Development/Visual Perception
It is developmentally appropriate for a 2 year old uses a palmar supinate grasp when coloring and doodling.
False
An occupational therapist provides intervention for a 4-year-old with developmental delays characterized by the persistence of primitive reflexes which are inhibiting his ability to reciprocal crawl. The child demonstrates age-appropriate cognitive skills. Which is the best play activity for the therapist to incorporate into the child’s intervention?
A. Spinning on a swing
B. Putting a puzzle together
C. Lying on the floor and playing a game of marbles.
D. Fatigueing the persistent reflex followed by pretending to be an explorer crawling through caves.
D. Fatigueing the persistent reflex followed by pretending to be an explorer crawling through caves.
A child demonstrates aggressive and disruptive behavior in school as a result of sensory hyperreactivity. Which suggestion would be MOST useful to discuss the the teach in preparation for an upcoming class bus trip to the zoo.
A. Review the bus rule with the child and apply consequences consistently.
B. Seat the child at the front of the bus and use earmuffs to dampen the noise.
C. Have the child monitor classmates as "bus patrol" and report behavior.
B. Seat the child at the front of the bus and use earmuffs to dampen the noise.
Which approach should the OT implement to BEST support learning and development for a child with autism spectrum disorder?
A. Customized social stories
B. Use of a family-centered approach
C. Adaptation to the home environment.
D. Use of exploration to develop motor skills
B. Use of a family-centered approach
True or False: Within a school-based setting occupational therapy is a qualifying service for special education.
False
A pincer grasp is an example of which type of grasp?
A. Power Grasp
B. Precision Grasp
C. Intermediate Grasp
A. Precision Grasp
A 7 year old child demonstrates difficulty maintaining a seated position at his desk in his second grade classroom and dislikes when the waistband of his jeans are tight. This is indicative of which primitive reflex being retained?
A. Palmar Grasp
B. Moro's
C. Spinal Galant
D. Tonic Labrynthine Reflex
C. Spinal Galant
An occupational therapist whom provides home-based early intervention for an 18-month-old child with developmental delay notes that the child is able to finger feeds soft foods effectively but is not able to use a spoon. When considering the developmental progression of self-feeding skills, what intervention is the MOST appropriate for the occupational therapist to do at the next intervention session?
A. Finger-feeding cheerios
B. Dipping spoon in applesauce and bringing spoon to mouth.
C. Independently eating yogurt with a spoon.
D. Drinking from a cup without spilling
B. Dipping spoon in applesauce and bringing spoon to mouth.
An OT observed a boy with autism spectrum disorder flapping his right hand in front of his eyes repeatedly. What could this behavior be described as?
A. Aiding in visual perception
B. Relieving pain in the right hand
C. Relieving parasthesia in his fingers
D. Repetitive and restrictive self-stimulatory behavior
D. Repetitive and restrictive self-stimulatory behavior
What age range does early intervention serve?
Birth up until 3 years
Within what years of life is neuroplasticity at its greatest?
Birth-3 years
A child with a diagnosis of traumatic brain injury (TBI) is evaluated by an occupational therapist. The child presents with extension of both upper extremities and flexion of both lower extremities following a stimulus of neck extension. Which primitive reflex is retained?
STNR
An OT is treating a child with autism spectrum disorder. To maximize the child's benefit from intervention using Ayres Sensory Integration, what does the therapist need to ensure?
A. Semspory strategies are provided to enable the child to process proprioceptive and tactile stimuli.
B. Only one option for activity is available at a time, to encourage focus.
C. Active participation and self-direction in activities matched to identified needs.
C. Active participation and self-direction in activities matched to identified needs.
According to the DSM-5, which of the following domains is a crucial component for diagnosing Autism Spectrum Disorder (ASD)?
A. Fine Motor Skills
B. Developmental Delay
C. Social Communication and Interaction
D. Tactile Defensiveness
C. Social Communication and Interaction
Name one external factor within the NICU that may impact the infant's occupational participation.
Sensory features
A first grade child is demonstrating difficulty spacing the words of his letters, frequent letter reversals, and difficulties producing letters within a given space on worksheets. It is likely that the child is demonstrating difficulty with what visual perceptual skill?
Spatial Relationships
A 12 month old child is referred for an occupational therapy evaluation in an outpatient clinic. During the occupational therapy evaluation the OT notices that the child is demonstrating toe walking, and the parent states that she often has difficulty putting on the child's shoes. The OT asks the parent if she can observe her while she tries to put on their shoes, and during her observation notices that the child is demonstrating "toe clawing". Which primitive reflex should the OT be screening for as part of her evaluation?
Plantar Grasp
A child with tactile defensiveness is receiving intervention from an occupational therapist using a sensory integrative approach. Which method is most effective for the therapist to use when introducing tactile stimuli to the child?
A. Provide deep touch and firm pressure where the child can see the stimuli.
B. Apply the stimuli in the direction opposite of hair growth with vision occluded.
C. Apply light touch across the face and abdomen with vision occluded.
D. Provide light brushing across the palmar surface of the extremities with the child watching.
A. Provide deep touch and firm pressure where the child can see the stimuli.
When developing a home program to promote self-dressing performance for a 6-year-old child with autism, what would the OT MOST likely do?
A. Assess the lighting, noise level, and tactile environment within the child's bedroom for factors that may influence performance.
B. Have the child practice various zippers, buttons and laces with dressing boards.
C. Fine motor play periods with small manipulatives that are motivating for the child.
D. Connect the family to other families with children who have autism.
A. Assess the lighting, noise level, and tactile environment within the child's bedroom for factors that may influence performance.
What are the two pieces of federal legislature that influence the provision of occupational therapist services in school settings?
IDEA part B and Section 504
An 8 month old child is demonstrating age appropriate cognitive development. During play, what is the most appropriate activity for the child to engage in?
A. Use wind-up toys
B. Activate on/off switch toys
C. Clapping hands after watching their mother clap hands
D. Pretendings that a block is a car
C. Clapping hands after watching their mother clap hands
A 16 month old is sitting on the floor during a home based early intervention session with the occupational therapist. While the child and the OT are participating in a play activity on the floor, the child's brother runs up and bumps into the child, pushing her forward. The child immediately falls forward and lands on her face. Based on this, the OT clinically observed that the child is missing which of the following automatic reactions?
Front Protective Response
An OT is working with a 6-year-old who occasionally drops utensils when eating because of a grasp limitation and reduction in hand strength. Which piece of equipment would the OT MOST likely recommend FIRST?
A. Swivel utensils
B. Foam tubing around the utensils
C. Weighted utensils
D. Nosey Cup
B. Foam tubing around the utensils
An occupational therapist is working with a child with Autism Spectrum Disorder. During a discussion with the parent, they express concern over the child's ability to fall asleep and stay asleep. When beginning to problem solve the child's sleep routine and hygiene with the family, the OT should take which of the following combination of methods into consideration?
A. Cognitive adaptations, motor interventions and sensory strategies.
B. Environmental modifications, client and family education, routine development, behavioral interventions, and sensory strategies.
C. Consultation with the family, visual supports, and motor interventions.
D. Applied behavioral analysis, reciprocal imitation training, and animal-assisted training.
B. Environmental modifications, client and family education, routine development, behavioral interventions, and sensory strategies.
What is the purpose of Multi-Tiered Systems of Support (MTSS)/ Response to Intervention (RTI).
Prevention and early identification of student deficits to reduce the need for intensive services later.