OT Pediatric Occupational Therapy 3 — Questions and Answers
Question 1: Early intervention services under IDEA Part C are designed for children aged:
- Birth to 3 years (Correct answer)
- 3 to 5 years
- 5 to 21 years
- Birth to 5 years
Correct answer: Birth to 3 years
IDEA Part C covers early intervention services for infants and toddlers from birth through 36 months (3 years).
Question 2: A 3-year-old child is being evaluated for fine motor delays. Which assessment is MOST appropriate?
- Peabody Developmental Motor Scales-2 (PDMS-2) (Correct answer)
- FIM (Functional Independence Measure)
- AMPS (Assessment of Motor and Process Skills)
- COPM (Canadian Occupational Performance Measure)
Correct answer: Peabody Developmental Motor Scales-2 (PDMS-2)
PDMS-2 is a norm-referenced tool standardized for children from birth through 5 years assessing gross and fine motor skills.
Question 3: Which approach emphasizes modifying the task or environment rather than remediating the child's underlying impairment?
- Top-down compensatory approach (Correct answer)
- Bottom-up remediation approach
- Neurodevelopmental treatment
- Sensory integration therapy
Correct answer: Top-down compensatory approach
The top-down compensatory approach modifies tasks, tools, or environments to enable function without fixing the underlying impairment.
Question 4: A child with ADHD struggles with transitions in the classroom. Which OT strategy is MOST effective?
- Visual schedules and advance warning of transitions (Correct answer)
- Removing all stimulating classroom decorations
- Increasing sit-down seatwork to improve attention
- Reward systems for ignoring transition difficulties
Correct answer: Visual schedules and advance warning of transitions
Visual schedules and advance warnings prepare the child with ADHD for upcoming transitions, reducing anxiety and behavioral dysregulation.
Question 5: The SIPT (Sensory Integration and Praxis Tests) primarily assesses:
- Sensory processing and praxis abilities in children ages 4-8 (Correct answer)
- Reading readiness and phonological awareness
- Gross motor coordination in preschoolers
- Social-emotional development in toddlers
Correct answer: Sensory processing and praxis abilities in children ages 4-8
The SIPT evaluates sensory integration and praxis in children ages 4 to 8 years 11 months to identify processing deficits.
Question 6: A child with a brachial plexus birth injury (Erb's palsy) presents with a 'waiter's tip' posture. OT intervention should FIRST focus on:
- Passive range of motion and positioning to prevent contracture (Correct answer)
- Strengthening shoulder abductors with resistive exercise
- Scar management and compression garments
- Splinting in shoulder adduction
Correct answer: Passive range of motion and positioning to prevent contracture
Early OT for Erb's palsy prioritizes passive ROM and positioning to prevent contracture of shoulder internal rotators and elbow flexors.
OT Pediatric Occupational Therapy 3
Early intervention services under IDEA Part C are designed for children aged: