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NCTRC Exam > NCTRC Exam Paid Example Questions > Flashcards

NCTRC Exam Paid Example Questions Flashcards

1
Q

According to standards of practice, the best collaborator for a CTRS during the discharge process is the client’s

A. Insurance company
B. Friends
C. Social worker
D. Community referral agency

A

C. Social worker

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2
Q

All of the following are techniques used in behavioral management programs EXCEPT

A. Cognitive restructuring
B. Backward chaining
C. Modeling
D. Resocialization

A

D. Resocialization

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3
Q

TR services for clients with addictive disorders should focus on

A. Leisure education
B. Diversional services
C. Cognitive retraining
D. Fitness programming

A

A. Leisure education

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4
Q

Which new symptom should a CTRS consider when designing programs for clients who have progressed to the middle stages of Alzheimer’s disease?

A. Memory problems
B. Inability to cope with new or unexpected situations
C. Speed with which their tasks are completed
D. Tendency to get lost in their environment

A

B. Inability to cope with new or unexpected situations

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5
Q

Which technique can be effectively used by a CTRS with a geriatric client post-CVA who exhibits limited socialization and decreased emotional expression?

A. Community reintegration
B. Bx modification
C. Remotivation
D. Values clarification

A

C. Remotivation

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6
Q

Which team consists of a group of cross-discipline healthcare professionals working jointly to address a single, identified client problem?

A. Multidisciplinary
B. Interdisciplinary
C. Transdisciplinary
D. Unidsciplinary

A

C. Transdisciplinary

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7
Q

Unlike special recreation, TR is characterized by

A. Qualified recreation staff
B. Variety in programming
C. Individualized tx planning
D. Program evaluation

A

C. Individualized tx planning

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8
Q

In client assessments, stability, equivalency and internal consistency are measurement tools of

A. Usability
B. Reliability
C. Efficiency
D. Validity

A

B. Reliability

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9
Q

Which of the following is a CTRS trying to determine about TR programs when collecting baseline, progress, and outcome data on a client’s performance?

A. Efficacy
B. Continuity
C. Objectives
D. Population

A

A. Efficacy

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10
Q

Which goal would be implemented first in a leisure ed program for a client who has a dual diagnosis of clinical depression and alcoholism?

A. Demonstrate recreational skills
B. Discuss time management
C. Explore leisure resources
D. Develop leisure awareness

A

D. Develop leisure awareness

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11
Q

Which description best represents healthy people 2020?

A. California initiative to manage rising healthcare costs
B. Health insurance for people over 50
C. National agenda of health objectives
D. Federal maternal and child wellness mandate

A

C. National agenda of health objectives

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12
Q

In order to improve overall competence in providing tx, which area is important for a supervisor to focus on when providing clinical supervision to a CTRS?

A. Skills and knowledge in providing interventions
B. Articulation of tx strategies in team meetings
C. Consistency in following policies and procedures
D. Client’s reports of satisfaction with interventions

A

A. Skills and knowledge in providing interventions

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13
Q

Which variable does the criterion part of a bx objective identify?

A. Circumstance under which of the bx will occur
B. Indication that the objective has been achieved
C. Action taken to demonstrate the bx
D. Objective bx that will be observed

A

B. Indication that the objective has been achieved

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14
Q

Which area is least important to a CTRS who is attempting to deliver culturally relevant programming?

A. Language translation skills
B. Culturally specific bx
C. Culturally specific values
D. Socio-economic conditions

A

D. Socio-economic conditions

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15
Q

All of the following interview bxs by a CTRS would generally encourage a client response EXCEPT

A. Direct eye contact
B. Silence
C. Interpreting statement
D. Paraphrasing

A

C. Interpreting statement

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16
Q

When a CTRS is formulating TR goals for an IEP, the CTRS must focus on the student’s ability to

A. Benefit from special education
B. Engage in inclusive recreation
C. Join after school programs
D. Remain in classroom with peers

A

A. Benefit from special education

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17
Q

Which activity may be used to improve dynamic balance?

A. Line dancing
B. Painting
C. Reading
D. Meditation

A

A. Line dancing

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18
Q

What is the prescription abbreviation for “as the occasion arises; when necessary; as needed”?

A. bid
B. PRN
C. NPO
D. qid

A

B. PRN

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19
Q

Which instructional strategy is being used if the CTRS shows a client an example of a finished project and introduces the client to others who are at various stages of completing the project?

