Certified Occupational Therapy
Assistant Examination (NBCOTCOTA):
100-Question Comprehensive Practice
Examination
1. A client with a C6 spinal cord injury is learning to dress independently.
Which adaptive technique is most appropriate?
A. Overhead dressing technique
B. One-handed dressing technique
C. Hook technique for socks
D. Cross-legged dressing on bed
Correct answer: B. One-handed dressing technique
Rationale: This technique maximizes independence by using the
unaffected upper extremity while compensating for limited hand function
at C6.
2. Which intervention best addresses fine motor coordination in a client with
Parkinson’s disease?
A. Resistance training with weights
B. Large amplitude reaching tasks
C. Joint immobilization
D. Bed rest exercises
Correct answer: B. Large amplitude reaching tasks
, Rationale: LSVT-based large amplitude movements improve motor control
and reduce bradykinesia.
3. A client with stroke demonstrates left neglect. What is the BEST
intervention?
A. Patch the left eye
B. Provide stimulation on the left side
C. Limit visual input
D. Encourage head tilt right
Correct answer: B. Provide stimulation on the left side
Rationale: Increasing awareness of the neglected side improves attention
and functional scanning.
4. Which is the primary purpose of a universal cuff?
A. Improve grip strength
B. Replace finger function for utensil use
C. Stabilize wrist joints
D. Prevent edema
Correct answer: B. Replace finger function for utensil use
Rationale: Universal cuffs allow individuals with limited grasp to hold
utensils.
5. A child with ADHD benefits MOST from:
A. Long lecture-based instruction
B. Structured short tasks with breaks
C. Unstructured play only
D. Sensory deprivation
Correct answer: B. Structured short tasks with breaks
Rationale: Short structured tasks improve attention and reduce
overstimulation.
, 6. Which is a sign of ulnar nerve injury?
A. Thumb opposition loss
B. Claw hand deformity
C. Wrist drop
D. Shoulder weakness
Correct answer: B. Claw hand deformity
Rationale: Ulnar nerve damage affects intrinsic hand muscles causing
clawing.
7. What is the BEST positioning for preventing shoulder subluxation after
stroke?
A. Arm in dependent position
B. Shoulder in internal rotation
C. Proper alignment with support in abduction
D. Arm overhead continuously
Correct answer: C. Proper alignment with support in abduction
Rationale: Proper alignment maintains joint integrity and prevents
subluxation.
8. Which modality is contraindicated in patients with pacemakers?
A. Ice pack
B. Paraffin bath
C. Electrical stimulation
D. Splinting
Correct answer: C. Electrical stimulation
Rationale: Electrical currents may interfere with pacemaker function.
Assistant Examination (NBCOTCOTA):
100-Question Comprehensive Practice
Examination
1. A client with a C6 spinal cord injury is learning to dress independently.
Which adaptive technique is most appropriate?
A. Overhead dressing technique
B. One-handed dressing technique
C. Hook technique for socks
D. Cross-legged dressing on bed
Correct answer: B. One-handed dressing technique
Rationale: This technique maximizes independence by using the
unaffected upper extremity while compensating for limited hand function
at C6.
2. Which intervention best addresses fine motor coordination in a client with
Parkinson’s disease?
A. Resistance training with weights
B. Large amplitude reaching tasks
C. Joint immobilization
D. Bed rest exercises
Correct answer: B. Large amplitude reaching tasks
, Rationale: LSVT-based large amplitude movements improve motor control
and reduce bradykinesia.
3. A client with stroke demonstrates left neglect. What is the BEST
intervention?
A. Patch the left eye
B. Provide stimulation on the left side
C. Limit visual input
D. Encourage head tilt right
Correct answer: B. Provide stimulation on the left side
Rationale: Increasing awareness of the neglected side improves attention
and functional scanning.
4. Which is the primary purpose of a universal cuff?
A. Improve grip strength
B. Replace finger function for utensil use
C. Stabilize wrist joints
D. Prevent edema
Correct answer: B. Replace finger function for utensil use
Rationale: Universal cuffs allow individuals with limited grasp to hold
utensils.
5. A child with ADHD benefits MOST from:
A. Long lecture-based instruction
B. Structured short tasks with breaks
C. Unstructured play only
D. Sensory deprivation
Correct answer: B. Structured short tasks with breaks
Rationale: Short structured tasks improve attention and reduce
overstimulation.
, 6. Which is a sign of ulnar nerve injury?
A. Thumb opposition loss
B. Claw hand deformity
C. Wrist drop
D. Shoulder weakness
Correct answer: B. Claw hand deformity
Rationale: Ulnar nerve damage affects intrinsic hand muscles causing
clawing.
7. What is the BEST positioning for preventing shoulder subluxation after
stroke?
A. Arm in dependent position
B. Shoulder in internal rotation
C. Proper alignment with support in abduction
D. Arm overhead continuously
Correct answer: C. Proper alignment with support in abduction
Rationale: Proper alignment maintains joint integrity and prevents
subluxation.
8. Which modality is contraindicated in patients with pacemakers?
A. Ice pack
B. Paraffin bath
C. Electrical stimulation
D. Splinting
Correct answer: C. Electrical stimulation
Rationale: Electrical currents may interfere with pacemaker function.
