NBCOT/COTA - Exam Prep Questions Correctly Answered 2025/2026
In infant development, which comes first: bilaterality or unilaterality? - Correct Answer
precedes unilaterality in infant development
When does hand dominance begin to develop? - Correct Answer Hand dominance begins to
develop at 3 to 6 years, and is not fully defined until 6 years
Can someone with receptive aphasia participate in sensory testing? - Correct Answer
Individuals with this disorder cannot comprehend spoken or written words or symbols.
Individuals cannot understand verbal directions or respond to sensory stimuli.
What is agnosia? - Correct Answer Agnosia is a category of defecits where the patient lacks
recognition of familiar object as perceived by the senses. This could involve all the senses and
manifests with problems in body scheme, such as somatognosia and anosognosia.
What is somatognosia? - Correct Answer Lack of awareness of one's body parts.
What is anosognosia? - Correct Answer Anosognosia: Transient, severe form of neglect. Patient
does not recognize the presence or severity of his paralysis.
What is prosopagnosia? - Correct Answer Face blindness. Inability to identify an individual by
their face.
What is visual-spacial agnosia? - Correct Answer Affects perception of spatial relationship
between objects, or between objects and self.
What is auditory agnosia? - Correct Answer Inability to recognize sounds, words and non-
words.
,What is visual agnosia? - Correct Answer Lack of ability to recognize common objects and
demonstrate their use in an activity.
What is apraxia? - Correct Answer Loss of the ability to execute or carry out learned (familiar)
movements, despite having the desire and the physical ability to perform the movements
What is ideomotor apraxia? - Correct Answer Inability to imitate gestures or perform a
purposeful motor task on command, even though the patient is able to fully understand the
idea or concept of a task. This is often associated with left hemisphere damage.
What is ideational apraxia? - Correct Answer The disability of carrying out complex sequential
motor acts. Caused by a disruption of the conception, rather than execution. (Loss of tool
function knowledge)
What is constructional apraxia? - Correct Answer Unable to produce designs in 2 or three
dimensions by copying, drawing, or constructing.
What is oral apraxia? - Correct Answer Difficulty in forming and organizing intelligable words,
though the musculature required to do so is in tact. Differs from disarthria because no muscles
are affected and speech is not slurred.
What is a neuroma? - Correct Answer A ______ is an unorganized mass of nerve fibers
resulting from a laceration (either surgical or accidental) or amputation in which the nerve
regrows in unorganized bundles. Results in sharp, radiating pain.
By what age does an infant sit erect and unsupported for several minutes? - Correct Answer By
8 to 9 months, an infant can sit erect and unsupported.
What is reflex sympathetic dystrophy? - Correct Answer __________ is caused by trauma, post-
surgical inflammation, infection, or laceration to an extremity. Characterized by pain, edema,
shiny skin, blotchy skin, and excessive sweating or dryness.
,What is another name for reflex sympathetic dystrophy? - Correct Answer Complex regional
pain syndrome.
What is a symmetric tonic neck reflex? - Correct Answer When an infant's neck is extended,
the elbows extend and the hips flex. When the head is lowered, the elbows flex and the hips
extend.
What is a bunny hop pattern? - Correct Answer A bunny hop pattern is a result of symmetric
tonic neck reflex utilization in order to elicit movement at the hips and elbows for mobility.
What is a neuroma? - Correct Answer A complication of nerve structure or amputation. A
traumatic ______ is an unorganized mass of nerve fibers resulting from accidental or surgical
cutting of the nerve. Results in sharp, radiating pain.
What sensory region does the radial nerve innervate on the hand? - Correct Answer Radial
Nerve
What sensory region does the ulnar nerve innervate in the hand? - Correct Answer Ulnar
Nerve
What sensory region in the hand is innervated by the median nerve? - Correct Answer Median
Nerve
What stage is initiated by looking at and reaching for food? - Correct Answer The oral
preparatory phase.
What behavior would a child with poor modulation of tactile input display? - Correct Answer
Children with autism often are unpredictable, both craving and avoiding sensory stimuli at
various times.
, After swallowing a pureed substance, you notice the individual has a wet, gurgling voice. What
might this indicate? - Correct Answer Possible aspiration. A videoflouroscopy is often times
needed to determine is this is the case.
In an acute care psychiatric setting, which group treatment is the most appropriate for
individuals with disorganized psychosis? - Correct Answer Directive group treatment: a highly
structured approach used in acute care for minimally functional individuals.
What type of group structure would be most appropriate for individuals with substance abuse?
- Correct Answer A task group is appropriate for substance abuse disorders.
What group format is most appropriate for eating and adjustment disorders? - Correct Answer
Psychoeducation groups
What is a Laissez-Faire leadership style? - Correct Answer Laissez-Faire is a "hands off"
approach. Goals are not stated, the purpose is not clear, members are not discouraged or
encouraged. This is for a high-functioning group.
What is the optimum number of members for a therapy group? - Correct Answer Five to six.
What is the optimum number of members for a counseling group? - Correct Answer No more
than eight members.
What would you do if you had ten people assigned to your group? - Correct Answer Divide
them into two subgroups.
