OTA Pediatric OT 2

Question 1

A 4-year-old with sensory processing disorder avoids touching messy materials. Which intervention approach is MOST appropriate to begin desensitization?

Accepted Answer

Use a sensory diet with gradual exposure starting with dry textures

Answer

A sensory diet with gradual exposure from less aversive (dry) to more aversive (wet/messy) textures is the evidence-based approach for tactile defensiveness.

Question 2

Which standardized assessment is MOST commonly used to evaluate sensory processing patterns in school-age children?

Accepted Answer

Sensory Profile 2

Answer

The Sensory Profile 2 is a caregiver questionnaire specifically designed to measure sensory processing patterns in children ages birth through 14 years.

Question 3

A 7-year-old with autism spectrum disorder (ASD) has difficulty with transitions between activities. Which OTA strategy is MOST effective?

Accepted Answer

Use visual schedules and provide advance warnings before transitions

Answer

Visual schedules combined with advance warnings (e.g., '5 more minutes') help children with ASD predict and prepare for transitions, reducing anxiety.

Question 4

During a feeding evaluation, a 9-month-old demonstrates tongue thrusting with every spoon presentation. This pattern is BEST described as:

Accepted Answer

An abnormal oral motor pattern requiring intervention

Answer

Tongue thrusting that persists beyond 4–6 months when solids are introduced is abnormal and indicates immature oral motor patterns requiring intervention.

Question 5

An OTA is working with a 5-year-old who has difficulty with bilateral coordination. Which activity BEST addresses this skill?

Accepted Answer

Cutting paper with scissors while stabilizing the paper with the other hand

Answer

Cutting with scissors while stabilizing paper requires simultaneous, coordinated use of both hands, directly targeting bilateral coordination.

Occupational Therapy Assistant Test Practice Test

Occupational Therapy Assistant Test Practice Test

OTA Pediatric OT 2