NBCOT Exam
An OT conducts a home evaluation for an individual with a complete T10 level SCI. The only entrance to
the home has five steps, a total of 35 inches in height. The therapist recommends that the family have a
ramp constructed that is:
a. 35 feet long
b. 17.5 feet long
c. 48 feet long
d. 70.5 feet long - a. 35 feet long
A 6-year-old child with autism receives home care OT intervention services. The mother identifies a
primary goal of developing the child's independent toileting skills. The child is completely dependent and
the mother reports not attempting toilet training for several years. The OT identifies that the first
intervention goal is to have the child:
a. sit on the toilet with supervision
b. tell someone he needs to go to the bathroom
c. indicate when his diaper is wet or soiled
d. non-verbally indicate the need to go to the bathroom - c. indicate when his diaper is wet or
soiled
A child with a diagnosis of TBI is seen in OT for the initial evaluation. The child presents with extension of
both UE's and flexion of both LE's following a stimulus of neck extension. The OT interprets and
describes this observation as:
a. +ATNR, which is "normal"
b. +STNR, which is "abnormal", and has reappeared after the TBI
c. +STNR, which is "abnormal" in a child this age, the reflex has not yet been integrated
d. +ATNR, which is "abnormal", and has reappeared after the TBI - b. +STNR, which is "abnormal",
and has reappeared after the TBI
A child with mild CP receives OT intervention in a preschool setting. To facilitate development of typical
grasp patterns, the most appropriate intervention is for the OT to:
, a. analyze the present components of the child's grasp
b. analyze the missing components of the child's grasp
c. grade the sizes and shapes of objects to be grasped
d. place soft foam tubing around objects to be grasped - c. grade the sizes and shapes of objects
to be grasped
A child with myelomeningocele meets the short-term goals of achieving functional gross grasp and
lateral pinch. After several additional weeks of OT, the child does not meet the goals of demonstrating
pincer grasp and three jaw chuck. The therapist should modify the treatment plan to:
a. splint the index finger in 30 degrees PIP flexion and 30 degrees DIP flexion to achieve pincer grasp
b. increase strength of lateral pinch as a basis to develop pincer grasp and three jaw chuck
c. teach the child to use gross grasp and lateral pinch in functional activities
d. have the child use ulnar grasp for daily activities - c. teach the child to use gross grasp and
lateral pinch in functional activities
A child with spastic quadriplegic CP has bilateral thumb-in-palm deformities. The child can use both
hands for gross grasp and release. To facilitate functional hand use, the therapist provides:
a. volar cock-up splints for day use
b. night resting splints
c. neoprene hand-based splints with thumbs in opposition
d. serial casting of wrists in extension and thumbs in opposition - c. neoprene hand-based splints
with thumbs in opposition
A child with tactile-defensiveness is receiving intervention from an OT using a SI approach. In introducing
tactile stimuli to the child the most appropriate method for the therapist to use is:
a. apply the stimulus in the direction opposite of hair growth with vision occluded
b. apply light touch across the face and abdomen with vision occluded
c. provide light brushing across the palmar surfaces of the extremities with the child watching
d. provide deep touch and firm pressure where the child can see the stimuli - d. provide deep
touch and firm pressure where the child can see the stimuli
An OT conducts a home evaluation for an individual with a complete T10 level SCI. The only entrance to
the home has five steps, a total of 35 inches in height. The therapist recommends that the family have a
ramp constructed that is:
a. 35 feet long
b. 17.5 feet long
c. 48 feet long
d. 70.5 feet long - a. 35 feet long
A 6-year-old child with autism receives home care OT intervention services. The mother identifies a
primary goal of developing the child's independent toileting skills. The child is completely dependent and
the mother reports not attempting toilet training for several years. The OT identifies that the first
intervention goal is to have the child:
a. sit on the toilet with supervision
b. tell someone he needs to go to the bathroom
c. indicate when his diaper is wet or soiled
d. non-verbally indicate the need to go to the bathroom - c. indicate when his diaper is wet or
soiled
A child with a diagnosis of TBI is seen in OT for the initial evaluation. The child presents with extension of
both UE's and flexion of both LE's following a stimulus of neck extension. The OT interprets and
describes this observation as:
a. +ATNR, which is "normal"
b. +STNR, which is "abnormal", and has reappeared after the TBI
c. +STNR, which is "abnormal" in a child this age, the reflex has not yet been integrated
d. +ATNR, which is "abnormal", and has reappeared after the TBI - b. +STNR, which is "abnormal",
and has reappeared after the TBI
A child with mild CP receives OT intervention in a preschool setting. To facilitate development of typical
grasp patterns, the most appropriate intervention is for the OT to:
, a. analyze the present components of the child's grasp
b. analyze the missing components of the child's grasp
c. grade the sizes and shapes of objects to be grasped
d. place soft foam tubing around objects to be grasped - c. grade the sizes and shapes of objects
to be grasped
A child with myelomeningocele meets the short-term goals of achieving functional gross grasp and
lateral pinch. After several additional weeks of OT, the child does not meet the goals of demonstrating
pincer grasp and three jaw chuck. The therapist should modify the treatment plan to:
a. splint the index finger in 30 degrees PIP flexion and 30 degrees DIP flexion to achieve pincer grasp
b. increase strength of lateral pinch as a basis to develop pincer grasp and three jaw chuck
c. teach the child to use gross grasp and lateral pinch in functional activities
d. have the child use ulnar grasp for daily activities - c. teach the child to use gross grasp and
lateral pinch in functional activities
A child with spastic quadriplegic CP has bilateral thumb-in-palm deformities. The child can use both
hands for gross grasp and release. To facilitate functional hand use, the therapist provides:
a. volar cock-up splints for day use
b. night resting splints
c. neoprene hand-based splints with thumbs in opposition
d. serial casting of wrists in extension and thumbs in opposition - c. neoprene hand-based splints
with thumbs in opposition
A child with tactile-defensiveness is receiving intervention from an OT using a SI approach. In introducing
tactile stimuli to the child the most appropriate method for the therapist to use is:
a. apply the stimulus in the direction opposite of hair growth with vision occluded
b. apply light touch across the face and abdomen with vision occluded
c. provide light brushing across the palmar surfaces of the extremities with the child watching
d. provide deep touch and firm pressure where the child can see the stimuli - d. provide deep
touch and firm pressure where the child can see the stimuli