A. Timing affects learning
B. Reinforcement strengthens learning
C. Modeling can enhance learning
D. Move from the simple to the complex

A

C. Modeling can enhance learning

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20
Q

In which document would a CTRS find the comprehensive management tool that delineates all aspects and functions of a TR department?

A. Code of ethics
B. Standards of practice
C. Written plan of operation
D. New staff orientation manual

A

C. Written plan of operation

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21
Q

All of the following should be completed prior to a client beginning an aerobic fitness program EXCEPT

A. Obtaining a physician’s order
B. Determining the client’s resting, max, and training HR
C. Determining the client’s mass oxygen uptake
D. Setting goals based on client assessment

A

C. Determining the client’s mass oxygen uptake

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22
Q

A CTRS would use facilitation techniques such as yoga, deep breathing, meditation with clients who need to improve

A. Stress management skills
B. Physical conditioning
C. Awareness of emotional state
D. Mindful self-awareness

A

A. Stress management skills

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23
Q

The difference between activity analysis and task analysis is that task analysis focuses on

A. Using step by step sequencing approach
B. Identifying cognitive, social, and physical bxs
C. Analyzing the benefits for the client
D. Identifying psychological or spiritual bxs

A

A. Using step by step sequencing approach

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24
Q

Which assessment instrument focuses on assessing the client’s perceptions of freedom as it relates to leisure involvement?

A. Leisure competence measure (LCM)
B. Leisure diagnostic battery (LDB)
C. Leisure interest survey (LIS)
D. Leisure satisfaction survey (LSS)

A

B. Leisure diagnostic battery (LDB)

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25
Q

Which verbal response should a CTRS use when a client repeatedly c/o loneliness, boredom, and being ignored by friends and family?

A. Probing
B. Informing
C. Self-disclosing
D. Confronting

A

A. Probing

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26
Q

The process by which a non-gov’t agency grants recognition to an individual who has met certain predetermined qualifications specified by that agency is

A. Certification
B. Licensure
C. Registration
D. Accreditation

A

A. Certification

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27
Q

Which adaptation is best to be used when leading a w/c basketball session for a group of adolescents who are learning to maneuver sports w/c?

A. Use a smaller ball
B. Shorten the game time
C. Reduce the size of the court
D. Lower the basketball net

A

C. Reduce the size of the court

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28
Q

Which dx is indicative of the following bxs: no interest in peers, repetitive rocking and tantrums when routine changes, and repeats the CTRS’s q’s w/o answering?

A. Autism
B. Down syndrome
C. Prader-willi syndrome
D. ADHD

A

A. Autism

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29
Q

The most important benefit of progress note writing is that it provides a basis for

A. Grouping clients
B. Evaluating clients
C. Selecting goals
D. Planning programs

A

B. Evaluating clients

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30
Q

Which strategy would be the most effective way to change someone’s negative attitude about people with disabilities?

A. Encourage the person to positively interact with and build relationships with people w/ disabilities
B. Assist the person in a role play scenario, such as using a w/c for an hour to experience what is like to have a disability
C. Encourage the person to do research on common disabilities in order to understand people with disabilities
D. Refer the person to media examples of people with disabilities in books, movies, or TV shows

A

A. Encourage the person to positively interact with and build relationships with people w/ disabilities

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31
Q

According to standard ethical principles, putting a client in an activity that poses high risk of danger without programming for those risk is a violation of

A. Autonomy
B. Veracity
C. Maleficence
D. Competence

A

C. Maleficence

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32
Q

Which professional activity can a CTRS use to earn CEU hours for recertification with NCTRC

A. Presenting an orientation session to new employees at the certificant’s agency
B. Attending first aid, CPR, and AED training classes
C. Writing a newsletter article for a profession TR publication
D. Presenting a session seven years ago at a TR conference

A

C. Writing a newsletter article for a profession TR publication

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33
Q

“Following the arts and crafts group, the client expressed pride at the completion of the project”. Which goal statement does the progress note reflect?

A. Improve gross motor skills
B. Develop interpersonal communication skills
C. Enhance self-concept

A

C. Enhance self-concept

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34
Q

Prior to resuming playing golf, which factors should be assessed for the client that has a dx of a CVA that affected her right side and speech?

A. Balance, coordination and endurance
B. Auditory deficits, UE ROM and health hx
C. Grip strength, forearm strength, verbal expression
D. Attention span, verbal expression, and cognitive sequencing

A

A. Balance, coordination and endurance

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35
Q

Which bx modification process uses successive approximations of a desired terminal bx?

