Occupational Therapist Test Pediatric OT 2

Question 1

A 3-year-old with autism spectrum disorder refuses to eat anything except crunchy foods and gags at soft textures. Which sensory processing pattern best describes this?

Accepted Answer

Sensory sensitivity (over-responsivity)

Answer

Over-responsivity (sensory sensitivity) causes exaggerated negative reactions to textures, consistent with gagging and extreme food selectivity.

Question 2

When conducting a school-based OT evaluation, which frame of reference most directly guides intervention targeting handwriting legibility in a 7-year-old?

Accepted Answer

Acquisitional/skill-based

Answer

The acquisitional frame of reference focuses on teaching specific skills through practice and reinforcement, directly targeting handwriting legibility.

Question 3

A pediatric OT is working with a 5-year-old who has difficulty sustaining attention during tabletop tasks. Which environmental modification is MOST appropriate as a first-line strategy?

Accepted Answer

Remove visual clutter and unnecessary materials from the workspace

Answer

Removing visual clutter reduces competing sensory input and helps children with attention difficulties focus on the task at hand.

Question 4

Which standardized assessment measures functional independence in self-care, mobility, and social cognition in children ages 6 months to 7 years?

Accepted Answer

Pediatric Evaluation of Disability Inventory (PEDI)

Answer

The PEDI measures functional capabilities and performance in self-care, mobility, and social function for children up to 7.5 years.

Question 5

A 4-year-old with Down syndrome demonstrates hypotonia affecting hand function. Which grasp pattern would you MOST likely observe as a compensatory strategy?

Accepted Answer

Lateral pinch substituting for tip pinch

Answer

Children with hypotonia often use lateral (key) pinch as compensation because it requires less intrinsic muscle strength than tip-to-tip pinch.

Occupational Therapist Test Practice Test

Occupational Therapist Test Practice Test

Occupational Therapist Test Pediatric OT 2