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

Handwriting Without Tears is a widely used, evidence-based handwriting curriculum developed by OT Jan Olsen that addresses letter formation and legibility.

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

Letter reversals are developmentally normal until ages 7–8; persistence beyond this age may indicate a learning disability or visual-perceptual difficulties warranting evaluation.

Question 3

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

Accepted Answer

Ayres Sensory Integration (ASI) frame of reference

Answer

The Ayres Sensory Integration frame of reference, developed by A. Jean Ayres, provides the theoretical foundation for sensory integration assessment and intervention.

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

Starting with large buttons and adaptive tools like button hooks provides initial success while building toward independent fastener management.

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

Hypotonia is the hallmark feature of Down syndrome and commonly affects oral motor structures, resulting in poor tongue control, jaw instability, and open-mouth posture.

Occupational Therapy Assistant Test Practice Test

Occupational Therapy Assistant Test Practice Test

OTA Pediatric OT 4