Occupational Therapist Test Occupational Therapist Evaluation 4 — Questions and Answers
Question 1: When evaluating upper extremity spasticity using the Modified Ashworth Scale, a score of 2 indicates:
- No increase in muscle tone
- Marked increase in tone but limb easily flexed
- Considerable increase in tone, passive movement difficult (Correct answer)
- Affected part rigid in flexion or extension
Correct answer: Considerable increase in tone, passive movement difficult
A Modified Ashworth Scale score of 2 reflects a more marked increase in tone through most of the ROM, though passive movement remains possible.
Question 2: Which assessment would be most appropriate to evaluate executive function deficits in a client following a traumatic brain injury?
- Mini-Mental State Examination (MMSE)
- Executive Function Performance Test (EFPT) (Correct answer)
- Visual Analog Scale
- Motor-Free Visual Perception Test
Correct answer: Executive Function Performance Test (EFPT)
The EFPT directly assesses executive functions such as initiation, organization, and safety judgment during real daily tasks.
Question 3: An OT is evaluating a client's work capacity. Which component assesses the maximum weight a worker can safely lift from floor to waist?
- Job Demand Analysis
- Functional Capacity Evaluation (FCE) (Correct answer)
- Work Conditioning screening
- Ergonomic Risk Assessment
Correct answer: Functional Capacity Evaluation (FCE)
An FCE systematically measures a client's safe physical work capacity, including lifting tolerances for return-to-work decisions.
Question 4: When assessing a client's driving readiness after a neurological event, which domain is considered the MOST critical to evaluate?
- Visual acuity and visual-perceptual-motor skills (Correct answer)
- Fine motor dexterity of the hands only
- Lower extremity muscle strength only
- Cardiovascular endurance
Correct answer: Visual acuity and visual-perceptual-motor skills
Visual acuity, visual scanning, and perceptual-motor processing are the primary determinants of safe driving performance after neurological injury.
Question 5: A standardized assessment reveals a child has difficulty with figure-ground perception. Which ADL task would MOST likely be affected?
- Finding a shirt among other clothes in a drawer (Correct answer)
- Tying shoelaces
- Brushing teeth
- Pouring a glass of water
Correct answer: Finding a shirt among other clothes in a drawer
Figure-ground perception is required to visually distinguish a target item from a busy background, as when locating clothing in a cluttered drawer.
Question 6: During an evaluation, an OT notices the client demonstrates ideomotor apraxia. Which observation BEST supports this finding?
- Client cannot recognize familiar objects
- Client cannot imitate gestures or use tools correctly despite intact motor and sensory function (Correct answer)
- Client has significant muscle weakness bilaterally
- Client cannot sequence multi-step tasks
Correct answer: Client cannot imitate gestures or use tools correctly despite intact motor and sensory function
Ideomotor apraxia is characterized by an inability to perform learned gestures or tool use on command, even though the client has no motor or sensory deficits.
Question 7: The Kohlman Evaluation of Living Skills (KELS) is best suited for evaluating which client population?
- Children with autism spectrum disorder
- Adults with psychiatric disabilities and functional independence concerns (Correct answer)
- Athletes recovering from sports injuries
- Elderly clients with terminal illness
Correct answer: Adults with psychiatric disabilities and functional independence concerns
The KELS assesses community living skills in adults with psychiatric conditions to determine the level of care and support needed.
Occupational Therapist Test Occupational Therapist Evaluation 4
When evaluating upper extremity spasticity using the Modified Ashworth Scale, a score of 2 indicates: