write. ji ji ji ji

B. Reading competency. ji

C. Math calculations. ji


D. New motor task planning.: D. New motor task planning.
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"Somatodyspraxia is described as a deficit in learning new motor skills, plan ji ji ji ji ji ji ji ji ji ji ji

ning new motor actions, and generalizing motor plans." Inability to print or
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write (answer A) is termed "dysgraphia." The term "dyslexia" (answer B) m
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eans dysfunction in reading. Inability to perform mathematics (answer C) i
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s known as "dyscalculia"
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3.An OT working in a long-term care facility needs to evaluate the long-
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term memory of a resident. Which of the following methods is BEST for evaluat
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ing memory or personally experienced events (declarative memory)?
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A. Show the person a series of objects and ask him to recall the objects within 6
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1ji/ji55

, NBCOT Practice Exam ji ji ji



1
0 seconds.
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B. Ask the individual how he spent New Year's/
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C. Have the individual state the place, date, and time.
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D. Ask the client to remember to bring a specific item to the next therapy
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2ji/ji55

, NBCOT Practice Exam ji ji ji



1
session: B Ask the individual how he spent New Year's
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"Declarative memory is one aspect of long term memory and includes consci
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ous memory for events, knowledge or facts". It is commonly assessed thro
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ugh verbal interviews and informal testing such as asking a question abou
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t an individual's recall of personal events (answer B). Working memory ref
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ers to "the temporary storage of inforamtion while one is working with it or
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attending to it" (answer A). "Prospective memory involves the ability to re
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member intentions or activities that will be required in the future" (answer
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D). Knowing the date, place, and time is indicative of orientation (answer C)
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.
4.A child avoids playground equipment that requires her feet to be off the g
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round. What does this behavior MOST likely indicate?
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A. Difficulty modulating proprioception. ji ji

B. Somatodyspraxia
C. Gravitational insecurity ji

D. Bilateral integration/sequencing deficit.: C. Gravitational insecurity.
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Gravitational insecurity is described as "fear response to movement". The chi
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d easily experiences a fear of falling and prefers to keep her feet firmly on th
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ground. Tactile defensiveness (answer A) is a term used to describe discom
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ort with various textures and with unexpected touch. Somatodyspraxia (an
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wer B) has is "founda-
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tion in somatosensory (e.g. primarily tactile but also proprioceptive) discri
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mination deficits, which interfere with the development of body scheme and
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awareness". Bilat- ji

eral integration and sequencing deficits are related to "poor vestibular-
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propioceptive discrimination, which interferes with the ability to coordinate ji ji ji ji ji ji ji ji

sequence, and execute motor actions quickly and efficiently". ji ji ji ji ji ji ji


5.When the OT suspects tactile defensiveness as a rationale for a child's c
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hallenges, in what area of participation should the OT focus on FIRST?
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A. Play behavior ji

B. Dressing habits ji

C. Social skills ji

D. Leisure interests: B. Dressing habits ji ji ji ji




Children with tactile defensiveness are "bothered by tactile aspects of daily
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3ji/ji55

, NBCOT Practice Exam
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1
living activities.... specific types of clothing.... specific textures materials
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". The child may be bothered by certain textures or avoid wearing turtlen
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ecks, socks, or shoes. ji ji ji

Conversely, some children may never take off their shoes to avoid tactile stimu
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tion.




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