NBCOT -DOMAIN 1 QUESTIONS AND ANSWERS

NBCOT -DOMAIN 1 QUESTIONS AND
ANSWERS

ExploratoryklPlaykl-klanswer--
Playkloccupationklthatklusesklsensoryklinputkltokllearnklnewklexperienceskl(e.g.,klinfantkltouc
hingklmothersklface)

Alsoklreferredkltoklasklsensorimotorklplay

RelationalklPlaykl-klanswer--
Playkloccupationklthatkluseskltoysklconsistentklwithkltheirklintendedklpurposekl(e.g.,klpreten
dingkltoklself-feedklwithklaklspoon)

Alsoklreferredkltoklasklfunctionalklplay

PretendklPlaykl-klanswer--Playkloccupationklthatklinvolvesklmakingklobjects/
toysklperformklintendedklactionskl(e.g.,klpretendingkltokluseklaklphoneklorkltalk)

Alsoklreferredkltoklasklsymbolicklorklimaginaryklplay

SocialklPlaykl-klanswer--Playkloccupationklthatklincludes:
-interactionklw/klandklemotionallyklrelatingkltoklothers
-klbehaviorklandklskillskltokldevelopklandklprogressklthroughklchildhood

Grossklmotorklplaykl-klanswer--Playkloccupation
-
involvesklfullklbody,klkinestheticklmotorklmovementskl(e.g.,klclimbingklonklaklplayklstructure)

Constructiveklplaykl-klanswer--Playkloccupation
-involvesklusingklobjects/
toyskltoklproduceklorklbuildklsomethingkl(e.g.,klputkltogetherklaklpuzzle)

Playkloccupationskl-klanswer--
Meaningful,klintrinsicallyklmotivating,klandklpurposefulklperformanceklactivitiesklofklchildho
odkltypesklinclude:kl
-exploratoryklplaykl
-socialklplay
-relationalklplay
-grossklmotorklplay
-pretendklplay
-constructiveklplay

Graspklpatternkl-klanswer--
Fineklmotorklfunctionklofkltheklhand,kleitherklprecisionklorklpower,klusedkltoklmanipulateklite
ms

,Patternsklinclude:
-cylindricalklgrasp
-powerklgrasp
-tripodklgrasp

Powerklgraspkl-klanswer--
Graspklusedklwhenklstabilityklandklstrengthklareklrequired,klinvolves:kl
-ulnarkldigitsklflexedklandklulnarklsideklofklhandklcontrollingkltheklobject
-radialkldigitskllessklflexedklwhileklmanipulatingkltheklobject

Hookklgraspkl-klanswer--
typeklofklprehensionklgraspklusedkltoklcarryklanklitemklwithklaklhandlekl(lunchbox,klbriefcase)
klwithoutklusingklthumbklandklpalm



Cylindricalklgraspkl-klanswer--graspklusedklforklholdingklakltube-
shapedklitemkl(drinkingklglass,klbaseballklbat)

Lateralklpinchkl-klanswer--
Prehensileklpatternklusedkltoklgraspklaklsmallklitemklwithkltheklthumbklopposedkltokltheklradia
lklsideklofkltheklindexklfingerkl(placingklkeyklinklakllock)

PincerklGraspkl-klanswer--
Prehensileklgraspklusedkltoklmanipulateklsmallklobjectsklwithkltheklthumbklopposedkltoklthekli
ndexklandklmiddleklfingerklpadkl(pickingklupklaklpencil)

Tripodklgraspkl-klanswer--
Precisionklgraspklusedkltoklmanipulateklsmallklobjectsklwithklthumbklopposedkltokltheklindex
klandklmiddleklfingerkltips,klprovidingklmoreklstabilityklthanklpincerklgraspkl(writingkltool)



Sphericalklgraspkl-klanswer--
Graspklusedkltoklpickklupklandklholdklroundklitemskl(apple,klbaseball)

Tipklpinchkl-klanswer--
pinchklusedkltoklpickklupklandklholdklsmallklobjectsklwithklthumbklopposedkltokltheklendklofklth
eklindexklfingerklformingklanklovalklshapekl
(Pickingklupklaklpin)

Primitivekldevelopmentalklreflexkl-klanswer--
Automaticklmovementsklperformedklbyklanklinfantklwithoutklconsciouskleffortklinklresponsekl
toklaklstimulus,kltypicallyklintegratedklbyklearlyklchildhoodklandklareklaklprecursorkltoklfunctio
nalklmovementkl(e.g.,klmoro,klplacing,klrooting,klsucking,klpalmar,klandklasymmetricalkltoni
cklneck)

Aklpersistentklprimitiveklreflexkliskltypicallyklindicativeklofklaklcentralklnervousklsystemkldysfu
nction

neurophysiologicklphasekl-klanswer--
Phaseklofklemotionklregulationkldevelopment,kloccurringklbetweenklbirthklandkl2-
3klmonthsklofklage

