NBCOT Exam Prep
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- 1.Neurological: Which of the following methods is INCORRECT when working with a TBI patient with a Rancho Level IV?
- A.
Work in a quiet environment with minimal distracters
- B.
Maintain a predictable daily structure and routine
- C.
Be calm and confident in your approach with the patient
- D.
Maintain the activity despite agitation from patient
- 2.Pediatrics: Prone is often the position of choice for which of following:
- A.
Infant with contractures
- B.
Agitated, arching infant
- C.
Infant with newly repaired abdominal defect
- D.
To promote midline orientation
- 3.Neurological: What does a score of 9 mean on the Glasgow Coma Scale?
- A.
Minor brain injury
- B.
Moderate brain injury
- C.
Severe brain injury
- D.
Fully conscious
- 4.Management & Evidence: When arriving to an elderly patient’s home who lives with her daughter and son-in-law for a treatment session, the OTL/R notices that the patient’s glasses are broken and the patient has new bruises on her forearms around her wrists. The OTL/R asks the patient once the son-in-law leaves the room what happened and the patient reports that the son-in-law has been physically abusing her for the past two weeks. What is the most appropriate action the OTL/R should take?
- A.
Contact supervisor to report suspicious elderly abuse and suggest that Adult Protective Services get involved
- B.
Continue with treatment session and see if abuse continued until next session
- C.
Call the local police station to report suspicious elderly abuse
- D.
Explain to the son-in-law the allegations and get his side of the story before doing anything
- 5.General Rehab: When completing a home evaluation, what would be the most important suggestion to the patient to prevent falls:
- A.
Teach energy conservation techniques
- B.
Order appropriate adaptive devices and train safe us
- C.
Remove throw rugs from floors
- D.
Arrange furniture for easy maneuverability
- 6.Neurological: You are assessing a traumatic brain injury patient and note that the patient is very agitated, moving around in his bed almost non-stop (requiring restraints at times). The patient is also very confused and follows very few one-step commands. According to the Rancho Los Amigos Levels of Cognitive Function Scale, your patient is at:
- A.
Level II
- B.
Level III
- C.
Level IV
- D.
Level V
- 7.Neurological: You are assessing a traumatic brain injury patient and note that the patient has a right eyelid droop. This indicates that the patient has received injury to which cranial nerve?
- A.
Cranial nerve II
- B.
Cranial nerve III
- C.
Cranial nerve VI
- D.
Cranial nerve VII
- 8.Neurological: You read in a TBI patient’s chart that they are at Level III of the Rancho Los Amigos Levels of Cognitive Function Scale. Which of the following is NOT an appropriate intervention for a patient at this level of cognition?
- A.
Simple ADL to promote automatic responses
- B.
Sensory stimulation such as tactile, visual, auditory, temperature, and proprioception
- C.
ROM to prevent contracture/tone and spasticity management
- D.
Multi-step command following
- 9.General Rehab: A client with deficits in stereognosis would have MOST DIFFICULTY with?
- A.
Identifying coins in his/her pocket
- B.
Finding the route back to his/her room
- C.
Identifying a familiar face
- D.
Determining the distance from the front of the sink to the facet
- 10.Orthopedic: An OTR is developing an exercise program for a client with Reflex sympathetic dystrophy/Complex regional pain syndrome in her right hand. The client is demonstrating pain, swelling, and stiffness. Which initial exercise plan would be BEST?
- A.
Manually manipulate the wrist and hand to increase ROM
- B.
Gentle active exercise and frequent massage
- C.
Protective sensory reeducation
- D.
Relaxation training
- 11.Orthopedic: An OTR is evaluating and patient and notices that the patient’s PIP joint is hyperextended and the DIP joint is flexed. What best describes this condition?
- A.
Swan neck deformity
- B.
Subluxation deformity
- C.
Boutonniere deformity
- D.
Mallet deformity
- 12.Neurological: A person experiencing contralateral hemiplegia, homonymous hemianopsia, and aphasia would most likely have a CVA affecting the
- A.
Anterior cerebral artery
- B.
Middle cerebral artery
- C.
Posterior cerebral artery
- D.
Basilar artery
- 13.General Rehab: When evaluating a patient with low ulnar nerve palsy, which is NOT a symptom that would be present?
- A.
Limited extension at IP joints
- B.
Fromont's sign
- C.
Inability to assume intrinsic minus position
- D.
Inability to oppose thumb and 5th digit
- 14.General Rehab: Handling techniques used in the NDT approach are utilized to obtain all of the following except
- A.
Normalization of movement patterns
- B.
Increasing range of motion
- C.
Facilitation and inhibition of muscle groups
- D.
Increasing associated reactions
- 15.Neurological: Which of the following are you least likely to observe following a CVA occurring in the middle cerebral artery?
- A.
Sensory deficits
- B.
Language deficits
- C.
Ataxia
- D.
Contralateral hemiplegia
- 16.Orthopedic: Which of the following would NOT be therapeutic priorities following an above-knee amputation?
- A.
Standing balance
- B.
Upper extremity strengthening
- C.
Adaptive grooming techniques
- D.
Functional mobility
- 17.General Rehab: In what age-range are symptoms of multiple sclerosis most likely to emerge?
- A.
11-19
- B.
20-40
- C.
50-75
- D.
75 and up
- 18.General Rehab: Which of the following is an appropriate assessment to administer to a teenager (13-18 years old)?
- A.
Beery VMI (Visual Motor Integration)
- B.
PDMS-II (Peabody)
- C.
SIPT (Sensory Integration & Praxis Test)
- D.
Battelle Developmental Inventory, 2nd edition
- 19.Pediatrics: When initially working with a child with gravitational insecurity, what is not an appropriate intervention?
- A.
Tilt board or trampoline in sitting
- B.
Swinging low to the ground
- C.
Moving backwards in space
- D.
Therapeutic listening
- 20.Pediatrics: A child with tactile defensiveness can probably best tolerate:
- A.
Light touch
- B.
Actively self-applied stimuli
- C.
Stimuli applied when unable to see the source of touch
- D.
Hair brushing
- 21.Orthopedic: Which of the following standardized tests would be the LEAST helpful when performing an evaluation of an individual who has undergone a recent carpal tunnel release?
- A.
Using a goniometer to measure AROM
- B.
Using the Semmes Winestein monofilaments to measure sensation
- C.
Having the patient perform Phalen’s test to check for positive symptoms
- D.
Using a dynamometer to measure grip strength
- E.
Having the patient dip his/her hand in a volumeter to analyze amount of edema
- 22.Orthopedic: A patient presents to your outpatient facility several weeks after a recent 2nd digit compression fracture. Surgery was completed and several pins were placed in the finger to provide stability. The digit is noticeably swollen and lacks both passive and active range of motion. Upon evaluation you find that his grip and pinch strength are much lower than those in his none affected hand and that he is unable to make a full fist. What would be your first priority with this patient?
- A.
Providing resistive strengthening exercises to increase grip strength
- B.
Providing manual therapy to stretch the shortened muscle fibers and increase ROM
- C.
Providing ultrasound to the affected digit to decrease pain
- D.
Providing the patient with a compression garment and strategies to reduce edema at home
- 23.Orthopedic: Which diagnoses is most likely to be associated of the following characteristics? Pain with resisted thumb extension or abduction Positive Finkelstein’s test Can be caused by forceful, repetitive motions involving the thumb Pain with activities such as wringing out washrags, opening jars, and using scissors Swelling over the first dorsal compartment of the thumb
- A.
Lateral epicondylitis
- B.
De Quervain’s disease
- C.
Carpal Tunnel syndrome
- D.
Cubital Tunnel syndrome
- 24.General Rehab: Which of the following methods is the BEST way to evaluate for a hook grasp?
- A.
Direct the individual to hold a sewing needle while it is being threaded.
- B.
Observe the individual lift a tall glass filled with water
- C.
Have the individual hold a heavy handbag by the handles
- D.
Hand the individual a key to place in a lock.
- 25.Management & Evidence: An OT manager is preparing the outpatient OT staff for a visit from an accrediting agency. The accrediting agency that surveys inpatient and comprehensive outpatient rehabilitation programs is BEST represented by which of the following
- A.
AOTA
- B.
JCAHO
- C.
CARF
- D.
NBCOT
- 26.Orthopedic: An OT practitioner is fabricating a static splint that will assist with the maintenance of a functional hand and finger position while keeping the soft tissures of the hand in midrange position. Which splint would the OT MOST likely select to address these needs?
- A.
Bivalve cast
- B.
Resting pan splint
- C.
Dynamic extension splint
- D.
Wrist cock-up splint
- 27.General Rehab: To facilitate increasing independence in lower body dressing in a patient with a TL-spine precautions and wearing a TLSO, which intervention is contraindicated?
- A.
Provide the patient with a reacher.
- B.
Instruct the patient to raise the head of the bed 50 degrees so they can reach their feet prior to donning the TLSO.
- C.
Teach effective bed mobility techniques to assist in rolling.
- D.
Use leg straps to help pull legs into a circle sit.
- 28.General Rehab: When advising a patient with a higher level SCI how to provide pressure relief seated in their wheelchair for the first time, which is NOT the safest recommendation?
- A.
Lean forward so their chest is resting on their thighs.
- B.
Tilt the back of the chair as far back as possible.
- C.
Lean to the right, then to the left.
- D.
Get back in bed and perform bed mobility to the left and right.
- 29.Neurological: In patients with complete SCI’s, which is NOT an appropriate technique to prevent orthostatic hypotension?
- A.
TED hose.
- B.
Abdominal binder.
- C.
Monitor their blood pressure to make sure their systolic BP is above 100.
- D.
Wrapping legs with Ace wraps
- 30.Orthopedic: Range of motion to the hand of a tetraplegia patient is performed in a specific way to facilitate tenodesis grasp. Which is correct?
- A.
Passive opening of the fingers when the wrist is flexed and closing of the fingers when the wrist is extended.
- B.
Passive closing of the fingers when the wrist is flexed and opening of the fingers when the wrist is extended.
- C.
Passive closing of the fingers when the wrist is flexed AND closing of the fingers then the wrist is extended
- 31.Neurological: A person who recently suffered a TBI is aggressive, agitated due to a heightened response and is confused. What Ranchos level is the patient at?
- A.
VI
- B.
IV
- C.
II
- 32.General Rehab: Which is not a contraindication for superficial thermal agents?
- A.
Deep-vein thrombosis
- B.
Chronic inflammation
- C.
Impaired cognitive status
- 33.Mangement & Evidence: Working in a SNF setting, you notice a patient is fatigued and seems more weak then usual. After weighing the patient, you determine that they have lost 9 lbs in the past week. What course of action should you take?
- A.
Notify nursing and patients physician
- B.
Consult the dietitian
- C.
Discontinue the exercise and activities portion of intervention and focus on discussion/observation.
- D.
All of the above
- 34.Neurological: An adult patient with a history of right hemisphere CVA would most likely demonstrate which of the following characteristics?
- A.
Slow and labored movements
- B.
Standing up from a wheelchair without locking the brakes
- C.
Information that seemed confabulated
- D.
All of the above
- 35.General Rehab: You are seeing a patient in isolation, with a diagnosis of MRSA. What precautions should you take before treating the patient?
- A.
Discharge the patient and refuse to treat them.
- B.
Donn gloves, mask, and gown and continue treatment within the patient’s room. Wash hands and disinfect treatment tool upon conclusion of intervention.
- C.
Treat the patient in their room without precautions.
- D.
Donn gloves only, and wash hands after treating the patient.
- 36.Orthopedic: Which provocative test would not be used when evaluating De Quervain’s tenosynovitis?
- A.
Look for pain with resisted thumb extension or abduction
- B.
Thickening/swelling over first dorsal compartment
- C.
Cozen’s test
- D.
Finkelstein’s test
- 37.General Rehab: Which frequency of ultrasound would most likely be used over areas of the hand?
- A.
1MHz
- B.
2MHz
- C.
3MHz
- D.
4MHz
- 38.General Rehab: Passive stretching to increase ROM should not involve:
- A.
Hold the stretch for 15-30 seconds
- B.
Holding the stretch a few degrees beyond the point of discomfort
- C.
Quick, vigorous movements
- D.
Relief of discomfort immediately after release of stretch
- 39.General Rehab: Which option below is most important as the INITIAL OT intervention for an individual with a severe form of Guillain-Barré syndrome who has complete paralysis?
- A.
ADL training
- B.
