Question 1

What does the research suggest concerning constraint-induced therapy in children with cerebral palsy (hemiplegia)?

Accepted Answer

A)  Hand and arm function improve. 
B)  Children do not like this approach. 
C)  Hand and arm function do not change. 
D)  Children have no hand difficulties after the intervention. 
A)  Hand and arm function improve. 
B)  Children do not like this approach. 
C)  Hand and arm function do not change. 
D)  Children have no hand difficulties after the intervention. A

Question 2

By what age do children generally learn to use a spoon?

Accepted Answer

A)  5 months 
B)  18 months 
C)  2.5 years 
D)  6 years 
A)  5 months 
B)  18 months 
C)  2.5 years 
D)  6 years B

Question 3

Overall, what does the research evidence suggest concerning occupational therapy intervention for hand skills?

Accepted Answer

A)  It is not effective; more research is needed. 
B)  It is effective; trials that include long-term follow-up would be beneficial. 
C)  It depends on the therapist and the school setting. 
D)  It is not cost effective; qualitative research is needed. 
A)  It is not effective; more research is needed. 
B)  It is effective; trials that include long-term follow-up would be beneficial. 
C)  It depends on the therapist and the school setting. 
D)  It is not cost effective; qualitative research is needed. B

Question 4

Which sequence reflects the development (earliest to latest) of reaching?

Accepted Answer

A)  Visual regard of object, swipe, reach with extended arm, bilateral reach 
B)  Bilateral reach, visual regard of object, swipe, reach with extended arm 
C)  Visual regard of object, reach with extended arm, bilateral reach, swipe 
D)  Visual regard of object, bilateral reach, swipe, reach with extended arm 
A)  Visual regard of object, swipe, reach with extended arm, bilateral reach 
B)  Bilateral reach, visual regard of object, swipe, reach with extended arm 
C)  Visual regard of object, reach with extended arm, bilateral reach, swipe 
D)  Visual regard of object, bilateral reach, swipe, reach with extended arm

Question 5

Frank is a 6-month-old infant whose mother excitedly says to the occupational therapist, "Frank is left-handed, just like his father." How does the occupational therapist interpret this data?

Accepted Answer

A)  This is worrisome; Frank should be evaluated further. 
B)  Frank shows advanced development. 
C)  Frank has inherited his father's handedness. 
D)  This is not a problem; Frank may change over time. 
A)  This is worrisome; Frank should be evaluated further. 
B)  Frank shows advanced development. 
C)  Frank has inherited his father's handedness. 
D)  This is not a problem; Frank may change over time.

Question 6

Which statement reflects the best position to promote hand skills in children?

Accepted Answer

A)  Seated at a large table; chair with no back support 
B)  Side-lying position with a tray for writing utensils 
C)  Seated at a child-sized table and child-sized chair 
D)  Standing in a child-sized prone stander at a regular table 
A)  Seated at a large table; chair with no back support 
B)  Side-lying position with a tray for writing utensils 
C)  Seated at a child-sized table and child-sized chair 
D)  Standing in a child-sized prone stander at a regular table

Question 7

Which progression reflects the sequence of grasp patterns?

Accepted Answer

A)  Radial palmar, raking, lateral pinch, tip pinch 
B)  Tip pinch, raking, radial palmar, lateral pinch 
C)  Raking, tip pinch, radial palmar, lateral pinch 
D)  Raking, radial palmar, lateral pinch, tip pinch 
A)  Radial palmar, raking, lateral pinch, tip pinch 
B)  Tip pinch, raking, radial palmar, lateral pinch 
C)  Raking, tip pinch, radial palmar, lateral pinch 
D)  Raking, radial palmar, lateral pinch, tip pinch

Question 8

What type of in-hand manipulation skill is required to twirl a pencil?

Accepted Answer

A)  Finger-to-palm translation 
B)  Palm-to-finger translation 
C)  Complex rotation skills 
D)  Shift skills 
A)  Finger-to-palm translation 
B)  Palm-to-finger translation 
C)  Complex rotation skills 
D)  Shift skills

Question 9

Which of the following goals is the most difficult for a 6-year-old boy with hemiplegia?

Accepted Answer

A)  Complete a puzzle with large pieces 
B)  Open a door with a key 
C)  Use a knife to cut meat 
D)  Pick up a medium-sized Lego™ toy 
A)  Complete a puzzle with large pieces 
B)  Open a door with a key 
C)  Use a knife to cut meat 
D)  Pick up a medium-sized Lego™ toy

Question 10

Which of the following activities is the most difficult for a 5-year-old with increased muscle tone in both upper extremities?

