OTR OTR Pediatric & Developmental Occupational Therapy

Question 1

A 4-year-old child is unable to copy a circle or cross. According to developmental norms, which statement BEST describes this finding?

Accepted Answer

Delayed — circle copying typically emerges by age 3 and cross by age 4

Answer

Copying a circle typically develops around age 3 and a cross around age 4, so a 4-year-old unable to do either demonstrates delayed fine motor development.

Question 2

Which sensory processing framework, developed by Winnie Dunn, describes four quadrant patterns based on neurological threshold and behavioral response?

Accepted Answer

Sensory Processing Model (Dunn)

Answer

Dunn's Sensory Processing Model categorizes sensory processing into four quadrants: Low Registration, Sensation Seeking, Sensory Sensitivity, and Sensation Avoiding, based on threshold and self-regulation.

Question 3

An OTR is working with a 7-year-old with autism spectrum disorder who has tactile defensiveness. Which therapeutic approach is MOST evidence-based for this presentation?

Accepted Answer

Wilbarger Deep Pressure and Proprioceptive Technique (DPPT) / brushing protocol

Answer

The Wilbarger DPPT (brushing protocol) uses deep pressure and joint compression to reduce tactile defensiveness and is widely used within a sensory integration framework.

Question 4

During handwriting evaluation, an OTR notices a child consistently inverts letters, reverses b/d, and uses an inconsistent grip. This most likely indicates the need to assess:

Accepted Answer

Visual-motor integration and lateral dominance establishment

Answer

Letter reversals and inconsistent grip may indicate delayed visual-motor integration or incomplete lateral dominance, both of which are assessed by the OTR in handwriting evaluations.

Question 5

Which feeding milestone should be established before introducing pureed solids to an infant?

Accepted Answer

Sitting with minimal support and head control

Answer

Head and trunk control sufficient to sit with minimal support is a prerequisite for safe introduction of pureed solids because it supports airway protection during swallowing.

(OTR) Certified Occupational Therapist Registered Practice Test

(OTR) Certified Occupational Therapist Registered Practice Test

OTR OTR Pediatric & Developmental Occupational Therapy