Test your Knowledge: Random NBCOT
Questions for Success.
Pt sustained a hand injury and been participating in an outpt prog, an OT just fabricated
a dynamic splint to correct a PIP joint contracture , what info is most important to
include in the contact note for this visit? -
\Info should provide objective info therefore gonimetric measurement of affected hand b
Best info should be included in the home prog for PT w CRPS to manage symptoms? -
\- techniques for elevating the hand and completing AROM exercis
A pt with complete T5 SCI has been in the intensive care on extended bed-rest. Pt is
able to sit in bed with bed head elevated 45 degree for 1 hr w/o dizziness, what is the
best next position for pt? -
\is seated position in a semi-reclining w/c with legs elevated.
A pt with TBI is functioning at Level 7 automatic has ST goal of bake cookies for bday.
Graded activity to support the goal is ? -
\having the pt prepare cookies using slice and bake packaged cookie dough
A pt MS that has recent onset of fatigue, UE weakness and back neck discomfort and
spend lot of time sitting in the w/c while working at computer monitor positioned at eye
level and also wants a w/c to continue sitting in a w/c to avoid complete transfers, what
is best option for W/c? -
\SOLID SEAT INSERT, LUMBAR SUPPORT AND BILATERAL FORARM SUPPORT.
An OT is teaching a pt with parkinson's D stand-pivot, the pt first learns positioning the
chair then locking the brake, what is the next step? Rhythmic rocking back and forth or
moving the hips forward to the edge of w/c? -
\moving the hips forward to the edge of w/c?
Which dx that the OT should not recommend the mobile arm support? (Contraindicate) -
\client with Huntington's b/c this client has a significant increase in UE flexor tone or
chorea
Cerebellar lesion result in what? -
\ataxia and dysmetria. Best Adaptive devices are suction plate and cup holder to help
stabilize plate and hold cup during meal.
A student who has moderate hypotonia and has just transitioned to a full day
kindergarden prog. The student uses a w/c for mobility but does not tolerate an upright
sitting throughout the day. what type of positioning system is most Beneficial?
- Light weight w/c w reclining back and reverse wheel configuration
, - Dense foam lateral supports and gel cushion for current w/c
- Modular w/c w tilt-in space feature in the mobility base -
\modular w/c w tilt in space feature in the mobility base.
What should the OTR®; do for the affected upper extremity when positioning a client
with hemiparesis in side lying on the affected side?A. Place in adduction
IncorrectB. Place on the humeral head
C. Protract the arm forward
D. Support in internal rotation -
\- protract the arm forward. The affected upper extremity should be placed in protraction
to allow optimal soft-tissue lengthening.
what is Perceptual completion? -
\a process whereby the central nervous system of a person with visual field deficit
samples a visual array and internally completes a visual scene on the basis of visual
information expected to be found in the array. Perceptual completion allows a client with
visual field deficit to be unaware of the absences of vision caused by the deficit.
ie: running into obstacles on the left side and says that objects seem to appear and then
disappear on the left side.
Cross-out and cancelation assessments are good for? -
\visual scanning and can be beneficial in detecting spatial neglect or visual field
impairments.
An OTR® is preparing a forearm splint for a client with a high complete spinal cord
injury. What surface of the client's forearm should the base of the splint rest upon?
A. Ulnar
B. Medial
C. Dorsal
D. Volar -
\The splint should be dorsal, rather than volar to ensure maximal sensory feedback
A client has central vision loss secondary to macular degeneration. The OTR® plans to
teach the client eccentric viewing techniques to compensate for the client's visual loss.
What should the OTR® teach the client as the FIRST step of this process? -
\The first step in eccentric viewing techniques is increasing the client's awareness of the
central scotoma, or blind spot.
glasscow coma scale -
\no response 1
eye opening response to pain 2
eye opening response to speech 3
eye opening spontaneously 3
At what stage of Alzheimer's disease (AD) will procedural memory impairments FIRST
be noticed? -
Questions for Success.