Balance and core strengthening activities
- C.
Passive ROM, splinting, and positioning
- D.
Resistive activities for intrinsic hand strengthening
- 40.General Rehab: When transferring a patient an OT can best protect themselves from injury by doing which of the following?
- A.
Stepping back from the individual
- B.
Keeping the knees bent
- C.
Keeping the back in a flexed position
- D.
Maintaining a narrow base of support
- 41.General Rehab: Which of the following hemoglobin levels indicate a safe reading to get a patient up out of bed, in an acute setting?
- A.
3.0 L
- B.
5.0 L
- C.
8.0 L
- D.
12.0 L
- 42.General Rehab: Which of the following evaluation methods can not be used to test manual dexterity/motor function?
- A.
Purdue Pegboard
- B.
Minnesota Rate of Manipulation Test
- C.
Bay Area Functional Performance Eval.
- D.
9-hole Peg Test
- 43.Orthopedic: An OT is conducting a Manual Muscle Testing with a patient during an evaluation. The patient can hold the test position against slight pressure in an antigravity position. What is the patient’s manual muscle testing score?
- A.
Fair (3/5)
- B.
Fair – (3-/5)
- C.
Fair + (3+/5)
- D.
Good - (4-/5)
- 44.Orthopedic: What is NOT a sternal precaution for patients following heart surgery?
- A.
No pushing, pulling, lifting more than 4 lbs for 6 weeks following surgery
- B.
No pulling or pushing up with arms when transferring
- C.
No shoulder elevation above 90 degrees
- D.
No driving for 4 weeks post-operative
- 45.Orthopedic: What is NOT a proactive contribution for a patient who is recovering from a total hip replacement?
- A.
Lie on your back while resting in bed with a pillow or foaming between thighs to prevent knees from touching
- B.
Sit on soft chairs to allow for greater comfort of the hip while sitting
- C.
Get up and move around every hour
- D.
Use a raised toilet seat
- 46.General Rehab: Which of the following is a contraindication for electrical stimulation usage?
- A.
Knee replacement
- B.
Hip replacement
- C.
Pacemaker
- D.
COPD
- 47.Neurological: There are several complications that can occur after a stroke including all of the following EXCEPT:
- A.
Apraxia
- B.
Depression
- C.
Shoulder pain/subluxation
- D.
Anxiety
- 48.Orthopedic: Which of the following is a hip precaution for the first 8 weeks after a hip replacement?
- A.
Do not cross legs or ankles
- B.
Do not bend knee
- C.
Do not lay on back
- D.
Do not lay on stomache
- 49.Neurological: A 90-year-old woman suffered a right CVA and will be receiving therapy in a SNF. Upon evaluation the OT determines that left shoulder is subluxed. The most appropriate approach for treating the subluxed shoulder is:
- A.
Wear a shoulder sling 24 hrs a day to avoid movement in the left shoulder
- B.
Rest the left arm across the patient’s lap while in bed and seated in a wheelchair
- C.
Position the arm to avoid traction of the left shoulder muscles while in bed and seated in a wheelchair
- D.
Rest let arm in should extension and adduction
- 50.General Rehab: When evaluating a client for a wheelchair you determine they are appropriate for a regular/adult wheelchair. The dimensions of the chair will be _____ inches wide by ______ inches deep by ______ inches high, and the correct hip angle is ____, knee angle is ______ and ankle angle is ______.
- A.
18 x 18 x 20 and 90, 80, 90
- B.
18 x 16 x 20 and 90, 90, 90
- C.
18 x 20 x 16 and 90, 90, 90
- D.
18 x 16 x 20 and 80, 80, 120
- 51.Orthopedic: A 95 year old woman was admitted to a SNF after suffering a fall. Upon evaluation the OT determines (through chart review and ROM testing) she has a rotator cuff tear. The doctor has orders to treat the rotator cuff tear conservatively. The most appropriate course of action for the OT is:
- A.
To advise the patient to keep her shoulder extended and adducted
- B.
Have the patient perform AROM exercises
- C.
Do 15 mins of E-Stim on the shoulder 3 times a week
- D.
Participate in UE strengthening exercises
- 52.Neurological: Which of the following strategies is NOT an effective psychosocial intervention for clients recovering from a cerebral vascular accident?
- A.
