Occupational Therapist Test Occupational Therapist Test Neurological Rehabilitation 2 — Questions and Answers
Question 1: Which type of aphasia is characterized by fluent but meaningless speech with severely impaired auditory comprehension?
- Broca's aphasia
- Wernicke's aphasia (Correct answer)
- Global aphasia
- Conduction aphasia
Correct answer: Wernicke's aphasia
Wernicke's aphasia involves fluent, paraphasic speech with poor comprehension due to damage to Wernicke's area in the posterior superior temporal gyrus.
Question 2: A client with TBI demonstrates difficulty initiating tasks independently despite understanding what needs to be done. Which cognitive domain is most impaired?
- Declarative memory
- Executive function (Correct answer)
- Sustained attention
- Visuospatial perception
Correct answer: Executive function
Initiation is a component of executive function governed by the frontal lobes, which is commonly impaired following traumatic brain injury.
Question 3: The Rancho Los Amigos Levels of Cognitive Functioning Scale is used to classify:
- Spinal cord injury completeness
- Cognitive and behavioral recovery after TBI (Correct answer)
- Stroke severity at admission
- Parkinson's disease stage
Correct answer: Cognitive and behavioral recovery after TBI
The Rancho LOCF classifies TBI recovery from Level I (No Response) through Level VIII (Purposeful and Appropriate), guiding OT goal-setting.
Question 4: Which positioning strategy is most effective for preventing shoulder subluxation in a client with flaccid hemiplegia?
- Elevating the arm above 90° at all times
- Supporting the arm at all times with a sling or lap tray (Correct answer)
- Applying heat to facilitate muscle activation
- Initiating resistive shoulder exercises immediately
Correct answer: Supporting the arm at all times with a sling or lap tray
Proper arm support through a sling or wheelchair lap tray prevents downward displacement of the humeral head caused by gravity acting on flaccid musculature.
Question 5: Energy conservation techniques are central to OT intervention for Multiple Sclerosis primarily because:
- MS causes severe spasticity that limits endurance
- Fatigue is the most prevalent and disabling symptom of MS (Correct answer)
- MS patients have poor cardiovascular fitness
- High-intensity exercise worsens MS lesions
Correct answer: Fatigue is the most prevalent and disabling symptom of MS
Fatigue affects up to 90% of people with MS and is often the most disabling symptom, making energy conservation and activity pacing essential OT strategies.
Question 6: Which standardized assessment measures upper extremity motor recovery specifically in stroke patients across synergy patterns, coordination, and reflexes?
- Purdue Pegboard Test
- Fugl-Meyer Assessment (Correct answer)
- Box and Block Test
- Jebsen-Taylor Hand Function Test
Correct answer: Fugl-Meyer Assessment
The Fugl-Meyer Assessment is a performance-based, standardized measure of motor impairment severity in the upper and lower extremities after stroke.
Occupational Therapist Test Occupational Therapist Test Neurological Rehabilitation 2
Which type of aphasia is characterized by fluent but meaningless speech with severely impaired auditory comprehension?