Mosby Part 1

Entry into the early intervention system begins with which of the following?

• Screening for developmental delay

• Individualized Family Service Plan

• Screening for family environmental risk factors

• Individualized Education Plan

A 65 year old patient who sustained a myocardial infarction 1 week prior has been referred to cardiac rehabilitation. To determine the functional capacity, the OT should initially assess:

• caregiver's ability to handle the patient at home

• resumption of sexual activity with spouse

• endurance for grooming, hygiene, dressing, eating

• ability to return to work on a part-time basis

A problem that limits in-hand manipulation is:

• Limited finger isolations and control

• Inability to hold more than one object in the hand at the same time

• An inability to maintain long sitting

• Difficulty combining wrist extension with finger extensions

During an evaluation, the OT must determine a child's exact chronological age. The child was born on March 6, 2003 and the testing date is July 12, 2006. The child's chronological age is:

• 4yrs, 6mos, 5days

• 3yrs, 2mos, 6days

• 4yrs, 5mos, 6days

• 3yrs, 4mos, 6days

Which one of the four components of the adaptation process pertains to reception of sensory stimuli from internal and external environments?

• Assimilation

• Accommodation

• Association

• Differentiation

The OT is interested in determining the degree of sensory discrimination present in the fingertips of the patient with scleroderma. The BEST assessment to use is the:

• fingertip wrinkling test

• monofilament test

• distinguishing between light and deep touch

• test for stereognosis

A patient with diabetes mellitus also has complications of peripheral neuropathy. During the evaluation, the OT discovers that there are additional tactile processing issues. Further assessment should focus on:

• visual deficits

• fatigue and endurance

• fine and gross coordination

• reflexes

The parent of a child that is being treated in therapy describes how the child covers their ears when riding in the car with the windows down. The parent does not understand why the child persists in this behavior. The OT explains that this behavior could be the result of:

• Sensory defensiveness

• Gravitational insecurity

• Underresponsiveness

• Aversion to movement

A 5 year old child presents with difficulty climbing stairs, rising from a sitting or lying position, and demonstrates progressive fatigue caused by muscle weakness. The OT might suspect a problem with:

• Duchenne's muscular dystrophy

• Limb-girdle muscular dystrophy

• Facioscapulohumeral muscular dystrophy

• A congenital muscular dystrophy

In the assessment phase of early intervention, an OT assesses the daily living skills of an infant. In the context of early intervention, the areas that are being assessed are:

• Feeding and sleeping patterns

• Play and leisure patterns

• Motor development patterns

• Sensory development patterns