Final NBCOT COTA Exam Questions
and Answers.
Sand wood -
\What functional activity can a person at Allen's Cognitive Level III do?
Silver rings or buttonhole splint -
\What type of splint would be crafted for someone with swan neck?
A flail arm splint -
\What type of split would be crafted for a brachial plexus injury?
Desensitization
Compensation -
\What are the methods used to treat hypersensitivity, such as burns, amputations, PNS
injuries, etc?
Nonmaleficence -
\Ensure recipient's safety and do no harm.
According to the OT code of ethics
Beneficence -
\Concern for the safety and well-being of the recipients of OT services.
According to the OT code of ethics
bilaterality precedes unilaterality -
\bilaterality precedes unilaterality
Possible aspiration -
\After swallowing a pureed substance, you notice the individual has a wet, gurgling
voice. What might this indicate?
A videoflouroscopy is often times needed to determine is this is the case.
Mild retardation -
\IQ range of 55-69
Social/verbal skills to 6th grade level -Able to take care of self
NO RESPONSE -
\Ranchos Los Amigos Cognitive Scale Level I
Person does not respond to sounds, sights, touch or movement.
Ulnar Nerve -
,\What sensory region does the ulnar nerve innervate in the hand?
Radial Nerve -
\What sensory region does the radial nerve innervate on the hand?
Understand cause and effect -
\What functional activity can a person at Allen's Cognitive Level V do?
Exploratory play -
\Play occupation that uses sensory input to learn new experiences (e.g., infant touching
mother's face)
Also referred to as sensorimotor play
Relational play -
\Play occupation that uses toys consistent with their intended purpose (e.g., pretending
to self-feed with a spoon)
Also referred to as functional play
Pretend play -
\Play occupation that involves making objects/toys perform intended actions (e.g.,
pretending to use a phone to talk)
Also referred to as symbolic or imaginary play
Social Play -
\Play occupation that includes:
interaction with and emotionally relating to others
behavior and skills to develop and progress through childhood
Gross motor play -
\Play occupation that involves full body, kinesthetic motor movements (e.g., climbing on
a play structure)
Constructive play -
\Play occupation that involves using objects/toys to produce or build something (e.g.,
put together a puzzle)
Play occupations -
\Meaningful, intrinsically motivating, and purposeful performance activities of childhood
Types include: exploratory play social play relational play gross motor play pretend play
constructive play
Grasp pattern -
,\Fine motor function of the hand, either precision or power, used to manipulate items
Patterns include:
cylindrical grasp
power grasp
tripod grasp
Power grasp -
\Grasp used when stability and strength are required, involves:
ulnar digits flexed and ulnar side of hand controlling the object
radial digits less flexed while manipulating the object
Hook grasp -
\Type of prehension grasp used to carry an item with a handle (e.g., lunchbox,
briefcase) without using thumb and palm
Cylindrical grasp -
\Grasp used for holding a tube-shaped item (e.g., drinking glass, baseball bat)
Lateral pinch -
\Prehensile pattern used to grasp a small item with the thumb opposed to the radial side
of the index finger (e.g., placing a key in a lock)
Pincer grasp -
\Prehensile grasp used to manipulate small objects with the thumb opposed to the index
and middle finger pad (e.g., picking up a pencil)
Tripod grasp -
\Precision grasp used to manipulate small objects with thumb opposed to the index and
middle finger tips, providing more stability than pincer grasp (e.g., writing tool)
Tip pinch -
\Pinch used to pick up and hold small objects with thumb opposed to the end of the
index finger forming an oval shape (e.g., picking up a pin)
Spherical grasp -
\Grasp used to pick up and hold round items (e.g., apple, baseball)
Neurodegenerative condition -
\Progressive neurological disease of the central nervous system, may be structural or
neurochemical, and advances according to characteristic stages Examples include:
Parkinson's disease (PD)
Multiple sclerosis (MS)
Amyotrophic lateral sclerosis (ALS)
Parkinson's disease (PD) -
, \Neurodegenerative condition associated with deterioration in the substania nigra,
characterized by:
rigidity
bradykinesia
resting tremor
festinating gait
Multiple sclerosis (MS) -
\Neurodegenerative condition associated with white matter lesions in the CNS and
demyelination process, characterized by fluctuant changes in: energy level vision
sensation mobility weakness cognition
Amyotrophic lateral sclerosis (ALS) -
\Neurodegenerative condition associated with progressive death of upper and lower
motor neurons, characterized by:
muscle weakness in one or more extremity
difficulties with speech, swallowing, and / or breathing
Boutonnière deformity -
\Joint deformity consisting of PIP flexion and DIP hyperextension, commonly associated
with rheumatoid arthritis and PIP joint trauma
Intervention may include fabrication of orthosis to support the PIP in extension while
allowing movement at the DIP
Swan neck deformity -
\Joint deformity consisting of PIP hyperextension and DIP flexion commonly associated
with rheumatoid arthritis and tendon trauma
Intervention may include a tri-point ring orthosis to prevent PIP hyperextension
Mallet finger -
\Inability to extend DIP joint due to rupture of the distal end of extensor tendon
Intervention may include static orthosis to maintain DIP in extension
Ulnar drift -
\Hand deformity where MCP joints deviate to the small finger side of the hand,
commonly associated with rheumatoid arthritis
Intensified by functional activities requiring power grasp and lateral pinch
Phantom limb -
\Following amputation, experience of feeling the part of the limb that is no longer
present Intervention may include:
mirror therapy
early preparatory techniques for use of prosthetic
and Answers.
