Question 1

What activity could you use to facilitate visual scanning?

Accepted Answer

A) Digging for toys in a rice bin. 
B) Building with small building blocks. 
C) Locating and crossing off specific pictures in an array. 
D) Batting a balloon.

Question 2

Tim is an 83-year-old nursing home patient with a diagnosis of hip fracture. His hip must stay in alignment to heal, but he is sitting in a standard sling seat wheelchair. How can you adapt Tim's chair to align his hip while it heals?

Accepted Answer

A) Provide Tim with a new wheelchair that the nursing home must pay for. 
B) Provide Tim with a custom seat and back insert that conforms to his body. 
C) Provide Tim with a solid seat insert and a cushion with an abductor pommel. 
D) Provide Tim with a gel cushion.

Question 3

According to the Individuals with Disabilities Education Act (IDEA) how long can students with active IEPs remain in public high school?

Accepted Answer

A) Until the end of the school year, in which they turn 18. 
B) Until the end of the school year, in which they turn 19. 
C) Until the end of the school year, in which they turn 20. 
D) Until the end of the school year, in which they turn 21.

Question 4

Bella, your new 3-year old student, is afraid of swinging and refuses to go near the swing. Your OT department tells you that Bella has a very low tolerance of vestibular input. What activities could you use to help encourage Bella to swing?

Accepted Answer

A) Give Bella a reward for swinging. 
B) Allow Bella to push a stuffed animal on the swing. 
C) Allow Bella to sit on the swing and play with a toy, without actually swinging. 
D) Both B and C.

Question 5

What common environmental modification is useful for adults with cognitive disabilities?

Accepted Answer

A) Auditory beep on crosswalk signal 
B) Curb cuts 
C) Public signs (with pictures instead of words) 
D) Braille instructions

Question 6

Ryan, your 16-year-old student with severe ADHD, has new goals in his IEP to address vocational skills. What type of activities will you plan and implement to address these goals?

Accepted Answer

A) Simple work tasks in the therapy room. 
B) Work tasks within the school while under supervision of school staff. 
C) Work tasks in the community while under the supervision of the business owner. 
D) Work tasks in the community while under your supervision.

Question 7

Ferdinand is a 28-year-old man with a developmental disability. He is now able to stock a soda machine with cans, if the cartons are opened for him first. Whom do you need to communicate this information to?

Accepted Answer

A) Ferdinand's mother 
B) Ferdinand's line supervisor 
C) Ferdinand's best friend 
D) Ferdinand's job coach

Question 8

Tanner, your second-grade student, is putting together a puzzle while lying prone over a bolster and supporting himself with his arms. What is the purpose of this activity?

Accepted Answer

A) To build Tanner's visual processing skills. 
B) To build Tanner's core and upper-body strength. 
C) To inhibit Tanner's reflexes. 
D) To build Tanner's vestibular processing skills.

Question 9

Rhetta is a nursing home patient with a diagnosis of Stage 3 Alzheimer's disease. You have taught her how to use a calendar to remind her of appointments, and she can now do this independently. Rhetta is scheduled to be discharged to her home in three days. She lives alone, but her children live in the same town. How do you insure that she continues to use a calendar as a reminder at home?

Accepted Answer

A) Tell Rhetta to hang the calendar up at home in a location where she will see it every day. 
B) Ask Rhetta's children to hang the calendar up in her home in a location where she will see it every day. 
C) Go to Rhetta's home yourself and hang the calendar up in a location where she will see it every day. 
D) Ask Rhetta's children to manage her appointments for her.

Question 10

Sam is a 12-year-old student with muscular dystrophy. He is still ambulatory and uses a wheeled walker to get around the school. He complains to you that he cannot open the heavy bathroom door and hates to ask for help. What do you recommend to your OT department to help Sam be independent in accessing the bathroom?

Accepted Answer

A) Allow Sam to use the teacher's bathroom because it does not have a heavy door. 
B) Write a proposal to install an electronic door opener on one of the boy's bathroom doors. 
C) Ask maintenance to take the door off the boy's bathroom because there is a visual barrier in place. 
D) Arrange for Sam to use a bathroom in a newer part of the school where there are no bathroom doors.

