NBCOT Occupational Therapy Certification Top exam
questions with completely verified answers graded A+.
2024/2025
Ataxia - correct answer a neurological sign consisting of a lack of voluntary
coordination of muscle movements.
Dysplasia - correct answer abnormal development or growth of cells, tissues, or
organs
Dyspraxia - correct answer difficulty with planning and coordinating movements,
especially complex or new movements
Pdpm - correct answer the payment-driven payment model. Changes how snfs will be
paid for medicare part a services.
Medicare part a - correct answer typically +65 yo.
Exceptions:
<65 with black lung/ckd.
<65 with long term disability
<65 having received ssi for +2y
The part of the medicare program that pays for hospitalization, care in a skilled nursing
facility, home health care (if pt is homebound), and hospice care.
Medicare part b - correct answer same eligibility as medicare a + pay a monthly
premium for part b.
The part of the medicare program that pays for physician services, medically-necessary
outpatient hospital services, durable medical equipment, and other services and
supplies. Unlimited coverage for ot services.
,Medicaid - correct answer a federal and state assistance program that pays for health
care services for people who cannot afford them.
Is dme covered at long term facilities? - correct answer no. Long-term facilities do not
qualify as "home" for dme coverage. These facilities will have this equipment available
for patient use.
Is dme covered under medicare part a? - correct answer no. Part b does if purchased
from a medicare participating provider.
Utilization review - correct answer audit of health-care use and charges to identify
which benefits are used and to make certain that care is necessary and costs are in line
Precertification review
Concurrent review
Retrospective review
Appeals process
As an ot, clearly document the medical necessity of services and provide a treatment
plan that demonstrates necessity.
Coast goals - correct answer client, occupation, assistance level, specific condition,
timeline
Smart goals - correct answer specific, measurable, attainable, realistic, timely
Erikson's psychosocial theory - correct answer stage theory of psychosocial
development, lifespan consists of eight dilemmas that must be solved correctly in order
to solve the next dilemma.
,Piaget's stages of cognitive development - correct answer 1. Sensorimotor
2. Preoperational
3. Concrete operational
4. Formal operational
Development of play - correct answer •exploratory play - 0-2 years
•symbolic play - 2-4 years
•creative play - 4-7 years
•games - 7-12 years
Froment's sign (nerve palsy) - correct answer ulnar nerve
Ok sign (nerve palsy) - correct answer median nerve
Phalen's test - correct answer carpal tunnel syndrome
Median nerve
Relapsing-remitting ms (rrms). - correct answer this is the most common form of
multiple sclerosis. About 75% to 85% of people with ms are initially diagnosed with
rrms. People with rrms have temporary periods called relapses, flare-ups or
exacerbations, when new symptoms appear. Relapses typically last a few days or
weeks. At other times, the symptoms seem to disappear and this is called a remission;
however, ms is still active and can progress. Damage to nerves can still occur even
though there are no symptoms.
Secondary-progressive ms (spms). - correct answer in spms symptoms worsen more
steadily over time, with or without the occurrence of relapses and remissions. Before
disease-modifying therapies became available, historical studies indicated that about
50% of people with rrms progressed to spms approximately 10 years after their first
diagnosis. Long-term data are not yet available to determine if treatment significantly
delays this transition.
, Primary-progressive ms (ppms). - correct answer this type of ms is not very common,
occurring in about 10% of people with ms. Ppms is characterized by slowly worsening
symptoms from the beginning, with no relapses or remissions.
Progressive-relapsing ms (prms). - correct answer a rare form of ms (5%), prms is
characterized by a steadily worsening disease state from the beginning, with acute
relapses but no remissions, with or without recovery
How to increase muscle tone using the rood approach: - correct answer vibration,
tapping over a muscle belly, fast brushing, or a quick stretch
Goal attainment scaling (gas) - correct answer assessment of occupational
performance and occupational roles:
-focuses on active participation in goal setting process by having the individual/or
caregiver identify desired intervention outcomes for the client that are meaningful to
them
-method- personal interview
-scoring- does not have a scoring protocol
-5 point scale is used for scaling goals with 0 being used to represent the predicted
expected level of performance and -2 to +2 used to indicate performance below or
above expectations
-population- older children, adolescents, adults and caregivers of younger children
Prevention stages - correct answer 1. Primary prevention
2. Secondary prevention
3. Tertiary prevention
Primary prevention - correct answer efforts to prevent an injury or illness from ever
occurring.
questions with completely verified answers graded A+.
