OT Pediatric Occupational Therapy 2

Question 1

Which play assessment evaluates the child's internal motivation and degree of playfulness rather than skill level?

Accepted Answer

Test of Playfulness (ToP)

Answer

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:

Accepted Answer

Buttoning affects independence in self-care during school transitions

Answer

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?

Accepted Answer

Asymmetrical Tonic Neck Reflex (ATNR)

Answer

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?

Accepted Answer

Pelvis and trunk stabilization with proper hip angle

Answer

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:

Accepted Answer

Performance is below average and warrants further evaluation

Answer

Scores below the 16th percentile on BOT-2 indicate below-average motor performance warranting further clinical evaluation.

OT - Master of Occupational Therapy Practice Test