Question 11

Maria has acute swelling in her left hand following carpal tunnel surgery. Her hand is large and warm to the touch. Her wound is closed and stitches are out. What modality could you use to help control Maria's edema?

Accepted Answer

A) Ultrasound 
B) Do not use any modality; report condition to Maria's physician 
C) Neuromuscular Electrical Stimulation (NMES) 
D) Paraffin bath

Question 12

Nelson, a kindergarten student, sustained a brachial plexus injury to his right arm when he was 3 years old. What activity could you use to build active range of motion in Nelson's right shoulder?

Accepted Answer

A) Playing catch 
B) Tossing bean bags at a target 
C) Figure eight drawing on a dry erase board 
D) Rolling a therapy ball

Question 13

Paul, a sixth-grade student with an autism spectrum disorder, complains of headaches during the school day. He tells you that the standard fluorescent lights in the school seem to jump, and he feels better when he closes his eyes. What could you do to address Paul's complaint?

Accepted Answer

A) Tell Paul's teacher to keep the lights turned off in his classroom. 
B) Have Paul do his work in a play tent. 
C) Ask the maintenance man to install light filters over the lights in Paul's classroom. 
D) Issue Paul some special light altering glasses.

Question 14

You must arrange a game for a small group of nursing home patients, all diagnosed with various stages of senile dementia. What game do you select?

Accepted Answer

A) Charades 
B) Bingo (with large numbered cards and microphone to call the numbers) 
C) Trivia (with the questions taken from an era when the patients were young adults) 
D) Basketball

Question 15

Jackson, your first-grade student, has low muscle tone. What activity could you use to build muscle tone and general endurance?

Accepted Answer

A) Ride prone on a scooter board to pick up bingo chips with a magnet. 
B) Find small beads in the theraputty. 
C) Swing prone on a platform swing. 
D) Jump rope.

Question 16

Which intervention might be used to treat tactile defensiveness?

Accepted Answer

A) Swinging 
B) Wilbarger brushing protocol 
C) Jumping on a trampoline 
D) Blowing bubbles

Question 17

Sean, your 3-year-old student, scribbles by holding a marker with his wrist pronated, his thumb and the lateral side of his index finger pinching the marker, and the rest of his fingers curled around the marker. How do you correct this position?

Accepted Answer

A) You place the marker in Sean's fingers using the correct tripod position and tell him to hold his fingers in place. 
B) You give Sean broken crayons to draw with, forcing his fingers into a tripod grasp. 
C) You do not correct it because pronated grasp is appropriate for his age. 
D) Either B or C.

Question 18

Seth is a 17-year-old male with a diagnosis of spastic quadriplegic cerebral palsy. He has come to your outpatient clinic for treatment of flexion contractures of both wrists. Seth still has active use of his fingers, and his hands can be passively ranged to about 20 degrees short of neutral. What type of splints does your OT department ask you to fabricate for Seth?

Accepted Answer

A) Hard resting pan splints for use at night. 
B) Hard volar wrist splints for use during the day. 
C) Neoprene wrist-thumb splints for use during the day. 
D) Hard dorsal wrist splints for use during the day.

Question 19

Katrina is a 22-year-old college student with dyslexia. She is starting graduate school and is concerned about the number of term papers she will have to write. Writing and editing is difficult for her. What adaptation do you recommend to Katrina?

Accepted Answer

A) A comprehensive software package that includes speech-to-text, text-to-speech, and word prediction software. 
B) An iPad. 
C) A tape recorder to dictate all term papers. 
D) Assistance from the college's department for students with disabilities.

Question 20

Jacob is a 13-year-old student with autism. He has tactile defensiveness and handles everything with his fingertips, including pencils, pens, and art tools. He is having difficulty holding a paint brush during watercolor painting in art class. What adaptation do you provide to make painting easier for Jacob?

Accepted Answer

A) A large, soft foam grip on the paintbrush. 
B) A contoured grip on the paintbrush. 
C) A knob-style paintbrush. 
D) A large, plastic handled paintbrush.

Exam 2: Implementing Interventions