OTD-570 Final Questions With Solutions
Which of the following statements would be true about the Nine-Hole Peg Test?
a) It has better normative data for children and adolescents than Purdue Pegboard
b) It is a timed test (i.e. no time limit)
c) It has both unilateral and bilateral subtests
d) When testing, the board should be placed on the testing side b
You've completed the evaluation session with a 55 year old client who is the manager of a Whole
Foods Market in Hillsboro. If your client score at the 10th percentile on the Assembly subtest of
the Purdue Pegboard Test you would interpret the score as... *Note +/- 1SD = 68%; +/- 2SD =
95%*
a) Mild deficit
b) Moderate-severe deficit
c)WNL c
A therapist is working with a 15 year old female, a high school student who was hit by a car
while riding her bike to school 2 weeks ago. According to the physician's referral and results of
the evaluation, the client does not have any physical injuries, except a 3 in x 3 in wound (yellow
in color) over the dorsal elbow area. In addition, she demonstrates signs of learned non-use of
her upper right extremity, particularly decrease active shoulder movements. The therapist has
, OTD-570 Final Questions With Solutions
decided that restoring active shoulder movements would help the client resume her occupations
and life roles. Prior to passively ranging the shoulder joint of a seated client, the therapist should:
a) Make sure the pelvis is posteriorly tilted and spine is curved in flexion
b) Make sure the wound at the elbow is covered with bulky dressing
c) Compress the head of the humerus into the glenoid fossa
d) Make sure that the scapula is not tight (i.e. d
You work with a 75 year old male who enjoys volunteering as a literacy teacher at a local
elementary school. He reports experiencing several episodes of having difficulty using his upper
left extremity to get his cell phone out of his backpack placed on the floor. After checking his
ROM in the upper left extremity, you notice that you are able to move his elbow to touch the
shoulder. He is able to touch his shoulder by himself, but you notice that his whole body tilts to
the right. What would you interpret your client's problem as?
a) ROM limitation
b) Muscle weakness at the elbow
c) Condition within normal/functional limits
d) Cognitive problem as he did not follow the evaluation instructions b
Your Colle's fracture (distal radial fracture) client is in a forearm cast. The MD has ordered a
controlled range of motion program. You are seeing the patient 3 weeks post-injury (there is no
, OTD-570 Final Questions With Solutions
clinical union/healing), according to the biomechanical approach, while of the following should
be part of your treatment? (choose all that apply)
a) Active ranging of shoulder through full arc
b) Active motion of fingers and thumb through full arc
c) Grip and pinch strength testing
d) Stretch on wrist/hand a&b
If you were working with a person who had a heart attack 4 months ago, which of the following
types of intervention activities should you avoid?
a) Loading dishes into the dishwasher from the countertop
b) Putting empty cardboard boxes into the recycling bin
c) Preparing a bowl of salad for lunch
d) Carrying a bag of groceries into the house from the garage d
If the 10 RM of your client's wrist extensors was 6 lbs and you chose progressive resistive
exercise (PRE) method as a method of strengthening what weight would you use for the first 10
reps?
a) 4.5 lbs
b) 3 lbs
, OTD-570 Final Questions With Solutions
c) 6 lbs
d) 10 lbs b
You are working with a client who has fair minus (3-) elbow extension. Which of the following
activities/exercises would be most appropriate to begin strengthening her elbow extensors
(assuming your client is seated at a standard height table)?
a) Bilateral sanding with 5 lbs of resistance and 30˚ incline
b) Playing checkers using checker pieces stabilized by small pegs with the checkerboard tilted
down 20˚ on a standard height table (far end is low)
c) Playing checkers using checker pieces stabilized by small pegs and with the checkerboard
tilted up at a 40˚ angle on a standard height table and graded up (far end is high)
d) Extending her elbow above her head with a 2 lb weighted cuff at the wrist c
The following descriptions of OT interventions for ADL function are appropriate for persons
with sleep problems, except:
a) OTs should consider the most appropriate times for catheterization, voiding and a bowel
program to optimize rest and sleep
b) OTs should consider optimal times for ADL training - schedule regular daytime naps or rest
breaks if needed
c) All are appropriate
Which of the following statements would be true about the Nine-Hole Peg Test?
