OT NBCOT OT Exam Domain Knowledge

Question 1

A 72-year-old man with right hemiplegia following a stroke is referred for OT evaluation. The occupational therapist administers the Functional Independence Measure (FIM). Which domain does the FIM primarily assess?

Accepted Answer

Motor and cognitive functional independence in daily activities

Answer

The FIM assesses 18 items across motor (13) and cognitive (5) domains to measure the level of assistance required for daily activities.

Question 2

During evaluation of a 5-year-old child with sensory processing disorder, the OT notices the child is hypersensitive to light touch but seeks out deep pressure. Using Ayres' Sensory Integration framework, this pattern most likely indicates:

Accepted Answer

Sensory modulation dysfunction with tactile defensiveness and proprioceptive seeking

Answer

Tactile hypersensitivity (defensiveness) combined with proprioceptive seeking is a classic sensory modulation dysfunction pattern in Ayres' SI framework.

Question 3

An OT is reviewing the Occupational Therapy Practice Framework (OTPF-4) to guide evaluation of a 45-year-old woman with multiple sclerosis. Which of the following best describes an 'occupation' as defined by OTPF-4?

Accepted Answer

Activities that have personal meaning and purpose and support participation in life

Answer

OTPF-4 defines occupations as activities with personal meaning and purpose that support participation in everyday life — the core domain of OT practice.

Question 4

An OT administers the Mini-Mental State Examination (MMSE) to an 80-year-old woman and obtains a score of 20/30. Based on this result, which area of performance is MOST likely to be impaired and should guide OT intervention planning?

Accepted Answer

Higher-level IADLs such as medication management and financial tasks

Answer

An MMSE score of 20–23 suggests mild cognitive impairment, which most directly impacts complex IADLs requiring intact executive function and memory.

Question 5

A 35-year-old construction worker is recovering from a traumatic brain injury (TBI) and reports difficulty returning to work. The OT uses the Model of Human Occupation (MOHO) to guide evaluation. Which MOHO concept BEST explains why the worker's strong prior work identity is an asset in rehabilitation?

Accepted Answer

Occupational identity, which motivates engagement and goal-directed behavior

Answer

MOHO's occupational identity represents one's cumulative sense of who one is as an occupational being, providing motivational drive for rehabilitation.

OT - Master of Occupational Therapy Practice Test

OT - Master of Occupational Therapy Practice Test

OT NBCOT OT Exam Domain Knowledge