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OTR Pediatric & Developmental Occupational Therapy Flashcards

6 cards from real OTR practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 OTR Pediatric & Developmental Occupational Therapy flashcards as text

  1. A 4-year-old child is unable to copy a circle or cross. According to developmental norms, which statement BEST describes this finding?

    Answer: Delayed — circle copying typically emerges by age 3 and cross by age 4

    Copying a circle typically develops around age 3 and a cross around age 4, so a 4-year-old unable to do either demonstrates delayed fine motor development.

  2. Which sensory processing framework, developed by Winnie Dunn, describes four quadrant patterns based on neurological threshold and behavioral response?

    Answer: Sensory Processing Model (Dunn)

    Dunn's Sensory Processing Model categorizes sensory processing into four quadrants: Low Registration, Sensation Seeking, Sensory Sensitivity, and Sensation Avoiding, based on threshold and self-regulation.

  3. An OTR is working with a 7-year-old with autism spectrum disorder who has tactile defensiveness. Which therapeutic approach is MOST evidence-based for this presentation?

    Answer: Wilbarger Deep Pressure and Proprioceptive Technique (DPPT) / brushing protocol

    The Wilbarger DPPT (brushing protocol) uses deep pressure and joint compression to reduce tactile defensiveness and is widely used within a sensory integration framework.

  4. During handwriting evaluation, an OTR notices a child consistently inverts letters, reverses b/d, and uses an inconsistent grip. This most likely indicates the need to assess:

    Answer: Visual-motor integration and lateral dominance establishment

    Letter reversals and inconsistent grip may indicate delayed visual-motor integration or incomplete lateral dominance, both of which are assessed by the OTR in handwriting evaluations.

  5. Which feeding milestone should be established before introducing pureed solids to an infant?

    Answer: Sitting with minimal support and head control

    Head and trunk control sufficient to sit with minimal support is a prerequisite for safe introduction of pureed solids because it supports airway protection during swallowing.

  6. A school-based OTR is determining eligibility for services under IDEA. The MOST important criterion for providing OT as a related service is:

    Answer: OT is necessary for the child to benefit from special education

    Under IDEA, OT is provided as a related service only when it is necessary for the student to access and benefit from their special education program, not based on diagnosis or test scores alone.