NBCOT OTR Certification Exam
NBCOT OTR Certification Exam 2 Prep Test
Bank
TEST BANK QUESTIONS AND CORRECT
ANSWERS (100% CORRECT ANSWERS) WITH
RATIONALES/ GUARANTEED PASS GRADED A+
A 3-year-old has accidentally ingested lead while playing near ceramic tiles that the family bought to
renovate their house. A system that an OT working in pediatric acute care would note to be affected
by lead poisoning would be:
A. Vocal
B. Circulatory
C. Digestive
D. Cardiac –
A+ TEST BANK 1
, NBCOT OTR Certification Exam
Correct Answer :B.
In lead poisoning, lead affects the circulatory system by severely limiting the body's ability to
synthesize heme, leading to the accumulation of alternate metabolites in the body and, ultimately,
anemia. The most significant and irreversible damage occurs in the nervous system. Fluid builds up in
the brain, and intracranial pressure can reach life-threatening levels. Cortical atrophy and lead
encephalitis can lead to mental retardation, paralysis, blindness, and deafness. (Occupational Therapy
for Children by Case-Smith)
A child with cerebral palsy shows significant impairment in the function of the lower extremities with
mild involvement of the upper extremities. The classification of cerebral palsy for this child would be:
A. Hemiplegia
B. Tetraplegia
C. Choreoathetosis
D. Diplegia –
Correct Answer :D.
In diplegia, the lower extremities are impaired significantly, with only mild involvement of the upper
extremities. Hemiplegia involves the impairment of upper and lower limbs on one side of the body,
and tetraplegia or quadriplegia means that all four extremities are affected. Therefore, diplegia is the
possible classification of the child's condition. (Occupational Therapy for Children by Case-Smith)
A 7-year-old child is diagnosed with attention deficit hyperactivity disorder (ADHD). An etiology for
ADHD would be:
A. Environmental factors
B. Visual and auditory stimulation
C. Food allergies and food additives
D. Neurochemical imbalances –
Correct Answer :D.
A+ TEST BANK 2
, NBCOT OTR Certification Exam
Although researchers are still struggling to find conclusive evidence for the etiology of ADHD, studies
have demonstrated that ADHD runs in families and three genes have been found to be related to
ADHD implicating genetic factors. Imaging in individuals with ADHD has shown decreased activity in
the frontal parietal lobes, which inhibit impulsiveness, pointing to neurologic factors. Medications that
influence neurotransmitter function are effective in treatment of ADHD, indicating neurochemical
imbalances. (Occupational Therapy for Children by Case-Smith)
A 5-year-old child has been diagnosed with a pervasive disorder that affects both the neurologic and
motor behavioral functions. The diagnosis that MOST closely relates to the child's condition is:
A. Respiratory distress syndrome
B. Tourette's syndrome
C. Asperger's syndrome
D. Learning disabilities –
Correct Answer :B.
Tourette's syndrome is a pervasive disorder that affects neurologic and motor behavioral function,
especially motor tics and vocalizations. Therefore, it is likely that the child has Tourette's syndrome.
(Occupational Therapy for Children by Case-Smith)
A 5-year-old child with Down syndrome shows significant loss of weight, high fever, and paleness, and
is diagnosed with acute lymphoid leukemia. In which of the following phases of leukemia will he be
administered chemotherapy to treat small deposits of cells that remain after remission?
A. Phase I - Induction therapy
B. Phase II - Central nervous system prophylaxis
C. Phase III - Intensification and consolidation
D. Phase IV - Maintenance or continuation therapy –
Correct Answer :C.
Chemotherapy is administered in Phase III - the intensification and consolidation phase- to remove
small deposits of cells that remain after remission. (Occupational Therapy for Children by Case-Smith)
A+ TEST BANK 3
, NBCOT OTR Certification Exam
A 5-year-old child presents with difficulty climbing stairs, rising from a sitting or lying position, and
demonstrates progressive fatigue caused by muscle weakness. The OT might suspect a problem with:
A. Duchenne's muscular dystrophy
B. Limb-girdle muscular dystrophy
C. Facioscapulohumeral muscular dystrophy
D. A congenital muscular dystrophy –
Correct Answer :A.
Duchenne's muscular dystrophy is an X-linked recessive disorder caused by the deficiency in the
production of dystrophin. Dystrophin is a component of the plasma membrane of the muscle fibers,
the deficiency of which causes the muscle to degenerate and malfunction. The calf muscles are
enlarged because of fibrosis and proliferation of the adipose tissue, which causes muscle weakness.
Therefore, the child's condition could be diagnosed as Duchenne's muscular dystrophy. (Occupational
Therapy for Children by Case-Smith)
The behavioral characteristics of autism, a pervasive developmental disorder (PDD), can be classified
into four subclusters of disturbances. Of these disturbances, which is MOST closely related to
prognosis?
A. Disturbances in communication
B. Disturbances in behaviors
C. Disturbances in social interactions
D. Disturbances of sensory and perceptual processing –
Correct Answer :A.
