OTA Neurological Rehabilitation

Question 1

A client with left hemisphere stroke demonstrates difficulty understanding spoken language but can speak fluently with jargon. Which type of aphasia is this?

Accepted Answer

Wernicke's aphasia

Answer

Wernicke's aphasia results from damage to the left posterior temporal lobe, causing fluent but meaningless speech and impaired comprehension.

Question 2

When positioning a client with hemiplegia in supine, the OTA should place the affected upper extremity in which position to prevent contracture?

Accepted Answer

Shoulder abduction, elbow extension, wrist neutral

Answer

The affected arm should be positioned in shoulder abduction, elbow extension, and wrist neutral to counteract the typical spastic pattern and prevent contractures.

Question 3

Which standardized assessment tool is most appropriate for measuring functional independence in a client following traumatic brain injury (TBI)?

Accepted Answer

Functional Independence Measure (FIM)

Answer

The FIM measures independence in ADLs and cognition across 18 items, making it the standard tool for tracking functional recovery after TBI.

Question 4

A client with Parkinson's disease is having difficulty initiating gait. Which compensatory strategy is MOST effective for improving gait initiation?

Accepted Answer

Visual cues such as floor tape lines

Answer

Visual cues such as floor tape lines help bypass the basal ganglia dysfunction in Parkinson's disease and trigger gait initiation through an alternate neural pathway.

Question 5

A client with C6 spinal cord injury (SCI) retains which key function that is important for occupational therapy interventions?

Accepted Answer

Active wrist extension

Answer

Individuals with C6 SCI retain active wrist extension (extensor carpi radialis), which enables tenodesis grasp and supports many adaptive functional tasks.

Occupational Therapy Assistant Test Practice Test

Occupational Therapy Assistant Test Practice Test

OTA Neurological Rehabilitation