OT Pediatric Occupational Therapy 1 — Questions and Answers
Question 1: Which sensory integration concept describes a child's tendency to seek out intense sensory experiences?
- Sensory seeking (Correct answer)
- Sensory modulation disorder
- Tactile defensiveness
- Gravitational insecurity
Correct answer: Sensory seeking
Sensory seeking describes a child who craves and actively pursues intense sensory input to meet their neurological threshold.
Question 2: A 5-year-old cannot yet copy a cross (+). According to developmental norms, this indicates:
- A delay, as cross-copying is expected by age 4 (Correct answer)
- Normal development for age 5
- A sign of visual agnosia
- Only a fine motor concern, not a perceptual one
Correct answer: A delay, as cross-copying is expected by age 4
Copying a cross is a developmental milestone typically achieved by age 4, so a 5-year-old who cannot is showing a delay.
Question 3: Which assessment is standardized and used to evaluate sensory processing in school-age children?
- Sensory Profile 2 (SP2) (Correct answer)
- Peabody Developmental Motor Scales
- Vineland Adaptive Behavior Scales
- Beery VMI
Correct answer: Sensory Profile 2 (SP2)
The Sensory Profile 2 is a caregiver-completed standardized measure assessing sensory processing patterns in children.
Question 4: A child with autism spectrum disorder is unable to tolerate toothbrushing due to oral sensitivity. The FIRST OT intervention should be:
- Desensitization using a vibrating toothbrush starting at cheeks, then gums (Correct answer)
- Forcing brushing to habituate the child
- Recommending dental sedation for all cleanings
- Eliminating toothbrushing and substituting mouthwash
Correct answer: Desensitization using a vibrating toothbrush starting at cheeks, then gums
Gradual desensitization starting at less sensitive areas like cheeks before approaching the mouth is the evidence-based sensory approach.
Question 5: In handwriting intervention, the PRINT Tool is used to assess:
- Print legibility components including letter formation, size, spacing, and alignment (Correct answer)
- Pencil grip strength
- Visual acuity for near tasks
- Keyboarding skills as an alternative
Correct answer: Print legibility components including letter formation, size, spacing, and alignment
The PRINT Tool evaluates specific handwriting legibility components to guide targeted printing intervention.
Question 6: A child with developmental coordination disorder (DCD) MOST benefits from which OT approach?
- Task-oriented approach (CO-OP) focusing on strategy use (Correct answer)
- Sensory integration therapy exclusively
- Stretching and passive range of motion
- Behavioral reward charts without motor practice
Correct answer: Task-oriented approach (CO-OP) focusing on strategy use
The Cognitive Orientation to daily Occupational Performance (CO-OP) uses strategy discovery to improve motor skill acquisition in DCD.
OT Pediatric Occupational Therapy 1
Which sensory integration concept describes a child's tendency to seek out intense sensory experiences?