Exploration and education in coping skills
- B.
Involvement of client in goal setting and selecting interventions
- C.
Focus solely on the client’s inappropriate behaviors during therapy sessions
- D.
Socialization and support groups
- 53.Neurological: Which of the following signs and symptoms are the best common factors occurring in Alzheimer’s disease?
- A.
Disorganized thinking, delusions, hallucinations, and social withdrawal with an onset early in life
- B.
Progressive mental deterioration consisting of memory loss, confusion, and disorientation
- C.
An inability to read at a level that correlates with the person’s overall intelligence
- D.
The inability to plan, to maintain goal orientation, and to make decisions
- 54.Neurological: A client has been hospitalized for surgical repair of a right-side hip injury. Her medical history indicates that she had a remote stroke affecting her left side. Per her chart, this client has been advised that she should not drive due to slow reaction times and homonymous hemianopsia. Upon discharge from the hospital, she returns to her one-story apartment where she will receive home health occupational therapy. Which of the following interventions would you NOT incorporate into therapy sessions for this client?
- A.
Education of family, caregivers, and home health aide regarding hip precautions
- B.
Environmental modifications, activity adaptations, and equipment that maintain independent functionality
- C.
Providing strategies to the client for entering/exiting vehicles
- D.
Incorporating a home exercise program that encourages hip flexion beyond 90 degrees
- 55.Neurological: A person who: Is able to respond consistently to simple commands Has a non-purposeful, random or fragmented response to commands with more complexity May show agitation to external stimuli, but typically response is out of proportion to stimulus Patient is highly distractible, confabulatory, and inappropriate Aware of general environment and able to perform previously learned tasks but not able to learn new information
- A.
Is presently at Ranchos Level IV
- B.
Is presently at Ranchos Level III
- C.
Is presently at Ranchos Level V
- D.
Is presently at Ranchos Level VI
- E.
Is presently at Ranchos Level II
- 56.Neurological: At what level does a spinal cord lesion have to occur in order for the patient to not be able to use tenodesis?
- A.
C5
- B.
C6
- C.
C4
- D.
C7
- E.
C8
- 57.Neurological: A person who is not able to see in the left lower quadrant of each eye is suffering from:
- A.
Right homonymous hemianopsia
- B.
Left homonymous hemianopsia
- C.
Pie in the sky syndrome
- D.
Pie on the floor syndrome
- 58.General Rehab: Your patient recently had a pace maker inserted and is now in your inpatient rehab unit for general debilitation. What activity should be avoided?
- A.
UBE (arm bike)
- B.
Standing tolerance activity
- C.
Shoulder arc
- D.
Making a simple meal in the kitchen
- 59.
- A.
Abduct arm, stabilize humeral head in glenoid cavity
- B.
External rotation, stabilize humeral head
- C.
Internal rotation, stabilize humeral head and adduct arm
- D.
None of the above
- 60.General Rehab: Your patient has just come to your inpatient rehab unit s/p right distal femur fracture. The doctor has ordered the patient to be PWB (partial weight bearing). What percent body weight can the patient place on the operated limb?
- A.
10-15%
- B.
30%
- C.
75-100%
- D.
50%
- 61.Neurological: You get a referral to evaluate an individual’s executive functioning following a mild CVA, what are you most likely to assess?
- A.
Orientation, attention, memory.
- B.
Job interests.
- C.
Initiation and planning.
- D.
Spatial relations.
- 62.Orthopedic: What are the back precautions for someone who has had a lumber fusion?
- A.
No bending, no twisting, log roll to get out of bed.
- B.
No bending, no twisting, log roll to get out of bed, do not carry more than 5 lbs., up 3x a day for a max of 15 min
- C.
No bending, no twisting, no carrying more than 5 lbs.
- D.
No bending, no twisting, no carrying more than 5 lbs, log roll to get out of bed.
- 63.General Rehab: An individual had a coronary artery bypass graft 5 days ago, his cardiologist approved his activities at a MET level of 2-3. What would be an appropriate activity for this individual?
- A.
Vacuuming.
- B.
Showering standing.
- C.
Grooming at the edge of bed.
- D.
Grooming while standing at the sink.
- 64.Orthopedic: Which of the following would be the LEAST important to stress to a patient following back precautions?
- A.
Do not bend
- B.
Do not lift more than 5 pounds
- C.
Do not twist trunk
- D.
Do not dress without supervision
- 65.Management & Evidence: When treating patients in an inpatient rehabilitation setting which of the following is the most common assessment used to address daily functioning?
- A.
FIM
- B.
Barthel Index
- C.
Katz index
- D.
Klein-Bell activities of daily living scale
- 66.
- A.
Constraint Induced Movement Therapy (CIMT)
- B.
Brunnstrom Movement Therapy Approach
- C.
Brunnstrom Movement Therapy Approach
- D.
Rood and Proprioceptive Neuromuscular Facilitation Techniques
- 67.Management & Evidence: An OTR or COTA is educating a client with chronic obstructive pulmonary disease how to incorporate pursed lip breathing with self care tasks. The MOST EFFECTIVE breathing technique to incorporate during a dressing task to decrease symptoms of dyspnea is:
- A.
Promote the client to breathe in when lifting legs into pants
- B.
Encourage the client to breathe out when pulling a shirt overhead
- C.
Reinforce a daily self care routine be performed in sitting
- D.
Emphasize the use of a pulse oximeter during lower body dressing
- 68.General Rehab: In COPD, one of the reasons less air flows in and out of the airways may be because of which of the following:
- A.
The walls between many of the air sacs are destroyed
- B.
The thoracic muscles have become weak
- C.
The alveoli do not exchange O2 and CO2 as efficiently
- D.
The air sacs have decreased in size and number
- 69.General Rehab: Why is it important not to turn up the oxygen on a person who is a CO2 retainer, even if their oxygen statistics have dropped?
- A.
More oxygen will produce more CO2
- B.
It will cause their oxygen to increase too much
- C.
Turning up the oxygen will make the patient dependent on oxygen
- D.
Increasing the oxygen will slow the rate of breathing, slowing the rate they get rid of excess CO2
- 70.Psychology: A middle aged woman comes into the hospital with auditory and visual hallucinations, delusions, disorganized speech and grossly disorganized behavior. She has a history of schizophrenia. What is known about these particular presenting behaviors?
- A.
They are positive symptoms which can be reduced with medications
- B.
They are positive symptoms which can not be reduced with medications
- C.
They are negative symptoms which can be reduced with medications
- D.
They are negative symptoms which can not be reduced with medications
- 71.Psychology: After concern is raised among family members, police pick up and bring in a 45 year old man and admit him to the ER. He presents with rapid speech, racing thoughts and impulsive behavior (Last week, he quit his job after 20 years of service). He reports that prior to this episode he felt depressed for about 2 weeks and isn’t sure why he went from feeling so down to feeling very out of control. What is his diagnosis?
- A.
Bipolar II
- B.
Bipolar I
- C.
Cyclothymic Disorder
- 72.Psychology: A young female presents to the ER with increased sweating, chest pain, nausea and fear of losing control. She states that this has happened several times in the last 3 months and typically the symptoms subside after 10 minutes. She is scared and wants to make sure she isn’t having a heart attack. After doing an EKG and several other tests, cardiac problems are ruled out and more information is sought out about her symptoms. The patient states that as of two months ago she has become scared to be in crowded places and avoids anywhere that has lines or crowds and avoids situations where she knows she will feel this way (supermarkets, movie theaters and buses). What is her diagnosis?
- A.
Panic Attack
- B.
Panic Disorder without Agoraphobia
- C.
Panic Disorder with Agoraphobia
- D.
Agoraphobia
- 73.Orthopedic: All of the following are good suggestions to provide a patient who is returning home after hip surgery, except:
- A.
Sit in a high stool when working at the kitchen counter.
- B.
Remove all throw rugs.
- C.
Use a rolling basket or utility cart when doing laundry.
- D.
Place the most used kitchen items on bottom shelves and cabinets under the counter.
- 74.General Rehab: Caution MUST be taken when considering the use of electrical stimulation with which of the following patients?
- A.
A patient with cancer.
- B.
A patient with severe arthritis.
- C.
A patient taking medication for high blood pressure.
- D.
A patient with a broken bone.
- 75.Orthopedic: Which of the following does NOT describe a proper tip for good body mechanics when sitting?
- A.
