OTR OTR Pediatric & Developmental Occupational Therapy

Question 1

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

Accepted Answer

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

Answer

Normal — these skills emerge at age 5

Answer

Advanced delay — these are kindergarten-level skills

Answer

Not clinically significant until age 6

Question 2

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

Accepted Answer

Sensory Processing Model (Dunn)

Answer

Sensory Integration Theory (Ayres)

Answer

DIR/Floortime Model

Answer

Alert Program

Question 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?

Accepted Answer

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

Answer

Forced exposure to aversive textures

Answer

Restricting all tactile input

Answer

Cognitive behavioral therapy alone

Question 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:

Accepted Answer

Visual-motor integration and lateral dominance establishment

Answer

Visual acuity only

Answer

Cognitive ability via standardized IQ testing

Answer

Auditory processing

Question 5

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

Accepted Answer

Sitting with minimal support and head control

Answer

Pincer grasp

Answer

Bilateral hand coordination

Answer

Chewing with rotary jaw movement

Question 6

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

Accepted Answer

OT is necessary for the child to benefit from special education

Answer

The child has a medical diagnosis

Answer

The parents request OT services

Answer

The child scores below average on a standardized fine motor test