DUNDON

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1. Anterior

A. Cephalic
d B. Distal
C. Deep
D. Posterior
E. Ventral
2. Caudal

A. Cephalic
a B. Distal
C. Deep
D. Posterior
E. Ventral
3. Dorsal

A. Cephalic
d
B. Distal
C. Deep
D. Ventral
4. Proximal

A. Cephalic
b B. Distal
C. Deep
D. Posterior
E. Ventral
5. Superficial

A. Cephalic
c B. Distal
C. Deep
D. Posterior
E. Ventral
6. Sagittal

A. A horizontal plane that passes through the body, dividing it into


upper and lower halves
c
B. A vertical plane that passes through the body from side to side,
dividing it into front and back halves
C. A vertical plane that passes through the body from front to back,
dividing it into left and right halves
7. Transverse

A. A horizontal plane that passes through the body, dividing it into


upper and lower halves
a
B. A vertical plane that passes through the body from side to side,
dividing it into front and back halves
C. A vertical plane that passes through the body from front to back,
dividing it into left and right halves
8. Coronal

A. A horizontal plane that passes through the body, dividing it into


upper and lower halves
b
B. A vertical plane that passes through the body from side to side,
dividing it into front and back halves
C. A vertical plane that passes through the body from front to back,
dividing it into left and right halves

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9. Horizontal

A. A horizontal plane that passes through the body, dividing it into


upper and lower halves
a
B. A vertical plane that passes through the body from side to side,
dividing it into front and back halves
C. A vertical plane that passes through the body from front to back,
dividing it into left and right halves
10. Frontal

A. A horizontal plane that passes through the body, dividing it into


upper and lower halves
b
B. A vertical plane that passes through the body from side to side,
dividing it into front and back halves
C. A vertical plane that passes through the body from front to back,
dividing it into left and right halves
11. Anteroposterior

A. A horizontal plane that passes through the body, dividing it into


upper and lower halves
c
B. A vertical plane that passes through the body from side to side,
dividing it into front and back halves
C. A vertical plane that passes through the body from front to back,
dividing it into left and right halves
12. Coronal

A. Between the parietal and occipital bones


b
B. Between the frontal and parietal bones
C. Between the two parietal bones
D. Between the parietal and temporal bone
13. Sagittal

A. Between the parietal and occipital bones


c
B. Between the frontal and parietal bones
C. Between the two parietal bones
D. Between the parietal and temporal bone
14. Lamboidal

A. Between the parietal and occipital bones


a
B. Between the frontal and parietal bones
C. Between the two parietal bones
D. Between the parietal and temporal bone
15. Squamosal

A. Between the parietal and occipital bones


d
B. Between the frontal and parietal bones
C. Between the two parietal bones
D. Between the parietal and temporal bone
16. Ball-and-socket

A. Nonaxial
d
B. Uniaxial
C. Biaxial
D. Triaxial

17. Arthrodial
a
A. Nonaxial
B. Uniaxial

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C. Biaxial
D. Triaxial
18. Hinge

A. Nonaxial
b
B. Uniaxial
C. Biaxial
D. Triaxial
19. Pivot

A. Nonaxial
b
B. Uniaxial
C. Biaxial
D. Triaxial
20. Ginglymus

A. Nonaxial
b
B. Uniaxial
C. Biaxial
D. Triaxial
21. Condyloid

A. Nonaxial
c
B. Uniaxial
C. Biaxial
D. Triaxial
22. Trochoid

A. Nonaxial
b
B. Uniaxial
C. Biaxial
D. Triaxial
23. Enarthrodial

A. Nonaxial
d
B. Uniaxial
C. Biaxial
D. Triaxial
24. First (Proximal Row)

A. Lunate
B. Capitate
C. Scaphoid (Navicular)
c
D. Pisiform
E. Trapezium (greater multi-angular)
F. Trapezoid (lesser multi-angular)
G. Triquetrum (triangular)
H. Hamate
25. Second (Proximal Row)

A. Lunate
B. Capitate
C. Scaphoid (Navicular)
a
D. Pisiform
E. Trapezium (greater multi-angular)
F. Trapezoid (lesser multi-angular)
G. Triquetrum (triangular)
H. Hamate

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26. Third (Proximal Row)

A. Lunate
d B. Capitate
C. Scaphoid (Navicular)
D. Triquetrum (triangular)
H. Hamate
27. Fourth (Proximal Row)

A. Lunate
B. Capitate
C. Scaphoid (Navicular)
d
D. Pisiform
E. Trapezium (greater multi-angular)
F. Trapezoid (lesser multi-angular)
G. Triquetrum (triangular)
H. Hamate
28. First (Distal Row)

A. Lunate
B. Capitate
d C. Scaphoid (Navicular)
D. Trapezium (greater multi-angular)
F. Trapezoid (lesser multi-angular)
G. Triquetrum (triangular)
H. Hamate
29. Second (Distal Row)

A. Lunate
B. Capitate
d
C. Scaphoid (Navicular)
D. Trapezoid (lesser multi-angular)
G. Triquetrum (triangular)
H. Hamate
30. Third (Distal Row)

A. Lunate
B. Capitate
C. Scaphoid (Navicular)
b
D. Pisiform
E. Trapezium (greater multi-angular)
F. Trapezoid (lesser multi-angular)
G. Triquetrum (triangular)
H. Hamate
31. Fourth (Distal Row)

A. Lunate
d
B. Capitate
C. Scaphoid (Navicular)
D. Hamate
32. Filum terminale

A. Origin of the large nerves of the upper limbs


c B. Rootlets and nerves beyond termination of cord
C. Termination of spinal cord
D. Origin of nerves that supply lower limbs
E. Tapering to a point toward distal end
33. Cervical enlargement

A. Origin of the large nerves of the upper limbs


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B. Rootlets and nerves beyond termination of cord
C. Termination of spinal cord
a
D. Origin of nerves that supply lower limbs
E. Tapering to a point toward distal end
34. Conus medullaris

A. Origin of the large nerves of the upper limbs


d
B. Rootlets and nerves beyond termination of cord
C. Termination of spinal cord
D. Tapering to a point toward distal end
35. Lumbar engagement

A. Origin of the large nerves of the upper limbs


d B. Rootlets and nerves beyond termination of cord
C. Termination of spinal cord
D. Origin of nerves that supply lower limbs
E. Tapering to a point toward distal end
36. Cauda Equina

A. Origin of the large nerves of the upper limbs


b B. Rootlets and nerves beyond termination of cord
C. Termination of spinal cord
D. Origin of nerves that supply lower limbs
E. Tapering to a point toward distal end
37. The connective tissue that covers the entire muscle is the
A. Perimysium
b B. Epimysium
C. Endomysium
D. Muscle Fiber
38. The thickest and strongest tendon of the body is the tendon of
the
A. Iliopsoas
c
B. Biceps brachii
C. Gastrocnemius and soleus
D. Teres major and latissimus dorsi
39. An increase in the anterior curvature of the vertebral column
in the
thoracic region results in
a A. Kyphosis
B. Lordosis
C. Scoliosis
D. Spondylolysis
40. How many pairs of spinal nerves originate from the spinal
cord?
A. 12
d
B. 24
C. 30
D. 31
41. The primary curves of the spine are
A. Cervical and lumbar
B. Sacrococcygeal and lumbar
c
C. Thoracic and sacrococcygeal
D. Thoracic and lumbar
E. Convex anteriorly
42. Rotation of the spine is most free in the
A. Cervical region
a B. lumbar region
C. Sacral region
D. Coccygeal region

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43. The largest movable vertebrae are found in the
A. Cervical region
c B. Thoracic region
C. Lumbar region
D. Sacral region
44. The vertebrae that can be distinguished by a foramen in each
transverse process are the
A. Cervical
a
B. Thoracic
C. Lumbar
D. Sacral
45. First

A. Trunks
c B. Branches
C. Roots
D. Cords
E. Nerves
46. Second

A. Trunks
a B. Branches
C. Roots
D. Cords
E. Nerves
47. Third

A. Trunks
d
B. Branches
C. Roots
D. Nerves
48. Fourth

A. Trunks
d B. Branches
C. Roots
D. Cords
E. Nerves
49. Fifth

A. Trunks
b B. Branches
C. Roots
D. Cords
E. Nerves
50. Pectoralis major

A. Median
B. Lateral Pectoral
C. Radial
b (f)
D. Axillary
E. Musculocutaneous
F. Medial Pectoral
G. Ulnar
H. Suprascapular

51. Pectoralis minor


d
A. Median
B. Lateral Pectoral
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C. Radial
D. Medial Pectoral
G. Ulnar
H. Suprascapular
52. Deltoideus

A. Median
B. Lateral Pectoral
C. Radial
d
D. Axillary
E. Musculocutaneous
F. Medial Pectoral
G. Ulnar
H. Suprascapular
53. Supraspinatus

A. Median
d
B. Lateral Pectoral
C. Radial
D. Suprascapular
54. Teres minor

A. Median
B. Lateral Pectoral
C. Radial
d
D. Axillary
E. Musculocutaneous
F. Medial Pectoral
G. Ulnar
H. Suprascapular
55. Corachobrachialis

A. Median
d
B. Lateral Pectoral
C. Radial
D. Musculocutaneous
56. Triceps brachii

A. Median
B. Lateral Pectoral
C. Radial
c
D. Axillary
E. Musculocutaneous
F. Medial Pectoral
G. Ulnar
H. Suprascapular
57. Biceps brachii

A. Median
d
B. Lateral Pectoral
C. Radial
D. Musculocutaneous
58. Extensor pollicis brevis

A. Median
B. Lateral Pectoral
c
C. Radial
D. Axillary
E. Musculocutaneous
F. Medial Pectoral
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G. Ulnar
H. Suprascapular
59. Flexor carpi radialis

A. Median
B. Lateral Pectoral
C. Radial
a
D. Axillary
E. Musculocutaneous
F. Medial Pectoral
G. Ulnar
H. Suprascapular
60. Flexor carpi ulnaris

A. Median
d
B. Lateral Pectoral
C. Radial
D. Ulnar
61.Phrenic nerve

A. Cervical nerve 5
a B. Cervical nerve 6
C. Cervical nerve 7
D. Cervical nerve 8
E. Thoracic nerve 1
62.Axillary

A. Cervical nerve 5
a B. Cervical nerve 6
C. Cervical nerve 7
D. Cervical nerve 8
E. Thoracic nerve 1
63.Musculocutaneous

A. Cervical nerve 5
a B. Cervical nerve 6
C. Cervical nerve 7
D. Cervical nerve 8
E. Thoracic nerve 1
64.Median

A. Cervical nerve 5
b B. Cervical nerve 6
C. Cervical nerve 7
D. Cervical nerve 8
E. Thoracic nerve 1
65.Ulnar

A. Cervical nerve 5
d B. Cervical nerve 6
C. Cervical nerve 7
D. Cervical nerve 8
E. Thoracic nerve 1

66.Radial

a A. Cervical nerve 5
B. Cervical nerve 6
C. Cervical nerve 7

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D. Cervical nerve 8
E. Thoracic nerve 1
67.Trapezius

A. Coracoid process of scapula


d
B. Vertebral border of scapula
C. Bicipital groove of humerus
D. Lateral third of clavicle, spine of scapula, acromion
68.Latissimus dorsi

A. Coracoid process of scapula


B. Vertebral border of scapula
c
C. Bicipital groove of humerus
D. Deltoid tuberosity of humerus
E. Lateral third of clavicle, spine of scapula, acromion
F. Greater tuberosity of humerus
69.Rhomboideus major

A. Coracoid process of scapula


B. Vertebral border of scapula
b
C. Bicipital groove of humerus
D. Deltoid tuberosity of humerus
E. Lateral third of clavicle, spine of scapula, acromion
F. Greater tuberosity of humerus
70.Rhomboideus minor

A. Coracoid process of scapula


B. Vertebral border of scapula
b
C. Bicipital groove of humerus
D. Deltoid tuberosity of humerus
E. Lateral third of clavicle, spine of scapula, acromion
F. Greater tuberosity of humerus
71.Pectoralis major

