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Mosby Part 1

Total questions: 40

Worksheet time: 20mins

Name
Class
Date
1.

Entry into the early intervention system begins with which of the following?

a)

Screening for developmental delay

b)

Individualized Family Service Plan

c)

Screening for family environmental risk factors

d)

Individualized Education Plan

2.

A 65 year old patient who sustained a myocardial infarction 1 week prior has been referred to cardiac rehabilitation. To determine the functional capacity, the OT should initially assess:

a)

caregiver's ability to handle the patient at home

b)

resumption of sexual activity with spouse

c)

endurance for grooming, hygiene, dressing, eating

d)

ability to return to work on a part-time basis

3.

A problem that limits in-hand manipulation is:

a)

Limited finger isolations and control

b)

Inability to hold more than one object in the hand at the same time

c)

An inability to maintain long sitting

d)

Difficulty combining wrist extension with finger extensions

4.

During an evaluation, the OT must determine a child's exact chronological age. The child was born on March 6, 2003 and the testing date is July 12, 2006. The child's chronological age is:

a)

4yrs, 6mos, 5days

b)

3yrs, 2mos, 6days

c)

4yrs, 5mos, 6days

d)

3yrs, 4mos, 6days

5.

Which one of the four components of the adaptation process pertains to reception of sensory stimuli from internal and external environments?

a)

Assimilation

b)

Accommodation

c)

Association

d)

Differentiation

6.

The OT is interested in determining the degree of sensory discrimination present in the fingertips of the patient with scleroderma. The BEST assessment to use is the:

a)

fingertip wrinkling test

b)

monofilament test

c)

distinguishing between light and deep touch

d)

test for stereognosis

7.

A patient with diabetes mellitus also has complications of peripheral neuropathy. During the evaluation, the OT discovers that there are additional tactile processing issues. Further assessment should focus on:

a)

visual deficits

b)

fatigue and endurance

c)

fine and gross coordination

d)

reflexes

8.

The parent of a child that is being treated in therapy describes how the child covers their ears when riding in the car with the windows down. The parent does not understand why the child persists in this behavior. The OT explains that this behavior could be the result of:

a)

Sensory defensiveness

b)

Gravitational insecurity

c)

Underresponsiveness

d)

Aversion to movement

9.

A 5 year old child presents with difficulty climbing stairs, rising from a sitting or lying position, and demonstrates progressive fatigue caused by muscle weakness. The OT might suspect a problem with:

a)

Duchenne's muscular dystrophy

b)

Limb-girdle muscular dystrophy

c)

Facioscapulohumeral muscular dystrophy

d)

A congenital muscular dystrophy

10.

In the assessment phase of early intervention, an OT assesses the daily living skills of an infant. In the context of early intervention, the areas that are being assessed are:

a)

Feeding and sleeping patterns

b)

Play and leisure patterns

c)

Motor development patterns

d)

Sensory development patterns

11.

While performing a grooming evaluation, a client is noted to smear toothpaste over their hands and face. The OT should assess the client for possible issues with:

a)

ideational apraxia

b)

ideomotor apraxia

c)

spatial relations deficit

d)

motor apraxia

12.

A child with mild spastic diplegia usually displays

a)

Tactile defensiveness

b)

Gravitational insecurity

c)

Postural insecurity

d)

Overresponsiveness

13.

When evaluating a client, you use a cross out sheet and a balloon activity. You are most concerned with:

a)

Visual scanning

b)

Visual acuity

c)

Ocular control

d)

Visual perception

14.

A client's loss of ROM, grip strength, and sensation caused by a work-related injury would be documented by the OT as a(n):

a)

Handicap

b)

Disability

c)

Dysfunction

d)

Impairment

15.

Among children who are autistic, the most significant area of impairment tends to be:

a)

Social

b)

Cognitive

c)

Self-care

d)

Motor

16.

An OT assessing movement determines that a child has oscillating vision. An area for further assessment might be:

a)

Eye-hand coordination

b)

Equilibrium

c)

Muscle tone

d)

Drawing ability

17.

A client with shoulder impingement is referred to OT for skilled instructions in dressing. A dressing technique that would have a tendency to cause symptoms to increase is:

a)

Donning and doffing socks and shoes

b)

Pulling pants up to waist

c)

Putting on a shirt with buttons down the front

d)

Putting on an overhead garment

18.

A child loses its balance and falls down whenever it tries to catch a ball thrown in its direction; otherwise, the child can sit, stand and walk well. The OT would determine that the child has a problem with:

a)

Development of higher-level balance skills

b)

Protective reactions

c)

Anticipatory postural control

d)

Labyrinthine head righting

19.

A 40 year old patient with a 3 week old wrist fracture is receiving outpatient therapy focused on early mobilization. The OT should FIRST:

a)

Determine the patient's tolerance for pain

b)

View the radiographs to determine the amount of healing that has taken place

c)

Begin isometric exercise for strengthening

d)

Teach self-ranging and tendon gliding techniques

20.

