NBCOT study review Questions and Solutions
The Cota was treating a patient who is in a wheelchair. After the treatment session the Cota has transferred the patient back to his wheelchair and noticed the patient leaning forward to far in the seat. What dies this indicate?
armrests are too low
...
NBCOT study review Questions and
Solutions
The Cota was treating a patient who is in a wheelchair. After the treatment session the
Cota has transferred the patient back to his wheelchair and noticed the patient leaning
forward to far in the seat. What dies this indicate? - answer armrests are too low
Which of the following would be appropriate treatment activities for a patient with a FCR
MMT grade of 3+? - answer have the patient pick up cones against gravity
A Cota is treating a pediatric patient 6 to 7 months old. The Cota is working on his FM
skills and self- feeding goals. What treatment activities would be appropriate for this
patient? - answer pick up Cheerios from table and place in mouth
An OTR is treating a patient with a c4 SCI. The OTR asked you to provide the patient
with some adaptive equipment to help increase his function. what equipement may you
choose? - answer long straw with a straw holder
The Cota is reading the refferal from the physician regarding a patient with a flexor
tendon repair. The physician states he wants to use the Kleinert protocol for flexor
tendon repair. which ROM exercise would by appropriate to have the patient perform at
0-4 weeks postop? - answer Passive flexion and active extension exercises within
the confines of the splint
A Cota is treating a pediatric patient who is using the palmer grasp. The patient is
holding toys in her palm with fingers on top of the toy and thumb adducted. What age is
this grasp typically present? - answer 5 months
A patient is admitted to a skilled nursing facility with congestive heart failure (CHF).
What symptoms will he display? - answer Unable to perform any physical activities
without experiencing symptoms and often has symptoms at rest.
A TBI patient is ready for discharge as determined by the OTR. THe patient is going
home to live with his sister, brother-in-law, and their three small children. The patient
has been given an HEP for home follow-through with his therapy program and will be
returning to the facility on an outpatient basis. The patient and his sisters family are
coming to the last therapy visit to review the HEP for home and how the family can
safely prepare their home. The COTA's emphasis on this visit should be: - answer
Communicate to the patient and the patients family the discharge plans, review the HEP
provided, and instruct them on how to modify their home for a safe transition home.
,Which one of the following describes central cord syndrome? - answer Often results
from hyperextension injuries and a patient will have more upper extremity injuries the
lower extremity.
A cota is treating a patient with a diagnosis of graphestesia. which one of the following
behaviors would not be observed? - answer Inability to identify body parts
The Cota is treating a child to work on her pre-writing skills. The child holds the pencil
with a fisted hand in a power-like grasp. The pencil is located on the ulnar side of the
hand and writes on the paper as the arm and hand move around in a unit. The child is 1
1/2 years old. The grasp the child is using is? - answer palmer- supinated grasp
A patient enters the rehab facility with a diagnosis of a total hip transplant 1 week
postop. All of the following are precautions of this diagnosis except for: - answer no
extension
The same patient with the FCR tendonitis diagnosis has now been treated in the clinic
for 4 weeks. His muscle grade has now increased to Fair plus. The patient can now
partially move through complete ROM against gravity with slight resistance. What MMT
grade would you record in the chart? - answer grade 3+
A patient comes in with a radial nerve injury. He has lost function of his ECRL/ECRB
and EDC muscles. He is unable to move his wrist and digits. He is currently wearing a
wrist and finger extension splint for increase function until these muscles regenerate.
What muscle grade may he have? - answer grade 0
The Cota is observing a patient in a clinic with a spinal cord injury. The patient is seen
using a dorsal wrist splint with universal cuff, Dycem to stabilize his plate, and a long
straw with a straw holder. which level SC may this patient be? - answer C5
The Cota is observing a patient in the clinic with a spinal cord injury. The patient is able
to complete tasks that involve elbow extension, active finger extension using the
tendosis grasp, and wrist flexion. what level of spinal cord injury does this patient have?