Pt sustained a hand injury and been participating in an outpt prog, an OT just fabricated
a dynamic splint to correct a PIP joint contracture , what info is most important to
include in the contact note for this visit? -
\Info should provide objective info therefore gonimetric measurement of affected hand b
Best info should be included in the home prog for PT w CRPS to manage symptoms? -
\- techniques for elevating the hand and completing AROM exercis
A pt with complete T5 SCI has been in the intensive care on extended bed-rest. Pt is
able to sit in bed with bed head elevated 45 degree for 1 hr w/o dizziness, what is the
best next position for pt? -
\is seated position in a semi-reclining w/c with legs elevated.
A pt with TBI is functioning at Level 7 automatic has ST goal of bake cookies for bday.
Graded activity to support the goal is ? -
\having the pt prepare cookies using slice and bake packaged cookie dough
A pt MS that has recent onset of fatigue, UE weakness and back neck discomfort and
spend lot of time sitting in the w/c while working at computer monitor positioned at eye
level and also wants a w/c to continue sitting in a w/c to avoid complete transfers, what
is best option for W/c? -
\SOLID SEAT INSERT, LUMBAR SUPPORT AND BILATERAL FORARM SUPPORT.
An OT is teaching a pt with parkinson's D stand-pivot, the pt first learns positioning the
chair then locking the brake, what is the next step? Rhythmic rocking back and forth or
moving the hips forward to the edge of w/c? -
\moving the hips forward to the edge of w/c?
Which dx that the OT should not recommend the mobile arm support? (Contraindicate) -
\client with Huntington's b/c this client has a significant increase in UE flexor tone or
chorea
Cerebellar lesion result in what? -
\ataxia and dysmetria. Best Adaptive devices are suction plate and cup holder to help
stabilize plate and hold cup during meal.
A student who has moderate hypotonia and has just transitioned to a full day
kindergarden prog. The student uses a w/c for mobility but does not tolerate an upright
sitting throughout the day. what type of positioning system is most Beneficial?
- Light weight w/c w reclining back and reverse wheel configuration
, - Dense foam lateral supports and gel cushion for current w/c
- Modular w/c w tilt-in space feature in the mobility base -
\modular w/c w tilt in space feature in the mobility base.
What should the OTR®; do for the affected upper extremity when positioning a client
with hemiparesis in side lying on the affected side?A. Place in adduction
IncorrectB. Place on the humeral head
C. Protract the arm forward
D. Support in internal rotation -
\- protract the arm forward. The affected upper extremity should be placed in protraction
to allow optimal soft-tissue lengthening.
what is Perceptual completion? -
\a process whereby the central nervous system of a person with visual field deficit
samples a visual array and internally completes a visual scene on the basis of visual
information expected to be found in the array. Perceptual completion allows a client with
visual field deficit to be unaware of the absences of vision caused by the deficit.
ie: running into obstacles on the left side and says that objects seem to appear and then
disappear on the left side.
Cross-out and cancelation assessments are good for? -
\visual scanning and can be beneficial in detecting spatial neglect or visual field
impairments.
An OTR® is preparing a forearm splint for a client with a high complete spinal cord
injury. What surface of the client's forearm should the base of the splint rest upon?
A. Ulnar
B. Medial
C. Dorsal
D. Volar -
\The splint should be dorsal, rather than volar to ensure maximal sensory feedback
A client has central vision loss secondary to macular degeneration. The OTR® plans to
teach the client eccentric viewing techniques to compensate for the client's visual loss.
What should the OTR® teach the client as the FIRST step of this process? -
\The first step in eccentric viewing techniques is increasing the client's awareness of the
central scotoma, or blind spot.
glasscow coma scale -
\no response 1
eye opening response to pain 2
eye opening response to speech 3
eye opening spontaneously 3
At what stage of Alzheimer's disease (AD) will procedural memory impairments FIRST
be noticed? -
