POT Full Exam

Question 1

What is muscular dystrophy?

Answer 1

• progressive muscle weakness
• wheelchair use is gradual
• so may be able to walk shorter distances and need wheelchair for longer distances

Question 2

A person with anorexia was recently admitted to inpatient rehab and is ready to start attending group activities. Which group should the OT recommend?

Answer 2

CBT

Because patients with anorexia are often in denial that their eating habits are not normal therefore CBT will help them develop insight

Question 3

Howard is a 39-year-old man with a diagnosis of mania who receives outpatient occupational therapy services. What activities can the OT have Howard complete to help with his symptoms?

Answer 3

Running, weight lift, simple cooking tasks

People with mania respond with high energy and structured activities

Question 4

In which mental disorder will there be an exacerbation of symptoms if the patient does not take their medications as prescribed, uses alcohol or illicit drugs, and is exposed to stressful situations ?

Answer 4

Schizophrenia

Question 5

Once the patient has been discharged from the inpatient facility, what will Medicare NOT cover?

Answer 5

Long-term care facility

They only cover SNF for 100 days

Question 6

Obsessive compulsive disorder (OCD) is associated with what other diagnoses?

Answer 6

Eating disorder, bipolar disorder, anxiety

Question 7

What is the best recommendation, you can give the parents of a child who is struggling to keep up with their written work at school due to an immature static tripod pencil grasp?

Answer 7

Practice moving coins from their fingertips to palm and palm back to their fingertips

Question 8

What Rood technique will facilitate a purposeful muscular response?

Answer 8

Light touch, fast brushing, quick stretch

Question 9

Sophia continues to display ADHD symptoms which are impacting on her school performance and ability to socialize with her peers. Her parents describe Sophia as being a daredevil and thrill seeker. Her teachers report that her behavior is disruptive in the classroom as she is very restless when sitting through a lesson and frequently tips her chair back. What is she demonstrating?

Answer 9

Sensory craving

Question 10

Which FOR uses a variety of interventions aimed at improving underlying impairments in order to enhance occupational performance in desired occupations?

Answer 10

Biomechanical

Question 11

A patient who is passionate about being outdoors, has been diagnosed with dry macular degeneration. What type of sunglasses are the MOST effective, to protect the patient’s eyes from direct sunlight?

Answer 11

Orange tint

cancels out the blue light UV by providing 100% protection against blue light

Question 12

Which visual feedback strategy would be the MOST EFFECTIVE in helping Virginia manage her fatigue?

Answer 12

pedometer to measure movement and daily activity log

Question 13

A woman demonstrates difficulty determining the distance between her arm and the counter while attempting to pick up her coffee cup. This problem is an example of what condition?

Answer 13

Dysmetria

defined as lack of coordination by either under or over shooting the intended position of the arm

Question 14

he patient demonstrates that she is able to read the list, but she is unable to initiate looking for any of the items on the list. The OT simplifies the task by covering the list with a piece of paper, leaving only the top item visible. Based on this behavior, what should the OT document about this patient’s performance in the grocery store?

Answer 14

Deficits in EF affecting performance

Question 15

A 6th grade student has fair trunk control secondary to lower body paralysis. She compensates by leaning forward on her desk for increased stability. What type of wheelchair will increase her independence in getting around the campus and the classroom?

Answer 15

Powered wheelchair with sit to stand feature and lateral trunk supports

Question 16

The student demonstrates a prone grasp and slight upper extremity weakness with handwriting. Using the remedial approach, which work surface and position would be most useful in supporting this student?

Answer 16

Standing upright and writing on a chalkboard. The vertical reach and resistance of the chalkboard will help to strengthen the student’s upper extremity as he writes.

Question 17

A 43-year-old male sustained a full thickness burn to both his upper extremities, including the dorsal surface of his hands.Which exercise would be the most appropriate to perform, at this stage of the intervention process?

Answer 17

Stabilizing the wrist at 15 degrees extension while performing isolated movements to IP joint

Question 18

An OT is working in an acute care setting and is assessing whether a patient will be safe to go home in preparation for discharge. The OT provides modification recommendations for the patient’s home. What frame of reference is the OT using?

Answer 18

Occupational Adaptation

adapts the environment, person, and interaction between the two

Question 19

At a new mother-baby group, an OT works with ten infants between the ages of 7 and 13 months who have developmental delay. After the OT suggests proper positioning in a high chair, what would be the next strategy to recommend?

Answer 19

Allow attempt for finger foods for infants

Question 20

Despite providing the patient with assistive devices such as a kettle tipper, to compensate for his hemiparesis, he continues to experience great difficulty with functional tasks such as making himself a cup of coffee. What type of apraxia is this patient demonstrating in this scenario?

Answer 20

Ideational Apraxia

difficulty with motor planning and sequencing

Question 21

Steven is a 7 year old student with spina bifida. For the most part, Steven is able to walk to and from his classroom and his locker. However, he feels more stable walking around outside with the use of his crutches. Given his current functional mobility, what type of spina bifida does Steven most likely have?

Answer 21

Spina Bifida Occulta

Question 22

In a hand therapy clinic, a certified hand therapist uses an aesthesiometer. What is a reason for using this instrument?

Answer 22

patient complains of numbness in both hands and problems carrying lightweight items such as paper clips without dropping them

Aesthesiometer- measures degree of sensation by determining at how short a distance two impressions upon the skin can be distinguished,

Question 23

The OT is in the intervention phase with a patient who is experiencing pain in her proximal forearm (volar surface). What is the first step the OT must take in the treatment planning?

Answer 23

Support and immobilize the upper limb. Provide the patient with a splint with elbow in 90 degrees and wrist in neutral

Pt probably has pronator trees and splinting to avoid forearm rotation is necessary.

Question 24

Right Side CVA

Answer 24

affects left side of the body but R side of the brain

and vice versa

Question 25

A patient who recently had a MI is ready to progress to the next stage of his cardiac rehab. The physician has approved an increase of physical activity to a MET Level of 3 – 3.5. What type of ADL can the OT introduce at this stage?

Answer 25

Grooming while standing at the sink

Question 26

The OT then uses a goniometer to measure the 82-year old patient’s shoulder movements. She reads a measurement of 68 degrees for internal rotation. How should the OT document this findings?

Answer 26

Normal range is 70-90 degrees, and his ROM is slightly below the limits but expected for his age and remains a functional movement

Question 27

Daniel is a 7-year-old boy in the first grade who presents with a small head and specific facial abnormalities- smooth philtrum thin upper lip and small palpebral fissures. He has poor social skills and is moody, frequently experiencing outbursts. With which condition are Daniel’s symptoms associated?

Answer 27

Fetal Alcohol Syndrome

-affects physical deficits, intellectual disabilities, social behavioral issues

Question 28

What is the purpose of balance disk on top of a seat?

Answer 28

Improves dynamic sitting balance