A. Coracoid process of scapula


B. Vertebral border of scapula
c
C. Bicipital groove of humerus
D. Deltoid tuberosity of humerus
E. Lateral third of clavicle, spine of scapula, acromion
F. Greater tuberosity of humerus
72.Pectoralis minor

A. Coracoid process of scapula


B. Vertebral border of scapula
a
C. Bicipital groove of humerus
D. Deltoid tuberosity of humerus
E. Lateral third of clavicle, spine of scapula, acromion
F. Greater tuberosity of humerus
73.Serratus anterior

A. Coracoid process of scapula


B. Vertebral border of scapula
b
C. Bicipital groove of humerus
D. Deltoid tuberosity of humerus
E. Lateral third of clavicle, spine of scapula, acromion
F. Greater tuberosity of humerus

74.Deltoideus

A. Coracoid process of scapula

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B. Vertebral border of scapula
C. Bicipital groove of humerus
d D. Deltoid tuberosity of humerus
E. Lateral third of clavicle, spine of scapula, acromion
F. Greater tuberosity of humerus
75.Supraspinatus

A. Coracoid process of scapula


d
B. Vertebral border of scapula
C. Bicipital groove of humerus
D. Greater tuberosity of humerus
76.Infraspinatus

A. Coracoid process of scapula


d
B. Vertebral border of scapula
C. Bicipital groove of humerus
D. Greater tuberosity of humerus
77.Levator Scapulae

A. Coracoid process of scapula


B. Vertebral border of scapula
b
C. Bicipital groove of humerus
D. Deltoid tuberosity of humerus
E. Lateral third of clavicle, spine of scapula, acromion
F. Greater tuberosity of humerus
78.Teres major

A. Coracoid process of scapula


B. Vertebral border of scapula
c
C. Bicipital groove of humerus
D. Deltoid tuberosity of humerus
E. Lateral third of clavicle, spine of scapula, acromion
F. Greater tuberosity of humerus
79.Teres minor

A. Coracoid process of scapula


d
B. Vertebral border of scapula
C. Bicipital groove of humerus
D.. Greater tuberosity of humerus
80.Pronator teres

A. Flexion
a (c)
B. Extension
C. Pronation
D. Supination
81.Brachialis
A. Flexion
a B. Extension
C. Pronation
D. Supination
82.Supinator
A. Flexion
d B. Extension
C. Pronation
D. Supination

83.Biceps brachii
a (d) A. Flexion
B. Extension

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C. Pronation
D. Supination
84.Anconeus
A. Flexion
b B. Extension
C. Pronation
D. Supination
85. Triceps brachii
A. Flexion
b B. Extension
C. Pronation
D. Supination
86. The largest branch of the brachial plexus is the
A. Ulnar nerve
d B. Median nerve
C. Axillary nerve
D. Radial nerve
87. Which cords of the brachial plexus are formed by the axillary
nerve branches?
A. Medial
c
B. Lateral
C. Posterior
D. Anterior
88. The musculocutaneous nerve and part of the median nerve
are the branches of the
A. Lateral cord of the brachial plexus
a
B. Medial cord of the brachial plexus
C. Posterior cord of the brachial plexus
D. Anterior cord of the brachial plexus
89. The difficulty encountered when trying to fully flex the fingers
with the wrist fully flexed is called
A. Codmans paradox
b
B. Tendon action of a two-joint muscle
C. Flexion paradox
D. Primary curve
90.The muscle most responsible for repositioning the thumb is the
A. Extensor pollicis brevis
b B. Abductor pollicis longus
C. Abductor pollicis
D. Flexor pollicis brevis
91.The purkinje fibers of the heart are the terminal fibers of the
A. Pacemaker
c B. Sinoatrial node
C. Atrioventricular bundle (bundle of His)
D. Tricuspid valve
92. The lumbar plexus is formed by the ventral primary divisions
of
A. Lumber nerves 1, 2, 3, 4 and 5
c
B. Lumber nerves 1, 2, 3, 4 and 5 and sacral nerve 1
C. Thoracic nerve 12, Lumber nerves 1, 2, 3 and 4
D. Thoracic nerve 12, Lumber nerves 1, 2, 3, 4 and 5
93. The common bile duct is formed by the union of the
A. Pancreatic and cystic ducts
c B. Accessory pancreatic and pancreatic ducts
C. Hepatic and cystic ducts
D. Accessory pancreatic and hepatic ducts
94. For full abduction of the humerus, abduction must
be accompanied by
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A. Internal rotation of the humerus
B. External rotation of the humerus
b
C. Flexion of the forearm
D. Supination of the hand
95. The iliocostalis, longissimus and spinalis are branches of a
muscle called the
A. Erector costalis
c
B. Semispinalis
C. Erector spinae
D. Splenius
96. Contraction of the entire trapezius will cause
A. Depression of the scapula
c B. Flexion of the neck toward the same side
C. Retraction of the shoulder girdle
D. Rotation of the scapula
97.In case of injury to the musculocutaneous nerve, flexion at the
elbow can be accomplished primarily by the
A. Extensor carpi radialis longus
c
B. Flexor carpi radialis
C. Brachioradialis
D. Brachialis
98. The movement that is performed at the wrist by the flexor carpi
ulnaris is
A. Flexion
a
B. Extension
C. Adduction (ulnar deviation)
D. Abduction (ulnar deviation)
99.Abduction of the humerus is accomplished primarily by the
A. Anterior deltoid
b B. Middle deltoid
C. Posterior deltoid
D. Pectoralis major
100. Outward (external) rotation of the humerus is caused by the
A. Anterior deltoid
d B. Middle deltoid
C. Posterior deltoid
D. Infraspinatus
101. The short head of the biceps brachii has a common origin
with the
A. Long head of the biceps brachii
b
B. Coracobrachialis
C. Brachialis
D. Brachioradialis
102. The enclosing membrane sac that aids the heart in maintain-
ing proper position in the thorax is the
A. Pericardium
a
B. Endocardium
C. Epicardium
D. Mesocardium
103. The medial and lateral plantar arteries are continuations of
the
A. Arteriae dorsalis pedis
c
B. Anterior tibial artery
C. Posterior tibial artery
D. Plantar metatarsal arteries
104. The point of reference for defining abduction and
adduction of the toes is
a
A. Second toe
B. Third toe
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C. Fourth toe
D. First toe
105. The muscles responsible for abduction of the fingers are
A. The dorsal interossei
a B. The palmar interossei
C. The lumbricals
D. All the intrinsics of the hand
106. The superficial component of the palmar
aponeurosis is a continuation of the
A. Transverse carpal ligament
b
B. Tendon of the palmaris longus
C. Palmar carpal ligament
D. Dorsal carpal ligament
107. Second largest bone in the skeleton
A. Ilium
d B. Patella
C. Femoral head
D. Tibia
108. Greater sciatic notch
A. Ilium
d B. Patella
C. Femoral head
D. Ischium
109. Largest of the tarsal bones
A. Ilium
B. Patella
d
C. Femoral head
D. Calcaneus
J. Tibia
110. Supports the tibia above it
A. Ilium
d B. Patella
C. Femoral head
D. Talus
111. Iliac spine
A. Ilium
B. Patella
C. Femoral head
D. Femoral shaft
a E. Fibula
F. Ischium
G. Pubis
H. Talus
I. Calcaneus
J. Tibia
112. Fovea capitis femoris
A. Ilium
B. Patella
C. Femoral head
D. Femoral shaft
c E. Fibula
F. Ischium
G. Pubis
H. Talus
I. Calcaneus
J. Tibia
113. Anterior part of the innominate bone
d A. Ilium
B. Patella
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C. Femoral head
D. Pubis
114. Sesamoid bone
A. Ilium
B. Patella
C. Femoral head
D. Femoral shaft
b E. Fibula
F. Ischium
G. Pubis
H. Talus
I. Calcaneus
J. Tibia
115. Linea aspera
A. Ilium
B. Patella
C. Femoral head
D. Femoral shaft
d E. Fibula
F. Ischium
G. Pubis
H. Talus
I. Calcaneus
J. Tibia
116. Forms lateral part of the ankle joint
A. Ilium
d B. Patella
C. Femoral head
D. Fibula
117. Tensor fasciae latae
A. Medial plantar
B. Tibial
C. Superior gluteal
D. Sciatic
c E. Deep peroneal
F. Anterior branch of obturator
G. Inferior gluteal
H. Superficial peroneal
I. Femoral
J. Second and third lumbar
118. Psoas major
A. Medial plantar
d B. Tibial
C. Superior gluteal
D. Second and third lumbar
119. Sartorius
A. Medial plantar
d B. Tibial
C. Superior gluteal
D. Femoral
120. Gracilis
A. Medial plantar
d B. Tibial
C. Superior gluteal
D. Anterior branch of obturator

121. Gluteus maximus


A. Medial plantar
d
B. Tibial
C. Superior gluteal

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D. Inferior gluteal

122. Rectus femoris


A. Medial plantar
B. Tibial
d
C. Superior gluteal
D. Femoral

123. Semitendinosus
A. Medial plantar
B. Tibial
C. Superior gluteal
D. Sciatic
d E. Deep peroneal
F. Anterior branch of obturator
G. Inferior gluteal
H. Superficial peroneal
I. Femoral
J. Second and third lumbar
124. Adductor brevis
A. Medial plantar
B. Tibial
d
C. Superior gluteal
D. Anterior branch of obturator

125. Gluteus medius


A. Medial plantar
B. Tibial
C. Superior gluteal
D. Sciatic
c E. Deep peroneal
F. Anterior branch of obturator
G. Inferior gluteal
H. Superficial peroneal
I. Femoral
J. Second and third lumbar
126. Gastrocnemius
A. Medial plantar
B. Tibial
C. Superior gluteal
D. Sciatic
b E. Deep peroneal
F. Anterior branch of obturator
G. Inferior gluteal
H. Superficial peroneal
I. Femoral
J. Second and third lumbar
127. Flexor digitorum longus
A. Medial plantar
B. Tibial
C. Superior gluteal
D. Sciatic
b E. Deep peroneal
F. Anterior branch of obturator
G. Inferior gluteal
H. Superficial peroneal
I. Femoral
J. Second and third lumbar

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128. Tibialis anterior
A. Medial plantar
B. Tibial
d
C. Superior gluteal
D. Deep peroneal

129. Popliteus
A. Medial plantar
B. Tibial
C. Superior gluteal
D. Sciatic
b E. Deep peroneal
F. Anterior branch of obturator
G. Inferior gluteal
H. Superficial peroneal
I. Femoral
J. Second and third lumbar
130.Peroneus brevis
A. Medial plantar
B. Tibial
d
C. Superior gluteal
D. Superficial peroneal

130.Peroneus brevis
A. Medial plantar
B. Tibial
d
C. Superior gluteal
D. Deep peroneal

132.Flexor digitorum brevis


A. Medial plantar
B. Tibial
C. Superior gluteal
D. Sciatic
a E. Deep peroneal
F. Anterior branch of obturator
G. Inferior gluteal
H. Superficial peroneal
I. Femoral
J. Second and third lumbar
133. The circle of Willis is an anastomosis of the
A. Internal carotid and external carotid arteries
b B. Internal carotid and vertebral arteries
C. External carotid and innominate arteries
D. Internal carotid and innominate arteries
134. Dupuytrens contracture will result in
A. Marked flexion of the elbow
c B. Marked extension of the wrist
C. Marked flexion of the digits
D. Marked flexion of the wrist
135. The movement permitted at the elbow joint is
A. Flexion
a B. Abduction
C. Adduction
D. Circumduction

136. The three scalenes originate on


a A. The first two ribs
B. Transverse processes of cervical vertebrae

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C. The second and third ribs
D. Spinous processes of cervical vertebrae
137. The muscles longus capitus, longus colli, rectus capitis an-
terior, and rectus capitis lateralis are collectively known as the
A. Strap muscles
d
B. Suboccipitals
C. Abdominal muscles
D. Prevertebral muscles
138. On which bone is a cribriform plate located?
A. Sphenoid
d B. Palatine
C. Nasal
D. Ethmoid
139. The Y-shaped band at the front of the ankle joint is the
A. Superior extensor retinaculum (transverse crural ligament)
c B. Lateral crural ligament
C. Inferior extensor retinaculum (cruciate crural ligament)
D. Flexor retinaculum (laciniate ligament)
140. A muscle that acts to prevent an undesired action of another
muscle is
A. A prime mover
d
B. An antagonist
C. A synergist
D. A neutralizer
141. The thick fibrous band on the palmar surface of the carpal
bones that forms a tunnel for the long flexor tendons and the
median nerve is the
a A. Transverse carpal ligament
B. Palmar carpal ligament
C. Dorsal carpal ligament
D. Lateral crural ligament
142. Movements of the shoulder girdle occur at the
A. Acromioclavicular and sternoclavicular articulation
a B. Glenohumeral articulation
C. Scapula and clavicle
D. Scapula and humerus
143. The scapula is elevated by the
A. Upper fibers of the serratus anterior
b B. Upper trapezius
C. Anterior deltoid
D. Middle deltoid
144. The same functions are performed by the teres minor and the
A. Teres major
c B. Latissimus dorsi
C. Infraspinatus
D. Supraspinatus
145. The three vasti and the rectus femoris are collectively called
the
A. Hamstrings
c
B. Intermedius
C. Quadriceps
D. Hipstrings
146. Pronation and supination of the forearm are allowed at the
A. Humero-ulnar joint
c B. Humeroradial joint
C. Proximal radio-ulnar joint
D. Intercarpal joints

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147. The fibers of the aponeuroses of the two oblique abdominis
and the transversus interlace to form the
A. Linea semilunaris
c
B. Tendinous inscriptions
C. Linea alba
D. Linea postscriptions
148. Concentric
A. Gradual releasing of the contraction
B. Tensions remains constant as the muscle shortens
c C. Pulls the free end of the lever around the fixed point
D. No appreciable change in length
E. Muscle remains in partial or complete contraction without
changing its length
149. Static
A. Gradual releasing of the contraction
B. Tensions remains constant as the muscle shortens
d
C. Pulls the free end of the lever around the fixed point
D. Muscle remains in partial or complete contraction without
changing its length
150. Isometric
A. Gradual releasing of the contraction
B. Tensions remains constant as the muscle shortens
d C. Pulls the free end of the lever around the fixed point
D. No appreciable change in length
E. Muscle remains in partial or complete contraction without
changing its length
151. Eccentric
A. Gradual releasing of the contraction
B. Tensions remains constant as the muscle shortens
a C. Pulls the free end of the lever around the fixed point
D. No appreciable change in length
E. Muscle remains in partial or complete contraction without
changing its length
152. Isotonic
A. Gradual releasing of the contraction
B. Tensions remains constant as the muscle shortens
b C. Pulls the free end of the lever around the fixed point
D. No appreciable change in length
E. Muscle remains in partial or complete contraction without
changing its length
153. Psoas major
A. Patella, tibial tubercle
B. Medial and plantar surface of medial cuneiform bone, base of
d
first metatarsal bone
C. Greater trochanter of femur
D.Lesser trochanter of femur
154. Gluteus medius
A. Patella, tibial tubercle
B. Medial and plantar surface of medial cuneiform bone, base of
c first metatarsal bone
C. Greater trochanter of femur
D. Dorsal surface of base of fifth metatarsal bone
E. Lesser trochanter of femur

155. Peroneus terius


A. Patella, tibial tubercle
d B. Medial and plantar surface of medial cuneiform bone, base of
first metatarsal bone
C. Greater trochanter of femur

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D. Dorsal surface of base of fifth metatarsal bone
E. Lesser trochanter of femur
156. Vastus medialis
A. Patella, tibial tubercle
B. Medial and plantar surface of medial cuneiform bone, base of
a first metatarsal bone
C. Greater trochanter of femur
D. Dorsal surface of base of fifth metatarsal bone
E. Lesser trochanter of femur
157. Iliacus
A. Patella, tibial tubercle
B. Medial and plantar surface of medial cuneiform bone, base of
d
first metatarsal bone
C. Greater trochanter of femur
D. Lesser trochanter of femur
158. Piriformis
A. Patella, tibial tubercle
B. Medial and plantar surface of medial cuneiform bone, base of
c first metatarsal bone
C. Greater trochanter of femur
D. Dorsal surface of base of fifth metatarsal bone
E. Lesser trochanter of femur
159. Recuts femoris
A. Patella, tibial tubercle
B. Medial and plantar surface of medial cuneiform bone, base of
a first metatarsal bone
C. Greater trochanter of femur
D. Dorsal surface of base of fifth metatarsal bone
E. Lesser trochanter of femur
160. Tibialis anterior
A. Patella, tibial tubercle
B. Medial and plantar surface of medial cuneiform bone, base of
b first metatarsal bone
C. Greater trochanter of femur
D. Dorsal surface of base of fifth metatarsal bone
E. Lesser trochanter of femur
161. The smallest bone of the face
A. Sphenoid
B. Occipital
d
C. Temporal
D. Lacrimal

162. Light, spongy, cubical


A. Sphenoid
B. Occipital
d
C. Temporal
D. Ethmoid

163. Ethmoidal spine


A. Sphenoid
B. Occipital
C. Temporal
D. Frontal
a E. Lacrimal
F. Mandible
G. Ethmoid
H. Hyoid
I. Vomer
J. Maxilla

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164. Supraorbital notch
A. Sphenoid
B. Occipital
C. Temporal
D. Frontal
d E. Lacrimal
F. Mandible
G. Ethmoid
H. Hyoid
I. Vomer
J. Maxilla
165. Foramen magnum
A. Sphenoid
B. Occipital
C. Temporal
D. Frontal
b E. Lacrimal
F. Mandible
G. Ethmoid
H. Hyoid
I. Vomer
J. Maxilla
166. Horseshoe-shaped
A. Sphenoid
B. Occipital
d
C. Temporal
D. Hyoid

167. Coronoid process


A. Sphenoid
B. Occipital
d
C. Temporal
D. Mandible

168. External acoustic meatus


A. Sphenoid
B. Occipital
C. Temporal
D. Frontal
c E. Lacrimal
F. Mandible
G. Ethmoid
H. Hyoid
I. Vomer
J. Maxilla
169. Alveolar process
A. Sphenoid
d B. Occipital
C. Temporal
D. Maxilla
170. Forms posterior and inferior parts of nasal septum
A. Sphenoid
B. Occipital
d
C. Temporal
D. Vomer

171. Receptors that transmit information concerning body position


and movement are called
d
A. Exteroceptors
B. Thermoreceptors
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C. Visceroceptors
D. Proprioceptors
172. Movement about an axis in which all parts of the object
moving
describe an arc is
a A. Rotatory motion
B. Rectilinear motion
C. Circular motion
D. Curvilinear motion
173. Movement in which the object is translated as a whole from
one
location to another is
b A. Angular motion
B. Translatory motion
C. Rotatory motion
D. Circular motion
174. The largest nerve in the body is
A. Sciatic
a
B. Median
C. Femoral radial
175. What is known as the "funny bone" of the elbow is actually
the
A. Median nerve
b
B. Ulnar nerve
C. Radial nerve
D. Musculocutaneous
176. The sacrum of the adult compromises __ united bones
A. 3
c B. 4
C. 5
D. 6
177. The arteries and veins in skeletal muscles are found in the
A. Endomysium
b B. Perimysium
C. Epimysium
D. Endocardium
178. Supinator
A. Medial and anterior surface of the ulna
B. Distal fourth of the anterior surface of the ulna
d
C. Tendons of the flexor digitorum profundus
D. Lateral epicondyle of the humerus

179. Flexor carpi radialis


A. Medial and anterior surface of the ulna
d B. Distal fourth of the anterior surface of the ulna
C. Tendons of the flexor digitorum profundus
D. Medial epicondyle of the humerus
180. Brachialis
A. Medial and anterior surface of the ulna
B. Distal fourth of the anterior surface of the ulna
C. Tendons of the flexor digitorum profundus
d
D. Lower two thirds of the anterior surface of the humerus
E. Lateral epicondyle of the humerus
F. Middle third of the posterior surface of the ulna
G. Medial epicondyle of the humerus

181. Palmaris Longus


d A. Medial and anterior surface of the ulna
B. Distal fourth of the anterior surface of the ulna

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C. Tendons of the flexor digitorum profundus
D. Medial epicondyle of the humerus
182. Flexor digitorum profundus
A. Medial and anterior surface of the ulna
B. Distal fourth of the anterior surface of the ulna
C. Tendons of the flexor digitorum profundus
a
D. Lower two thirds of the anterior surface of the humerus
E. Lateral epicondyle of the humerus
F. Middle third of the posterior surface of the ulna
G. Medial epicondyle of the humerus
183. Pronator quadratus
A. Medial and anterior surface of the ulna
B. Distal fourth of the anterior surface of the ulna
C. Tendons of the flexor digitorum profundus
b
D. Lower two thirds of the anterior surface of the humerus
E. Lateral epicondyle of the humerus
F. Middle third of the posterior surface of the ulna
G. Medial epicondyle of the humerus
184. Extensor digitorum (communis)
A. Medial and anterior surface of the ulna
B. Distal fourth of the anterior surface of the ulna
d
C. Tendons of the flexor digitorum profundus
D. Lateral epicondyle of the humerus

185. Extensor pollicis longus


A. Medial and anterior surface of the ulna
B. Distal fourth of the anterior surface of the ulna
d
C. Tendons of the flexor digitorum profundus
D. Middle third of the posterior surface of the ulna

186. Extensor carpi ulnaris


A. Medial and anterior surface of the ulna
d B. Distal fourth of the anterior surface of the ulna
C. Tendons of the flexor digitorum profundus
D. Lateral epicondyle of the humerus
187. Lumbricales
A. Medial and anterior surface of the ulna
B. Distal fourth of the anterior surface of the ulna
C. Tendons of the flexor digitorum profundus
c
D. Lower two thirds of the anterior surface of the humerus
E. Lateral epicondyle of the humerus
F. Middle third of the posterior surface of the ulna
G. Medial epicondyle of the humerus
188. Mandible
a A. Single Bone
B. Paired Bone
189. Occipital
a A. Single Bone
B. Paired Bone
190. Parietal
b A. Single Bone
B. Paired Bone
191. Temporal
b A. Single Bone
B. Paired Bone
192. Sphenoid
a A. Single Bone
B. Paired Bone

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193. Vomer
a A. Single Bone
B. Paired Bone
194. Ethmoid
a A. Single Bone
B. Paired Bone
195. Nasal
b A. Single Bone
B. Paired Bone
196. Flexor digitorum profundus
A. Median
a
B. Ulnar
C. Radial
197. Flexor digitorum superficialis
A. Median
a
B. Ulnar
C. Radial
198. Extensor digitorum
A. Median
c
B. Ulnar
C. Radial
199. Lumbricales
A. Median
a (b)
B. Ulnar
C. Radial
200. Interossei palmaris
A. Median
b
B. Ulnar
C. Radial
201. Opponens pollicis
A. Median
a
B. Ulnar
C. Radial
202. Abductor digiti minimi
A. Median
b
B. Ulnar
C. Radial

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203. A respiratory mechanism sensitive to the lack of oxygen in
the blood
and lying adjacent to the aortic and carotid arteries in the chest is
the
c
A. Apneustic center
B. Pneumotaxic center
C. Chemoreceptor system
D. Pressoreceptor
204. Collapse of a portion or all of a lung is called
A. Asthma
c B. Emphysema
C. Atelectasis
D. Dyspnea
205. In a normal blood pressure reading of 120/180, the 120 refers
to
A. Diastolic pressure
b
B. Systolic pressure
C. Pulse pressure
D. High blood pressure
206. One of the important substances that normally pass through
the cell
membrane by facilitated diffusion is
c A. Carbon dioxide
B. Alcohol
C. Glucose
D. Water
207. The maintenance of constant conditions in the body fluids is
known
as
c A. Mitosis
B. Hemostasis
C. Homeostasis
D. Nutrition
208. The average lifespan of the red blood cell is
A. 1 week
d B. 20 days
C. 1 year
D. 120 days
209. The air that passes into and out of the lungs with each breath
is called
A. Vital capacity
c
B. Lung volume
C. Tidal air
D. Residual volume
210. Mouth
A. Mucus
B. Hydrochloric acid
C. Amylase
D. Saliva
a/d E. Sodium bicarbonate
F. Bile
G. Pepsin
H. Trypsin
I. Sucrase
J. Lipase

