Transition Services; Hospital & Pediatric Rehabilitation Services
Hospitalization of children is most common because of which of the following?
a. Psychological and psychiatric needs
b. Rehabilitation needs
c. Neurologic and musculoskeletal disorders
d. Respiratory and gastrointestinal disorders
d. what is respiratory and gastrointestinal disorders?
Which of the following is a key feature of the diagnosis of ASD according to the DSM V?
a. Unusual responses to sensation
b. Social isolation
c. Repetitive behaviors
d. Delayed motor development
a.. what is unusual responses to sensation?
You are completing an OT evaluation of Sharae, a 4-year-old girl with athetoid type cerebral palsy (CP). What type of movement would you expect to see during your evaluation?
a. Intention tremors, trouble with stabilizing proximal joints, significant balance issues
b. Very hypertonic, high risk for contractures
c. Large sudden fluctuations, “jerky” movements with poor midrange control
d. Movement only to midranges
c. What is large sudden fluctuations, “jerky” movements with poor midrange control?
According to IDEA, what is the main purpose of occupational therapy within the school system?
a. Enhance the child's role as a student in academic and nonacademic tasks
b. Diminish symptoms related to the student's disability
c. Enhance function in play/leisure, work, and self-care
d. Improve hand development for tool usage
A. What is Enhance the child's role as a student in academic and nonacademic tasks?
According to the Occupational Therapy Practice Framework (OTPF), 3rd ed., which of the following is considered an Instrumental Activity of Daily Living (IADL)?
a. Bathing
b. Play exploration
c. Sleep preparation
d. Meal preparation and cleanup
d. what is meal preparation and cleanup?
Occupational therapy services in hospital settings are often prioritized. Select the best characterization of priority levels from most to least important.
a. Prevention, resuming function, restoring skills and abilities
b. ADL, IADL, school and community participation
c. Client- and family-centered goals, regulatory requirements, evidence-based practices
d. Infection control, hand washing, fall prevention
a. what is prevention, resuming function, restoring skills and abilities?
Difficulties with eating, sleeping, playing, repetitive or difficult behaviors, and paying attention may all be caused in part because of which of the following?
a. Cognitive delays
b. Lack of motivation for mastery
c. Sensory processing challenges
d. Imitation deficits
c. what is sensory processing challenges?
Mom reports Jenny had damage to her primary motor cortex during birth trauma and she has been receiving OT, PT, and SLP since birth. During the initial evaluation you observe:
Abnormal movements and atypical reflexes present (i.e., ATNR)
Hypertonicity in her arms with spasticity greater in her right bicep, wrist flexors, and thumb adductor
Hypertonicity in her legs with spasticity greater in hip adductors, hamstrings, and gastroc/soleus
Delayed or absent righting and equilibrium responses
What type of cerebral palsy does Jenny have?
a. Spastic
b. Ataxic
c. Mixed
d. Athetoid
a. what is spastic?
According to IDEA, the IEP must include several components. Which of the following is not a required component of the IEP?
a. Present levels of educational performance (academic and nonacademic)
b. Measurable annual goals in areas of need
c. Family report and medical history
d. Determination of special education and related services that the child needs to accomplish the goals and objectives (including frequency)
C. What is Family report and medical history?
A child bathes and rinses himself but needs help getting into and out of the tub; he has to be cued to monitor the water temperature and to dry himself. What would be his level of independence rating?
a. Independent
b. Supervision
c. Dependent
d. Minimal assistance
d. what is minimal assistance?
What type of assistance is assigned to the following scenario: The child needs someone to help him hold onto the spoon, scoop food, and bring it to his mouth. He opens his mouth and swallows.
a. Minimum assistance
b. Independent
c. Moderate assistance
d. Stand-by assistance
c. what is moderate assistance?
Which of the following is a common issue experienced by families of children with ASD?
a. All of the above
b. Financial limitations
c. Social isolation
d. Difficulty accessing needed services
e. Difficulty obtaining early diagnosis
a. what is all the above?
During an OT session, you observe a 6-year-old child with CP using common compensatory movements in order to reach and grasp toys. Which common compensatory strategy is often observed in children with cerebral palsy while reaching and grasping?
a. Excessive trunk movements including trunk extension and lateral flexion
b. Use of isolated finger and hand movement (fingers move while forearm remains still)
c. Shoulder external rotation with shoulder adduction, elbow flexion, forearm supination
d. Wrist extension with forearm supination
a. What is excessive trunk movements including trunk extension and lateral flexion?