Your feet should be flat on the floor.
- B.
Your knees are positioned higher than your hips.
- C.
Work is placed directly in front of you.
- D.
Arms rested on armrests.
- 76.Orthopedic: Which of the following actions does not violate precautions during the first six weeks following lumbar spine surgery?
- A.
Checking the car’s blind spot while driving.
- B.
Lifting a 2-year-old child out of the swing at the playground.
- C.
Reaching down to tie one’s shoes.
- D.
Sitting with your hips above your knees and feet planted on the floor.
- 77.Pediatric: Per parental report or therapist observation, a 5 year old boy fidgets so much that daily routines are interrupted, spins or twirls frequently, and rocks in his chair while performing fine motor tasks. During evaluation, he wants to try all suspended equipment in the room. This most likely points to:
- A.
Low threshold vestibular processing
- B.
High threshold tactile processing
- C.
High threshold vestibular processing
- D.
Low threshold auditory processing
- 78.Pediatric: An 8-year-old girl is referred secondary to poor handwriting and the OT notices general low muscle tone during evaluation. This is particularly noticeable in the hands due to the decreased prominence and visibility of the knuckles. What activities would be most appropriate to focus on as you begin therapy with this child with a goal of improved handwriting?
- A.
Handwriting tasks at a table/desk
- B.
Finding marbles in therapy putty
- C.
Finding the right pencil grip
- D.
Handwriting on a slanted or vertical surface
- 79.Pediatric: A child with CP scores in the 10th percentile for her age on the Beery VMI. To determine her visual perceptual abilities, your next step would be:
- A.
Complete the BOT-2
- B.
Ask her to complete a maze
- C.
Ask her to construct the same shape that you build out of blocks
- D.
Complete the visual subtest of the VMI
- 80.Neurological: Which area of cognition can be described as an impaired association with neurological dysfunction including the lack of knowledge about own physical/cognitive-perceptual impairments and/or their functional implications as well as the inability to anticipate difficulties, recognize error, or monitor performance within the context of an activity?
- A.
Attention
- B.
Self awareness
- C.
Motor planning
- D.
Problem solving
- 81.Neurological: A patient with a lesion in the cerebellum may present with all of the following symptoms except?
- A.
Ataxic movement
- B.
Balance/equilibrium problems
- C.
Apraxia
- D.
Decreased coordination (gross and fine)
- 82.Neurological: A patient with a CVA that has affected the left hemisphere may exhibit all of the following signs except?
- A.
Left hemiparesis
- B.
Right hemiparesis
- C.
Aphasia
- D.
Apraxia
- 83.General Rehab: When working with a patient 1 day post a total shoulder arthroplasty it is appropriate to do:
- A.
Resistive strengthening exercises
- B.
AROM exercises hitting full ROM in all planes
- C.
Codman’s pendulum exercises
- 84.Neurological: A patient just experienced a L ACA infarct CVA, what is the best statement concerning the patient’s question about rehabilitation potential?
- A.
You will be able to regain the full function you experienced before your stroke.
- B.
You suffered a severe stroke and will never regain any function.
- C.
You will be a able to perform the tasks that you performed before the stroke, however you may need to use different methods and adapt your lifestyle.
- 85.General Rehab: When working with a cardiac care patient in the hospital it is important to educate the patient on:
- A.
Energy conservation/work simplification
- B.
Upper body strengthening
- C.
Lifestyle changes
- D.
A and C
- 86.Pediatric: A child has been referred to you from the school system who has observed behavioral difficulties and they believe he may have autism. All of the following evaluations would be relevant except _______ :
- A.
Observation
- B.
Sensory Profile
- C.
MVPT-II
- D.
Bayley Scales of Infant Development-II
- 87.Pediatric: An infant has been referred to you from the doctor with a prescription that says: “DX Cerebral Palsy: OT Evaluate and Treat”. What occupation is most important to start with?
- A.
ROM
- B.
Feeding
- C.
Play
- D.
Self Care
- 88.Pediatric: A child has been referred to you with arthrogryposis multiplex congenita. Which of the following areas would be least important to evaluate and treat?
- A.
ROM
- B.
Trunk Stability
- C.
PROM
- D.