Disturbances in communication can range from mild (slight articulation impairment) to severe
(muteness); thus, the more mild the communication deficit, the more likely the child will develop
sufficient communication to function as an adult. (Occupational Therapy for Children by Case-Smith)
A 3-year-old child is diagnosed with cerebral palsy and failure to thrive, and reportedly has difficulty
with drooling, chewing, and swallowing. The OT should address:
A+ TEST BANK 4
NBCOT OTR Certification Exam 2 Prep Test
Bank
TEST BANK QUESTIONS AND CORRECT
ANSWERS (100% CORRECT ANSWERS) WITH
RATIONALES/ GUARANTEED PASS GRADED A+
A 3-year-old has accidentally ingested lead while playing near ceramic tiles that the family bought to
renovate their house. A system that an OT working in pediatric acute care would note to be affected
by lead poisoning would be:
A. Vocal
B. Circulatory
C. Digestive
D. Cardiac –
A+ TEST BANK 1
, NBCOT OTR Certification Exam
Correct Answer :B.
In lead poisoning, lead affects the circulatory system by severely limiting the body's ability to
synthesize heme, leading to the accumulation of alternate metabolites in the body and, ultimately,
anemia. The most significant and irreversible damage occurs in the nervous system. Fluid builds up in
the brain, and intracranial pressure can reach life-threatening levels. Cortical atrophy and lead
encephalitis can lead to mental retardation, paralysis, blindness, and deafness. (Occupational Therapy
for Children by Case-Smith)
A child with cerebral palsy shows significant impairment in the function of the lower extremities with
mild involvement of the upper extremities. The classification of cerebral palsy for this child would be:
A. Hemiplegia
B. Tetraplegia
C. Choreoathetosis
D. Diplegia –
Correct Answer :D.
In diplegia, the lower extremities are impaired significantly, with only mild involvement of the upper
extremities. Hemiplegia involves the impairment of upper and lower limbs on one side of the body,
and tetraplegia or quadriplegia means that all four extremities are affected. Therefore, diplegia is the
possible classification of the child's condition. (Occupational Therapy for Children by Case-Smith)
A 7-year-old child is diagnosed with attention deficit hyperactivity disorder (ADHD). An etiology for
ADHD would be:
A. Environmental factors
B. Visual and auditory stimulation
C. Food allergies and food additives
D. Neurochemical imbalances –
Correct Answer :D.
A+ TEST BANK 2
, NBCOT OTR Certification Exam
Although researchers are still struggling to find conclusive evidence for the etiology of ADHD, studies
have demonstrated that ADHD runs in families and three genes have been found to be related to
ADHD implicating genetic factors. Imaging in individuals with ADHD has shown decreased activity in
the frontal parietal lobes, which inhibit impulsiveness, pointing to neurologic factors. Medications that
influence neurotransmitter function are effective in treatment of ADHD, indicating neurochemical
imbalances. (Occupational Therapy for Children by Case-Smith)
A 5-year-old child has been diagnosed with a pervasive disorder that affects both the neurologic and
motor behavioral functions. The diagnosis that MOST closely relates to the child's condition is:
A. Respiratory distress syndrome
B. Tourette's syndrome
C. Asperger's syndrome
D. Learning disabilities –
Correct Answer :B.
Tourette's syndrome is a pervasive disorder that affects neurologic and motor behavioral function,
especially motor tics and vocalizations. Therefore, it is likely that the child has Tourette's syndrome.
(Occupational Therapy for Children by Case-Smith)
A 5-year-old child with Down syndrome shows significant loss of weight, high fever, and paleness, and
is diagnosed with acute lymphoid leukemia. In which of the following phases of leukemia will he be
administered chemotherapy to treat small deposits of cells that remain after remission?
A. Phase I - Induction therapy
B. Phase II - Central nervous system prophylaxis
C. Phase III - Intensification and consolidation
D. Phase IV - Maintenance or continuation therapy –
Correct Answer :C.
Chemotherapy is administered in Phase III - the intensification and consolidation phase- to remove
small deposits of cells that remain after remission. (Occupational Therapy for Children by Case-Smith)
A+ TEST BANK 3
, NBCOT OTR Certification Exam
A 5-year-old child presents with difficulty climbing stairs, rising from a sitting or lying position, and
demonstrates progressive fatigue caused by muscle weakness. The OT might suspect a problem with:
A. Duchenne's muscular dystrophy
B. Limb-girdle muscular dystrophy
C. Facioscapulohumeral muscular dystrophy
D. A congenital muscular dystrophy –
Correct Answer :A.
Duchenne's muscular dystrophy is an X-linked recessive disorder caused by the deficiency in the
production of dystrophin. Dystrophin is a component of the plasma membrane of the muscle fibers,
the deficiency of which causes the muscle to degenerate and malfunction. The calf muscles are
enlarged because of fibrosis and proliferation of the adipose tissue, which causes muscle weakness.
Therefore, the child's condition could be diagnosed as Duchenne's muscular dystrophy. (Occupational
Therapy for Children by Case-Smith)
The behavioral characteristics of autism, a pervasive developmental disorder (PDD), can be classified
into four subclusters of disturbances. Of these disturbances, which is MOST closely related to
prognosis?
A. Disturbances in communication
B. Disturbances in behaviors
C. Disturbances in social interactions
D. Disturbances of sensory and perceptual processing –
Correct Answer :A.
Disturbances in communication can range from mild (slight articulation impairment) to severe
(muteness); thus, the more mild the communication deficit, the more likely the child will develop
sufficient communication to function as an adult. (Occupational Therapy for Children by Case-Smith)
A 3-year-old child is diagnosed with cerebral palsy and failure to thrive, and reportedly has difficulty
with drooling, chewing, and swallowing. The OT should address:
A+ TEST BANK 4
