NBCOT CVA practice questions
1. Placing the unaffected foot in the pant leg Ans: When a patient with hemiplegia
is donning their pants, what is the MOST difficult step for them to complete?
2. Use gestures when speaking to Mary Ans: Mary, a 77-year old female, is
experi- encing aphasia following a stroke. What facilitation of communication
techniques would be most appropriate for the therapist to provide Mary's family?
3. The patient has body scheme disorder Ans: While performing an activity of
daily living treatment with a patient who had a stroke, you notice that the patient is
having trouble dressing. The patient proceeds to put his left sleeve on the right
arm. The patient then becomes frustrated with the activity and insists on not
wearing the shirt. What is the best explanation for the problem
4. Agnosia Ans: Todd is a 46-year-old man who has an inability to recognize
familiar objects. What do you suspect he has?
5. Inform the OT that OTAs are not allowed to make this type of referral Ans: You
are a new graduate OTA who has been treating a stroke patient. During treatment
sessions, you notice that the patient has difficulty swallowing, as well as trouble with
speech at times.You mention this fact to your supervising OT, who asks you to make
a referral to speech therapy. What do you do?
6. Temporal side of the left eye Ans: A person with a right CVA resulting in left
homony- mous hemianopsia would have the most difficulty seeing objects in
which of the following visual fields?
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,7. The client's ability to follow through with the self-directed program Ans: Which
information is MOST important to verify prior to providing a home program to a
client who has had a CVA and is participating in outpatient OT?
8. Identify the use of common household objects Ans: When assessing for the
presence of visual agnosia in a patient who has CVA, what is the BEST activity for
the COTA to ask the patient to perform?
9. Constructional apraxia Ans: During an OT session, a COTA observes that an
indi- vidual is able to place dentures in their mouth, but has difficulty applying
denture cream to the appropriate place on the dentures and attempts to place
the cap on the tube backward. What is MOST LIKELY responsible for observation?
10. Swallowing thin liquids Ans: A COTA is working with an individual who has
dys- phagia. What should the COTA anticipate that the individual will have difficulty
doing?
11. Arm trough Ans: A COTA observed them sitting in a wheelchair with their left
arm dangling over the side. What is the FIRST positioning device the COTA
should introduce to the patient.
12. The individual traces letters through a pan of rice with her fingers Ans: A patient
is beginning to demonstrate return in the right upper extremity following a CVA,
but has mildly impaired proprioception in the right hand, which results in uneven
letter
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, formation during writing activities. Which would be the BEST method to help
improve letter formation?
13. Use a rocker knife Ans: An individual who had a right hemiparesis has a goal
of independent self-feeding. They are able to scoop food and bring it to their
mouth with the use of a plate guard. They still require set up for cutting. What
would the COTA MOST likely recommend to increase independence in this area?
14. Flaccidity Ans: While observing a client who has been admitted to the
rehabilitation unit after a right CVA with left hemiplegia, the OT practitioner
notices that the patient's left arm lays limply by the patient's side. What does this
MOST likely indicate?
15. Denial Ans: A person who had a stroke tries successively [1] to put on a shirt
using a one-handed technique. They state, "I can do it, "I'm just not trying hard
enough." What would the COTA MOST likely recognize this response to be?
16. Folding laundry Ans: A mother of 4 teenage children who was diagnosed with a
right CVA is receiving home care OT services. The treatment plan includes
"activities to improve left upper extremity function" and "activities to improve
balance in sitting and standing." The MOST appropriate activities for the COTA to
recommend would be Ans:
17. Weight-bearing through the arm in sitting Ans: A patient who had a CVA has
difficulty using the left upper extremity for reaching activities because of
fluctuating muscle tone. According to the Neurodevelopmental Treatment
approach, what is one of the MOST effective ways to teach a person to normalize
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18
1. Placing the unaffected foot in the pant leg Ans: When a patient with hemiplegia
is donning their pants, what is the MOST difficult step for them to complete?
2. Use gestures when speaking to Mary Ans: Mary, a 77-year old female, is
experi- encing aphasia following a stroke. What facilitation of communication
techniques would be most appropriate for the therapist to provide Mary's family?
3. The patient has body scheme disorder Ans: While performing an activity of
daily living treatment with a patient who had a stroke, you notice that the patient is
having trouble dressing. The patient proceeds to put his left sleeve on the right
arm. The patient then becomes frustrated with the activity and insists on not
wearing the shirt. What is the best explanation for the problem
4. Agnosia Ans: Todd is a 46-year-old man who has an inability to recognize
familiar objects. What do you suspect he has?
5. Inform the OT that OTAs are not allowed to make this type of referral Ans: You
are a new graduate OTA who has been treating a stroke patient. During treatment
sessions, you notice that the patient has difficulty swallowing, as well as trouble with
speech at times.You mention this fact to your supervising OT, who asks you to make
a referral to speech therapy. What do you do?
6. Temporal side of the left eye Ans: A person with a right CVA resulting in left
homony- mous hemianopsia would have the most difficulty seeing objects in
which of the following visual fields?
1/
18
,7. The client's ability to follow through with the self-directed program Ans: Which
information is MOST important to verify prior to providing a home program to a
client who has had a CVA and is participating in outpatient OT?
8. Identify the use of common household objects Ans: When assessing for the
presence of visual agnosia in a patient who has CVA, what is the BEST activity for
the COTA to ask the patient to perform?
9. Constructional apraxia Ans: During an OT session, a COTA observes that an
indi- vidual is able to place dentures in their mouth, but has difficulty applying
denture cream to the appropriate place on the dentures and attempts to place
the cap on the tube backward. What is MOST LIKELY responsible for observation?
10. Swallowing thin liquids Ans: A COTA is working with an individual who has
dys- phagia. What should the COTA anticipate that the individual will have difficulty
doing?
11. Arm trough Ans: A COTA observed them sitting in a wheelchair with their left
arm dangling over the side. What is the FIRST positioning device the COTA
should introduce to the patient.
12. The individual traces letters through a pan of rice with her fingers Ans: A patient
is beginning to demonstrate return in the right upper extremity following a CVA,
but has mildly impaired proprioception in the right hand, which results in uneven
letter
2/
18
, formation during writing activities. Which would be the BEST method to help
improve letter formation?
13. Use a rocker knife Ans: An individual who had a right hemiparesis has a goal
of independent self-feeding. They are able to scoop food and bring it to their
mouth with the use of a plate guard. They still require set up for cutting. What
would the COTA MOST likely recommend to increase independence in this area?
14. Flaccidity Ans: While observing a client who has been admitted to the
rehabilitation unit after a right CVA with left hemiplegia, the OT practitioner
notices that the patient's left arm lays limply by the patient's side. What does this
MOST likely indicate?
15. Denial Ans: A person who had a stroke tries successively [1] to put on a shirt
using a one-handed technique. They state, "I can do it, "I'm just not trying hard
enough." What would the COTA MOST likely recognize this response to be?
16. Folding laundry Ans: A mother of 4 teenage children who was diagnosed with a
right CVA is receiving home care OT services. The treatment plan includes
"activities to improve left upper extremity function" and "activities to improve
balance in sitting and standing." The MOST appropriate activities for the COTA to
recommend would be Ans:
17. Weight-bearing through the arm in sitting Ans: A patient who had a CVA has
difficulty using the left upper extremity for reaching activities because of
fluctuating muscle tone. According to the Neurodevelopmental Treatment
approach, what is one of the MOST effective ways to teach a person to normalize
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18