A. Shaping
B. Sequencing
C. Extinction
D. Forward chaining

A

A. Shaping

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36
Q

In addition to a card holder, which piece of adaptive equipment can a client with a C4 complete SCI use to play cards?

A. Mouth stick
B. Wrist splint
C. Dycem mat
D. Universal cuff

A

A. Mouth stick

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37
Q

In a continuous quality improvement program, which area is an example of risk management?

A. Monitoring the tardiness of volunteers
B. Monitoring community trip incident reports
C. Assuring that all bikes are returned to the equipment room
D. Monitoring staff attendance at professional development conferences

A

B. Monitoring community trip incident reports

38
Q

Which interaction pattern encompasses a cooperative action by at least two persons to achieve a mutual goal?

A. Intergroup
B. Aggregate
C. Intragroup
D. Unilateral

A

C. Intragroup

39
Q

Which activity is a CTRS engaged in if meeting with the YMCA staff to discuss reasonable accommodations for a client?

A. Advocacy
B. Public relations
C. Accountability
D. Risk management

A

A. Advocacy

40
Q

All of the following are components of the POMR except

A. Problem list
B. D/c summary
C. Program evaluation
D. Assessment results

A

C. Program evaluation

41
Q

Which method should be used for recording the frequency of a specific bx?

A. Tally
B. Duration
C. Interval recordings
D. Instantaneous time sampling

A

A. Tally

42
Q

Which therapeutic approach is being used by a CTRS who allows a client w/ dementia to express frustrations related to the client’s perception of being ignored by staff?

A. Reality orientation
B. Remotivation
C. Validation
D. Reminiscence

A

C. Validation

43
Q

When assessing social barriers to leisure involvement, the content of the assessment instrument should focus on

A. Problem solving
B. Interacting in group situations
C. Controlling emotions
D. Locating resources for leisure activities

A

B. Interacting in group situations

44
Q

The first step in choosing the best assessment for a client is to

A. Identify the purpose of the assessment
B. Discuss assessment options with the client
C. Determine which assessment was used most often with past clients
D. Identify the assessment which will be simplest for the client to complete

A

A. Identify the purpose of the assessment

45
Q

After the individualized TR tx program has been developed, the CTRS should first

A. Document the plan in the client’s record
B. Initiate program eval
C. Implement the program
D. Information the TR supervisor of the program outcome

A

A. Document the plan in the client’s record

46
Q

Which TR practice model is designed to help clients to recover from a threat to their health and achieve optimal health through participation in prescriptive activity, recreation and leisure?

A. Leisure ability
B. Optimizing lifelong health and well-being
C. Self determination and enjoyment enhancement
D. Health protection/health promotion

A

D. Health protection/health promotion

47
Q

All of the following should be included in a d/c summary EXCEPT

A. Frequency of involvement
B. Duration of involvement
C. Dates of specific interventions
D. Types of services received

A

C. Dates of specific interventions

48
Q

The purpose for reassessing a client is to

A. Identify staff performance issues
B. Evaluate changes in the client’s status
C. Identify secondary dysfunction in the client
D. Evaluate the client’s satisfaction

A

B. Evaluate changes in the client’s status

49
Q

Which domain is a CTRS assessing when asking a client to remember and then repeat back three items shown in a program?

A. Affective
B. Social
C. Cultural
D. Cognitive

A

D. Cognitive

50
Q

All of the following are bx approaches used within TR EXCEPT

A. Assertiveness training
B. Progressive relaxation
C. Reminiscence therapy
D. Social skills training

A

C. Reminiscence therapy

51
Q

The theory of internal locus of control postulates that perceived control commonly leads to a sense of

A. Psychological well being
B. Needing to control others
C. Depression
D. Being controlled by others

A

A. Psychological well being

52
Q

Which medical term refers to difficulty swallowing food and/or liquids?

A. Hemiplegia
B. Hypoxia
C. Aphasia
D. Dysphagia

A

D. Dysphagia

53
Q

Norms are used in the interpretation of standardized assessment scores in order to

A. Identify leisure participation choices
B. Establish the intensity of problem bxs
C. Identify whether a client can perform a specific task
D. Compare a client to a reference group with similar characteristics

A

D. Compare a client to a reference group with similar characteristics

54
Q

All of the following behavioral objects are written correctly EXCEPT

A. Upon request, the client will select two personal activity choices from a list of options
B. Upon request, the client will verbalize the appropriate use of 5 resources, as judged appropriate by the CTRS
C. Upon request, the client will demonstrate knowledge of the leisure planning process by being active on weekends
D. Upon request, the client will be able to drive a golf ball a minimum of 100 yards on three out of five attempts

A

C. Upon request, the client will demonstrate knowledge of the leisure planning process by being active on weekends

55
Q

Which type of analysis has been completed if a CTRS develops a list of steps involved in an activity and then places them in proper sequence?