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211. Esophagus
A. Mucus
B. Hydrochloric acid
C. Amylase
D. Saliva
a E. Sodium bicarbonate
F. Bile
G. Pepsin
H. Trypsin
I. Sucrase
J. Lipase
212. Stomach
A. Mucus
B. Hydrochloric acid
C. Amylase
D. Saliva
a/b/g E. Sodium bicarbonate
F. Bile
G. Pepsin
H. Trypsin
I. Sucrase
J. Lipase
213. Pancreas
A. Mucus
B. Hydrochloric acid
C. Amylase
D. Saliva
c/ h / j / e E. Sodium bicarbonate
F. Bile
G. Pepsin
H. Trypsin
I. Sucrase
J. Lipase
214. Liver
A. Mucus
B. Hydrochloric acid
C. Amylase
D. Saliva
f E. Sodium bicarbonate
F. Bile
G. Pepsin
H. Trypsin
I. Sucrase
J. Lipase
215. Small intestine
A. Mucus
B. Hydrochloric acid
C. Amylase
D. Saliva
a/ i / j E. Sodium bicarbonate
F. Bile
G. Pepsin
H. Trypsin
I. Sucrase
J. Lipase
216. Large intestine
A. Mucus
B. Hydrochloric acid
a
C. Amylase
D. Saliva
E. Sodium bicarbonate
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F. Bile
G. Pepsin
H. Trypsin
I. Sucrase
J. Lipase
217. Which diffuses through the pulmonary membrane most eas-
ily?
A. Oxygen
c
B. Nitrogen
C. Carbon dioxide
D. Alcohol
218. Muscle hypertrophy refers to
A. Extreme atrophy of muscle
b B. Physical enlargement of muscle
C. Lack of exercise
D. Denervated muscle
219. Stimulation of the parasympathetic nervous system will cause
A. Decreased activity of the heart
a B. Increased activity of the heart
C. Unchanged activity of the heart
D. More rapid respiration
220. When arterial pressure is high, respiration is
A. Increased
b B. Decreased
C. Unchanged
D. Fluctuating
221. The functional unit of the urinary system is the
A. Collecting tubules
b B. Nephron
C. Renal pelvis
D. Urinary bladder
222. A high concentration of calcium in the extracellular fluid will
A. Increase the permeability of the cell membrane
b B. Decrease the permeability of the cell membrane
C. Cause no change in the permeability of the cell membrane
D. Cause a great change in the permeability of the cell membrane
223. A solution that causes osmosis of fluid out of the cell into the
solution is called
A. Isotonic
b
B. Hypertonic
C. Hypotonic
D. Hyperplastic
224. Which ions have the most difficulty passing through the cell
membrane by diffusion?
A. Negatively charged ions
b
B. Positively charged ions
C. Neutral ions
D. Ions with small atomic weight
225. The valve most frequently affected by rheumatic fever is the
A. Tricuspid (left atrioventricular)
c B. Aortic
C. Mitral (bicuspid)
D. Pulmonary
226. "Edema" of a potential space is called
A. Effusion
a B. Diffusion
C. Profusion
D. Infection

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227. A trained muscle increases in size because of
A. An increase in the number of muscle fibers
b B. The increased size of the individual muscle fibers
C. Increased strength
D. Increased efficiency
228. Water
A. Provide inorganic chemicals for cellular reaction
B. Soluble in fat solvents
c
C. The fluid medium of all protoplasm
D. Plays major role in cellular nutrition
E. 10-20% of the cell mass
229. Electrolytes
A. Provide inorganic chemicals for cellular reaction
B. Soluble in fat solvents
a
C. The fluid medium of all protoplasm
D. Plays major role in cellular nutrition
E. 10-20% of the cell mass
230. Proteins
A. Provide inorganic chemicals for cellular reaction
B. Soluble in fat solvents
e
C. The fluid medium of all protoplasm
D. Plays major role in cellular nutrition
E. 10-20% of the cell mass
231. Lipids
A. Provide inorganic chemicals for cellular reaction
B. Soluble in fat solvents
b
C. The fluid medium of all protoplasm
D. Plays major role in cellular nutrition
E. 10-20% of the cell mass
232. Carbohydrates
A. Provide inorganic chemicals for cellular reaction
B. Soluble in fat solvents
d
C. The fluid medium of all protoplasm
D. Plays major role in cellular nutrition
E. 10-20% of the cell mass
233. Concerning the urinary system, the function of the glomerulus
is to
A. Reabsorb from the filtrate those substances needed in the body
c
B. Remove the waste products of metabolism
C. Filter water and solutes from the blood
D. Increase filtration pressure
234. The simplest reflex arc is the
A. Axon reflex
a B. Stretch reflex
C. Withdrawal reflex
D. Two-neuron reflex
235. The inhibitory transmitter secreted at some presynaptic ter-
minals is believed to be the
A. Acetylcholine
c
B. Cholinesterase
C. Gamma-aminobutyric acid
D. Histamine
236. Once a single point anywhere on a nerve fiber becomes
depolarized,
a nerve impulse travels from that point
c A. Toward a nerve cell
B. Away from the nerve cell
C. In each direction
D. Toward the center
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237. To vary the strength of a stimulus travelling down a particular
nerve
A. Spatial summation is most often used
c
B. Temporal summation is most often used
C. A combination of spatial and temporal summation is often used
D. One should increase depolarization
238. The presynaptic terminal secretes a substance that causes
A. Excitation of the postsynaptic neuron
c B. Inhibition of the postsynaptic neuron
C. Either excitation or inhibition of the postsynaptic neuron
D. Inhibition of the presynaptic neuron
239. A nerve cell membrane suddenly becomes positive inside
and negative outside. This is called
A. Membrane potential
b
B. Depolarization
C. The resting state of the membrane
D. Polarization
240. The time during which the nerve fiber cannot transmit a
second impulse until repolarization occurs, no matter how strong
the stimulus, is called the
d A. Action potential
B. Repolarization state
C. Action state
D. Refractory period
241. Interruptions of the myelin sheath at intervals along a nerve
fiber are called
A. The nodes of Ranvier
d
B. Heberdens nodes
C. The axoplasm
D. Unmyelinated axons
242. Most often the gradation of muscle contraction is attained
by varying the number of motor units contracting at one time and
by varying the number of times the muscle fiber contracts. This
combination is called
d
A. Tetanized summation
B. Multiple motor unit summation
C. Wave summation
D. Asynchronous summation
243. The strength of muscle contraction can be increased by
increasing the number of times the muscle fiber contracts. This is
called
d A. Tetanization
B. Temporal summation
C. Multiple motor unit summation
D. Wave summation
244. Which statement applies to the purkinje system of the heart?
A. Conducts the impulse from the atrial muscle latticework into the
ventricular latticework
B. Fibers transmit slightly more slowly than normal in rotating
a
patterns
C. Causes all portions of ventricles to contract nearly simultane-
ously
D. Directs impulses around the heart

245. A drug that enhances the transmission of impulses at the


myoneural
a junction is
A. Neostigmine
B. Cholinesterase

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C. Curare
D. Acetylcholine
246. Alveolar ventilation is increased when
A. Carbon dioxide content of the blood is increased
a B. Carbon dioxide content of the blood is decreased
C. Blood PH is high
D. Oxygen content of the blood is increased
247. In emphysema, which occurs?
A. Collection of fluid in interstitial spaces of the lungs
B. Total surface of the pulmonary membrane becomes greatly
b
diminished
C. Collapse of a portion or of an entire lung
D. Increase in the alveolar walls

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248. Nystagmus is a term used to denote
A. A nervous twitching of the mouth
c B. A burning sensation in the ears
C. A rhythmic oscillation of the eyes
D. A hypersensitive nose
249. In most instances a given sensory impulse terminates in the
side of
the brain opposite its origin as a result of decussation of the
b A. Primary or first-order neuron
B. Secondary or second-order neuron
C. Tertiary or third-order neuron
D. Fourth order neuron
250. Pathways from receptor endings to the cerebral cortex require
a
minimum of
b A. Two neurons
B. Three neurons
C. Four neurons
D. Five neurons
251. The final common pathway is synonymous with the
A. Upper motor neuron
b B. Lower motor neuron
C. Peripheral nerve
D. Motor unit
252. The pyramids, longitudinal preferences, are part of which
portion of
the brain stem?
d A. Thalamus
B. Midbrain
C. Pons
D. Medulla oblongata
253. Surgical severance of the lateral spinothalamic tract for the
relief of
pain is called
c A. Cordectomy
B. Thalamectomy
C. Cordotomy
D. Tractotomy
254. Which of the following sensibilities utilize the same pathway
through the spinal cord and brain stem?
A. Pain and somatic tactile
d
B. Procioceptive and thermal
C. Thermal and tactile
D. Pain and thermal
255. The dura mater is the ______ meningeal covering of the brain
and
spinal cord.
c A. Innermost
B. Middle
C. Outermost
D. thickest
256. Retrograde degeneration refers to the degenerative changes
in the ______ stump(s) that occur after transection of a nerve fiber.
A. Proximal
a
B. Distal
C. Proximal and distal
D. Middle
257. Cerebellar, or intention, tremor may be observed in
A. Wilsons disease
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B. Parkinsonism
d C. Poliomyelitis
D. Multiple sclerosis
258. Motor aphasia, or loss of vocal expression, is due to destruc-
tion of
the motor speech area located in the
c A. Inferior frontal gyrus
B. Anterior central gyrus
C. Posterior central gyrus
D. Cingulate

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259. Chiaruggi

A. England
d B. France
C. United states
D. Italy
E. Spain
260. Pinel

A. England
b B. France
C. United states
D. Italy
E. Spain
261. Tuke

A. England
a B. France
C. United states
D. Italy
E. Spain
262. Dix

A. England
c B. France
C. United states
D. Italy
E. Spain
263. An early practitioner who used a method of treatment similar
to, and the forerunner of, hypnosis was
A. Jean Martin Charcot
c
B. Liebault
C. James Braid
D. Anton Mesmer
264. The term "psychoanalysis" and many of its present-day tech-
niques
were originated by
c A. Charcot
B. Janet
C. Freud
D. Breuer
265. The approach to psychiatry designated as "psychobiological"
is
credited to
c A. Freud
B. Jung
C. Meyer
D. Adler
266. Contains compromising, solution-forming aspects of the per-
sonality
b
A. Id
B. Ego
C. Superego
267. The "observing" portion of the personality

c A. Id
B. Ego
C. Superego

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268. Operates on the "pleasure principle"

a A. Id
B. Ego
C. Superego
269. Concerned with such functions as perception, memory and
synthesizing experience
b
A. Id
B. Ego
C. Superego
270. Attempts to adapt behavior to the environment

b A. Id
B. Ego
C. Superego
271. Acts as the repressing part of the personality

c A. Id
B. Ego
C. Superego
272. Collective name for primitive biological impulses

a A. Id
B. Ego
C. Superego
273. Operates on "reality principle"

b A. Id
B. Ego
C. Superego
274. Derived particularly from identification with parents and their
substitutes
c
A. Id
B. Ego
C. Superego
275. Demands immediate gratification of desires

a A. Id
B. Ego
C. Superego
276. First stage
A. Phallic
B. Adolescence
c C. Oral
D. Oral
E. Adult
F. Anal
277. Second stage
A. Phallic
B. Adolescence
f C. Oral
D. Oral
E. Adult
F. Anal