Hand Functions
- 89.Neurological: A person with left hemisphere stroke that left him with right side weakness and speech problems. His speech was fluent but lacked content and included paraphasias. His comprehension is intact but his ability to name objects was mildly impaired. The patient shows inability to repeat words or sentences. The communication impairment that he is diagnosed with is:
- A.
Wernick’s aphasia
- B.
Conduction aphasia
- C.
Sensory trans cortical aphasia
- D.
Motor trans cortical aphasia
- E.
Broca’s aphasia
- 90.Orthopedic: A patient with left-sided hemiplegic stroke has a non-functional right hand with a mildly increased muscle tone in the flexor muscle groups. The patient has been using a hand splint to prevent joint deformities. The hand splint should maintain the hand in a position of:
- A.
Slight extension of the wrist, MCPs and IPs joints
- B.
Slight flexion of the wrist, MCPs and IPs joints
- C.
Slight extension of the wrist, MCPs and flexion of IPs
- D.
Slight flexion of the wrist, IPs and flexion of MCPs
- E.
Slight extension of the wrist, IPs, and flexion of MCPs
- 91.Orthopedic: Patient with rotator cuff injury had a repair surgery. At what week should the patient start isotonic exercises with Theraband and free weights for strengthening?
- A.
Week 4
- B.
Week 6
- C.
Week 8
- D.
Week 12
- 92.Pediatrics: Sensory Integration is...
- A.
Something that begins after age 7
- B.
The process of turning sensation into perception
- C.
Primarily controlled by the cardiovascular system
- D.
Something that is an “all-or-nothing” response
- 93.Pediatrics: The primary role of an Occupational Therapist in sensory integration is...
- A.
Helping the child learn specific skills
- B.
Helping the child develop one strong sense that will overpower their other senses
- C.
Helping the child learn to reorganize their brain
- D.
Helping the child learn to accept that they are different
- 94.Pediatrics: How does a typical child with a Brachial Plexus injury present when entering an OT clinic for an evaluation?
- A.
Shoulder internally rotated and depressed with a straight elbow, and the wrist rotated outward
- B.
Shoulder hiking and internal rotation, flexed elbow, and flexed wrist
- C.
Shoulder external rotation, extended elbow, extended wrist
- D.
Shoulder in neutral, elbow flexion, wrist in neutral
- 95.General Rehab: Which of the following is not a warning sign of Deep Vein Thrombosis?
- A.
Skin that look pale or blue and is cold to touch
- B.
Shortness of breath or chest pain
- C.
Swollen or red areas that could be warm to touch in the groin, heel or calf
- D.
Shooting pain running up and down the body
- 96.General Rehab: Which of the following is the least important thing to do before seeing a patient in acute care?
- A.
Tell the nurse that you are from OT and are checking to see if you can see the patient and if there is anything you should know before going in.
- B.
Check to see if the patient is awake
- C.
Check all of the orders and verify that there is an activity order from the doctor. If not, page the doctor and ask them to put one in.
- D.
Do a thorough chart review.
- 97.General Rehab: Which of the following is not a consideration when working with Oncology patients who have bone metastases?
- A.
Activity should be pain limited in the patients AROM.
- B.
Avoid manual muscle testing and resistance exercises on the involved extremity.
- C.
Patients are always on strict bedrest
- D.
If bone metastasis present in weightbearing bone, make sure there are orders re: weightbearing status in chart.
- 98.General Rehab: A patient with a recent hip fracture wants to have grab bars installed in her bathtub to prevent future falls. The occupational therapist recommends the grab bars to be installed:
- A.
24 inches from the floor
- B.
33-36 inches from the floor of the bathtub
- C.
33-36 inches from the floor outside of the bathtub
- D.
At the patient’s waist level
- 99.Neurological: A recent CVA patient exhibits no active range of motion in her left upper extremities and presents with some cognitive deficits. The best intervention approach to facilitate muscle activation includes:
- A.
Ultrasound
- B.
E-Stim
- C.
Ice pack
- D.
Vibration
- 100.General Rehab: A 62 year old widow, who lives alone, is preparing to be discharged from a SNF after 4 weeks of therapy following a hip replacement. The most important equipment the OT should recommend would be:
- A.
Wheeled walker
- B.
Bedside commode
- C.
Weighted hairbrush
- D.
Long handled reacher
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