NBCOT Practice Quiz Questions

A. apraxia

Your patient is demonstrating an inability to carry out a movement even though her sensory system, muscles and coordination are intact. This would be defined as:
A. apraxia
B. tactile agnosia
C. prosopagnosia
D. figure ground

D. form constancy

A patient is unable to distinguish a form, shape, or object despite its location, position, color or size. This would be defined as:
A. depth perception
B. autotopagnosia
C. asterognosis
D. form constancy

D. Color Agnosia

A patient is having difficulty naming a specific color of various objects. This would be defined as:
A. autopagnosia
B. impersistance
C. astereohnosis
D. color agnosia

C. finger agnosia

A patient is demonstrating an inability to recognize which finger is being touched or used even though her sensory system is intact. This would be defined as:
A. limb agnosia
B. soatognosia
C. finger agnosia
D. extinction

C. topographical orientation

A patient is having difficulty determining current location, goal location, and problem solving to implement a navigation action. This would be defined as:
A. prosopagnosia
B. autopagnosia
C. topographical orientation
D. Visual Inattention

A. spatial relations

A patient is having difficulty with his perception of his self compared to objects in the environment. This would be defined as:
A. spatial relations
B. apraxia
C. simultanagnosia
D. motor perception

C. unilateral neglect

A patient is demonstrating impaired awareness of one side of his body. This would be defined as:
A. apraxia
B. impersistance
C. unilateral neglect
D. limb akinesia

C. depth perception

Your patient is demonstrating difficulty with judging distances during a driving task. This would be defined as:
A. spatial relations
B. apraxia
C. depth perception
D. soatognosia

D. figure ground

A patient is unable to recognize the foreground from the background based on differences in color, luminance, depth, texture and motion. This would be defined as:
A. extinction
B. spatial relations
C. topographical orientation
D. figure ground

D. hypokinesia

patient demonstrates delayed movement of her RUE. This would be defined as:
A. motor perseveration
B. spatial relations
C. impersistance
D. hypokinesia

D. NDT

his sensorimotor approach is based on normal development and movement:
A. Rood
B. Brunnstrom
C. PNF
D. NDT

A. Task-Oriented

Use of functional tasks as the focus of treatment, with special attention to personal and environmental factors that influence occupational performance, are a part of this client-centered treatment approach:
A. Task-Oriented
B. Rood
C. Brunnstrom
D. PNF

D. NDT

The primary objectives in this approach are to normalize muscle tone, inhibit primitive reflexes, and facilitate normal postural reactions.
A. PNF
B. Rood
C. Brunnstrom
D. NDT

B. PNF

The major emphasis in this approach is on developmental sequencing of movement between agonist and antagonist muscles:
A. Brunnstrom
B. PNF
C. Rood
D. Task-Oriented Approach

D. Rood

key component to this sensorimotor technique is the use of sensory stimulation, such as tapping or deep pressure, to evoke a motor response.
A. Brunstrom
B. NDT
C. PNF
D. Rood

C. Task-Oriented Approach

In this approach, you can provide manual guidance if necessary but allow some elements to vary so that the client can experiment with movement patterns, while the task can be modified initially for success.
A. PNF
B. Rood
C. Task-Oriented Approach
D. NDT

B. NDT

This approach uses handling techniques such as weight-bearing over the affected limb as well as positions that use both sides of the body.
A. PNF
B. NDT
C. Brunnstrom
D. Rood

D. Brunnstrom

Promoting movement from reflexive to volitional is the emphasis of this sensorimotor approach.
A. Task-Oriented Approach
B. Rood
C. NDT
D. Brunnstrom

D. Rood

This approach involves cephalocaudal and proximal?distal sequence to promote motor responses.
A. NDT
B. PNF
C. Brunnstrom
D. Rood

A. Deep Pressure Over Tendon Insertion

An example of a Rood technique that will decrease muscle tone.
A. Deep Pressure Over Tendon Insertion
B. Task oriented activity
C. Generating a reflexive movement
D. Volitional control technique

D. PNF

Asking a client to reach up and across the body to complete an ADL is an example of a treatment session from this sensorimotor approach.
A. NDT
B. Brunnstrom
C. Rood
D. PNF

A. Task oriented approach

This treatment principle structures practice of the task to promote motor learning.
A. Task oriented approach
B. Tapping over the muscle belly
C. PNF
D. Rood

B. Brunnstrom

The concepts of flexor synergy and extensor synergy belong to this approach.
A. Task-Oriented Approach
B. Brunnstrom
C. PNF
D. NDT

A. PNF

Tactile, auditory, and visual inputs are incorporated into treatment sessions using this approach.
A. PNF
B. NDT
C. Brunnstrom
D. Task-Oriented Approach

