NBCOT - COTA EXAM 2025 LATEST
EXAM QUESTIONS AND CORRECT
ANSWERS (2025-2026) | ALREADY
GRADED A+
What is extrapyramidal syndrome? Correct Answer
Extrapyramidal syndrome is a neurological side effect of
anti-psychotic medication that mimics the effects of
Parkinson's disease. This can cause rigidity, bradykinesia,
cogwheel and leadpipe rigidity, loss of postural
mechanisms, and a resting, pill-rolling tremor.
What is tardive dyskinesia? Correct Answer Tardive
dyskinesia is a neurological syndrome caused by the long-
term use of neuroleptic drugs. Tardive dyskinesia is
characterized by repetitive, involuntary, purposeless
movements. Features of the disorder may include
grimacing, tongue protrusion, lip smacking, puckering and
pursing, and rapid eye blinking. Involuntary movements of
the fingers may appear as though the individual is playing
an invisible guitar or piano.
What is ataxia? Correct Answer ______ describes a lack
of coordination while performing voluntary movements. It
may appear as clumsiness, inaccuracy, or instability.
What is bradykinesia? Correct Answer Bradykinesia
means "slow movement."
,What is choreoathetosis? Correct Answer ____________
is a movement of intermediate speed, fluctuating between
the quick, flitting movements of chorea and the slower,
writhing movements of athetosis.
What is dystonia? Correct Answer ________ is a
neurologic movement disorder characterized by sustained
muscle contractions, usually producing twisting and
repetitive movements or abnormal postures or positions.
What is Huntington's Disease? Correct Answer The
classic signs of HD include the development of chorea-or
involuntary, rapid, irregular, jerky movements that may
affect the face, arms, legs, or trunk-as well as the gradual
loss of thought processing and acquired intellectual
abilities (dementia).
What is adiadochokinesis? Correct Answer The inability to
perform rapid alternating movements such as
pronation/supination.
What is dysmetria? Correct Answer Dysmetria is the
inability to estimate the ROM necessary to meet the
target. Evident when the individual tries to touch the nose.
What is nystagmus? Correct Answer Involuntary
movement of the eyeballs in an up/down, back/forth
motion. Interferes with head control.
,What is dysarthria? Correct Answer Explosive or slurred
speech caused by incoordination of muscles involved in
speech. Classified as a neuromotor problem.
What is ballism? Correct Answer Rare symptom that is
produced by continuous, abrupt contractions of the axial
and proximal musculature of the extremity.
What are intention tremors? Correct Answer Occurs
during voluntary movement. Intensified at the termination
of the movement and often associated with MS.
What are resting tremors? Correct Answer Occurs at rest
and subsides when voluntary movement is attempted.
Seen in Parkinson's disease.
What is the first level of OT intervention? Correct Answer
Adjunctive methods. These are preliminary to the use of
purposeful activities and may include exercise, facilitation
and inhibition techniques, positioning, sensory stim,
PAMs, and splints. -OTs evaluate performance
components (innate abilities)
What is the second stage of OT intervention? Correct
Answer Enabling activities. May not yet be considered
purposeful activities, but are steps toward performance of
purposeful activities. -Performance components and areas
(Dressing using adaptive equipment)
What is stage three of OT intervention? Correct Answer
Purposeful activities: Evaulate performance areas. Have
, inherent, autonomous goals and are relevant and
meaningful to the patient, such as ADLs, IADLs, etc. Used
to evaluate, facilitate, restore or maintain a person's ability
to function in life roles. Can the person cook or work in a
clinical setting?
What is stage four of OT treatment? Correct Answer
Occupations. The highest stage of treatment continuum
engages the patient in natural occupations in their living
environment and the community. Not all patients can
achieve this stage.
What is the rehabilitation model? Correct Answer The
rehabilitation model goal is to help the patient learn to
work arond or compensate for physical, cognitive, or
perceptual limitations.
What is a FIM level of "Total Assistance," or level 1?
Correct Answer The person puts forth less than 25% of
the effort necessary to do a task.
What is a FIM level of "Maximal Assistance," or level 2?
Correct Answer The person puts forth less than 50% of
the effort necessary to do a task, but at least 25%
What is a FIM level of "Moderate Assistance," or level 3?
Correct Answer The person puts forth between 50% and
75% of the effort necessary to do a task, and requires no
more than helping or touching.
EXAM QUESTIONS AND CORRECT
ANSWERS (2025-2026) | ALREADY
GRADED A+
What is extrapyramidal syndrome? Correct Answer
Extrapyramidal syndrome is a neurological side effect of
anti-psychotic medication that mimics the effects of
Parkinson's disease. This can cause rigidity, bradykinesia,
cogwheel and leadpipe rigidity, loss of postural
mechanisms, and a resting, pill-rolling tremor.
What is tardive dyskinesia? Correct Answer Tardive
dyskinesia is a neurological syndrome caused by the long-
term use of neuroleptic drugs. Tardive dyskinesia is
characterized by repetitive, involuntary, purposeless
movements. Features of the disorder may include
grimacing, tongue protrusion, lip smacking, puckering and
pursing, and rapid eye blinking. Involuntary movements of
the fingers may appear as though the individual is playing
an invisible guitar or piano.
What is ataxia? Correct Answer ______ describes a lack
of coordination while performing voluntary movements. It
may appear as clumsiness, inaccuracy, or instability.
What is bradykinesia? Correct Answer Bradykinesia
means "slow movement."
,What is choreoathetosis? Correct Answer ____________
is a movement of intermediate speed, fluctuating between
the quick, flitting movements of chorea and the slower,
writhing movements of athetosis.
What is dystonia? Correct Answer ________ is a
neurologic movement disorder characterized by sustained
muscle contractions, usually producing twisting and
repetitive movements or abnormal postures or positions.
What is Huntington's Disease? Correct Answer The
classic signs of HD include the development of chorea-or
involuntary, rapid, irregular, jerky movements that may
affect the face, arms, legs, or trunk-as well as the gradual
loss of thought processing and acquired intellectual
abilities (dementia).
What is adiadochokinesis? Correct Answer The inability to
perform rapid alternating movements such as
pronation/supination.
What is dysmetria? Correct Answer Dysmetria is the
inability to estimate the ROM necessary to meet the
target. Evident when the individual tries to touch the nose.
What is nystagmus? Correct Answer Involuntary
movement of the eyeballs in an up/down, back/forth
motion. Interferes with head control.
,What is dysarthria? Correct Answer Explosive or slurred
speech caused by incoordination of muscles involved in
speech. Classified as a neuromotor problem.
What is ballism? Correct Answer Rare symptom that is
produced by continuous, abrupt contractions of the axial
and proximal musculature of the extremity.
What are intention tremors? Correct Answer Occurs
during voluntary movement. Intensified at the termination
of the movement and often associated with MS.
What are resting tremors? Correct Answer Occurs at rest
and subsides when voluntary movement is attempted.
Seen in Parkinson's disease.
What is the first level of OT intervention? Correct Answer
Adjunctive methods. These are preliminary to the use of
purposeful activities and may include exercise, facilitation
and inhibition techniques, positioning, sensory stim,
PAMs, and splints. -OTs evaluate performance
components (innate abilities)
What is the second stage of OT intervention? Correct
Answer Enabling activities. May not yet be considered
purposeful activities, but are steps toward performance of
purposeful activities. -Performance components and areas
(Dressing using adaptive equipment)
What is stage three of OT intervention? Correct Answer
Purposeful activities: Evaulate performance areas. Have
, inherent, autonomous goals and are relevant and
meaningful to the patient, such as ADLs, IADLs, etc. Used
to evaluate, facilitate, restore or maintain a person's ability
to function in life roles. Can the person cook or work in a
clinical setting?
What is stage four of OT treatment? Correct Answer
Occupations. The highest stage of treatment continuum
engages the patient in natural occupations in their living
environment and the community. Not all patients can
achieve this stage.
What is the rehabilitation model? Correct Answer The
rehabilitation model goal is to help the patient learn to
work arond or compensate for physical, cognitive, or
perceptual limitations.
What is a FIM level of "Total Assistance," or level 1?
Correct Answer The person puts forth less than 25% of
the effort necessary to do a task.
What is a FIM level of "Maximal Assistance," or level 2?
Correct Answer The person puts forth less than 50% of
the effort necessary to do a task, but at least 25%
What is a FIM level of "Moderate Assistance," or level 3?
Correct Answer The person puts forth between 50% and
75% of the effort necessary to do a task, and requires no
more than helping or touching.