Accepted Answer

A)  Pick up toys off floor 
B)  Put toys into large container on floor 
C)  Put toys in bins on table 
D)  Put toys into desk drawers 
A)  Pick up toys off floor 
B)  Put toys into large container on floor 
C)  Put toys in bins on table 
D)  Put toys into desk drawers

Question 11

Robert is an 8-year-old boy with cerebral palsy. He has difficulty picking up a cup and frequently spills its contents because he picks it up too quickly and slams it on the table when putting it down. What type of hand skill difficulty is this?

Accepted Answer

A)  Poor timing of movements 
B)  Regulation of force 
C)  Inadequate isolation of movements 
D)  Limitation in trunk control 
A)  Poor timing of movements 
B)  Regulation of force 
C)  Inadequate isolation of movements 
D)  Limitation in trunk control

Question 12

Scott is able to move the penny from his palm to his fingertips without using his other hand. What hand skill pattern does this represent?

Accepted Answer

A)  Reach 
B)  Grasp 
C)  In-hand manipulation 
D)  Bilateral hand use 
A)  Reach 
B)  Grasp 
C)  In-hand manipulation 
D)  Bilateral hand use

Question 13

What type of splint is designed to enhance thumb control for children with mildly increased muscle tone?

Accepted Answer

A)  Volar 
B)  Resting pan 
C)  Spasticity reduction 
D)  McKie 
A)  Volar 
B)  Resting pan 
C)  Spasticity reduction 
D)  McKie

Question 14

Which grasp involves thumb opposition?

Accepted Answer

A)  Hook 
B)  Power 
C)  Lateral pinch 
D)  Tip pinch 
A)  Hook 
B)  Power 
C)  Lateral pinch 
D)  Tip pinch

Question 15

Gray is able to touch items with his hand. What is the next step in reaching and carrying that he could achieve?

Accepted Answer

A)  Pick up objects from all around the house 
B)  Carry large objects in a variety of locations 
C)  Obtain items from cabinet and closets 
D)  Pick up objects at midline and close to body 
A)  Pick up objects from all around the house 
B)  Carry large objects in a variety of locations 
C)  Obtain items from cabinet and closets 
D)  Pick up objects at midline and close to body

Exam 10: Evaluation and Interventions to Develop Hand Skills

What does the research suggest concerning constraint-induced therapy in children with cerebral palsy (hemiplegia)?

By what age do children generally learn to use a spoon?

Overall, what does the research evidence suggest concerning occupational therapy intervention for hand skills?

Which sequence reflects the development (earliest to latest) of reaching?

Frank is a 6-month-old infant whose mother excitedly says to the occupational therapist, "Frank is left-handed, just like his father." How does the occupational therapist interpret this data?

Which statement reflects the best position to promote hand skills in children?

Which progression reflects the sequence of grasp patterns?

What type of in-hand manipulation skill is required to twirl a pencil?

Which of the following goals is the most difficult for a 6-year-old boy with hemiplegia?

Which of the following activities is the most difficult for a 5-year-old with increased muscle tone in both upper extremities?

Robert is an 8-year-old boy with cerebral palsy. He has difficulty picking up a cup and frequently spills its contents because he picks it up too quickly and slams it on the table when putting it down. What type of hand skill difficulty is this?

Scott is able to move the penny from his palm to his fingertips without using his other hand. What hand skill pattern does this represent?

What type of splint is designed to enhance thumb control for children with mildly increased muscle tone?

Which grasp involves thumb opposition?

Gray is able to touch items with his hand. What is the next step in reaching and carrying that he could achieve?

An Overview of Occupational Therapy for Children

Foundations for Occupational Therapy Practice With Children

Development of Childhood Occupations

In Transition to Adulthood: the Occupations and Performance Skills of Adolescents

Working With Families

Common Conditions That Influence Childrens Participation

Purposes, Processes, and Methods of Evaluation

Use of Standardized Tests in Pediatric Practice

Application of Motor Controlmotor Learning to Practice

Sensory Integration

Visual Perception

Psychosocial Issues Affecting Social Participation

Interventions and Strategies for Challenging Behaviors

Feeding Intervention

Activities of Daily Living

Instrumental Activities of Daily Living and Community Participation

Play

Prewriting and Handwriting Skills

Influencing Participation Through Assistive Technology

Mobility

Neonatal Intensive Care Unit

Early Intervention

School-Based Occupational Therapy

Services for Children With Visual or Hearing Impairments

Hospital and Pediatric Rehabilitation Services

Transition Services: From School to Adult Life

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