A client with a history of cardiac disease had a MI 6 weeks ago. He can currently work 2 miles a day with no ill effect. He mentioned to his OT his fear of sexual activity and fears death or injury to the heart during sexual activity. Can you reassure your client that his stamina is adequate in terms of MET levels for sexual expression?
No, refer to primary physician
No, a brisk walk or climbing is not adequate enough in terms of MET levels for sexual activity
Yes, sexual activity is relaxing
Yes, a brisk walk or climbing is equivalent to MET levels of sexual activity.
NBCOT Question: MET Levels
NBCOT Question : Wrist nerves
OT can assess peripheral nerve function with screening tests. Radial nerve test would be:
wrist extension
gross grasp with dynomometer
pincer wit index & thumb
thumb opposition
wrist extension
NBCOT Question: Left handed Infant
A 4 month old infant shows strong prefence for his right hand when reaching at the midline. What should the OT conclude given the development of dominance in normal children?
Hand dominance is not developed until 1 year
Unilateraly precedes bilaterality in typical development
Hand dominance is developing appropriately
Further observation is needed due to possible right hand dysfunction
Further observation is needed
NBCOT EXAM QUESTION: Spinal Injury
Which individual benefit from a wrist driven flexor hinge splint during a prehension task?
c2 injury
c4 injury
c6 injury
t1 injury
c6 injury
NBCOT EXAM QUESTION: Laughing & Crying
A client exhibits alternatively laughing & crying through treatment. What is this?
Emtional lability
Mania
Paranoia
Schizophrenia
Emotional Lability
NBCOT EXAM QUESTION: OT Referral
A Dr referral for Occupational Therapist is required by:
AOTA, Feds, State
3rd party, Insurance, State & Feds
Feds, State, Insurance, Private, AOTA
Feds, State & 3rd Party
Feds, State & 3rd Party
NBCOT EXAM QUESTION: Infant Smiling
Social smiling in infancy can be elicited the mother when?
1 to 2 weeks
2 to 4 weeks
4 to 8 weeks
8 to 10 weeks
4 - 8 weeks
NBCOT EXAM QUESTION: Schizophrenia
An adult with schizophrenia can be diagnosed from all the following symptoms EXCEPT:
Hallucinations
Substance Abuse
Social dysfunction
Delusions
Substance Abuse
NBCOT EXAM QUESTION: Good Listening
All of the following demonstrate good listening EXCEPT:
Make good eye contact
Open Body
Lean slightly backwards
Face client squarely
Lean slightly backwards
NBCOT EXAM QUESTION: Scapulohumeral Rhythm
What is the scapulohumeral rhythm?
1:2 scapula:humerus
2:1 scapula:humerus
1:3 scapula:humerus
3:1 scapula:humerus
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2:1 scapula:humerus - Scapula must move 1 degree for every 2 degrees of humeral movement. Damage will occurs without 2:1 due to insufficient space for movement.
Written Communication
To improve written communication, the OT would recommend a large keyboard setup (to enhance current accessibility) to a client with:
Limited UE ROM but adequate fine motor coordination
Frequent fatiguing related to energy exerted when typing
One hand access to keyboard
Good UE ROM but difficulty accessing small targets
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Good UE ROM, but difficulty accessing small targets - large keyboard will accomidate for the inability to read small targets
Pyschosocial Job Hunting
The OT is planning use remedial strategies to prepare clients treated in a psychosocial setting for job hunting. What's the best approach?
Reviewing an personal interest checklist
Holding a class about job seeking strategies
Modifiying current job for stressors
Creating a painting to express current feelings and thoughts of jobs
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Hold a class about job strategies - building on underlying skills
OBRA Regs
What do the initials MORE stand for in OBRA regulations?
Measurable, Observable, Reportable, Exit Behavior
Measurable, Observable, Recognizable, Effective
Measurable, Observable, Realistic, Explicit
Measurable, Observable, Realistic, Emotional
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Measurable, Observable, Realistic, Explicit
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