Free Master of Occupational Therapy General Questions and Answers

Question 1

A twelve-month-old is being evaluated by a therapist in a clinical setting. Which of the following landmarks is not likely to have materialized?

Accepted Answer

Controls walking by starting and stopping with intention

Answer

While a 12-month-old may begin to take a few independent steps, controlling walking by starting and stopping with intention is a more advanced gross motor skill that typically develops later, often closer to 15-18 months or even beyond. At 12 months, pincer grasp, moving from seated to prone, and intentional release are generally established developmental milestones.

Question 2

An occupational therapy examination is requested for a patient with a full T5 spinal cord damage. What about this client needs to be evaluated the most?

Accepted Answer

Seated balance

Answer

A T5 spinal cord injury results in paralysis below the mid-thoracic level, meaning the trunk muscles below T5 are affected. This significantly impacts trunk control and seated balance, which are crucial for all functional activities performed from a seated position, such as dressing, eating, and wheelchair mobility. Evaluating seated balance is therefore a primary concern for this client.

Question 3

A young adult patient in a mental health rehab facility has rejected to take part in group and one-on-one activities. Which evaluation ought the occupational therapist to choose in order to establish a baseline for the client's roles and use the information to produce goals that are motivating?

Accepted Answer

Canadian Occupational Performance Measure (COPM)

Answer

The COPM is a client-centered, individualized outcome measure that helps clients identify and prioritize their occupational performance issues. It is ideal for establishing a baseline of roles and identifying motivating goals because it directly asks the client about their perceived performance and satisfaction in areas they want to address. This approach respects client autonomy and can increase engagement, especially for a reluctant client.

Question 4

A five-month-old who was born at 34 weeks gestation and spent three weeks in the NICU is evaluated by an occupational therapist. The baby is positioned vertically under the shoulders of the therapist. When she tilts the baby to the front, side, and back, the baby holds his head upright. Which healthy reaction is the baby showing?

Accepted Answer

Labyrinthine

Answer

The labyrinthine righting reaction is a primitive reflex that helps orient the head in space in response to changes in body position. When the baby is tilted, the inner ear (labyrinth) senses the change, and the baby's head rights itself to a vertical position. This reflex is crucial for developing head control and is typically present by 2-3 months and integrated by 6 months, making it appropriate for a 5-month-old.

Question 5

In a mental health placement, a supervisor requests her level II fieldwork student to use the Ecology of Human Performance (EHP) Model to frame a client case. Which type of intervention best fits this model?

Accepted Answer

Modify the social environment by limiting the size of groups

Answer

The Ecology of Human Performance (EHP) model emphasizes the dynamic relationship between the person, their context (environment), and the task. Interventions within EHP often focus on altering the context to support performance. Modifying the social environment by limiting group size is a direct application of the EHP model's 'alter' or 'adapt/modify' intervention strategies, aiming to create a more supportive context for the client's participation.

OT - Master of Occupational Therapy Practice Test

OT - Master of Occupational Therapy Practice Test

Free Master of Occupational Therapy General Questions and Answers