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Exam (elaborations)

The COTA Examination Review 1 Questions and Answers

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The COTA Examination Review 1 Questions and Answers 11. A COTA is working with an individual who is unable to name or demonstrate the use of a common household objects. This behavior MOST likely indicates: (pg. 14) A. apraxia B. stereognosis C. visual agnosia D. alexia C. visual agnosia ...

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  • October 11, 2024
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The COTA Examination Review 1
Questions and Answers
11. A COTA is working with an individual who is unable to name or demonstrate the use
of a common household objects. This behavior MOST likely indicates: (pg. 14)
A. apraxia
B. stereognosis
C. visual agnosia
D. alexia - C. visual agnosia

13. A child is observed grabbing toys from others, becoming easily frustrated, and is
unable to sit still. This behavior MOST likely indicates: (pg. 14)
A. ADHD
B. mood disorder, manic episode
C. conduct disorder
D. anxiety disorder - A. ADHD

32. An individual is able to complete full range of shoulder flexion while in a side-lying
position during an evaluation. However, against gravity, the client is not quite able to
achieve 50% of the range for shoulder flexion. This muscle should be graded as: (pg.
16)
A. good (4)
B. fair (3)
C. fair minus (3-)
D. poor plus (2+) - C. fair minus (3-)

47. Which individual would benefit the MOST from using a wrist-driven flexor hinge
splint during a prehension activity? (pg. 18)
A. a client with a C1 injury
B. a client with a C3 injury
C. a client with a C6 injury
D. a client with a T1 injury - C. a client with a C6 injury

63. A COTA is planning a mean preparation activity for an adult client with attentional
and organizational deficits secondary to alcohol abuse. The treatment goals address the
client's difficulties in properly sequencing tasks. The most appropriate activity to use
FIRST is:
A. setting the table.
B. planning an entire meal.
C. baking cookies using a recipe.
D. preparing a shopping list. - C. baking cookies using a recipe.

, 70. A COTA is working with a child whose poor visual attention is affecting his ability to
perform school work. An adaptation of the sensory environment that would BEST
improve attention during a visual task is to have the child: (pg. 21)
A. work with lively background music to increase competing sensory input.
B. work against a patterned background to increase competing visual input.
C. use headphones during work to reduce competing sensory input.
D. use dim lighting to reduce the visual input. - C. use headphones during work to
reduce competing sensory input.

88. A COTA is positioning a child with low muscle tone and postural instability into a
prone stander to develop head righting. The child rapidly shows fatigue and associated
reactions. How can the COTA BEST adjust the stander to decrease these reactions
while continuing to address the goal of head righting? (pg. 23)
A. place the child in prone on the floor.
B. position the stander at 45 degrees from the floor.
C. position the stander at 75 to 90 degrees from the floor.
D. position the child upright in a prone or supine stander. - C. position the stander 75 to
90 degrees from the floor.

95. An individual with a C6 spinal cord injury is unable to button his shirt. The COTA
would be MOST likely to select which type of adaptive equipment to assist this client
with buttoning (pg. 24)
A. a buttonhook with a n extra long, flexible handle
B. a buttonhook with a knob handle
C. a buttonhook on a 0.5 inch diameter, 5 inch long wooden handle
D. a buttonhook attached to a cuff that fits around the palm. - D. a buttonhook attached
to a cuff that fits around the palm.

98. A COTA is working with a group of patients who have orientation deficits resulting
from head injuries. Using and adaptive or compensatory approach, the MOST
appropriate intervention would be to: (pg. 24)
A. provide verbal cues, external aids such as calendars and family pictures, and
opportunities to practice using the external aids.
B. reduce the number of distractions by moving the group to a quiet room.
C. present information in short units, spaced with time between each segment.
D. connect new information to previously learned knowledge and skills. - A. provide
verbal cues, external aids such as calendars and family pictures, and opportunities to
practice using the external aids.

103. A child diagnosed with ataxic CP exhibits tremors in the UE's. When she feeds
herself, the tremors cause most of the food to fall off her spoon before it can reach her
mouth. Which of the following adaptations should the COTA recommend? (pg. 25)
A. replace the spoon with a blunt-ended fork.
B. build up the handle of the spoon.
C. give the child a swivel spoon.
D. bend the spoon handle 45 degrees. - A. replace the spoon with a blunt-ended fork.

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