OTA Pediatric OT 4

Question 1

A school-based OTA is asked to address handwriting with a 2nd grader. Which handwriting program is evidence-based and commonly used by OTAs?

Accepted Answer

Handwriting Without Tears (HWT)

Answer

The Orton-Gillingham Method

Answer

Applied Behavioral Analysis (ABA)

Answer

Social Thinking Curriculum

Question 2

An OTA notices a child consistently reverses letters 'b' and 'd' when writing. At what age does letter reversal typically become a concern?

Accepted Answer

Age 7–8

Answer

Age 5

Answer

Age 6

Answer

Age 10

Question 3

Which frame of reference guides sensory integration therapy in pediatric OT practice?

Accepted Answer

Ayres Sensory Integration (ASI) frame of reference

Answer

Biomechanical frame of reference

Answer

Model of Human Occupation (MOHO)

Answer

Cognitive-behavioral frame of reference

Question 4

A 6-year-old with developmental coordination disorder (DCD) struggles with buttoning shirts. Which approach is MOST appropriate initially?

Accepted Answer

Provide adaptive equipment like button hooks and practice with large buttons first

Answer

Teach the child to avoid clothing with buttons permanently

Answer

Refer immediately to physical therapy instead

Answer

Have the parent complete buttoning for the child indefinitely

Question 5

An OTA observes a child with Down syndrome during a feeding session. Which oral motor characteristic is MOST common in this population?

Accepted Answer

Low muscle tone affecting tongue control and jaw stability

Answer

Hypersensitive gag reflex with refusal of all textures

Answer

Premature loss of primary teeth affecting chewing

Answer

Hyperactive bite reflex persisting into school age

Question 6

During visual-motor integration assessment, a child scores significantly below average. Which standardized tool was MOST likely used?

Accepted Answer

Beery-Buktenica Developmental Test of Visual-Motor Integration (Beery VMI)

Answer

Sensory Profile 2

Answer

Pediatric Evaluation of Disability Inventory (PEDI)

Answer

Denver Developmental Screening Test

Question 7

A child with spina bifida (myelomeningocele at L3–L4) receives school-based OT. Which area is MOST important for the OTA to address?

Accepted Answer

Upper extremity function for self-care and academic tasks

Answer

Ambulation and gait training

Answer

Auditory processing for classroom learning

Answer

Speech and language development