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278. Third stage
A. Phallic
B. Adolescence
a C. Oral
D. Oral
E. Adult
F. Anal
279. Fourth stage
A. Phallic
B. Adolescence
d C. Oral
D. Oral
E. Adult
F. Anal
280. Fifth stage
A. Phallic
B. Adolescence
b C. Oral
D. Oral
E. Adult
F. Anal
281. Sixth stage
A. Phallic
B. Adolescence
e C. Oral
D. Oral
E. Adult
F. Anal
282. Concern arises about differences between boys and girls,
especially in regard to sex organs
A. Phallic
B. Adolescence
a
C. Oral
D. Latency
E. Adult
F. Anal
283. The individual is preoccupied with how he or she appears to
other; there is a search for personal identity
A. Phallic
B. Adolescence
b
C. Oral
D. Latency
E. Adult
F. Anal
284. Influence of authority figures outside the family provides
opportunities for new identifications, as well as the interaction with
a larger peer group in school/play associations and activities
A. Phallic
d B. Adolescence
C. Oral
D. Latency
E. Adult
F. Anal
285. Occupational choices or decisions are generally made
A. Phallic
B. Adolescence
b C. Oral
D. Latency
E. Adult
F. Anal
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286. This period is essentially one of training in the customs and
attitudes
of society
A. Phallic
d B. Adolescence
C. Oral
D. Latency
E. Adult
F. Anal
287. Period of complete dependence
A. Phallic
B. Adolescence
c C. Oral
D. Latency
E. Adult
F. Anal
288. The individual independently pursues her or his own goals;
with
recognition of limitations and with willingness to seek advice from
others when indicated
A. Phallic
e
B. Adolescence
C. Oral
D. Latency
E. Adult
F. Anal
289. Aggressive drives may appear as shown in the pleasure of
biting
(appears in the last half of the stage)
A. Phallic
c B. Adolescence
C. Oral
D. Latency
E. Adult
F. Anal
290. Primary bond is between the child and the mothering figure
A. Phallic
B. Adolescence
c C. Oral
D. Latency
E. Adult
F. Anal
291. Power struggle between child and parent begins
A. Phallic
B. Adolescence
f C. Oral
D. Latency
E. Adult
F. Anal
292. Adult characteristics of dirtiness, obstinacy and unreliability
derive from this stage
A. Phallic
B. Adolescence
f
C. Oral
D. Latency
E. Adult
F. Anal

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293. A false belief, not shared by others of similar background, that
cannot be corrected by reason or logic because it forms in re-
sponse to definite purposes and needs of the personality is called
b A. An illusion
B. A delusion
C. A hallucination
D. Disorientation
294. Disturbance in the flow of thought where both thought and
speech suddenly cease is known as
A. Incoherence
c
B. Confusion
C. Blocking
D. Aphasia
295. Contradictory feelings and attitude exist toward the same
object: one of the two components remains repressed but may
give rise to anxiety and feelings of guilt. This describes
c A. Inadequate effect
B. Depersonalization
C. Ambivalence
D. Depression
296. Delusions of grandeur are an example of a disturbance of
A. Thought
a B. Consciousness
C. Perception
D. Orientation
297. Amnesia is a disturbance of
A. Thought
d B. Consciousness
C. Perception
D. Memory
298. Persistent and constant repetition of certain activities, which
may be of position or body movement, is known as
A. Negativism
d
B. Dysactivity
C. Command automatism
D. Stereotypy
299. A perceptual misinterpretation is known as
A. A delusion
c B. A hallucination
C. An illusion
D. A perseveration
300. Vivid recollection of minor details of a specific period of time
or specific events is called
A. Organic amnesia
c
B. Psychogenic amnesia
C. Hypermnesia
D. Paramnesia
301. An illusion of memory, such as having previously lived
through a current experience, is
A. Paramnesia
d
B. Hypermnesia
C. Jamais vu
D. Déjà vu

302. A person is akinetic and mute, but consciousness is relatively


preserved, the eyes move and respiration occurs. The person is
b thought to be
A. Intoxicated
B. In a stupor

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C. In a dream state
D. In a state of amnesia
303. Delirium is an example of a disturbance of
A. Sleep
c B. Affect
C. Consciousness
D. Memory
304. During the psychiatric interview. Questions about the ability
to compare facts or ideas are used to determine the persons
A. Thought content
b
B. Judgment
C. Memory
D. Insight
305. Euphoria is a example of a disturbance of
A. Thought
c B. Judgment
C. Affect
D. Perception
306. During the psychiatric examination, evidence of confabulation
is noted as a disturbance of
A. Judgment
d
B. Behavior
C. Insight
D. Memory
307. Thoughts that persistently remain in consciousness against
the conscious desire of the individual and that cannot be dispelled
or
influenced by logic or reason are
a
A. Obsessions
B. Compulsions
C. Delusions
D. Phobias
308. The firm belief by the patient that he or she has no brain, feels
nothing or is dead is included under the type of delusion called
A. Persecution
c
B. Grandeur
C. Nihilistic
D. Denial
309. Unrealistic fears that persistently thrust their way into con-
sciousness and are accompanied by acute anxiety are
A. Obsessions
d
B. Compulsions
C. Delusions
D. Phobias
310. Delusions that give individual feelings of perfection of special
distinction are termed
A. Persecutory
b
B. Grandiose
C. Self-accusatory
D. Impoverishment
311. Korsakoffs psychosis is caused by
A. Vitamin B deficiency
b B. The toxic effects of alcohol
C. Hereditary factors
D. An endocrine imbalance

312. Delirium tremens results from


b A. Drinking over a period of many years
B. Sudden deprivation of alcohol in an excessive drinker

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C. An unusually severe or prolonged debauch
D. Malnutrition caused by drinking instead of eating
313. Loss of consciousness is sudden and complete

a A. Grand mal
B. Petit mal
C. Psychomotor
314. Episodic alteration of awareness associated with running

c A. Grand mal
B. Petit mal
C. Psychomotor
315. Electroencephalogram shows the focus at the anterior pole
of the temporal lobe
c
A. Grand mal
B. Petit mal
C. Psychomotor
316. Seizures include tonic and clonic phases

a A. Grand mal
B. Petit mal
C. Psychomotor
317. Individual has a transient interruption of the stream of con-
sciousness
b
A. Grand mal
B. Petit mal
C. Psychomotor
318. Seizures tend to be accompanied by an increase in the speed
and voltage of brain waves
a
A. Grand mal
B. Petit mal
C. Psychomotor
319. The seizure may assume the form of a fugue

c A. Grand mal
B. Petit mal
C. Psychomotor
320. An aura is sometimes experienced

a A. Grand mal
B. Petit mal
C. Psychomotor
321. A condition usually termed a variant of epilepsy and charac-
terized by a sudden irresistible desire to sleep is called
A. A cataplexy
b
B. Narcolepsy
C. Catalepsy
D. Epileptic personality
322. Juvenile paresis is a brain syndrome associated with
A. Cerebrovascular disturbance
b B. Infection
C. Endocrine and metabolic disturbance
D. Epilepsy
323. Cushings syndrome is a brain syndrome associated with
A. A drug or poison intoxication
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B. Intracranial neoplasm,
c C. Endocrine/metabolic disturbance
D. Infection
324. In early onset of a manic phase or in mild hypomanic cases,
diagnosis of illness is most often based on
A. Cheerful, optimistic outlook
c
B. Poor judgment (e.g., excessive spending)
C. Abundant energy, mild excitement
D. Talkativeness
325. A mental disorder that includes paranoid delusions and in
which the symptoms exist in two intimately associated persons
(one with a primary illness and the other with an induced psychosis
of a submissive and suggestible type) is called
c
A. Paranoia
B. Schizophrenia, paranoid type
C. Folie a deux
D. Involutional paranoid reaction
326. The case of neuroses is
A. Anxiety
c B. Fear
C. Conflict
D. Depression
327. Disorders of orientation may occur in any mental disorder.
Disturbances of orientation are generally significant of
A. Acute cerebral insufficiency
a
B. Temporary inhibitions caused by preoccupation
C. Forgetting experiences as a result of psychological conflict
D. Conscious repression of ones time and place
328. Phenylketonuria is a condition associated with mental defi-
ciency
caused by
b A. Trauma
B. A metabolic disorder
C. A chromosomal aberration
D. Psychosocial deprivation
329. The emotional reaction of the patient toward the analyst

A. Free association
B. Resistance
c
C. transference
D. Countertransference
E. Interpretation
F. Dream analysis
330. The patient's inner tensions are expressed symbolically and
disguised

A. Free association
f B. Resistance
C. transference
D. Countertransference
E. Interpretation
F. Dream analysis

331. The attitudes of the analyst toward the patient

A. Free association
d
B. Resistance
C. transference
D. Countertransference

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E. Interpretation
F. Dream analysis
332. An unconscious effort to evade

A. Free association
B. Resistance
b
C. transference
D. Countertransference
E. Interpretation
F. Dream analysis
333. An uninhibited verbalization of everything and anything that
comes to mind

A. Free association
a B. Resistance
C. transference
D. Countertransference
E. Interpretation
F. Dream analysis
334. Tentative explanations of patients feelings and behavior

A. Free association
B. Resistance
e
C. transference
D. Countertransference
E. Interpretation
F. Dream analysis
335. Subtle suggestion; does not lead to real insight

A. Superficial expressive therapy


b
B. Suppressive therapy
C. Supportive therapy
D. Behavior therapy
336. Abreaction, emotional reliving of a stress situation

A. Superficial expressive therapy


a
B. Suppressive therapy
C. Supportive therapy
D. Behavior therapy
337. Emphasis is placed on controlling behavior through the "con-
sequences" of that behavior

d A. Superficial expressive therapy


B. Suppressive therapy
C. Supportive therapy
D. Behavior therapy
338. Used where immediate measures must be taken to relieve
a patient (particularly when little is known) with unmanageable
anxiety
c
A. Superficial expressive therapy
B. Suppressive therapy
C. Supportive therapy
D. Behavior therapy

339. Hypnosis
a
A. Superficial expressive therapy
B. Suppressive therapy

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C. Supportive therapy
D. Behavior therapy
340. Narcosynthesis

A. Superficial expressive therapy


a
B. Suppressive therapy
C. Supportive therapy
D. Behavior therapy

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341. The chief indication for use of subarachnoid alcohol block for
relief of paraplegic spasticity is
A. Severe pain immediately after injury and over the site of the
injury
B. The presence of motor and sensory function in the lower ex-
d
tremities, impeded by spasticity
C. Spasticity within the first 3 months after trauma and impeding
rehabilitation
D. Stationary intractable spasticity of the lower extremities, which
have no useful motor or sensory function
342. The majority of patients with quadriplegia have lesions of the
A. Second and third vertebrae
d B. Third and fourth vertebrae
C. Fifth and sixth vertebrae
D. Sixth and seventh vertebrae
343. The highest in incidence among the arthritides and those that
exact the greatest toll on crippling are
A. Rheumatoid arthritis and rheumatoid spondylitis
a
B. Primary and secondary degenerative joint disease
C. Myositis and myalgia
D. Traumatic arthritis
344. The cardiac patient whose physical activity need not be
restricted in any way is classified as
A. A, class I
a
B. B, class I
C. C, class II
D. D, class II
345. The condition that begins in the sacroiliac joints and spreads
slowly upward causing fusion of the spine is
A. Ankylosing spondylitis
a
B. Charcots joints
C. Osteoarthritis
D. Villo-nodular synovitis
346. The first rehabilitation medicine service with its own per-
sonnel and beds of any civilian hospital in the United States was
created in New York Citys Believue Hospital in the
c A. 1920s
B. 1930s
C. 1940s
D. 1950s
347. A person who has either suddenly or gradually lost his/her
integrity, as in the case of a spinal cord injury or stroke, inevitably
suffers from
some degree of emotional stability. The physician of the health-re-
lated personnel must recognize that the most important factor in
b
the first encounter with this person is
A. Taking an accurate history
B. Patience and understanding
C. An ostentatious solicitude
D. Doing an accurate physical and mental examination
348. Where there is a sudden stoppage of blood supply to a part
of an organ with insufficient collateral circulation, necrosis of the
tissue
occurs. This is called
d
A. Embolism
B. Thrombosis
C. Anoxia
D. Infarction

