COTA EXam Prep: purple book | 120
questions with 100% Correct Answers |
Updated 2024 | Guaranteed A+
An individual demonstrates the ability to pick up a penny from a flat surface. this
represents which of the following prehension patterns?
a. lateral
b. palmar
c. tip
d. three-jaw chuck ✔✔c. Tip
Tip prehension is accomplished by flexing the IP joint of the thumb, and the PIP and DIP joints
of the finger, and bringing the tips of the thumb and finger together. This type of prehension is
used to pick up objects such as a pin, nail, or coin. Lateral prehension (answer A) is formed by
positioning the pad of the thumb against the radial side of the finger. This prehension pattern
is used for holding a pen, utensil or key. Palmar prehension (answer b), also known as three-
jaw chuck (answer d), is formed by positioning the thumb in opposition to the tips of the index
and middle fingers, forming a pad-to-pad opposition. This form of prehension is commonly
used to lift objects from a flat surface and to tie a shoelace.
When conducting a structured interview, it is MOST important for the OT practitioner to:
a. rephrase the interview questions in his or her own words.
b. ask questions that he or she thinks are pertinent to this patient.
c. ask the question as they are stated on the interview sheet.
,d. ask additional questions(other than those listed) to gain further insight into the patient.
✔✔c. ask the questions as they are stated on the interview sheet.
A structured interview requires following the procedure, order, and wording of the questions
to be asked, Answers a, b, and d are appropriate for semistructured interviews .
A 3 y/o child demonstrates the ability to use the toilet independently except for wiping and
readjusting clothing afterward. This behavior indicates the child is performing at which of the
following levels?
a. significantly below age level
b. slightly below age level
c. at age level
d. above age level ✔✔c. at age level
At 3 y/o age a child is expected to know when her or she has t use the toilet and be able to get
on and off the toilet. 3 y/o children may need assistance to cleanse themselves effectively and
to manage fasteners or difficult clothing. Complete independence in using the toilet (answer d)
is usually achieved by the age of 4 to 5 y/o. By the age of 2 (answer b), most children have
daytime control over elimination with occasional accidents, so thy still need to be reminded to
go to the toilet. One y/o infants (answer a) indicate discomfort when wet or soiled.
The COTA is observing dressing skills in an individual with COPD. While putting on his shirt, the
individual becomes short of breath and stops to rest before finishing with that shirt and going
on to his trousers. This behavior MOST likely indicates a deficit in:
a. postural control
b. muscle tone
,c. strength
d. endurance ✔✔d. endurance
A deficit in endurance is demonstrated by the individual's inability to sustain cardiac
pulmonary, and musculoskeletal exertion for the duration of the activity. Answer a a deficit
in postural control, would be correct if the client had been unable to maintain his balance
while putting on the shirt. A deficit in muscle tone (answer b) would have been evident if the
client had demonstrated spasticity while putting on the shirt. Inability to push his arm
through the resistance of the shirt sleeve would demonstrate a deficit in strength (answer c).
An individual with the goal of increasing attention span is frequently observed watching the
person next to her instead of performing her assigned task, This behavior MOST likely
indicates a problem with:
a. memory.
b. spatial operations.
c. generalization of learning.
d. distractibility. ✔✔d. distractibility
Distractibility involves losing ones focus because of other stimuli. Memory (answer a) is the
ability to recall knowledge and past events. Problems with spatial operations (answer b) are
generally observed when individuals attempt to fit objects into specific spaces. Generalization
of learning (answer c) may be observed by asking the client to use existing knowledge in a new
situation.
In screening a child who has been referred to OT, the PRIMARY goal of the OT practitioner is to:
a. obtain necessary information for an occupational therapy consultation with teachers or
parents.
, b. test a wide variety of developmental behaviors
c. establish and information base for the occupational therapy treatment plan.
d. determine the need for further evaluation. ✔✔d. determine the need for further evaluation.
The purpose of screening is to determine whether further assessments are needed and if so
which tests would be appropriate for the child a screening test is not designed for planning
programs (answer c) or consultation (answer a) and they do not test any skills (answer b) in a
comprehensive way.
A COTA is working with and individual who is unable to name or demonstrate the use
of common household objects. This behavior MOST likely indicates:
a. apraxia
b. stereognosis
c. visual agnosia
d. alexia ✔✔c. visual agnosia
Visual agnosia is the inability to recognize common objects and demonstrate their use in an
activity. Apraxia (answer a) is the inability to perform purposeful movement on command. A
person with alexia (answer d) is unable to understand written language. Stereognosis (answer b)
is the ability to identify an object by manipulating it with the fingers without seeing it.
When reporting data collected to the OTR, it is MOST important for the COTA to:
a. observe everything the patient said and did during the interview and provide extensive
notes for the OTR to read.
b. provide the OTR with a comprehensive treatment plan based on the results of
the evaluation.
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