OT Master of Occupational Therapy MCQ 4 — Questions and Answers
Question 1: Which type of muscle contraction occurs when the muscle lengthens while producing force, such as when lowering a heavy object slowly?
- Isometric contraction
- Concentric contraction
- Eccentric contraction (Correct answer)
- Isokinetic contraction
Correct answer: Eccentric contraction
Eccentric contractions occur when a muscle produces force while lengthening, as in the controlled lowering of a weight.
Question 2: A pediatric OT is implementing sensory diet strategies. Which activity provides proprioceptive input that is typically calming and organizing?
- Spinning on a therapy swing
- Jumping on a trampoline
- Carrying a heavy backpack (Correct answer)
- Watching colorful moving objects
Correct answer: Carrying a heavy backpack
Heavy work activities like carrying a weighted backpack provide proprioceptive input to joints and muscles, which is generally organizing and calming for the nervous system.
Question 3: Which ethical principle requires an OT to tell a client truthfully about their prognosis, even if the news is difficult?
- Nonmaleficence
- Beneficence
- Veracity (Correct answer)
- Justice
Correct answer: Veracity
Veracity is the ethical obligation to provide accurate and honest information to clients, even when the truth is difficult to share.
Question 4: A client with lateral epicondylitis (tennis elbow) is being treated. Which activity modification is MOST appropriate to reduce tendon stress?
- Increase grip force during tasks
- Avoid wrist extension against resistance and use a larger grip diameter (Correct answer)
- Perform repetitive wrist flexion exercises
- Strengthen finger extensors only
Correct answer: Avoid wrist extension against resistance and use a larger grip diameter
Reducing wrist extension under load and enlarging grip diameter decreases mechanical stress on the common extensor tendon at the lateral epicondyle.
Question 5: In the OT practice framework (OTPF), 'habits' are classified under which aspect of the domain?
- Performance skills
- Occupations
- Performance patterns (Correct answer)
- Client factors
Correct answer: Performance patterns
Habits, along with routines, rituals, and roles, are classified as performance patterns in the OTPF, reflecting automatic behaviors that support or interfere with function.
Question 6: A burn patient is in the remodeling phase of wound healing. The OT's PRIORITY during this phase is to:
- Protect the wound from infection
- Begin passive range of motion only
- Apply compressive garments and stretching to minimize hypertrophic scarring (Correct answer)
- Debride necrotic tissue
Correct answer: Apply compressive garments and stretching to minimize hypertrophic scarring
During the remodeling phase, compressive garments and stretching exercises are used to align collagen fibers and reduce hypertrophic scar formation.
Question 7: Which type of aphasia is characterized by fluent speech with paraphasias, poor auditory comprehension, and poor repetition?
- Broca's aphasia
- Global aphasia
- Wernicke's aphasia (Correct answer)
- Conduction aphasia
Correct answer: Wernicke's aphasia
Wernicke's aphasia presents with fluent but meaningless speech (jargon/paraphasias), severely impaired comprehension, and poor repetition.
Which type of muscle contraction occurs when the muscle lengthens while producing force, such as when lowering a heavy object slowly?