B. Tapping over the muscle belly

This is an example of a Rood technique that will increase muscle tone.
A. Diagonal movement patterns
B. Tapping over the muscle belly
C. Task oriented activiity
D. Deep pressure

B. Middle cerebral artery

Which artery is the largest branch of the internal carotid artery, responsible for contralateral hemiplegia and sensory loss (upper extremity involvement greater than lower extremity, face, and tongue), executive dysfunction, cognitive impairments, homony

D. All of the above

Which of the following therapeutic interventions represent consideration of ADLs and IADLs?
A. Standing at the sink to perform grooming
B. Visual perceptual training to locate clothing items in drawer or closet
C. Trialing use of a pillbox to address medi

D. All of the above

Which of the following therapeutic interventions represent motor control techniques in the context of IADLs?
A. Handling coins using in-hand manipulation
B. Using functional reach and gross grasp to open lever-handled doors
C. Incorporating gross grasp to

D. All of the above

Motor control techniques used to improve vision and perception and strengthen extraocular muscle strengthening may include the following:
A. Pen and cap exercises
B. Block string exercises
C. Intermittent partial occlusion
D. All of the above

A. Left CVA/Right Hemiplegia

Processing of verbal auditory information is a main sign or symptom of the following:
A. Left CVA/Right Hemiplegia
B. Right CVA/Left Hemiplegia

B. Right CVA/Left Hemiplegia

Homonymous Hemianopsia is a main sign or symptom of the following:
A. Left CVA/Right Hemiplegia
B. Right CVA/Left Hemiplegia

B. Right CVA/Left Hemiplegia

Emotional lability is a main sign or symptom of the following:
A. Left CVA/Right Hemiplegia
B. Right CVA/Left Hemiplegia

A. Left CVA/Right Hemiplegia

Wernicke is a main sign or symptom of the following:
A. Left CVA/Right Hemiplegia
B. Right CVA/Left Hemiplegia

B. Right CVA/Left Hemiplegia

Impaired movement of left side of body is a main sign or symptom of the following:
A. Left CVA/Right Hemiplegia
B. Right CVA/Left Hemiplegia

A. Left CVA/Right Hemiplegia

Impaired movement on right side of body is a main sign or symptom of the following:
A. Left CVA/Right Hemiplegia
B. Right CVA/Left Hemiplegia

B. aphasia

Which of the following is characterized as either expressive or receptive aphasic and refers to a diminished ability to verbally express or understand speech?
A. Subluxation
B. aphasia
C. dysgraphia
D. dysarthria

B. Fugl-Meyer Assessment of Motor Function

Which of the following assessments measure a person's ability to move in and out of synergistic gross and fine motor control patterns:
A. Arm Motor Ability Test
B. Fugl-Meyer Assessment of Motor Function
C. Jebsen Hand Function
D. Functional Reach Test

A. Glasgow Coma Scale

A patient presents with decreased consciousness at the scene of an accident. Which of the following assessments would be used:
A. Glasgow Coma Scale
B. Mini-Mental State Examination
C. Montreal Cognitive Assessment
D. Wolf Motor Function Test

C. Hemorrhagic

This type of stroke causes pooling of blood in the brain, interrupting normal blood flow:
A. Aortic
B. Ischemia
C. Hemorrhagic
D. None of the above

Level III

Ranchos Los Amigos - Localized response: Response directly related to types of stimuli, yet still inconsistent and delayed.

Level X

Ranchos Los Amigos - Purposeful-appropriate (mod I) responds adequately to multiple tasks, may need more breaks. Independently applies cognitive compensatory strategies and adjusts tasks as needed.
Level X

Level VIII

Ranchos Los Amigos - Purposeful-appropriate (with SBA) response adequate to familiar tasks, subtle impairments.

Level I

Ranchos Los Amigos - No response. Unresponsive to stimuli.

Level V

Ranchos Los Amigos - Confused-inappropriate: some response to simple commands, but confusion with more complex commands; high level of distractibility.

Level II

Ranchos Los Amigos - Generalized response: Nonspecific, inconsistent, and nonpurposeful reaction to stimuli.

Level VII

Ranchos Los Amigos - Automatic-appropriate: response robot like, judgment and problem-solving ability lacking.

Level VI

Ranchos Los Amigos - Confused-appropriate: response more goal directed but cues necessary.

Level IX

Ranchos Los Amigos - Purposeful-appropriate (with SBA) responds effectively to familiar situations, but generally needs cues to anticipate problems, low frustration tolerance.

Level IV

Ranchos Los Amigos - Confused - agitated: response heightened, severely confused, and may be bizarre.

D. occipital lobe

Blurred vision would indicate damage to which part of the brain?
A. frontal lobe
B. parietal lobe
C. temporal lobe
D. occipital lobe
E. cerebellum
F. brain stem

B. moderate

A score of 9 on the Glasgow Coma Scale would indicate what type of brain injury?
A. mild
B. moderate
C. severe

C. aphasia

Refers to a diminished ability to verbally express or understand speech
A. ataxia
B. apraxia
C. aphasia
D. perception

C. acceleration and deceleration

Coup-contrecoup injuries are the result of sudden:
A. acceleration
B. deceleration
C. acceleration and deceleration

B. as soon as possible

Family education begins at which stage with a TBI patient:
A. discharge
B. as soon as possible
C. after the patient is awake

A. AIS A Level

No motor or sensory function in preservation below the level of spinal injury:
A. AIS A Level
B. AIS C Level
C. AIS AD Level
D. AIS B Level

D. AIS C Level

Both motor and sensory are preserved below the level of injury. More than half of the key muscles below injury level present with a muscle grade less than 3/5 or fair muscle grade
A. AIS A Level
B. AIS B Level
C. AIS D Level
D. AIS C Level

C. paraplegia

Motor and/or sensory impairment of the lower extremities and/or trunk:
A. central cord syndrome
B. brown-sequard syndrome
C. paraplegia
D. tetraplegia

D. Central-cord syndrome

Greater weakness of the upper extremities than the lower extremities:
A. Brown-sequard syndrome
B. Cauda equina syndrome
C. tetraplegia
D. Central-cord syndrome

C. C6

The primary key muscles of this level is wrist extensors:
A. C5
B. C4
C. C6
D. C1-C3

B. C1-C3

This SCI level requires respiratory support and is dependent with all ADL tasks.
A. C5
B. C1-C3
C. C4
D. C6

C. C7

The primary key muscles of this level is triceps:
A. C5
B. C8
C. C7
D. C6

B. C6

The focus of intervention is on tenodesis training at what level :
A. C7
B. C6
C. C5
D. C8

D. complete

Absence of sensory and motor function in the lowest sacral segments of the spinal cord:
A. central cord
B. incomplete
C. Cauda equina
D. complete

D. C1-C3

The focus of intervention is on use of environmental controls, adaptive devices and computer controls, orthotics and direction of care:
A. C5
B. C6
C. C4
D. C1-C3

True

During acute exacerbations, clients with MS should be on complete bed rest and avoid all exertion.
True or False

False

For clients with MS, muscles do not recover from fatigue as readily as normal muscles, so if these clients overexert themselves, heat treatments are indicated to assist in relieving their pain. True or False

True

For clients with Guillain-Barr� syndrome, the OT should slowly and gently introduce exercise and not exercise the client beyond the point of muscle fatigue. True or False

True

The small hand muscles (intrinsics) should be protected (especially for clients with Guillain-Barr� syndrome) when they are a 3+/5. True or False

False

Clients with ALS should be involved strictly with remediation treatment interventions rather than compensation treatment interventions. True or False

D. all of the above

An effective intervention strategy for increasing oral and facial motor skills includes:
A. increasing voluntary movements of the lips
B. passive and resistive tongue movements.
C. encouraging use of the sip and puff technique
D. all of the above

A. GBS

An acute, rapidly progressive form of polyneuropathy
A. GBS
B. MS
C. ALS

A. ALS

A rapidly progressive, noninflammatory, upper and lower motor neuron disease
A. ALS
B. MS
C. GBS

A. MS

A slowly progressive disorder of the CNS in which patches of the brain and spinal cord become demyelinated
A. MS
B. ALS
C. GBS

C. GBS

Weakness is generally abrupt, with muscle weakness usually beginning in the hands and feet. Weakness is often symmetrical and often progresses to the neck and facial muscles.
A. MS
B. ALS
C. GBS

A. MS

Symptoms include incoordination, muscle weakness, spasticity, hypotonia, decreased visual acuity, and cognitive impairments.
A. MS
B. ALS
C. GBS

A. ALS

Consists of three stages: stage 1 (decreased endurance), stage 2 (loss of hand function and lower extremity weakness), and stage 3 (total dependence in ADLs).
A. ALS
B. GBS
C. MS

D. all of the above

When used with clients having neurologic conditions, splinting interventions should:
A. support the palmar arches
B. increase hand function
C. provide proper positioning for rest.
D. all of the above

D. all of the above

Which of the following are physical agent modalities?
A. moist heat
B. ulrasound
C. electrotherapy
D. all of the above

A. C5

Which of the following nerve roots is associated with the
Proximal lateral shoulder sensation, biceps brachii, supraspinatus, and infraspinatus
A. C5
B. C6
C. C7
D. C8
E. T1

False

Most rotator cuff injuries require surgery secondary to a tendon's inablity to spontaneously repair? True or False

D. all of the above

Which of the following cause labral tears?
A. overuse
B. trauma
C. degenerative conditions
D. all of the above

True

Glenohumeral osteoarthritis is the most common degenerative condition affecting the shoulder joint. True or False

B. adhesive capsulitis

Which of the following is also known as "frozen shoulder"?
A. labral tear
B. adhesive capsulitis
C. rotator cuff tear
D. shoulder dislocation

C. Proximal humeral fractures

Which of the following result from a fall on an outstretched arm or from a direct fall on the shoulder itself?
A. Shoulder dislocation
B. Clavicle fracture
C. Proximal humeral fractures
D. Acromioclavicular separation

D. Rotator cuff tear

Which of the following degenerate with age resulting in progressive degeneration and often tearing of the tendon from the tuberosity?
A. Clavicle fractures
B. Acromioclavicular seperation
C. Shoulder dislocation
D. Rotator cuff tear

B. Shoulder dislocation

Which of the following occur in an anterior, inferior direction due to anteriorly directed trauma to a shoulder in an abducted and externally rotated position?
A. Labral tear
B. Shoulder dislocation
C. Shoulder arthritis
D. Proximal Humeral Fractures

C. Total shoulder arthroplasty

Which of the following utilize a cobalt chrome or titanium head on polyethylene glenoid; offers consistent pain relief, elevation to approximately 130-140 degrees and complications rates are low?
A. Acromioclavicular separation
B. Adhesive capsulitis
C. T

D. orthosis

An external orthopedic device used to prevent, control or correct deformities or to improve function
A. contraction
B. arthroplasty
C. arthroscopy
D. orthosis

B. radial head fracture

Often occur from a fall on the outstretched hand where radial head is compressed against the capitellum
A. olecranon fracture
B. radial head fracture
C. distal humeral fracture
D. elbow dislocation

C. lateral epicondylitis

This is also known as tennis elbow
A. medial epicondylitis
B. bicep rupture
C. lateral epicondylitis
D. radial head fracture

A. stretching

All of the following are compensatory strategies except:
A. stretching
B. button-hook
C. long handle tools
D. energy conservation strategies

D. medial epicondylitis

Which of the following is known as "golfer's elbow?
A. distal humeral fracture
B. radial head fracture
C. lateral epicondylitis
D. medial epicondylitis

B. arthroplasty

A surgical replacement or reconstruction of a joint
A. arthroscopy
B. arthroplasty
C. fibrosis
D. orthosis

Tinel's Test

The examiner taps over the radial nerve in a proximal to distal direction

Mill's Test

With the client's shoulder in neutral, the examiner palpates the tender area near the lateral epicondyle, then pronates the forearm and flexes the wrist

Cozen's Test

The client's elbow is stabilized by the thumb of the examiner at the lateral epicondyle. With the elbow pronated, the client makes a fist and then extends and radially deviates the wrist, while the examiner resists the wrist motion

Maudsley's Test

With the client's wrist positioned in neutral, the examiner resists extension of the middle finger distal to the proximal IP joint

B. wrist cock-up

Which of the following common splints are used to treat carpal tunnel?
A. short thumb spica
B. wrist cock-up
C. long thumb spica
D. resting hand splint

C. short thumb spica

Which of the following common splints are used to treat Gamekeeper's thumb?
A. wrist cock-up
B. resting hand splint
C. short thumb spica
D. long thumb spica

C

Which of the following common splints are used to treat De Quervains tendonitis?
A. resting hand splint
B. short thumb spica
C. long thumb spica
D. wrist cock-up

E. all of the above

Which of the following is a common test to assess Cubital Tunnel Syndrome?
A. froment's paper sign
B. monofilament testing
C. tinel's sign
D. elbow flexion test
E. all of the above

OK Sign

Unable to bring tip to tip pinch of thumb and second finger

Tinel's Test

tingling and paraesthesia in the median nerve distribution

Finkelstein's Test

Pain with ulnar deviation of the wrist while the client grasps the thumb in the palm

D. all of the above

Complex Regional Pain Syndrome is also referred to as which of the following:
A. reflex sympathetic dsystrophy
B. causalgia
C. reflex neurovascular dystrophy
D. all of the above

B. Gamekeeper's thumb

Which of the following is common in sport's injuries and is an injury to the ulnar collateral ligament of the thumb:
A. PIP/DIP Injury
B. Gamekeeper's thumb
C. Trigger Finger
D. CMC arthritis of the thumb

True

The scaphoid bone is the most commonly fractured carpal bone. True or False