Sand wood -
\What functional activity can a person at Allen's Cognitive Level III do?
Silver rings or buttonhole splint -
\What type of splint would be crafted for someone with swan neck?
A flail arm splint -
\What type of split would be crafted for a brachial plexus injury?
Desensitization
Compensation -
\What are the methods used to treat hypersensitivity, such as burns, amputations, PNS
injuries, etc?
Nonmaleficence -
\Ensure recipient's safety and do no harm.
According to the OT code of ethics
Beneficence -
\Concern for the safety and well-being of the recipients of OT services.
According to the OT code of ethics
bilaterality precedes unilaterality -
\bilaterality precedes unilaterality
Possible aspiration -
\After swallowing a pureed substance, you notice the individual has a wet, gurgling
voice. What might this indicate?
A videoflouroscopy is often times needed to determine is this is the case.
Mild retardation -
\IQ range of 55-69
Social/verbal skills to 6th grade level -Able to take care of self
NO RESPONSE -
\Ranchos Los Amigos Cognitive Scale Level I
Person does not respond to sounds, sights, touch or movement.
Ulnar Nerve -
,\What sensory region does the ulnar nerve innervate in the hand?
Radial Nerve -
\What sensory region does the radial nerve innervate on the hand?
Understand cause and effect -
\What functional activity can a person at Allen's Cognitive Level V do?
Exploratory play -
\Play occupation that uses sensory input to learn new experiences (e.g., infant touching
mother's face)
Also referred to as sensorimotor play
Relational play -
\Play occupation that uses toys consistent with their intended purpose (e.g., pretending
to self-feed with a spoon)
Also referred to as functional play
Pretend play -
\Play occupation that involves making objects/toys perform intended actions (e.g.,
pretending to use a phone to talk)
Also referred to as symbolic or imaginary play
Social Play -
\Play occupation that includes:
interaction with and emotionally relating to others
behavior and skills to develop and progress through childhood
Gross motor play -
\Play occupation that involves full body, kinesthetic motor movements (e.g., climbing on
a play structure)
Constructive play -
\Play occupation that involves using objects/toys to produce or build something (e.g.,
put together a puzzle)
Play occupations -
\Meaningful, intrinsically motivating, and purposeful performance activities of childhood
Types include: exploratory play social play relational play gross motor play pretend play
constructive play
Grasp pattern -
,\Fine motor function of the hand, either precision or power, used to manipulate items
Patterns include:
cylindrical grasp
power grasp
tripod grasp
Power grasp -
\Grasp used when stability and strength are required, involves:
ulnar digits flexed and ulnar side of hand controlling the object
radial digits less flexed while manipulating the object
Hook grasp -
\Type of prehension grasp used to carry an item with a handle (e.g., lunchbox,
briefcase) without using thumb and palm
Cylindrical grasp -
\Grasp used for holding a tube-shaped item (e.g., drinking glass, baseball bat)
Lateral pinch -
\Prehensile pattern used to grasp a small item with the thumb opposed to the radial side
of the index finger (e.g., placing a key in a lock)
Pincer grasp -
\Prehensile grasp used to manipulate small objects with the thumb opposed to the index
and middle finger pad (e.g., picking up a pencil)
Tripod grasp -
\Precision grasp used to manipulate small objects with thumb opposed to the index and
middle finger tips, providing more stability than pincer grasp (e.g., writing tool)
Tip pinch -
\Pinch used to pick up and hold small objects with thumb opposed to the end of the
index finger forming an oval shape (e.g., picking up a pin)
Spherical grasp -
\Grasp used to pick up and hold round items (e.g., apple, baseball)
Neurodegenerative condition -
\Progressive neurological disease of the central nervous system, may be structural or
neurochemical, and advances according to characteristic stages Examples include:
Parkinson's disease (PD)
Multiple sclerosis (MS)
Amyotrophic lateral sclerosis (ALS)
Parkinson's disease (PD) -
, \Neurodegenerative condition associated with deterioration in the substania nigra,
characterized by:
rigidity
bradykinesia
resting tremor
festinating gait
Multiple sclerosis (MS) -
\Neurodegenerative condition associated with white matter lesions in the CNS and
demyelination process, characterized by fluctuant changes in: energy level vision
sensation mobility weakness cognition
Amyotrophic lateral sclerosis (ALS) -
\Neurodegenerative condition associated with progressive death of upper and lower
motor neurons, characterized by:
muscle weakness in one or more extremity
difficulties with speech, swallowing, and / or breathing
Boutonnière deformity -
\Joint deformity consisting of PIP flexion and DIP hyperextension, commonly associated
with rheumatoid arthritis and PIP joint trauma
Intervention may include fabrication of orthosis to support the PIP in extension while
allowing movement at the DIP
Swan neck deformity -
\Joint deformity consisting of PIP hyperextension and DIP flexion commonly associated
with rheumatoid arthritis and tendon trauma
Intervention may include a tri-point ring orthosis to prevent PIP hyperextension
Mallet finger -
\Inability to extend DIP joint due to rupture of the distal end of extensor tendon
Intervention may include static orthosis to maintain DIP in extension
Ulnar drift -
\Hand deformity where MCP joints deviate to the small finger side of the hand,
commonly associated with rheumatoid arthritis
Intensified by functional activities requiring power grasp and lateral pinch
Phantom limb -
\Following amputation, experience of feeling the part of the limb that is no longer
present Intervention may include:
mirror therapy
early preparatory techniques for use of prosthetic
