NBCOT Exam
1. OTR Study Guide Domain 1 Ans: Practice Test
An OTR who works in an elementary school is preparing to evaluate a student
in fifth grade who has a learning disability and ADHD. Which standardized
assessments would be MOST EFFECTIVE for the OTR to include as part of
the evaluation process Ans: Bruininks-Oseretsky Test of Motor Proficiency (BOT
and Evaluation Tool of Children's Handwriting (ETCH)
These assessment tools are used to measure skills and abilities that are associated
with school-related occupational performance.
2. A 2-year-old toddler, who has a developmental delay, recently learned to
release a 2-inch (5.08 cm) ball into a large toy box. What fine motor skill should
the OTR work on NEXT Ans: Complete a 3- to 4-piece puzzle.
In the development of play occupations, a child who is able to release an object into
a toy box would NEXT be expected to be able to put together a 3- to 4-piece puzzle.
O'Brien, J. C., & Kuhaneck, H. (2020). Case-Smith's Occupational therapy for chil-
dren and adolescents (8th ed., p. 118). St. Louis, MO Ans: Elsevier.
,3. An OTR is evaluating an inpatient who recently had a severe TBI and
is emerging from coma. The patient is functioning at a Level III (Localized
response) on the Rancho Los Amigos scale. Which is the FIRST cognitive
function the OTR should assess Ans: Level of arousal
A component of the evaluation for a patient who is functioning at a Level III (Localized
response) on the Rancho Los Amigos scale is to screen the patient's level of arousal
and alertness.
4. Domain 1 Ans: Practice Test
An OTR is developing an intervention plan using a bottom-up approach for
clients who have hemiplegia and hemi-neglect secondary to having a CVA
more than one year ago. Which of the following intervention techniques has
evidence supporting its efficacy for reducing the effects of "learned non-use"
through cortical reorganization Ans: Constraint-induced movement therapy
(CIMT)
This is an evidence-based functional approach for promoting use of a hemiparetic
upper extremity.
5. OTR Study Guide Domain 1 Ans: Practice Test
For a typically developing child, which postural reflex becomes evident be-
,tween 6-9 months of age and continues throughout life Ans: Forward
protective
, extension
Forward protective extension is a postural reflex that typically becomes evident
between 6-9 months of age and continues throughout life.
6. Which activity involves the use of a closed kinetic chain movement of the
upper extremity Ans: Pulling up on an overhead trapeze during bed mobility
other examples Ans: WRONG
Hand-to-mouth patterns used for self-feeding
Lifting a suitcase off the floor to carry by the handle
This closed kinetic chain movement includes the distal upper extremity being stabi-
lized and in constant contact with the trapeze.
7. OTR Study Guide Domain 1 Ans: Practice Test
An OTR is assessing the reflexes of a 4-month-old infant. The OTR places the
infant in a sitting position and encourages the infant to actively flex the neck
forward to look at an object held near the infant's chest. Which of the following
responses to this movement indicates the presence of the symmetrical tonic
neck reflex Ans: Flexion of the upper extremities and extension of the lower
extremities
1. OTR Study Guide Domain 1 Ans: Practice Test
An OTR who works in an elementary school is preparing to evaluate a student
in fifth grade who has a learning disability and ADHD. Which standardized
assessments would be MOST EFFECTIVE for the OTR to include as part of
the evaluation process Ans: Bruininks-Oseretsky Test of Motor Proficiency (BOT
and Evaluation Tool of Children's Handwriting (ETCH)
These assessment tools are used to measure skills and abilities that are associated
with school-related occupational performance.
2. A 2-year-old toddler, who has a developmental delay, recently learned to
release a 2-inch (5.08 cm) ball into a large toy box. What fine motor skill should
the OTR work on NEXT Ans: Complete a 3- to 4-piece puzzle.
In the development of play occupations, a child who is able to release an object into
a toy box would NEXT be expected to be able to put together a 3- to 4-piece puzzle.
O'Brien, J. C., & Kuhaneck, H. (2020). Case-Smith's Occupational therapy for chil-
dren and adolescents (8th ed., p. 118). St. Louis, MO Ans: Elsevier.
,3. An OTR is evaluating an inpatient who recently had a severe TBI and
is emerging from coma. The patient is functioning at a Level III (Localized
response) on the Rancho Los Amigos scale. Which is the FIRST cognitive
function the OTR should assess Ans: Level of arousal
A component of the evaluation for a patient who is functioning at a Level III (Localized
response) on the Rancho Los Amigos scale is to screen the patient's level of arousal
and alertness.
4. Domain 1 Ans: Practice Test
An OTR is developing an intervention plan using a bottom-up approach for
clients who have hemiplegia and hemi-neglect secondary to having a CVA
more than one year ago. Which of the following intervention techniques has
evidence supporting its efficacy for reducing the effects of "learned non-use"
through cortical reorganization Ans: Constraint-induced movement therapy
(CIMT)
This is an evidence-based functional approach for promoting use of a hemiparetic
upper extremity.
5. OTR Study Guide Domain 1 Ans: Practice Test
For a typically developing child, which postural reflex becomes evident be-
,tween 6-9 months of age and continues throughout life Ans: Forward
protective
, extension
Forward protective extension is a postural reflex that typically becomes evident
between 6-9 months of age and continues throughout life.
6. Which activity involves the use of a closed kinetic chain movement of the
upper extremity Ans: Pulling up on an overhead trapeze during bed mobility
other examples Ans: WRONG
Hand-to-mouth patterns used for self-feeding
Lifting a suitcase off the floor to carry by the handle
This closed kinetic chain movement includes the distal upper extremity being stabi-
lized and in constant contact with the trapeze.
7. OTR Study Guide Domain 1 Ans: Practice Test
An OTR is assessing the reflexes of a 4-month-old infant. The OTR places the
infant in a sitting position and encourages the infant to actively flex the neck
forward to look at an object held near the infant's chest. Which of the following
responses to this movement indicates the presence of the symmetrical tonic
neck reflex Ans: Flexion of the upper extremities and extension of the lower
extremities