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349. When a person suffers a painful shoulder and also has cer-
tain conditions in the hand (slight swelling without pitting edema,
increased skin temperature, pink glossy texture and extension
deformities in the metacarpophalangeal joints). Which term is
a likely to be used to describe the condition?
A. Shoulder/hand syndrome
B. Peripheral nerve lesions
C. Rheumatoid arthritis
D. Rheumatoid spondylitis
350. An example of overproduction of bone, associated with great-
ly increased blood flow to the affected bones, is
A. Pagets disease
a
B. Rickets
C. Osteomalacia
D. Osteoma
351. Loss of blood supply to a part of the body is termed
A. Ischemia
a B. Anoxia
C. Anemia
D. Embolism
352. Angioma

A. Malignant tumor of connective


tissue
B. Benign tumor composed of muscle
C. Benign tumor arising from and
composed of cartilage
D. Malignant tumor of neuroglia of the
f
brain
E. Benign tumor composed of vessels
as seen in a birthmark
F. Benign tumor composed of vessels
as seen in a birthmark
G. Malignant tumor of the lymph nodes
H. Malignant tumor arising from the
skin or from glandular organs
353. Sarcoma

A. Malignant tumor of connective


tissue
B. Benign tumor composed of muscle
C. Benign tumor arising from and
composed of cartilage
D. Malignant tumor of neuroglia of the
a
brain
E. Benign tumor composed of vessels
as seen in a birthmark
F. Benign tumor composed of vessels
as seen in a birthmark
G. Malignant tumor of the lymph nodes
H. Malignant tumor arising from the
skin or from glandular organs
354. Lipoma

A. Malignant tumor of connective


tissue
e B. Benign tumor composed of muscle
C. Benign tumor arising from and
composed of cartilage
D. Malignant tumor of neuroglia of the
brain
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E. Benign tumor composed of vessels
as seen in a birthmark
F. Benign tumor composed of vessels
as seen in a birthmark
G. Malignant tumor of the lymph nodes
H. Malignant tumor arising from the
skin or from glandular organs
355. Lymphosarcoma

A. Malignant tumor of connective


tissue
B. Benign tumor composed of muscle
C. Benign tumor arising from and
composed of cartilage
D. Malignant tumor of neuroglia of the
g
brain
E. Benign tumor composed of vessels
as seen in a birthmark
F. Benign tumor composed of vessels
as seen in a birthmark
G. Malignant tumor of the lymph nodes
H. Malignant tumor arising from the
skin or from glandular organs
356. Carcinoma

A. Malignant tumor of connective


tissue
B. Benign tumor composed of muscle
C. Benign tumor arising from and
composed of cartilage
D. Malignant tumor of neuroglia of the
h
brain
E. Benign tumor composed of vessels
as seen in a birthmark
F. Benign tumor composed of vessels
as seen in a birthmark
G. Malignant tumor of the lymph nodes
H. Malignant tumor arising from the
skin or from glandular organs
357. Myoma

A. Malignant tumor of connective


tissue
B. Benign tumor composed of muscle
C. Benign tumor arising from and
composed of cartilage
D. Malignant tumor of neuroglia of the
b
brain
E. Benign tumor composed of vessels
as seen in a birthmark
F. Benign tumor composed of vessels
as seen in a birthmark
G. Malignant tumor of the lymph nodes
H. Malignant tumor arising from the
skin or from glandular organs

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358. Chondroma

A. Malignant tumor of connective


tissue
B. Benign tumor composed of muscle
C. Benign tumor arising from and
composed of cartilage
D. Malignant tumor of neuroglia of the
c
brain
E. Benign tumor composed of vessels
as seen in a birthmark
F. Benign tumor composed of vessels
as seen in a birthmark
G. Malignant tumor of the lymph nodes
H. Malignant tumor arising from the
skin or from glandular organs
359. Glioma

A. Malignant tumor of connective


tissue
B. Benign tumor composed of muscle
C. Benign tumor arising from and
composed of cartilage
D. Malignant tumor of neuroglia of the
d
brain
E. Benign tumor composed of vessels
as seen in a birthmark
F. Benign tumor composed of vessels
as seen in a birthmark
G. Malignant tumor of the lymph nodes
H. Malignant tumor arising from the
skin or from glandular organs
360. The person with a very large face, protruding lower jaw,
abnormally large hands and feet, and thick, coarse, furrowed skin
has a condition caused by an overactive pituitary gland and called
a A. Acromegaly
B. Froelichs syndrome
C. Gigantism
D. Simmonds disease
361. Hydrocephalus occurs when the intracranial pressure is raise
as a
result of blockage of the cerebrospinal fluid at the
d A. First ventricle
B. Second ventricle
C. Third ventricle
D. fourth ventricle
362. Cretinism, a condition in which the person is dwarfed phys-
ically and mentally, is due to underactivity of which endocrine
gland?
b A. Pituitary
B. Thyroid
C. Parathyroid
D. Adrenals
363. One of the most important things a person can do to prevent
decubitus ulcers is to
A. Learn proper positioning in a bed of chair
d
B. Use a foam rubber mattress
C. Use a sheepskin
D. Learn self-inspection for pressure signs

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364. The Crede maneuver is a technique used with the paraplegic
or quadriplegic to teach
A. Transferring
d
B. Bowel management
C. Shifting weight
D. Bladder management
365. A person needs an upper extremity prosthesis. Which com-
ponent of
the prosthesis is considered the most significant?
c A. Harness
B. Stump sock
C. Terminal device
D. Hinges
366. The Muenster-type prosthesis extends posteriorly above
the olecranon and intimately fits around the biceps tendon, this
suspending the prosthesis and eliminating the elbow hinges and
triceps cuff. The prosthesis has achieved great popularity and is
c most often prescribed for the
A. Wrist disarticulation
B. Long below-elbow amputation
C. Short and very short below-elbow amputation
D. Long above-elbow amputation
367. From a purely functional point of view, the most desirable site
of amputation of the upper extremity is the
A. Partial hand
b
B. Wrist
C. Short below-elbow
D. Long above-elbow
368. The first principle in the treatment of disabilities resulting from
lower motor neuron lesions is improvement of
A. Muscle strength
a
B. Eye-hand coordination
C. Hand dexterity
D. Range of motion
369. Terms such as exercise load, muscle load, and ten-repetition
maximum are applied to
A. Resistive exercise
c
B. Passive exercise
C. Progressive resistive exercise
D. Active exercise
370. The most common cause of cerebral vascular accidents is
A. Hemorrhage
c B. Embolism
C. Thrombosis
D. Compression of vessels
371. The incidence of emotional disturbance among the cerebral
palsied
is
b A. Low
B. High
C. Coincidental
D. Not determined
372. Which disease is congenital?
A. Amyotrophic lateral sclerosis
b B. Tetralogy of Fallot
C. Disseminated lupus erythematosus
D. Diabetes mellitus

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373. Prime movers or agonists

A. Muscles that oppose prime movers


B. muscles that stabilize the position of neighboring segments and
maintain the limb of body in a position appropriate for carrying out
d
the particular movement
C. Muscles that assist the prime movers
and minimize unnecessary movement
D. Muscles that are essentially
responsible for movement of the part
374. Antagonists

A. Muscles that oppose prime movers


B. muscles that stabilize the position of neighboring segments and
maintain the limb of body in a position appropriate for carrying out
a
the particular movement
C. Muscles that assist the prime movers
and minimize unnecessary movement
D. Muscles that are essentially
responsible for movement of the part
375. Synergists

A. Muscles that oppose prime movers


B. muscles that stabilize the position of neighboring segments and
maintain the limb of body in a position appropriate for carrying out
c
the particular movement
C. Muscles that assist the prime movers
and minimize unnecessary movement
D. Muscles that are essentially
responsible for movement of the part
376. Fixators

A. Muscles that oppose prime movers


B. muscles that stabilize the position of neighboring segments and
maintain the limb of body in a position appropriate for carrying out
b
the particular movement
C. Muscles that assist the prime movers
and minimize unnecessary movement
D. Muscles that are essentially
responsible for movement of the part
377. If the physician asks the hemiplegic patient his name, the
name of the hospital, and when he entered the hospital, he/she is
doing an on-the-spot check of the patient's
a A. Orientation
B. Memory and concentration
C. Perception
D. Emotional lability
378. Tetralogy of Fallot is a disease of the
A. Nervous system
b B. Heart
C. Respiratory system
D. Liver
379. The hemiplegic patient who does not perform well in which
of the
following areas has the least chance to learn in a rehabilitation
program:
c
A. Tests of orientation
B. Tests of memory and concentration
C. Deficits in perception
D. Emotional lability

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380. Rickets, a disease of young children in which proper classi-
fication of bone cannot take place, is caused by a deficiency of
A. Vitamin A
d
B. Vitamin B
C. Vitamin C
D. Vitamin D
381. It is generally agreed that the elaboration of language occurs
in the
dominant hemisphere primarily because that is where the com-
munication centers are located. The left hemisphere is the
a dominant hemisphere in roughly _________ of the population.
A. 97%
B. 90%
C. 80%
D. 75%
382. Cholecystectomy

A. Plastic surgery of the ear


B. Incision of the colon
C. Surgical removal of a lobe of any organ or gland
D. Plastic surgery of the nose
E. Excision of a gall bladder
F. Removal of portions of the ribs in stages to collapse diseased
e areas of the lung
G. Removal of a tumor or structure from its capsule
H. Removal of part or all of the stomach
I. Opening of a vein
J. Excision of mastoid cells
K. Renal incision for removal of calculus
L. Removal of a lung
M. Surgical creation of a gastric fistula through the abdominal wall
N. Excision of a breast
383. Colostomy

A. Plastic surgery of the ear


B. Incision of the colon
C. Surgical removal of a lobe of any organ or gland
D. Plastic surgery of the nose
E. Excision of a gall bladder
F. Removal of portions of the ribs in stages to collapse diseased
b areas of the lung
G. Removal of a tumor or structure from its capsule
H. Removal of part or all of the stomach
I. Opening of a vein
J. Excision of mastoid cells
K. Renal incision for removal of calculus
L. Removal of a lung
M. Surgical creation of a gastric fistula through the abdominal wall
N. Excision of a breast
384. Gastrectomy

A. Plastic surgery of the ear


B. Incision of the colon
C. Surgical removal of a lobe of any organ or gland
D. Plastic surgery of the nose
h
E. Excision of a gall bladder
F. Removal of portions of the ribs in stages to collapse diseased
areas of the lung
G. Removal of a tumor or structure from its capsule
H. Removal of part or all of the stomach
I. Opening of a vein
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J. Excision of mastoid cells
K. Renal incision for removal of calculus
L. Removal of a lung
M. Surgical creation of a gastric fistula through the abdominal wall
N. Excision of a breast
385. Lobectomy

A. Plastic surgery of the ear


B. Incision of the colon
C. Surgical removal of a lobe of any organ or gland
D. Plastic surgery of the nose
E. Excision of a gall bladder
F. Removal of portions of the ribs in stages to collapse diseased
c areas of the lung
G. Removal of a tumor or structure from its capsule
H. Removal of part or all of the stomach
I. Opening of a vein
J. Excision of mastoid cells
K. Renal incision for removal of calculus
L. Removal of a lung
M. Surgical creation of a gastric fistula through the abdominal wall
N. Excision of a breast
386. Nephrolithotomy

A. Plastic surgery of the ear


B. Incision of the colon
C. Surgical removal of a lobe of any organ or gland
D. Plastic surgery of the nose
E. Excision of a gall bladder
F. Removal of portions of the ribs in stages to collapse diseased
k areas of the lung
G. Removal of a tumor or structure from its capsule
H. Removal of part or all of the stomach
I. Opening of a vein
J. Excision of mastoid cells
K. Renal incision for removal of calculus
L. Removal of a lung
M. Surgical creation of a gastric fistula through the abdominal wall
N. Excision of a breast
387. Rhinoplasty

A. Plastic surgery of the ear


B. Incision of the colon
C. Surgical removal of a lobe of any organ or gland
D. Plastic surgery of the nose
E. Excision of a gall bladder
F. Removal of portions of the ribs in stages to collapse diseased
d areas of the lung
G. Removal of a tumor or structure from its capsule
H. Removal of part or all of the stomach
I. Opening of a vein
J. Excision of mastoid cells
K. Renal incision for removal of calculus
L. Removal of a lung
M. Surgical creation of a gastric fistula through the abdominal wall
N. Excision of a breast

