OT Master of Occupational Therapy MCQ 3 — Questions and Answers
Question 1: Which model emphasizes volition, habituation, and performance capacity as key components influencing occupational participation?
- Canadian Model of Occupational Performance
- Model of Human Occupation (MOHO) (Correct answer)
- Person-Environment-Occupation Model
- Ecology of Human Performance
Correct answer: Model of Human Occupation (MOHO)
MOHO, developed by Gary Kielhofner, conceptualizes occupation through volition (motivation), habituation (routines/roles), and performance capacity.
Question 2: When using a top-down assessment approach, the OT FIRST evaluates:
- Range of motion and muscle strength
- Cognitive and perceptual skills
- Occupational roles and participation (Correct answer)
- Neurological reflexes
Correct answer: Occupational roles and participation
A top-down approach begins by identifying the client's occupational roles and areas of participation before examining underlying performance components.
Question 3: Which splint position is MOST appropriate for a client with acute carpal tunnel syndrome?
- Wrist in 30° extension
- Wrist in neutral position (0°) (Correct answer)
- Wrist in 20° flexion
- Wrist in 45° extension
Correct answer: Wrist in neutral position (0°)
A neutral wrist splint minimizes carpal tunnel pressure and is the evidence-based position for conservative management of carpal tunnel syndrome.
Question 4: A client with schizophrenia has difficulty engaging in group activities due to disorganized thinking. Which OT group approach is MOST appropriate?
- Projective group with abstract art tasks
- Task-oriented group with structured, concrete activities (Correct answer)
- Verbal psychotherapy group
- Insight-oriented group
Correct answer: Task-oriented group with structured, concrete activities
Task-oriented groups with structured, concrete, and simple activities reduce cognitive demands and promote successful participation for clients with disorganized thinking.
Question 5: Under IDEA (Individuals with Disabilities Education Act), OT services for school-age children must be documented in which plan?
- 504 Plan
- Individualized Education Program (IEP) (Correct answer)
- Individual Family Service Plan (IFSP)
- Transition Plan only
Correct answer: Individualized Education Program (IEP)
OT services for school-age children under IDEA are documented in the IEP, which outlines educational goals and related services.
Question 6: Which muscle group must be STRONGEST for a person with C5 tetraplegia to perform a pressure relief using a wheelchair push-up?
- Finger flexors
- Wrist extensors
- Shoulder depressors (triceps and latissimus dorsi) (Correct answer)
- Elbow flexors
Correct answer: Shoulder depressors (triceps and latissimus dorsi)
Shoulder depressors, including triceps and latissimus dorsi, are required to lift the body off the seat during a wheelchair push-up pressure relief.
Question 7: A therapist uses the Canadian Occupational Performance Measure (COPM). The primary purpose of this assessment is to:
- Measure standardized functional independence scores
- Identify the client's self-perceived occupational performance priorities (Correct answer)
- Assess motor and process skills during task performance
- Screen for cognitive deficits affecting daily living
Correct answer: Identify the client's self-perceived occupational performance priorities
The COPM is a client-centered outcome measure that uses a semi-structured interview to identify the client's self-perceived priorities in occupational performance.
OT Master of Occupational Therapy MCQ 3
Which model emphasizes volition, habituation, and performance capacity as key components influencing occupational participation?