,Characterizedklbyklabilityklto:
•klregulateklarousalkl(e.g.,klself-soothe,klrespondkltoklparentalklsoothing)
•klactivateklorganizedklpatternsklofklbehaviorkl(e.g.,klroutineklsleep-wakeklcycles)

sensorimotorklstagekl-klanswer--
Phaseklofklemotionklregulationkldevelopment,kloccurringklbetweenkl3-9klmonthsklofklage

Characterizedklby:
•klenjoymentklofklsensorimotorklplay
•klsensoryklexploration
•klpossibleklsensoryklmodulationklchallenges

ControlklPhasekl-klanswer--
Phaseklofklemotionklregulationkldevelopment,kloccurringklbetweenkl12-18klmonthsklofklage

Characterizedklby:

emergingklawarenessklofklsocialkldemands
•klvaryingkllevelsklofklinhibitionklandklcompliance
•klself-initiatedklmonitoringklrelatedkltoklanklunderstandingklofklconsequences

Self-ControlklPhasekl-klanswer--
Phaseklofklemotionklregulationkldevelopment,kloccurringklbetweenkl24-48klmonthsklofklage

Characterizedklby:
•klemergingklsenseklofklidentity
•kldemonstratedklknowledgeklofklsocialklrules
•klminimalklflexibilityklandkladaptationkltoklchange

Self-RegulationklPhasekl-klanswer--
Phaseklofklemotionklregulationkldevelopment,kloccurringklbetweenkl36klmonthsklofklageklan
dklolderCharacterizedklbyklemerging:kl
•klflexibilitykltokladaptkltoklunexpectedklchange
kl•klself-awareness

•klcapacitykltoklevaluateklownklbehavior

ExploratoryklStagekl-klanswer--
Stageklofklmotorkllearningkldevelopment,kloccurringklbetweenkl1-
3klmonthsklofklageklwherekltheklinfantkllearnsklaboutkltheklselfklandkltheklenvironmentklusingkl
primitiveklmovementklpatternsklto:
•klswipeklatklobjects
•klinitiateklreach
•klcompletekllowkllevelklskills

perceptualkllearningkl-klanswer--Occursklinklchildkldevelopmentklbetweenkl3-6klmonths

Characterizedklby:
•klmoreklaccurateklandkldirectklreaching
•klreachingkltokltheklmidline
•klemergingklabilitykltoklcombineklreachklandklgraspklwithkltwoklhands

, SkillklAchievementkl-klanswer--
stageklofklmotorkllearningkldevelopment,kloccurringklbetweenkl6-
9klmonthsklofklageklCharacterizedklby:
•klhighkladaptability
•klbothklperceptualkllearningklandklincreasedklself-organization
•klusingklactionklpatternsklthatklareklorderlyklandklefficient

EquilibriumklReactionkl-klanswer--
Posturalklreflexklpresentklatklapproximatelykl6klmonthsklofklageklandklcontinuesklthroughout
klthekllifeklspanklReflexiveklresponsekltoklhelpklmaintainklorklrecoverklbalance,klincludesklshif

tingkltheklbodykltoklreorientkltoklmidline

rightingklreactionkl-klanswer--
Posturalklreflexklpresentklfromklapproximatelykl3klmonthskltokl6klmonthsklofklageklthatklfuncti
onskltoklorientkltheklbodyklinklresponsekltoklvisualklandklvestibularklinput

Neurodegenerativeklconditionkl-klanswer--
ProgressiveklneurologicalkldiseaseklofkltheklCNS
-
mayklbeklstructuralklorklneurochemical,klandkladvancesklaccordingkltoklcharacteristicklstag
es
Examplesklinclude:
-parkinson'skldiseasekl(PD)
-multipleklsclerosiskl(MS)
-amyotrophickllateralklsclerosiskl(ALS)

Parkinson'skldiseasekl(PD)kl-klanswer--
Neurodegenerativeklconditionklassociatedklwithkldeteriorationklinkltheklsubstantiaklnigra,kl
characterizedklby:
-rigidity
-bradykinesia
-restingkltremor
-festinatingklgait

Multipleklsclerosiskl(MS)kl-klanswer--
NeurodegenerativeklconditionklassociatedklwithklwhiteklmatterkllesionsklinkltheklCNSklandkl
demyelinationklprocess,klcharacterizedklbyklfluctuantklchangesklin:
-energykllevelklvision
-sensationklmobility
-weaknessklcognition

Guillain-BarreklSyndromekl-klanswer--
Acutekldemyelinatingklcondition,klcharacterizedklby:kl
•klsymmetricalklandklprogressiveklparalysis
•klascendingklweaknessklstartingklatkltheklfeetkl
•klpossibleklinvolvementklofklcranialklnervesklandklmusclesklofklrespiration

Typicalklcourseklincludes:kl
•klacuteklphasekl(2-kl4klweeks):klprogressiveklincreaseklinklsymptomskl