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388. Gastrostomy

A. Plastic surgery of the ear


B. Incision of the colon
C. Surgical removal of a lobe of any organ or gland
D. Plastic surgery of the nose
E. Excision of a gall bladder
F. Removal of portions of the ribs in stages to collapse diseased
m areas of the lung
G. Removal of a tumor or structure from its capsule
H. Removal of part or all of the stomach
I. Opening of a vein
J. Excision of mastoid cells
K. Renal incision for removal of calculus
L. Removal of a lung
M. Surgical creation of a gastric fistula through the abdominal wall
N. Excision of a breast
389. Thoracoplasty

A. Plastic surgery of the ear


B. Incision of the colon
C. Surgical removal of a lobe of any organ or gland
D. Plastic surgery of the nose
E. Excision of a gall bladder
F. Removal of portions of the ribs in stages to collapse diseased
f areas of the lung
G. Removal of a tumor or structure from its capsule
H. Removal of part or all of the stomach
I. Opening of a vein
J. Excision of mastoid cells
K. Renal incision for removal of calculus
L. Removal of a lung
M. Surgical creation of a gastric fistula through the abdominal wall
N. Excision of a breast
390. Mastoidectomy

A. Plastic surgery of the ear


B. Incision of the colon
C. Surgical removal of a lobe of any organ or gland
D. Plastic surgery of the nose
E. Excision of a gall bladder
F. Removal of portions of the ribs in stages to collapse diseased
j areas of the lung
G. Removal of a tumor or structure from its capsule
H. Removal of part or all of the stomach
I. Opening of a vein
J. Excision of mastoid cells
K. Renal incision for removal of calculus
L. Removal of a lung
M. Surgical creation of a gastric fistula through the abdominal wall
N. Excision of a breast
391. Enucleation

A. Plastic surgery of the ear


B. Incision of the colon
C. Surgical removal of a lobe of any organ or gland
g D. Plastic surgery of the nose
E. Excision of a gall bladder
F. Removal of portions of the ribs in stages to collapse diseased
areas of the lung
G. Removal of a tumor or structure from its capsule
H. Removal of part or all of the stomach
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I. Opening of a vein
J. Excision of mastoid cells
K. Renal incision for removal of calculus
L. Removal of a lung
M. Surgical creation of a gastric fistula through the abdominal wall
N. Excision of a breast
392. Pneumonectomy

A. Plastic surgery of the ear


B. Incision of the colon
C. Surgical removal of a lobe of any organ or gland
D. Plastic surgery of the nose
E. Excision of a gall bladder
F. Removal of portions of the ribs in stages to collapse diseased
l areas of the lung
G. Removal of a tumor or structure from its capsule
H. Removal of part or all of the stomach
I. Opening of a vein
J. Excision of mastoid cells
K. Renal incision for removal of calculus
L. Removal of a lung
M. Surgical creation of a gastric fistula through the abdominal wall
N. Excision of a breast
393. Otoplasty

A. Plastic surgery of the ear


B. Incision of the colon
C. Surgical removal of a lobe of any organ or gland
D. Plastic surgery of the nose
E. Excision of a gall bladder
F. Removal of portions of the ribs in stages to collapse diseased
a areas of the lung
G. Removal of a tumor or structure from its capsule
H. Removal of part or all of the stomach
I. Opening of a vein
J. Excision of mastoid cells
K. Renal incision for removal of calculus
L. Removal of a lung
M. Surgical creation of a gastric fistula through the abdominal wall
N. Excision of a breast
394. Mastectomy

A. Plastic surgery of the ear


B. Incision of the colon
C. Surgical removal of a lobe of any organ or gland
D. Plastic surgery of the nose
E. Excision of a gall bladder
F. Removal of portions of the ribs in stages to collapse diseased
n areas of the lung
G. Removal of a tumor or structure from its capsule
H. Removal of part or all of the stomach
I. Opening of a vein
J. Excision of mastoid cells
K. Renal incision for removal of calculus
L. Removal of a lung
M. Surgical creation of a gastric fistula through the abdominal wall
N. Excision of a breast

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395. Phlebotomy

A. Plastic surgery of the ear


B. Incision of the colon
C. Surgical removal of a lobe of any organ or gland
D. Plastic surgery of the nose
E. Excision of a gall bladder
F. Removal of portions of the ribs in stages to collapse diseased
i areas of the lung
G. Removal of a tumor or structure from its capsule
H. Removal of part or all of the stomach
I. Opening of a vein
J. Excision of mastoid cells
K. Renal incision for removal of calculus
L. Removal of a lung
M. Surgical creation of a gastric fistula through the abdominal wall
N. Excision of a breast
396. Empyema

A. Inflammation of a number of joints


c
B. Inflammation of the peritoneum
C. Pus in a body cavity, especially in the pleural cavity
D. Intoxication resulting from excessive thyroid secretion
397. Peritonitis (B)

A. Inflammation of a number of joints


b
B. Inflammation of the peritoneum
C. Pus in a body cavity, especially in the pleural cavity
D. Intoxication resulting from excessive thyroid secretion
398. Thyrotoxicosis

A. Inflammation of a number of joints


d
B. Inflammation of the peritoneum
C. Pus in a body cavity, especially in the pleural cavity
D. Intoxication resulting from excessive thyroid secretion
399. Polyarthritis

A. Inflammation of a number of joints


a
B. Inflammation of the peritoneum
C. Pus in a body cavity, especially in the pleural cavity
D. Intoxication resulting from excessive thyroid secretion

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400. In the evaluation of a person fir an occupational therapy
program, initial assessments of self-maintenance include
a. Persons income pre and post-hospitalization
c
b. Ability to handle tools and fix things around the house
c. Activities needed to maintain life support needs
d. Ability to handle the activities given in occupational therapy
401. In the evaluation of a person for an occupational therapy
program, initial assessments of productivity include
a. How many articles a person can make during a weeks time
b. Ability to follow directions, use judgment, be punctual, and
b exercise certain skills
c. Mental capacity in producing written and verbal answers to test
questions
d. Ability to produce verbal and social skills in an interview, group
setting, and staffing
402. In the evaluation for occupational; therapy of a persons leisure
time utilization, the therapist examines
a. The types of activities a person does for enjoyment
a b. How much time is spent on leisure versus work
c. The amount of time spent on leisure versus work or rest/sleep
d. How much time is spent with other people versus individual
activity.
403. The motor component of performance is evaluated prior to
occupational therapy to determine of
a. The person can get to occupational therapy without any help
b. Muscle strength and range of motion (ROM) are within normal
c range for the illness
c. The person has the basic skills needed to complete occupation-
al requirements
d. The neuromuscular/skeletal system is able to withstand move-
ment from the bed to occupational therapy for treatment
404. The sensory component of performance is evaluated by an
occupational therapist to determine
a. If the person has any sense
b. If senses are able to function separately and cooperatively and
b with the motor components
c. If the person can tolerate all the input in an occupational therapy
setting
d. At what level the senses are able to function separately along
with an evaluation of motor component
405. The cognitive component of performance is evaluated to
establish patients
a. Knowledge about where they are, what day it is, and what year
it is
c b. Ability to recall name, age, and past and recent events
c. Ability to learn a task, solve a problem, and remember skills for
short and long periods
d. Knowledge about themselves in order to share and profit from
treatment in occupational therapy
406. The intrapersonal component of performance is assessed by
the therapist to determine
a. The ability of the person to distinguish reality from unreality and
to cope with that reality
a
b. The group to which the person should be assigned
c. If the person is able to relate to other people
d. If and how long the person should be assigned to occupational
therapy

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407. The interpersonal component of performance is measured by
the therapist to determine
a. If the person is able to relate to other people
b. The ability of the person to distinguish reality from unreality and
a
to cope with that reality
c. The group to which the person should be assigned
d. If and how long the person should be assigned to occupational
therapy
408. Evaluation is basically used to determine a persons level of
occupational performance skill and functional ability both present
and past. The therapist in an initial or screening evaluation should
a. Determine the past and current levels of function due to condi-
tions presenting the patient to occupational therapy
c b. Determine what functions are slow and regressed to speed up
treatment procedures
c. Pay attention to normal and above-normal performance as well
as dysfunction (past and present)
d. Pay special attention to the ability a person demonstrates in
activities offered in occupational therapy
409. The primary purpose of an evaluation is to
a. Develop rapport with the person
b b. Gather, analyze, and interpret data
c. Get to know the person and plan a treatment program schedule
d. Plan test and procedures to use
410. Learning about a child prior to an evaluation
a. Has advantages and disadvantages
a b. Is completely immaterial
c. Is relative to an institutions procedure
d. Is relative to your own procedure
411. Through a study of the childs reported developmental history,
the therapist, prior to the child coming to occupational therapy,
a. Knows what is wrong with the childe
b
b. Is guided in choosing the evaluation process to be used
c. Plans a treatment program
d. Consults with the referring physician before seeing the child
412. From a developmental history the therapist learns that a
child performs developmental tasks within a 2 to 3-year old range
although the child is 6-year old. The therapist will choose an
evaluation that
b incorporates tasks.
a. From 6 months to 6 years
b. From about 1-1/2 to 4 years
c. From 3 months to 8 years
d. From 2 to 3 years
413. Precautions and restrictions noted on a patients record pro-
vide the therapist with information so that the therapist can
a. Look for these behaviors to chart
c b. Have the rest of the staff alerted in case of problems
c. Expect the unexpected and function more confidently
d. Go to the ward and see the patient first to know for sure what is
happening

414. Skillful interview can smooth the way for ongoing parent ther-
apist communication. No matter what the content of the interview,
the primary objective is to
a. Let the family know that the therapist is a professional and
d
knows how to handle the problem
b. Let the family know what will take place in the treatment process
c. Show the family that, no matter what the cost, the treatments will
be successful

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d. Show the family that the therapist is genuinely interested in the
problem
415. In keeping a therapists work current, evaluation (or rather
reevaluation) should be assessed and each target area reviewed
because
a. The profession lacks research and each evaluation would serve
to support the technique or procedure used
b. The therapist needs this protection to keep from becoming
c
involved with any future litigation
c. The therapist needs to determine the effectiveness of the activity
process and to revise the objectives as they are mastered by the
patient
d. The patient needs to be assured that the therapist is performing
treatment adequately
416. In the interview, one of several evaluation processes, the
therapist must have a sloid knowledge based to
a. Let the person and/or family know what the therapist is a
professional
d
b. Let the interview report show what question were asked
c. Plan a treatment plan simultaneously with the gathering of data
from the person in order to save time
d. Select questions or areas to be covered
417. Manual muscle testing is a procedure in which the strength
of a muscle is determined through manual evaluation. In this test,
the therapist has the patient move the part through
a. The full range of motion with gravity eliminated
d
b. The full range of motion against gravity
c. The full range of motion against gravity and resistance
d. The full range of motion against gravity and then against gravity
and resistance
418. In manual muscle testing using a grading scale of 5 to 0
and/or N-Normal to 0-Zero, a rating of F-Fair or 3 is recorded. This
rating is a complete ROM
c a. Against gravity with full resistance
b. Against gravity with some resistance
c. Against gravity
d. With gravity eliminated
419. In the evaluation of ROM the goniometer is the most frequent-
ly used tool. The procedure that maintains the highest reliability
and accuracy each time the person is measured is to use the same
therapist
a a. And the same method at the same time of day
b. And the same method whenever the person is relaxed
c. And the same method when the person is fully relaxed and only
when the person is flat on her or his back
d. And any method at any time of day
420. The evaluation of sensation, ROM, muscle tone, reflex de-
velopment and integration, sensory-motor development, strength,
endurance, and coordination is used when the person has
b a. A psychotic dysfunction
b. A central nervous system dysfunction
c. An orthopedic dysfunction
d. An immune defense system dysfunction
421. In the evaluation if muscle tone, the resistance a muscle offers
to passive stretch, which is used to evaluate muscle tone on an
extremity, is
b a. Active movement
b. Passive movement
c. Active resistive movement
d. Active assistive movement
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422. Of muscle tone is increased, which will occur in an extremity
as a result of passive movement?
a. No difference
c
b. Decreased resistance
c. Increased resistance
d. Free movement
423. In the evaluation of reflex testing one should remember that
reflex responses to stimuli develop in fetal life and continue to
dominate motor behavior through and not too far beyond
a a. Early infancy
b. Childhood
c. Early adolescence
d. Late adolescence
424. Reflexes are tested by applying the appropriate stimulus and
observing the response. If the reflex response occurs, the reflex
is positive; if not, it is negative. No conclusion can be made from
a positive or negative response unless therapist knows
d
a. The diagnosis
b. The degree of positive or negative reaction
c. The limits of the disease process
d. The age of the individual
425. The grasp reflex in a normal baby from birth to 4 or 4 months
shows finger flexion and a strong grip that persists and resists
removal of the stimulus object. This action occurs when the ther-
apist, in evaluating the child, applies pressure to the
c
a. Tips of the fingers
b. Thumb and fingers
c. Palm of the hand on the ulnar side
d. Palm of the hand on the radial side
426. In the evaluation of a spinal level reflex in a normal child up to
2 months of age, the therapist places the child in a supine position
with the head in midline and the legs extended. A quick tactile
stimulus is applied to the sole of the foot. Which response will take
c place tin that leg?
a. A quick knee jerk
b. A full extension of the toes
c. An uncontrolled flexion of the leg
d. An uncontrolled extension of the leg
427. In the evaluation discussed in question 426 , the child is in
the same position except one leg is extended and the other leg is
fully flexed. The therapist applies pressure to the ball of the foot of
the flexed leg. Which response will take place in the flexed leg?
d
a. A quick knee jerk
b. A full extension of the toes
c. An uncontrolled flexion of the leg
d. An uncontrolled extension of the leg
428. With the child in question 426 and 427 in a supine position
with the head in midposition, one leg extended, and the other leg
fully flexed, which response will occur when the extended leg is
passively
flexed?
a. Extension of the opposite leg with hip adduction on internal
a rotation
b. Extension of the stimulated leg with hip adduction and internal
rotation
c. Flexion of the opposite leg with hip adduction and internal
rotation
d. Flexion of the stimulated leg with hip adduction and internal
rotation