A. Task
B. Content
C. Activity
D. Behavioral

A

A. Task

56
Q

Which statement should a CTRS include in a progress note when documenting a client’s performance during a stress management group?

A. The client completed the checklist of stressors in an appropriate amount of time
B. The client was able to identify three current life stressors
C. The client appeared upset and tense throughout the session
D. The client felt that walking is relaxing and enjoyable activity

A

B. The client was able to identify three current life stressors

57
Q

Which progress note segment is written in an acceptable manner?

A. The client was depressed and reluctant to participant in the activity
B. The client was uncooperative and refused to participate in the activity
C. The client attended the activity but was depressed
D. The client stated that he was tired and did not want to participate in the activity

A

D. The client stated that he was tired and did not want to participate in the activity

58
Q

Which facilitation technique can be used with a client who is mildly confused?

A. Reality orientation
B. Remotivation training
C. Bx modification
D. Validation tx

A

A. Reality orientation

59
Q

When documenting a client’s progress towards tx goals, subjective interpretation of the client’s progress must be supported with

A. Assessment of data
B. Bx observation
C. Client comments
D. Input from treatment team

A

B. Bx observation

60
Q

Which variables are essential in the marketing of TR services?

A. Price, promotion, product, place
B. Planning, proposal, programming, promotion
C. Assessment, planning, implementation, evaluation
D. Needs assessment, proposal, promotion, programming

A

A. Price, promotion, product, place

61
Q

All of the following are included in outcome measures EXCEPT

A. Statement of the performance or bx that is expected
B. Data by which the quality of a program can be assessed
C. Variation in data collection procedures
D. Measurement of basic abilities obtained in programs

A

C. Variation in data collection procedures

62
Q

Which response should a CTRS use when a client expresses discomfort with using a w/c in public and strangers were patronizing on a recent community outing?

A. Suggest that the client ignore rude and thoughtless ppl
B. Discuss this issue by supporting the client in offering problem solving skills
C. Discontinue community integration until the client feels more comfortable
D. Change the subject, since the CTRS is not a psychotherapist

A

B. Discuss this issue by supporting the client in offering problem solving skills

63
Q

All of the following are goals of cognitive retraining EXCEPT

A. Executive functioning
B. Problem solving skills
C. Short term memory
D. Hand eye coordination

A

D. Hand eye coordination

64
Q

All of the following adaptive devices would be helpful for a client with a diagnosis of a R CVA EXCEPT

A. Card holder
B. Built up handles
C. Large print cards
D. Adaptive golf cart

A

C. Large print cards

65
Q

Which resource should a CTRS use for the assessment when unable to collect background info from a client who has dementia and expressive aphasia due to a recent CVA?

A. Medical chart
B. Cognitive abilities
C. Family report
D. Participation in activities

A

C. Family report

66
Q

Which info is most important to include when writing progress notes?

A. Response to environment
B. Response to tx
C. D/C objectives
D. Attendance records

A

B. Response to tx

67
Q

Injury to which area of the spinal cord would most likely result in quadriplegia?

A. Cervical
B. Thoracic
C. Lumbar
D. Sacral

A

A. Cervical

68
Q

In a nursing home setting, which interdisciplinary assessment would a CTRS complete?

A. Inpatient rehab facility-pt assessment instrument (IRF-PAI)
B. Functional independence measure (FIM
C. Leisure attitude measurement (LAM)
D. Minimum data set (MDS)

A

D. Minimum data set (MDS)

69
Q

Which assessment technique should be used by a CTRS in order to determine a client’s level of physical functioning?

A. Risk for falls
B. Task performance
C. ROM testing
D. Muscle strength testing

A

B. Task performance

70
Q

Based on assessment results, which intervention would initially meet a client’s needs who is isolated, withdrawn, and expresses a desire to make friends?

A. Tai chi
B. Individualized tennis instruction
C. Craft group
D. Joining a community theater

A

C. Craft group

71
Q

Which process is being used when a CTRS reads a systematic review of research findings on a specific intervention and then designs a program using the info?

