NBCOT - OTR & COTA Certification
Questions and Answers.
OTR Exam Prep: A client sustained a non-displaced distal radius fracture 8 weeks ago.
The OTR receives a consult from the client's physician to initiate ultrasound and
therapeutic exercise. The state regulatory board allows occupational therapists to use
physical agent modalities (PAM), however, the OTR assigned to the client has not had
PAM training. How should the OTR respond to this referral? -
\A.Follow the protocol for ultrasound as outlined in the instruction manual.
B.Refer the client to an occupational therapist who is experienced in ultrasound.
C.Apply moist heat to the affected hand and wrist instead of ultrasound.
D.Ask the physician to amend the client's treatment order.
Flora:B
2/3/14
OTR Exam Prep: An 8-year-old student has fluctuant muscle tone and delayed postural
responses due to cerebral palsy. The student has met all Individualized Education
Program (IEP) goals and is performing school tasks at age level. After receiving weekly
school-based OT for the past 5 years, the student is discharged from OT with
recommendations for annual assessments. However, the student's parents are
questioning why OT has been discontinued. What explanation should the OTR provide
to the student's parents? -
\A.Students who have received services in the public school system for 5 consecutive
years are no longer eligible for OT.
B.Students with physical disabilities are eligible for ongoing OT only if they are having
difficulty with curriculum-based tasks.
C.The student's physical disabilities are not severe enough to warrant additional OT
services.
D.Progress has plateaued and the student will no longer benefit from OT services.
Flora:B
Correct Response: B
Rationale:
Termination of school-based OT services is indicated if all goals have been achieved
and the student is performing age-appropriate curriculum-based tasks.
Incorrect Responses:
A, C, D: These reasons for terminating school-based OT services are not supported in
the Individuals with Disabilities Education Act (IDEA).
Classification Code: Domain 02, Task 02, Knowledge 02
Questions and Answers.
OTR Exam Prep: A client sustained a non-displaced distal radius fracture 8 weeks ago.
The OTR receives a consult from the client's physician to initiate ultrasound and
therapeutic exercise. The state regulatory board allows occupational therapists to use
physical agent modalities (PAM), however, the OTR assigned to the client has not had
PAM training. How should the OTR respond to this referral? -
\A.Follow the protocol for ultrasound as outlined in the instruction manual.
B.Refer the client to an occupational therapist who is experienced in ultrasound.
C.Apply moist heat to the affected hand and wrist instead of ultrasound.
D.Ask the physician to amend the client's treatment order.
Flora:B
2/3/14
OTR Exam Prep: An 8-year-old student has fluctuant muscle tone and delayed postural
responses due to cerebral palsy. The student has met all Individualized Education
Program (IEP) goals and is performing school tasks at age level. After receiving weekly
school-based OT for the past 5 years, the student is discharged from OT with
recommendations for annual assessments. However, the student's parents are
questioning why OT has been discontinued. What explanation should the OTR provide
to the student's parents? -
\A.Students who have received services in the public school system for 5 consecutive
years are no longer eligible for OT.
B.Students with physical disabilities are eligible for ongoing OT only if they are having
difficulty with curriculum-based tasks.
C.The student's physical disabilities are not severe enough to warrant additional OT
services.
D.Progress has plateaued and the student will no longer benefit from OT services.
Flora:B
Correct Response: B
Rationale:
Termination of school-based OT services is indicated if all goals have been achieved
and the student is performing age-appropriate curriculum-based tasks.
Incorrect Responses:
A, C, D: These reasons for terminating school-based OT services are not supported in
the Individuals with Disabilities Education Act (IDEA).
Classification Code: Domain 02, Task 02, Knowledge 02
