OT Pediatric Occupational Therapy 2 — Questions and Answers
Question 1: Which play assessment evaluates the child's internal motivation and degree of playfulness rather than skill level?
- Test of Playfulness (ToP) (Correct answer)
- Peabody Developmental Motor Scales
- Bayley Scales of Infant Development
- Hawaii Early Learning Profile (HELP)
Correct answer: Test of Playfulness (ToP)
The Test of Playfulness measures intrinsic motivation, internal control, and framing during play rather than developmental skill level.
Question 2: A school-based OT is working with a 7-year-old who cannot button a shirt. The MOST appropriate school-based justification for OT services is:
- Buttoning affects independence in self-care during school transitions (Correct answer)
- Buttoning is a home-based ADL outside OT's school scope
- Strengthening is needed before functional skills can be addressed
- The child needs occupational therapy only in a clinical setting
Correct answer: Buttoning affects independence in self-care during school transitions
School OT must justify services in terms of educational participation; self-care during school transitions is a valid educational need.
Question 3: Which reflex, if persistent beyond 6 months in infants, interferes with rolling and bilateral hand use?
- Asymmetrical Tonic Neck Reflex (ATNR) (Correct answer)
- Palmar grasp reflex
- Moro reflex
- Rooting reflex
Correct answer: Asymmetrical Tonic Neck Reflex (ATNR)
Persistent ATNR beyond 6 months prevents midline crossing and bilateral hand use, interfering with developmental milestones.
Question 4: An OT is treating a child with spastic diplegic cerebral palsy. Which seating modification is MOST important for improving upper extremity function?
- Pelvis and trunk stabilization with proper hip angle (Correct answer)
- Foot rests elevated to reduce hamstring pull
- Shoulder harness to prevent forward lean
- Headrest to support neck in neutral
Correct answer: Pelvis and trunk stabilization with proper hip angle
Proper pelvic and trunk stabilization provides the proximal stability that allows for improved distal upper extremity function.
Question 5: A child scores below the 16th percentile on the Bruininks-Oseretsky Test of Motor Proficiency (BOT-2). This indicates:
- Performance is below average and warrants further evaluation (Correct answer)
- Performance is within normal limits
- Eligibility for special education services is automatically established
- The child has a confirmed diagnosis of DCD
Correct answer: Performance is below average and warrants further evaluation
Scores below the 16th percentile on BOT-2 indicate below-average motor performance warranting further clinical evaluation.
Question 6: Which feeding intervention is evidence-based for children with autism who have severely restricted diets?
- Sequential Oral Sensory (SOS) Approach to Feeding (Correct answer)
- Forced exposure to new foods
- Elimination of all preferred foods first
- Applied behavior analysis punishment procedures
Correct answer: Sequential Oral Sensory (SOS) Approach to Feeding
The SOS Approach uses systematic, play-based food exploration to gradually expand food acceptance in children with feeding difficulties.
OT Pediatric Occupational Therapy 2
Which play assessment evaluates the child's internal motivation and degree of playfulness rather than skill level?