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NBCOT OT Exam Domain Knowledge Flashcards

7 cards from real OT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 NBCOT OT Exam Domain Knowledge flashcards as text

  1. A 72-year-old man with right hemiplegia following a stroke is referred for OT evaluation. The occupational therapist administers the Functional Independence Measure (FIM). Which domain does the FIM primarily assess?

    Answer: Motor and cognitive functional independence in daily activities

    The FIM assesses 18 items across motor (13) and cognitive (5) domains to measure the level of assistance required for daily activities.

  2. During evaluation of a 5-year-old child with sensory processing disorder, the OT notices the child is hypersensitive to light touch but seeks out deep pressure. Using Ayres' Sensory Integration framework, this pattern most likely indicates:

    Answer: Sensory modulation dysfunction with tactile defensiveness and proprioceptive seeking

    Tactile hypersensitivity (defensiveness) combined with proprioceptive seeking is a classic sensory modulation dysfunction pattern in Ayres' SI framework.

  3. An OT is reviewing the Occupational Therapy Practice Framework (OTPF-4) to guide evaluation of a 45-year-old woman with multiple sclerosis. Which of the following best describes an 'occupation' as defined by OTPF-4?

    Answer: Activities that have personal meaning and purpose and support participation in life

    OTPF-4 defines occupations as activities with personal meaning and purpose that support participation in everyday life — the core domain of OT practice.

  4. An OT administers the Mini-Mental State Examination (MMSE) to an 80-year-old woman and obtains a score of 20/30. Based on this result, which area of performance is MOST likely to be impaired and should guide OT intervention planning?

    Answer: Higher-level IADLs such as medication management and financial tasks

    An MMSE score of 20–23 suggests mild cognitive impairment, which most directly impacts complex IADLs requiring intact executive function and memory.

  5. A 35-year-old construction worker is recovering from a traumatic brain injury (TBI) and reports difficulty returning to work. The OT uses the Model of Human Occupation (MOHO) to guide evaluation. Which MOHO concept BEST explains why the worker's strong prior work identity is an asset in rehabilitation?

    Answer: Occupational identity, which motivates engagement and goal-directed behavior

    MOHO's occupational identity represents one's cumulative sense of who one is as an occupational being, providing motivational drive for rehabilitation.

  6. An OT is performing a standardized upper extremity assessment on a patient with carpal tunnel syndrome. Which assessment tool is MOST appropriate for measuring functional grip and pinch strength?

    Answer: Jamar dynamometer for grip strength and pinch gauge for lateral, tip, and palmar pinch

    The Jamar dynamometer (grip) and pinch gauge (three types of pinch) are the gold-standard objective tools for measuring hand strength in conditions like CTS.

  7. A 68-year-old woman with Parkinson's disease is experiencing difficulty with meal preparation. The OT observes bradykinesia, rigidity, and postural instability during the kitchen evaluation. Which adaptive strategy would be MOST beneficial for improving her safety and independence?

    Answer: Use of weighted utensils, non-slip mats, loop scissors, and a high stool at the counter

    Adaptive equipment (weighted utensils for tremor, non-slip mats, loop scissors for weak grip, high stool for fatigue/instability) directly compensates for PD motor symptoms during meal prep.