OT Master of Occupational Therapy MCQ 2 — Questions and Answers
Question 1: Which frame of reference emphasizes the role of sensory processing in occupational performance and is commonly used with children who have sensory integration difficulties?
- Biomechanical frame of reference
- Sensory integration frame of reference (Correct answer)
- Cognitive behavioral frame of reference
- Model of Human Occupation
Correct answer: Sensory integration frame of reference
The sensory integration frame of reference, developed by A. Jean Ayres, addresses how the brain processes sensory input and its impact on function and behavior.
Question 2: A client with a C6 spinal cord injury wants to feed themselves independently. Which adaptive equipment would be MOST appropriate?
- Universal cuff with spoon (Correct answer)
- Plate guard only
- Long-handled utensils
- Rocker knife
Correct answer: Universal cuff with spoon
A universal cuff holds utensils for clients with C6 injuries who lack grip but have wrist extension, enabling independent feeding.
Question 3: When performing a home assessment for fall prevention in an older adult, which environmental modification is considered HIGHEST priority?
- Installing brighter light bulbs
- Removing throw rugs (Correct answer)
- Adding a stair lift
- Placing a bath chair in the shower
Correct answer: Removing throw rugs
Removing throw rugs eliminates a leading trip hazard and is a low-cost, high-impact intervention for fall prevention.
Question 4: Which standardized assessment measures a child's self-care, mobility, and social function using a caregiver report format?
- Peabody Developmental Motor Scales
- Pediatric Evaluation of Disability Inventory (PEDI) (Correct answer)
- Bayley Scales of Infant Development
- Bruininks-Oseretsky Test of Motor Proficiency
Correct answer: Pediatric Evaluation of Disability Inventory (PEDI)
The PEDI uses caregiver questionnaire and clinical observation to measure functional capabilities in children aged 6 months to 7.5 years.
Question 5: An OT is working with a client who has right hemisphere stroke. Which deficit is the client MOST likely to exhibit?
- Aphasia
- Unilateral neglect of the left side (Correct answer)
- Ideational apraxia
- Broca's aphasia
Correct answer: Unilateral neglect of the left side
Right hemisphere strokes commonly cause left-sided unilateral neglect, where the client fails to attend to stimuli on the left side of space.
Question 6: Which principle of motor learning suggests that practice should vary across multiple contexts to promote skill generalization?
- Blocked practice
- Massed practice
- Variable practice (Correct answer)
- Distributed practice
Correct answer: Variable practice
Variable practice exposes clients to changing conditions, which promotes flexible skill retention and transfer to real-world environments.
Question 7: A client with moderate dementia is unable to initiate dressing. Which OT strategy is MOST appropriate?
- Provide full physical assistance and complete dressing for the client
- Use hand-over-hand guidance and verbal cues in a consistent routine (Correct answer)
- Provide written step-by-step instructions
- Encourage the client to problem-solve independently
Correct answer: Use hand-over-hand guidance and verbal cues in a consistent routine
Hand-over-hand guidance with verbal cues and consistent routine supports procedural memory and promotes remaining independence in clients with dementia.
Which frame of reference emphasizes the role of sensory processing in occupational performance and is commonly used with children who have sensory integration difficulties?