a) It has better normative data for children and adolescents than Purdue Pegboard
b) It is a timed test (i.e. no time limit)
c) It has both unilateral and bilateral subtests
d) When testing, the board should be placed on the testing side b
You've completed the evaluation session with a 55 year old client who is the manager of a Whole
Foods Market in Hillsboro. If your client score at the 10th percentile on the Assembly subtest of
the Purdue Pegboard Test you would interpret the score as... *Note +/- 1SD = 68%; +/- 2SD =
95%*
a) Mild deficit
b) Moderate-severe deficit
c)WNL c
A therapist is working with a 15 year old female, a high school student who was hit by a car
while riding her bike to school 2 weeks ago. According to the physician's referral and results of
the evaluation, the client does not have any physical injuries, except a 3 in x 3 in wound (yellow
in color) over the dorsal elbow area. In addition, she demonstrates signs of learned non-use of
her upper right extremity, particularly decrease active shoulder movements. The therapist has
, OTD-570 Final Questions With Solutions
decided that restoring active shoulder movements would help the client resume her occupations
and life roles. Prior to passively ranging the shoulder joint of a seated client, the therapist should:
a) Make sure the pelvis is posteriorly tilted and spine is curved in flexion
b) Make sure the wound at the elbow is covered with bulky dressing
c) Compress the head of the humerus into the glenoid fossa
d) Make sure that the scapula is not tight (i.e. d
You work with a 75 year old male who enjoys volunteering as a literacy teacher at a local
elementary school. He reports experiencing several episodes of having difficulty using his upper
left extremity to get his cell phone out of his backpack placed on the floor. After checking his
ROM in the upper left extremity, you notice that you are able to move his elbow to touch the
shoulder. He is able to touch his shoulder by himself, but you notice that his whole body tilts to
the right. What would you interpret your client's problem as?
a) ROM limitation
b) Muscle weakness at the elbow
c) Condition within normal/functional limits
d) Cognitive problem as he did not follow the evaluation instructions b
Your Colle's fracture (distal radial fracture) client is in a forearm cast. The MD has ordered a
controlled range of motion program. You are seeing the patient 3 weeks post-injury (there is no
, OTD-570 Final Questions With Solutions
clinical union/healing), according to the biomechanical approach, while of the following should
be part of your treatment? (choose all that apply)
a) Active ranging of shoulder through full arc
b) Active motion of fingers and thumb through full arc
c) Grip and pinch strength testing
d) Stretch on wrist/hand a&b
If you were working with a person who had a heart attack 4 months ago, which of the following
types of intervention activities should you avoid?
a) Loading dishes into the dishwasher from the countertop
b) Putting empty cardboard boxes into the recycling bin
c) Preparing a bowl of salad for lunch
d) Carrying a bag of groceries into the house from the garage d
If the 10 RM of your client's wrist extensors was 6 lbs and you chose progressive resistive
exercise (PRE) method as a method of strengthening what weight would you use for the first 10
reps?
a) 4.5 lbs
b) 3 lbs
, OTD-570 Final Questions With Solutions
c) 6 lbs
d) 10 lbs b
You are working with a client who has fair minus (3-) elbow extension. Which of the following
activities/exercises would be most appropriate to begin strengthening her elbow extensors
(assuming your client is seated at a standard height table)?
a) Bilateral sanding with 5 lbs of resistance and 30˚ incline
b) Playing checkers using checker pieces stabilized by small pegs with the checkerboard tilted
down 20˚ on a standard height table (far end is low)
c) Playing checkers using checker pieces stabilized by small pegs and with the checkerboard
tilted up at a 40˚ angle on a standard height table and graded up (far end is high)
d) Extending her elbow above her head with a 2 lb weighted cuff at the wrist c
The following descriptions of OT interventions for ADL function are appropriate for persons
with sleep problems, except:
a) OTs should consider the most appropriate times for catheterization, voiding and a bowel
program to optimize rest and sleep
b) OTs should consider optimal times for ADL training - schedule regular daytime naps or rest
breaks if needed
c) All are appropriate