- answer C7
which one of the following is not an example of interview style assessments? - answer
Allen Cognitive screen
Which of the following assessment may be used for a sensory integration patient? -
answer Schroeder-Block-Campbell
The COTA has observed a patient complete some basic ADL activities in the clinic. The
Cota has determined that the patient has perception deficits. What are some behaviors
the Cota might have seen? - answer Patient is creating a disorganized space when
trying to complete the task, has difficulty scanning the activity needed to complete, and
is often acting impulsively
,A patient has suffered third-degree burns on over 80% of their right hand. The OTR has
already completed the evaluation and fabricated the splint. what position will their right
anti-deformity splint be in? - answer wrist 30-45 degrees of extension/ MP flexed to
70 degrees all digits/ and thumb with IP extended and abducted.
A patient comes into the facility wearing a hand-based thumb spica splint. The chart
reports no lateral deviation allowed at the MCP joint. What might the patient diagnosis
be? - answer Ulnar collateral ligament repair
which one is a characteristic of the symmetric tonic reflex? - answer Flexion of hips
and knees
A patient comes in after a stroke. The Cota has read the diagnosis of the stroke is left
CVA . the patient has all the following behaviors except: - answer The patient takes
the initiative to start a new treatment activity without prodding.
A Cota is treating a patient with a stroke and the patient is at stage 6 on the
Brunnstroms stages of motor recovery. After 6 treatment sessions with the patient, the
Cota observes that the patient is now able to complete the treatment activities in the
clinic without difficulty and reports to the cota that he is independent at home with all his
ADLs/IADLs. He has no evidence of functional impairments at this time and activities
are at a prestroke level. The Cota s next step should be: - answer report to the OTR
the patients new status and change on symptoms and collaborate with the OTR on the
next steps in the treatment process for the patient.
The COTA is treating a cardiac rehab patient with a 5-6 MET level. What activities are
most appropriate for a patient with this level? - answer Digging in the garden,
walking 4mph,cycling 10mph, and canoeing 4 mph.
The COTA is treating a patient with a SCI. All of the following are precautions and
contraindications associated with this diagnosis except for: - answer Rheumatoid
arthritis
The Cota is treating a child who has a sensitivity to sound and is easily distracted by
auditory stimulation. All of the following are appropriate treatment activititys/
environmental modifactions except for: - answer In the classroom, place the child
near the auditory source so he can get used to the sound
Which of the following is not an appropriate treatment activity for a patient who is tactile
defensive? - answer 9- hole peg test for FM dexterity
A COTA is treating a child who is tactile defensive. What is the best way to approach
this child in a room? - answer from the front and apply a firm touch to his shoulder
, All the following are the purpose of a wrist cock-up splint except: - answer Aids with
claw deformity of the hand
When an assessment needs to be given to a patient , all of the following are the roles of
the COTA except for: - answer organizes, analyzes, and interprets the assessment
independent of the OTR
The cota is using Roods facilitation techniques who presents with faccidly post-CVA. All
the following are examples of facilitatory techniques to help this patient except for: -
answer slow stroking
The OTR is treating a patient using rood facilitation techniques. The patient has
hypertonicity. what treatment technique would best help this patient? - answer slow
rolling/rocking
A median nerve laceration can affect the patient upper extremities differently depending
on where the nerve is laceration. which one of the following would not be an appropriate
splint for a median nerve injury? - answer dorsal wrist splint in neutral
A physician has authorized the need for you to fabricate a serial splint to increase ROM
in a patients PIP flexion contracture of their middle finger. How would you explain to the
patient what this protocol involves? - answer Wearing a splint for a long period of
time while providing a small amount of tension to the joint and adjusting the splint as
tolerated to increase the patients mobility
A COTA is treating a patient who is not being cooperative during the treatment tasks.
The patient is continuously mimicking the COTAs movements and behaviors instead of
completing the task. What type of behavior is this patient exhibiting? - answer
Echoproxia
The Cota is treating a patient with an Allen Cognitive level of 3. Which one of the
following would not be an appropriate treatment technique? - answer Have the
patient organize different color blocks together by color
A patient needs a resting hand splint. All of the following are appropriate characteristics
of this splint except for: - answer used to increase mobility of the wrist and hand
A Cota is treating a patient with a MET level of 1.4-2. All of the following are appropriate
treatment activities except for: - answer Gentle Isometrics to the patient's UE
A Cota is treating a patient with contrast sensitivity deficits. what would be some
appropriate treatment techniques? - answer change color to increase contrast,
decrease patterns, and reduce clutter
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