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
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