TheoryOTR Occupational Therapy Prep Practice Questions
Free OTR Occupational Therapy Prep practice questions with answers and plain-English explanations. Browse the PDF, video and online mock test.
OTR Occupational Therapy Prep Questions
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Q1An athlete reports experiencing pain and difficulty during wrist flexion, and the therapist suspects an issue with one of the muscles involved in this action. Which of the following muscles is primarily responsible for wrist flexion?
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✓ Correct answer: Flexor carpi radialis
Answer: Flexor carpi radialis The primary muscles responsible for wrist flexion are the flexor carpi radialis and the flexor carpi ulnaris. The flexor carpi radialis helps to flex and abduct the wrist, while the flexor carpi ulnaris also assists in wrist flexion but functions by adducting the wrist. The extensor carpi ulnaris is primarily involved in wrist extension and adduction. The flexor digitorum profundus flexes the fingers and wrist but is not the primary flexor of the wrist. The brachioradialis mainly aids in flexing the elbow.
Q2A client post-hip replacement surgery exhibits significant difficulty in performing ADLs (activities of daily living). The client relies heavily on verbal instructions and fails to use problem-solving skills independently. Which standardized assessment tool would be BEST indicated to evaluate cognitive functions relevant to problem-solving and decision-making in this client?
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✓ Correct answer: Executive Function Performance Test (EFPT)
Answer: Executive Function Performance Test (EFPT) The Executive Function Performance Test (EFPT) provides structured tasks designed to evaluate executive functions such as initiation, organization, sequencing, judgment, and safety. It is particularly useful for clients who need assessment of their problem-solving and decision-making abilities. The Montreal Cognitive Assessment (MoCA) is a rapid cognitive screening tool for detecting mild cognitive impairment. The Kohlman Evaluation of Living Skills (KELS) assesses a person's ability to perform basic living skills but may not be specific enough for evaluating higher-level cognitive functions.
Q3Which of the following balance assessments involves standing on one leg while the opposite leg is in hip flexion to test single-leg balance?
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✓ Correct answer: Single Leg Stance Test
Answer: Single Leg Stance Test The Single Leg Stance Test evaluates an individual's ability to maintain balance while standing on one leg with the opposite leg in hip flexion. It is a common test to assess balance and proprioception, and a failure indicates possible balance or proprioceptive issues. The Berg Balance Scale is a different type of assessment that includes 14 tasks like sitting to standing, standing with eyes closed, and turning 360 degrees. The Timed Up and Go (TUG) test measures the time taken for a person to stand up from a chair, walk a short distance, turn, walk back, and sit down again.
Q4Which of the following fine motor skill would NOT be expected in a ten-month-old typically developing infant?
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✓ Correct answer: Pincer grasp using thumb and forefinger
Answer: Pincer grasp using thumb and forefinger. This skill does not typically occur until 9 to 12 months of age. The other choices are skills that would be expected of a ten-month-old.
Q5A patient who previously played the piano daily for 10 years is now unable to remember how to play after suffering a stroke. Which of the following is this an example of?
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✓ Correct answer: Ideational apraxia
Answer: Ideational apraxia Ideational apraxia relates to the inability to understand how to initiate and complete a common task or recognize an object related to said task. In this case, the patient cannot remember how to play the piano, although it was a familiar activity. Asomatognosia is characterized by an individual's inability to recognize that the impaired limb belongs to their body. Topographical disorientation is characterized by decreased recall of familiar surroundings and inability to navigate a familiar environment or route. Astereognosis impairment is the inability to recognize familiar items by touch, and testing for this impairment is completed by placing objects in the hand and identifying the object without using vision.
Q6What type of assessment involves the evaluation of a child's fine motor skills using a standardized tool such as the Peabody Developmental Motor Scales (PDMS-2)?
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✓ Correct answer: Performance tests
Answer: Performance tests Performance tests are assessments used to evaluate specific skills, such as fine motor abilities, in a structured and standardized manner. The Peabody Developmental Motor Scales (PDMS-2) is an example of such a test. Objective measurements are obtained based on the practitioner's observation of the child's performance and can be used to design therapeutic goals. Observation occurs when a clinician watches an individual's behavior without the completion of a specific assessment. Interviewing is a very common part of assessment and involves the clinician asking the individual or their caregiver questions, generally regarding functional performance. Self-report is characterized by the individual or their caregiver providing pertinent information, such as through the completion of a questionnaire.
Q7When evaluating a patient for signs of peripheral neuropathy, which of the following symptoms is commonly associated with this condition?
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✓ Correct answer: Loss of sensation in extremities
Answer: Loss of sensation in extremities Peripheral neuropathy often presents with symptoms such as loss of sensation in extremities, muscle weakness, and pain. Spasticity and hyperreflexia are typically associated with central nervous system disorders.
Q8An occupational therapist is conducting a needs assessment for a new community-based program. Which of the following is NOT a fundamental step in needs assessment?
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✓ Correct answer: Implementing interventions
Answer: Implementing interventions The fundamental steps in needs assessment are as follows: - Identifying the target population: Determine who will benefit from the program. - Collecting data: Gather information about the needs of the target population. - Analyzing data: Evaluate the collected data to identify gaps and priorities.
Q9An occupational therapist realizes that an assessment tool used in an initial evaluation was outdated. What is the appropriate action to rectify this error in the documentation?
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✓ Correct answer: Mark through the outdated assessment tool with one line, note the correct tool used, and initial and date the correction
Answer: Mark through the outdated assessment tool with one line, note the correct tool used, and initial and date the correction Documentation in medical records must be accurate and any corrections must be traceable. The appropriate way to correct an outdated entry is to mark through it with a single line, note the correct information, and initial and date the correction. This maintains the integrity of the medical record and ensures transparency in documentation practices. The other options provided (erasing the entry, using correction tape, or leaving the error uncorrected) are not acceptable methods for correcting mistakes in documentation.
Q10Which criterion in evidence-based practice assures that all interventions, including those that showed no effect, are reported in the study?
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✓ Correct answer: Consistency
Answer: Consistency Consistency is the assurance that all interventions, including those that showed no effect, are documented and included in the study's results. Relevance ensures that the study's interventions are directly related to the question being examined. Reliability is the extent to which the same results could be achieved consistently over time.
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