Which of the following examples represents the least desirable service delivery option for occupational therapists working in the schools?
a. The occupational therapist conducts a pre-writing activity group once weekly, which is integrated in the preschool curriculum.
b. The occupational therapist removes the child from the classroom for 1 hour daily to work on handwriting skills.
c. The occupational therapist consults with the student’s adaptive physical education teacher about sensory processing issues and how these influence the student’s behavior in her class.
d. The occupational therapist adapts the student’s seat to improve positioning and hand use.
B. what is The occupational therapist removes the child from the classroom for 1 hour daily to work on handwriting skills?
Which adaptation principle would help a child who has poor memory?
a. Built up handles
b. Visual cues
c. Provide external supports
d. Change position of child
b. what is visual cues?
Which adaptation is best to help a child who is having difficulty with cardiac functioning?
a. Electronically powered wheelchair
b. Scheduling and pacing tasks
c. Enlarged handles
d. Reachers
b. what is scheduling and pacing tasks?
Why is it important to share information with the family about why you are asking certain things as you evaluate the child?
a. It helps them to understand the role of occupational therapy.
b. It establishes your goals with the family up front.
c. It communicates your level of expertise to the family.
d. It allows them to understand your point of view.
a. what is it helps them to understand the role of occupational therapy?
Candace is a 5-year-old girl referred to occupational therapy services due to complications from spastic quadriplegic cerebral palsy. During the initial evaluation, you find hypertonicity in all four extremities (upper and lower) and low muscle tone in her trunk and neck. Which type of medical intervention (medication) is used to reduce spasticity through an injection directly into the muscle?
a. Phenol
b. Ativan
c. Botox
d. Baclofen
c. what is botox?
Kevin is a 3rd grade student who has learning difficulties. The team members would like him to be placed in a regular classroom for most of his classes. However, they are not sure that he will be able to keep up with the requirements. What must the team consider to make this placement?
a. Teacher’s expertise and training
b. Number of children in the classroom
c. Least restrictive environment
d. Cost of special education
b. what is the number of children in the classroom?
Which of the following assessments would be appropriate to measure a 5 year old with a spinal cord injury to track progress during rehabilitation.
a. Hawaii Early Learning Profile (HELP)
b. Vineland Adaptive Behavior Scales, 3rd edition
c. School Function Assessment (SFA)
d. Functional Independence Measure-II for Children (WeeFIM-II)
d. what is d. Functional Independence Measure-II for Children (WeeFIM-II)?
Brianne is an 18-year-old student with cerebral palsy who participates in a transition program. Before services, the education team completes an evaluation. Team members observe her performance during activities in selected environments. Based on careful observation, the activity demands and Brianne’s ability to perform in each environment are noted. What kind of evaluation would you call this?
a. Discrepancy analysis
b. Assistive technology assessment
c. Outcome assessment
d. Transition evaluation
a. Discrepancy analysis
One of the most commonly used interventions for children with ASD, widely accepted as being evidenced based, is applied behavioral analysis.
a. False
b. True
b. what is true?
What is a common scale used to determine the level of functional hand use in a child diagnosed with cerebral palsy?
a. The Canadian Occupational Therapy Performance Measure
b. Manual Ability Classification Scale (MACS)
c. The Gross Motor Functional Classification Scale (GMFCS)
d. The Peabody Developmental Motor Scale-2
b. what is Manual Ability Classification Scale (MACS)?
What type of intervention is provided in the following: The occupational therapist works with a child on the playground to help him engage with the other children.
a. Indirect
b. Pull out
c. Integrative
d. Consultative
c. what is integrative?
A 12 year old with developmental coordination disorder and dyspraxia continues to struggle with shoetying, but wants to learn so she can wear tennis shoes likes her friends. You teach herto cross the laces to complet the first knot while you complete the shoe tying for her. In subsequent sessions, she gradually completes more steps, while you gradually decrease finishing the task for her. What technique are you using?
a. Forward chaining
b. Anticipatory problem solving
c. Backward chaining
d. Generalization
a. what is forward chaining?