OTR Therapeutic Interventions & Techniques 5

Question 1

Which feeding intervention strategy is recommended for a patient with dysphagia and reduced pharyngeal peristalsis?

Accepted Answer

Multiple swallows per bolus and effortful swallow technique

Answer

The effortful swallow and multiple swallows per bolus increase pharyngeal pressure and help clear residue when peristalsis is weak.

Question 2

A home modification assessment for an older adult focuses on fall prevention. Which change has the STRONGEST evidence for reducing fall risk?

Accepted Answer

Removing hazards (loose rugs, clutter) and installing grab bars in the bathroom

Answer

Hazard removal combined with targeted grab bar installation in high-risk areas like the bathroom has the strongest evidence for reducing falls at home.

Question 3

When using the Proprioceptive Neuromuscular Facilitation (PNF) hold-relax technique, what occurs during the 'relax' phase?

Accepted Answer

The patient passively allows the limb to be moved into greater range after the isometric contraction

Answer

After an isometric contraction of the tight muscle, autogenic inhibition allows passive movement into increased range during the relax phase.

Question 4

An OTR is treating a patient with burns to the hand. Which positioning principle is MOST important during the acute phase to prevent contracture?

Accepted Answer

Positioning in the antideformity (intrinsic-plus) position with wrist extension

Answer

The antideformity position (wrist extension, MCP flexion, IP extension, thumb abduction) counteracts the pull of scar contracture in hand burns.

Question 5

Which evidence-based practice supports the use of occupation-based interventions over rote exercise in OT?

Accepted Answer

Occupation adds meaning and purpose, which improves motivation, neuroplasticity, and skill transfer

Answer

Meaningful occupation activates motivation circuits and contextual learning, leading to better neuroplasticity and real-world skill transfer than rote exercise.

(OTR) Certified Occupational Therapist Registered Practice Test

(OTR) Certified Occupational Therapist Registered Practice Test

OTR Therapeutic Interventions & Techniques 5