2024/2025
Ataxia - correct answer a neurological sign consisting of a lack of voluntary
coordination of muscle movements.
Dysplasia - correct answer abnormal development or growth of cells, tissues, or
organs
Dyspraxia - correct answer difficulty with planning and coordinating movements,
especially complex or new movements
Pdpm - correct answer the payment-driven payment model. Changes how snfs will be
paid for medicare part a services.
Medicare part a - correct answer typically +65 yo.
Exceptions:
<65 with black lung/ckd.
<65 with long term disability
<65 having received ssi for +2y
The part of the medicare program that pays for hospitalization, care in a skilled nursing
facility, home health care (if pt is homebound), and hospice care.
Medicare part b - correct answer same eligibility as medicare a + pay a monthly
premium for part b.
The part of the medicare program that pays for physician services, medically-necessary
outpatient hospital services, durable medical equipment, and other services and
supplies. Unlimited coverage for ot services.
,Medicaid - correct answer a federal and state assistance program that pays for health
care services for people who cannot afford them.
Is dme covered at long term facilities? - correct answer no. Long-term facilities do not
qualify as "home" for dme coverage. These facilities will have this equipment available
for patient use.
Is dme covered under medicare part a? - correct answer no. Part b does if purchased
from a medicare participating provider.
Utilization review - correct answer audit of health-care use and charges to identify
which benefits are used and to make certain that care is necessary and costs are in line
Precertification review
Concurrent review
Retrospective review
Appeals process
As an ot, clearly document the medical necessity of services and provide a treatment
plan that demonstrates necessity.
Coast goals - correct answer client, occupation, assistance level, specific condition,
timeline
Smart goals - correct answer specific, measurable, attainable, realistic, timely
Erikson's psychosocial theory - correct answer stage theory of psychosocial
development, lifespan consists of eight dilemmas that must be solved correctly in order
to solve the next dilemma.
,Piaget's stages of cognitive development - correct answer 1. Sensorimotor
2. Preoperational
3. Concrete operational
4. Formal operational
Development of play - correct answer •exploratory play - 0-2 years
•symbolic play - 2-4 years
•creative play - 4-7 years
•games - 7-12 years
Froment's sign (nerve palsy) - correct answer ulnar nerve
Ok sign (nerve palsy) - correct answer median nerve
Phalen's test - correct answer carpal tunnel syndrome
Median nerve
Relapsing-remitting ms (rrms). - correct answer this is the most common form of
multiple sclerosis. About 75% to 85% of people with ms are initially diagnosed with
rrms. People with rrms have temporary periods called relapses, flare-ups or
exacerbations, when new symptoms appear. Relapses typically last a few days or
weeks. At other times, the symptoms seem to disappear and this is called a remission;
however, ms is still active and can progress. Damage to nerves can still occur even
though there are no symptoms.
Secondary-progressive ms (spms). - correct answer in spms symptoms worsen more
steadily over time, with or without the occurrence of relapses and remissions. Before
disease-modifying therapies became available, historical studies indicated that about
50% of people with rrms progressed to spms approximately 10 years after their first
diagnosis. Long-term data are not yet available to determine if treatment significantly
delays this transition.
, Primary-progressive ms (ppms). - correct answer this type of ms is not very common,
occurring in about 10% of people with ms. Ppms is characterized by slowly worsening
symptoms from the beginning, with no relapses or remissions.
Progressive-relapsing ms (prms). - correct answer a rare form of ms (5%), prms is
characterized by a steadily worsening disease state from the beginning, with acute
relapses but no remissions, with or without recovery
How to increase muscle tone using the rood approach: - correct answer vibration,
tapping over a muscle belly, fast brushing, or a quick stretch
Goal attainment scaling (gas) - correct answer assessment of occupational
performance and occupational roles:
-focuses on active participation in goal setting process by having the individual/or
caregiver identify desired intervention outcomes for the client that are meaningful to
them
-method- personal interview
-scoring- does not have a scoring protocol
-5 point scale is used for scaling goals with 0 being used to represent the predicted
expected level of performance and -2 to +2 used to indicate performance below or
above expectations
-population- older children, adolescents, adults and caregivers of younger children
Prevention stages - correct answer 1. Primary prevention
2. Secondary prevention
3. Tertiary prevention
Primary prevention - correct answer efforts to prevent an injury or illness from ever
occurring.