The biomechanical FOR is most likely to be used in assessing and intervening for hand skills problems in children with:

a)

Motor planning difficulties

b)

Limitations in range of motion (ROM), strength, or endurance

c)

Tactile and/or proprioceptive sensory problems

d)

Postural tone and coordination problems

21.

A 6 year old is interested in learning to roller skate. However, after the initial few minutes of practice the child does not continue with it and appears to lack the will to follow up what was started. This behavior is typical of Erik Erikson's psychosocial development stage that deals with:

a)

Basic trust vs mistrust stage

b)

Autonomy vs doubt and shame stage

c)

Self-identity vs role diffusion stage

d)

Security vs instability

22.

The OT would administer a test of visual motor integration to a child who most likely has difficulty with:

a)

Copying letters

b)

Putting puzzles together

c)

Selecting geometric shapes that are the same

d)

Finding a figure embedded in a beach scene

23.

A condition that can cause double vision or mental suppression of one of the images that affect the development of visual perception is:

a)

Strabismus

b)

Phoria

c)

Myopia

d)

Astigmatism

24.

A child with cerebral palsy shows significant impairment in the function of the lower extremities with mild involvement of the upper extremities. The classification of cerebral palsy for this child would be:

a)

Hemiplegia

b)

Tetraplegia

c)

Choreoathetosis

d)

Diplegia

25.

A patient with C6 tetraplegia is referred to an inpatient rehabilitation unit. The OT intervention plan should highlight the asset that:

a)

Normal bowel and bladder control are present

b)

Trunk stability is present

c)

No cognitive losses

d)

Motor control of UE is intact

26.

A grasp that is often used to control tools or other objects is

a)

Hook grasp

b)

Power grasp

c)

Lateral pinch

d)

Tip pinch

27.

A child uses a wide base of support when walking because of instability and poor weight shifting. This is characteristic of:

a)

Mental retardation

b)

Scoliosis

c)

Juvenile rheumatoid arthritis

d)

Ataxic cerebral palsy

28.

An elderly client with no visual deficits exhibits difficulty with balance and also reports a tendency to occasionally fall. The OT should assess:

a)

Labyrinthine righting reflexes

b)

Tactile discrimination

c)

Vestibular function

d)

Visual memory

29.

A 65 year old client had a right stroke in the nondominant hemisphere of the parietal lobe. During an ADL evaluation, the client dresses the unaffected limb but not the affected limb. This is an indication of:

a)

Visual field cut

b)

Ideomotor apraxis

c)

Unilateral body neglect

d)

Ideational apraxia

30.

A patient with diabetes is employed as a bricklayer. The patient has recently developed a neuropathy leading to impaired sensation in the upper extremities. In regards to work, the OT needs to caution the patient to examine their hand frequently for:

a)

swelling and dryness

b)

bruising and redness

c)

dryness and erythema

d)

excessive perspiration

31.

The most important information that an OT gains from assessing a child's ball throwing skills is the child's

a)

Use of thumb opposition

b)

Voluntary release of the ball

c)

Sequence and timing of arm movements

d)

Accuracy in hitting a target area

32.

A patient diagnosed with insulin dependent diabetes mellitus is referred to occupational therapy for splinting. A primary area that must be assessed before prescribing a splint is:

a)

Edema

b)

Sensation

c)

Pain

d)

Fine motor manipulation

33.

A psychosocial reaction of an elderly client who experiences difficulty understanding normal speech sounds might be:

a)

Decreased physical reactions

b)

Decreased paranoid tendencies

c)

Increased social activities

d)

Increased paranoid tendencies

34.

An OT would expect a patient that presents with performance deficits caused by issues related to visual processing to demonstrate difficulties with:

a)

Tracking

b)

Attending to objects

c)

Focusing on multiple objects

d)

Discrimination between objects

35.

An individual who recently received radiation in the area of the head and neck drools, pockets food, and coughs. The OT should:

a)

recommend increasing liquid and a cough suppressant

b)

recommend a feeding tube

c)

provide intervention for dysphasia

d)

advise that these are common radiation reactions, which will appear overtime

36.

A child has difficulty recognizing letters in different styles of print or in making the transition from printed to cursive letters. The child has a visual discrimination problem of:

a)

Form constancy

b)

Spatial vision

c)

Figure ground perception

d)

Binocular fusion

37.

A patient with rotator cuff repair surgery to the left nondominant shoulder 3 days ago is referred to OT for an evaluation. An assessment that might be contraindicated is:

a)

sensory testing

b)

ROM testing

c)

manual muscle testing

d)

self-care assessment

38.

the OT is requested to evaluate a mechanic's ability to locate and use small tools. the MOST appropriate sensory assessment to:

a)

monofilament test

b)

test for stereognosis

c)

two-point discrimination

d)

asthesiometer

39.

A 2 year old client with delayed motor skills shifts his weight onto one leg and steps to the side with other in a movement pattern described as:

a)

dancing

b)

creeping

c)

cruising

d)

crawling

40.

An elderly client is observed by an OT as having an unsteady gait, and the client has to hold onto the wall when coming in and out of the bathroom. The OT should assess the patient for:

a)

Visual deficits

b)

Postural control

c)

Possible wheelchair or walker

d)

Apraxia