OTAP 1360 Physical Dysfunction Finals
Exam UPDATED ACTUAL QUESTIONS
AND CORRECT ANSWERS
A client has recently undergone bilateral below-the-knee amputations and will require
significant home modifications to be able to return home. What types of modifications should
the OTA suggest?
A. The OTA should let the supervising occupational therapist make these
suggestions.
B. The OTA should suggest a ramp for the steps, widening the bathroom/bedroomdoor, and
hanging the sink.
C. The OTA should suggest a stair lift, a porch lift, and a garden tub with grab bars.
D. The OTA should suggest a taller toilet, a pool lift, a ceiling lift in the bathroom,
and clearing room for a hospital bed. - CORRECT ANSWER B. The OTA should
suggest a ramp for the steps, widening the bathroom/bedroom door, and hanging the sink
When working on skills for ADLs with a client, what is the best way for the OTA to consider
equipment for the client?
A. Select tools based on the clients strengths and weaknesses.
B. Prescribe the most commonly used tools for the condition.
C. Ask the client which equipment he would like to use.
D. Use the equipment that is the least expensive. - CORRECT ANSWER A. Select
tools based on the clients strengths and weaknesses.
An OTA is working with an older client who has general weakness due to a coronary artery
bypass graft. The client will be utilizing a rubber jar grip and a buttonhook to accommodate
weak grasp and decreased fine motor skills. These pieces of assistive technology would most
likely fit under which category?
,A. New tech
B. No tech
C. High-tech
D. Low-tech - CORRECT ANSWER D. Low-tech
An OTA is working with a client who has received a total hip replacement and has limited
balance and hip-flexion precautions. What should the OTA recommend in relation to
showering in the morning?
A. A higher shower chair
B. A seat built into the shower
C. A shower stool
D. Standing in the shower with the use of multiple grab bars - CORRECT
ANSWER A. A higher shower chair
A client is in need of assistive technology in order to functionally live on her own. Because
private insurance will be filed to help pay for the device, what should the OTA assist the
client in obtaining?
A. Proof that the device is the least costly option
B. The names of specific vendors for the equipment
C. Proof via video of successful use of the technology
D. A letter of medical necessity and a prescription - CORRECT ANSWER D. A letter
of medical necessity and a prescription
A young adult has recently experienced an L1 spinal cord injury, resulting in paraplegia. The
client is very active within the community and plans to resume all of his roles after treatment
is finished. What wheelchair feature would best meet the needs of this client?
,A. An ultralightweight frame
B. A power-assist mechanism
C. A standing option in his power wheelchair
D. A foam cushion - CORRECT ANSWER A. An ultralightweight frame
A client with spinal bifida is in need of a new wheelchair. The client has sufficient strength to
lift herself up for pressure relief multiple times per day, has a history of skin breakdown from
a hospitalization, and has no sensation in her legs. Which cushion would be the first choice
for this client?
A. Hybrid only
B. Gel or air
C. Air only
D. Foam - CORRECT ANSWER D. Foam
An aging client who is utilizing a wheelchair has low tone causing abduction of the thighs.
What accessory would offer the most benefit for the client's positioning needs?
A. Medial pommel
B. Hip/thigh lateral supports
C. Toe straps
D. Calf supports - CORRECT ANSWER B. Hip/thigh lateral supports
A client is being evaluated for powered mobility. The client demonstrates adequate cognition
and good head control, and he has no functional use of the upper or lower extremities. What
feature would best serve the client's needs to control the wheelchair?
A. A mini joystick
B. Use of a control integrated into the headrest
C. A fiber-optic system
, D. Multiple switches for modes - CORRECT ANSWER B. Use of a control integrated
into the headrest
A client is being fitted for a custom power chair. He would like to use the wheelchair out in
the community, but he fatigues rather quickly when using his access method for long
distances. What feature might be most beneficial for this client so as to increase safety when
out on walks with the caregiver?
A) An attendant control on the back of the chair
B) A foot-controlled joystick
C) Backpack hooks so that medications can be administered
D) Lights on the chair for rainy days - CORRECT ANSWER A) An attendant control
on the back of the chair
An OT practitioner is interested in incorporating PAMs into her practice. What type of
activity would this be considered in relation to an overall treatment session?
A) Preparatory activity
B) Purposeful activity
C) Occupation-based activity
D) Foundational activity - CORRECT ANSWER A) Preparatory activity
An OTA who is certified in PAMs is planning to move to another state. What should the OTA
do first in relation to her certification?
A) Find out the practice guidelines for the state she moving to.
B) Inform the future employer that she is certified in PAMs.
C) Send the modalities certificate to the state licensure board.
Exam UPDATED ACTUAL QUESTIONS
AND CORRECT ANSWERS
A client has recently undergone bilateral below-the-knee amputations and will require
significant home modifications to be able to return home. What types of modifications should
the OTA suggest?
A. The OTA should let the supervising occupational therapist make these
suggestions.
B. The OTA should suggest a ramp for the steps, widening the bathroom/bedroomdoor, and
hanging the sink.
C. The OTA should suggest a stair lift, a porch lift, and a garden tub with grab bars.
D. The OTA should suggest a taller toilet, a pool lift, a ceiling lift in the bathroom,
and clearing room for a hospital bed. - CORRECT ANSWER B. The OTA should
suggest a ramp for the steps, widening the bathroom/bedroom door, and hanging the sink
When working on skills for ADLs with a client, what is the best way for the OTA to consider
equipment for the client?
A. Select tools based on the clients strengths and weaknesses.
B. Prescribe the most commonly used tools for the condition.
C. Ask the client which equipment he would like to use.
D. Use the equipment that is the least expensive. - CORRECT ANSWER A. Select
tools based on the clients strengths and weaknesses.
An OTA is working with an older client who has general weakness due to a coronary artery
bypass graft. The client will be utilizing a rubber jar grip and a buttonhook to accommodate
weak grasp and decreased fine motor skills. These pieces of assistive technology would most
likely fit under which category?
,A. New tech
B. No tech
C. High-tech
D. Low-tech - CORRECT ANSWER D. Low-tech
An OTA is working with a client who has received a total hip replacement and has limited
balance and hip-flexion precautions. What should the OTA recommend in relation to
showering in the morning?
A. A higher shower chair
B. A seat built into the shower
C. A shower stool
D. Standing in the shower with the use of multiple grab bars - CORRECT
ANSWER A. A higher shower chair
A client is in need of assistive technology in order to functionally live on her own. Because
private insurance will be filed to help pay for the device, what should the OTA assist the
client in obtaining?
A. Proof that the device is the least costly option
B. The names of specific vendors for the equipment
C. Proof via video of successful use of the technology
D. A letter of medical necessity and a prescription - CORRECT ANSWER D. A letter
of medical necessity and a prescription
A young adult has recently experienced an L1 spinal cord injury, resulting in paraplegia. The
client is very active within the community and plans to resume all of his roles after treatment
is finished. What wheelchair feature would best meet the needs of this client?
,A. An ultralightweight frame
B. A power-assist mechanism
C. A standing option in his power wheelchair
D. A foam cushion - CORRECT ANSWER A. An ultralightweight frame
A client with spinal bifida is in need of a new wheelchair. The client has sufficient strength to
lift herself up for pressure relief multiple times per day, has a history of skin breakdown from
a hospitalization, and has no sensation in her legs. Which cushion would be the first choice
for this client?
A. Hybrid only
B. Gel or air
C. Air only
D. Foam - CORRECT ANSWER D. Foam
An aging client who is utilizing a wheelchair has low tone causing abduction of the thighs.
What accessory would offer the most benefit for the client's positioning needs?
A. Medial pommel
B. Hip/thigh lateral supports
C. Toe straps
D. Calf supports - CORRECT ANSWER B. Hip/thigh lateral supports
A client is being evaluated for powered mobility. The client demonstrates adequate cognition
and good head control, and he has no functional use of the upper or lower extremities. What
feature would best serve the client's needs to control the wheelchair?
A. A mini joystick
B. Use of a control integrated into the headrest
C. A fiber-optic system
, D. Multiple switches for modes - CORRECT ANSWER B. Use of a control integrated
into the headrest
A client is being fitted for a custom power chair. He would like to use the wheelchair out in
the community, but he fatigues rather quickly when using his access method for long
distances. What feature might be most beneficial for this client so as to increase safety when
out on walks with the caregiver?
A) An attendant control on the back of the chair
B) A foot-controlled joystick
C) Backpack hooks so that medications can be administered
D) Lights on the chair for rainy days - CORRECT ANSWER A) An attendant control
on the back of the chair
An OT practitioner is interested in incorporating PAMs into her practice. What type of
activity would this be considered in relation to an overall treatment session?
A) Preparatory activity
B) Purposeful activity
C) Occupation-based activity
D) Foundational activity - CORRECT ANSWER A) Preparatory activity
An OTA who is certified in PAMs is planning to move to another state. What should the OTA
do first in relation to her certification?
A) Find out the practice guidelines for the state she moving to.
B) Inform the future employer that she is certified in PAMs.
C) Send the modalities certificate to the state licensure board.