What is autocratic leadership? - Correct Answer The leader exerts complete control.
In infant development, which comes first: bilaterality or unilaterality? - Correct Answer
precedes unilaterality in infant development
When does hand dominance begin to develop? - Correct Answer Hand dominance begins to
develop at 3 to 6 years, and is not fully defined until 6 years
Can someone with receptive aphasia participate in sensory testing? - Correct Answer
Individuals with this disorder cannot comprehend spoken or written words or symbols.
Individuals cannot understand verbal directions or respond to sensory stimuli.
What is agnosia? - Correct Answer Agnosia is a category of defecits where the patient lacks
recognition of familiar object as perceived by the senses. This could involve all the senses and
manifests with problems in body scheme, such as somatognosia and anosognosia.
What is somatognosia? - Correct Answer Lack of awareness of one's body parts.
What is anosognosia? - Correct Answer Anosognosia: Transient, severe form of neglect. Patient
does not recognize the presence or severity of his paralysis.
What is prosopagnosia? - Correct Answer Face blindness. Inability to identify an individual by
their face.
What is visual-spacial agnosia? - Correct Answer Affects perception of spatial relationship
between objects, or between objects and self.
What is auditory agnosia? - Correct Answer Inability to recognize sounds, words and non-
words.
,What is visual agnosia? - Correct Answer Lack of ability to recognize common objects and
demonstrate their use in an activity.
What is apraxia? - Correct Answer Loss of the ability to execute or carry out learned (familiar)
movements, despite having the desire and the physical ability to perform the movements
What is ideomotor apraxia? - Correct Answer Inability to imitate gestures or perform a
purposeful motor task on command, even though the patient is able to fully understand the
idea or concept of a task. This is often associated with left hemisphere damage.
What is ideational apraxia? - Correct Answer The disability of carrying out complex sequential
motor acts. Caused by a disruption of the conception, rather than execution. (Loss of tool
function knowledge)
What is constructional apraxia? - Correct Answer Unable to produce designs in 2 or three
dimensions by copying, drawing, or constructing.
What is oral apraxia? - Correct Answer Difficulty in forming and organizing intelligable words,
though the musculature required to do so is in tact. Differs from disarthria because no muscles
are affected and speech is not slurred.
What is a neuroma? - Correct Answer A ______ is an unorganized mass of nerve fibers
resulting from a laceration (either surgical or accidental) or amputation in which the nerve
regrows in unorganized bundles. Results in sharp, radiating pain.
By what age does an infant sit erect and unsupported for several minutes? - Correct Answer By
8 to 9 months, an infant can sit erect and unsupported.
What is reflex sympathetic dystrophy? - Correct Answer __________ is caused by trauma, post-
surgical inflammation, infection, or laceration to an extremity. Characterized by pain, edema,
shiny skin, blotchy skin, and excessive sweating or dryness.
,What is another name for reflex sympathetic dystrophy? - Correct Answer Complex regional
pain syndrome.
What is a symmetric tonic neck reflex? - Correct Answer When an infant's neck is extended,
the elbows extend and the hips flex. When the head is lowered, the elbows flex and the hips
extend.
What is a bunny hop pattern? - Correct Answer A bunny hop pattern is a result of symmetric
tonic neck reflex utilization in order to elicit movement at the hips and elbows for mobility.
What is a neuroma? - Correct Answer A complication of nerve structure or amputation. A
traumatic ______ is an unorganized mass of nerve fibers resulting from accidental or surgical
cutting of the nerve. Results in sharp, radiating pain.
What sensory region does the radial nerve innervate on the hand? - Correct Answer Radial
Nerve
What sensory region does the ulnar nerve innervate in the hand? - Correct Answer Ulnar
Nerve
What sensory region in the hand is innervated by the median nerve? - Correct Answer Median
Nerve
What stage is initiated by looking at and reaching for food? - Correct Answer The oral
preparatory phase.
What behavior would a child with poor modulation of tactile input display? - Correct Answer
Children with autism often are unpredictable, both craving and avoiding sensory stimuli at
various times.
, After swallowing a pureed substance, you notice the individual has a wet, gurgling voice. What
might this indicate? - Correct Answer Possible aspiration. A videoflouroscopy is often times
needed to determine is this is the case.
In an acute care psychiatric setting, which group treatment is the most appropriate for
individuals with disorganized psychosis? - Correct Answer Directive group treatment: a highly
structured approach used in acute care for minimally functional individuals.
What type of group structure would be most appropriate for individuals with substance abuse?
- Correct Answer A task group is appropriate for substance abuse disorders.
What group format is most appropriate for eating and adjustment disorders? - Correct Answer
Psychoeducation groups
What is a Laissez-Faire leadership style? - Correct Answer Laissez-Faire is a "hands off"
approach. Goals are not stated, the purpose is not clear, members are not discouraged or
encouraged. This is for a high-functioning group.
What is the optimum number of members for a therapy group? - Correct Answer Five to six.
What is the optimum number of members for a counseling group? - Correct Answer No more
than eight members.
What would you do if you had ten people assigned to your group? - Correct Answer Divide
them into two subgroups.
What is autocratic leadership? - Correct Answer The leader exerts complete control.