A. Program planning
B. Clinical practice
C. Protocol development
D. EBP

A

D. EBP

72
Q

All of the following should be included in the personnel policies in a TR department manuel EXCEPT

A. Performance standards
B. Purchasing procedures
C. Position descriptions
D. Grievance procedures

A

B. purchasing procedures

73
Q

Which recording method of client observation would be helpful when a CTRS needs to assess how much time a client is spending in a leisure activity?

A. Interval
B. Tally
C. Duration
D. Continuous

A

C. Duration

74
Q

What type of interaction pattern does a client display when playing solitaire?

A. Extraindividual
B. Interindividual
C. Intraindividual
D. Unilateral

A

A. Extraindividual

75
Q

Which intervention technique uses biofeedback?

A. Values clarification
B. Cognitive retraining
C. Stress management
D. Bx management

A

C. Stress management

76
Q

Which intervention is the CTRS using when providing a book for a client to read that will help bring new insight into the illness?

A. Remotivation
B. Bibliotherapy
C. Validation
D. Reminiscence

A

B. Bibliotherapy

77
Q

Which dx is characterized by bradykinesia, resting tremor, impaired postural reflexes, and rigidity?

A. Parkinson’s disease
B. Autonomic Dysreflexia
C. Horner syndrome
D. Guillain-barre syndrome

A

A. Parkinson’s disease

78
Q

Which functional skills assessment is used to determine the social skills of clients with DD?

A. Teen leisurescope
B. FOX
C. Leisure attitude measure
D. STILAP

A

B. FOX

79
Q

In which domain should a CTRS develop a tx goal if the client has a flat affect and periodic crying episodes?

A. Social
B. Physical
C. Affective
D. Cognitive

A

C. Affective

80
Q

Which service setting is a CTRS working in when reviewing the client’s FIM score and intake summary prior to conducting an assessment?

A. Acute care
B. Bx health care
C. Outpatient ambulatory services
D. Physical rehab

A

D. Physical rehab

81
Q

Which behavioral objective can be written for a client w/ a TBI to increase short term memory?

A. The client will participate in cognitive retraining group once a week
B. The client will follow all directions in each group with the assistance of a CTRS
C. The client will correctly restate 75% of the directions given by the CTRS during group
D. The client will work on sequencing with the assistance of a CTRS

A

C. The client will correctly restate 75% of the directions given by the CTRS during group

82
Q

Which TR ethical principle is being violated when the CTRS fails to discuss the results of an assessment and related plan for intervention with the client?

A. Fidelity
B. Confidentiality
C. Veracity
D. Non-maleficence

A

C. Veracity

83
Q

Which form should a CTRS complete when two clients run away during an outing?

A. Incident report
B. Revised tx plan
C. Referral summary
D. Liability summary

A

A. Incident report

84
Q

Which side effect of antipsychotic meds include unusual gait, tremors and motor restlessness?

A. Extrapyramidal movement
B. Acute psychosis
C. Tardive dyskinesia
D. Autonomic dysreflexia

A

A. Extrapyramidal movement

85
Q

Which approach is the CTRS using when considering a client’s current diagnosis, strengths and abilities?

A. Holistic
B. Psychosocial
C. Multidisciplinary
D. Problem oriented

A

A. Holistic

86
Q

What functional skill for a client w/ Duchenne MD should a TR intervention address?

A. Memory
B. Gross motor
C. Fine motor
D. Concentration

A

B. Gross motor

87
Q

Which part of SOAP note focuses on the statements a client makes about he problem or course of tx?

A. Subjective data
B. Objective data
C. Assessment
D. Planning

A

A. Subjective data

88
Q

Which statistical measurement informs a CTRS about how well the assessment results compare to what is being measured?

A. Equivalent forms reliability
B. Criterion related validity
C. Test-retest reliability
D. Construct validity

A

B. Criterion related validity

89
Q

If a client has difficulty communicating expressively during an assessment, all of the following techniques can be used to gather info EXCEPT

A. Structured interview
B. Survey
C. Observation
D. Chart review

A

A. Structured interview

90
Q

Which reflects the purpose of TR services in an outpatient day tx program for clients w TBI?

A. Physical reconditioning and stabilization
B. Reintegration into the community
C. Assessment of communication skills
D. Development of activities of ADLs

A

B. Reintegration into the community

NCTRC Exam (1 decks)

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