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429. A child is supine with the head in midpositiion and both legs
extended. The adduction surface of one thigh is stimulated and hip
adduction and internal rotation of the opposite leg occur. To which
outcome and internal rotation of the opposite leg occur. To which
b outcome will evaluation of this child lead?
a. Hip extension tightness or spasticity exists
b. Hip flexor tightness or spasticity exists
c. Knee extension tightness or spasticity exists
d. Knee extension tightness or spasticity exists
430. For most normal babies with strong reflexes, from birth to
4 months, who are in the supine position with arms and legs
extended, if the therapist either passively or actively turns the head
90 degrees
to one side, which observation will be made?
a. Flexion of the limbs on the face sode and flexion of the limbs on
d the skull side
b. Flexion of the limbs on the face side and extension of the limbs
on the skull side
c. Extension of the limbs on the face side and extension of the
limbs on the skull side
d. Extension of the limbs on the face side and flexion of the limbs
on the skull side
431. A normal child from birth to 4 months is placed in the prone
position with the head in midposition, and flexion of the extremities
or increased flexor tone is observed. Which stimulus produced this
behavior?
d
a. Pressure in the balls of both feet
b. Pressure on the ball of one foot
c. Scraping a sharp object from the heel to the ball of the foot
d. Placement of the child in this position
432. The "Bobath reaction" in a normal child from birth to 6 months
placed in the supine position with arms and legs extended results
in which response when the head is passively turned to one side
and held in that position?
b
a. The child tries to go in the opposite direction from the head
b. The child turns in the direction of the head
c. The childs arms and legs immediately flex
d. The childs arms and legs go into hyperextension
433. When the child described in question 432 is past 6 months,
up to age 4 or 5 years, and is placed in the same position and the
therapist uses the same action, what is the result?
a. The whole body will smoothly follow the head direction
c b. The whole body will smoothly follow in the opposite direction
c. The body will follow a segmental rotation around the body axis
in the same direction
d. The body will follow a segmental rotation around the body axis
in the opposite direction
434. Standardized tests provide normative data on specific be-
havior of specific population. To obtain valid results, the therapist
a. Can follow any procedure as long as all questions are asked
b
b. Must follow the procedures stipulated
c. Must ask all questions but in his/her own way
d. Can ask any question as long as the content is the same

435. In scoring and/or analyzing a standardized test, to obtain valid


results a therapist must
a. Follow any procedure as long as all questions are given the
b
same consideration in scoring them
b. Follow the procedures stipulated
c. Score all questions using the same logic

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d. Score all questions taking into consideration the patients ability
and dysfunction
436. Test administered in occupational therapy in the evaluation of
a person prior to treatment
a. Can be administered by an occupational therapist, registered
(OTR)
d
b. Can be administered by an OTR or a certified occupational
therapy assistant (COTA)
c. May require special training
d. May require special training and certification
437. When a therapist needs to evaluate a child's sensory integra-
tive and motor functions, data should be recorded by
a. Observing motor behavior responses closely
a
b. Observing paper-and-pencil performance in a group
c. Receiving information offered by parents
d. Receiving information offered by teachers
438. A therapist can best evaluate a childs social interaction skills
by
a. Observing motor behavior responses closely
b
b. Observing the child in a group situation
c. Receiving information offered by parents
d. Receiving information offered by teachers
439. A 7-year-old child referred to occupational therapy was tested
and evaluated and found to have eye-hand coordination problems,
tactile and vestibular problems, social immaturity, and some visual
perception and other sensory processing problems. The school
reported some mild academic difficulties. The therapist stated that
a
the child had
a. a sensory integrative disorder called developmental dyspraxia
b. a sensory integrative disorder called dysarthria
c. a mild form of childhood neurosis
d. a mild form of hypo reflexive postrotatory nystagmus
440. A 7-year-old child referred to occupational therapy because
of
difficulty in reading used each hand ipsilaterally. The therapist
started evaluation for dysfunction in which area?
b
a. Cognitive
b. Sensory integration
c. Motor planning
d. Apathy
441. The Neonatal Behavioral Assessment Scale (NBAS) is well
respected by pediatricians. This test assesses the infants early
a. Reactions with overall behavior
d b. Reactions with things in the environment
c. Behavior with the mother
d. Behavior and interaction with both animate and in-animate
stimuli
442. The Neonatal Behavioral Assessment Scale is an assess-
ment tool. To administer the tool, a therapist must
a. Have extensive experience with neonates and take specified
training
a
b. Have extensive experience with neonates and be an OTR
c. Be and OTR and work in a neonatal facility
d. Complete the Ayres battery and many other tests prior to
qualifying for the NBAS

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Questions 443-446: In the evaluation of people with psychosocial
dysfunction different group goals may be accomplished depending
upon the type of group model used. Match the type of group with
the group goals suggested below:

c 443. Group goal focusing on how of the group behavior in the


present.
A. Active group
B. Intrapsychic group
C. Social systems group
D. Growth group
Questions 443-446: In the evaluation of people with psychosocial
dysfunction different group goals may be accomplished depending
upon the type of group model used. Match the type of group with
the group goals suggested below:

b 444. Group goal attempting to achieve personality change through


insight, tension reduction, and transference
A. Active group
B. Intrapsychic group
C. Social systems group
D. Growth group
Questions 443-446: In the evaluation of people with psychosocial
dysfunction different group goals may be accomplished depending
upon the type of group model used. Match the type of group with
the group goals suggested below:

a 445. Group goal relating to the acquisition and maintenance of


occupational performance:
A. Active group
B. Intrapsychic group
C. Social systems group
D. Growth group
Questions 443-446: In the evaluation of people with psychosocial
dysfunction different group goals may be accomplished depending
upon the type of group model used. Match the type of group with
the group goals suggested below:

446. Group goal attempting to increase a members sensitivity to


d
self and
to others.
A. Active group
B. Intrapsychic group
C. Social systems group
D. Growth group
447. In using a social systems group for the evaluation of people
with psychosocial dysfunctions the therapist-leaders role is critical.
To maintain the group as a social systems group, the thera-
pist-leader tries to keep the group members attention focused
b
a. On both the "how" and "why"
b. Only in the "how"
c. Only in the "why"
d. On either the "how" or the "why"
448. The therapist asks a person to do a very simple task with few
instructions. The therapist seems to be testing
a. Sensory impairment
c
b. Range of motion
c. Cognition
d. Endurance

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449. The therapist asks a person to do a very simple task that was
completed the day before. The therapist seems to be testing
a. Sensory impairment
c
b. Range of motion
c. Cognition
d. Endurance
450. The therapist asks a person to pay attention to the task the
therapist has assigned. The therapist seems to be testing
a. Sensory impairment
c
b. Range of motion
c. Cognition
d. Endurance
451. The therapist asks a person to do three or four things in a row.
The therapist seems to be testing
a. Sensory impairment
c
b. Range of motion
c. Cognition
d. Endurance
452. The therapist tells a person to do the following: pinch the
pinch gauge, lay it down, read the dial, and pick it up. The therapist
seems to be testing
c a. Hand strength
b. Range of motion
c. Cognition
d. Endurance
453. The therapist asks a person to talk about his/her daily routine,
taking note of the amount of time and work needed to do a task
and inquiring about the work output. The therapist seems to be
testing
d
a. Hand strength
b. Range of motion
c. Cognition
d. Endurance
454. The therapist asks a person to put a simple jigsaw puzzle
together that the person has completed and been timed for before.
The therapist seems to be testing
c a. Hand strength
b. Range of motion
c. Cognition
d. Endurance
455. The therapist instructs the patient to pick up different things
around the department, some in warm sunlight, and then asks
how the items feel. The therapist seems to be testing
b a. Hand strength
b. Range of motion
c. Cognition
d. Endurance
456. The therapist asks a person to pick up a large variety of items
and put them down and pick them up and put them down again.
The therapist seems to be testing
b a. Hand strength
b. Range of motion
c. Cognition
d. Endurance

457. The therapist places five small familiar object separately in


the palm of person's hand and makes sure the person has contact
c with the items with the thumb and the fingers. The therapist takes
the items
away and then asks the person to name all five items in order. The
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therapist seems to be testing
a. Hand strength
b. Range of motion
c. Cognition
d. Endurance
458. The Purdue pegboard is most often used by therapist to
evaluate
a. Gross movements of arms, hands, and fingers and fingertip
a dexterity
b. Hands and fingers and fingertip dexterity
c. Finger and fingertip dexterity only
d. The speed and accuracy of the individual doing the task
459. The Bayley Scale of Infant Development is most often used
by
therapist to evaluate
a a. Finger dexterity and gross motor movements
b. Gross motor movements only
c. Mental, motor, and behavioral ratings
d. Motor and behavioral ratings only
460. The Gesell Developmental Tests for age levels 5 to 10 are
used by therapist to evaluate
a. Developmental growth
b
b. Mental growth for school readiness
c. Motor and adaptive skills
d. IQ only
461. The Denver Developmental Screening Test is used by many
therapists to evaluate
a. Developmental growth
b
b. Mental growth for school readiness
c. IQ only
d. Reading ability
462. The Developmental Test of Visual-Motor integration is used
by many therapists to detect children with problems in visual-motor
integration. The therapist administers this test to
a a. Both individuals and groups
b. Only one individual at a time
c. Groups only
d. Boys or girls separately
463. The Marianne Frostig Developmental Test of Visual Percep-
tion is used by many therapists to detect children with problems in
visualmotor integration. The therapist administers this test to
a a. Both individuals and groups
b. Only one individual at a time
c. Groups only
d. Boys or girls separately
464. In the assessment of mildly, moderately, and even severely
retarded persons, it is found that to questions about attitudes,
abilities, and needs
a a. Individuals can respond in a meaningful way
b. Individual cannot respond in a meaningful way
c. Only certain of these groups can respond
d. None of these groups can respond in a meaningful way
465. The therapist might use the Goodenough-Harris Drawing Test
to
a. Establish a persons artistic ability
d
b. Determine a persons eye-hand coordination
c. Establish an appraisal of a persons personality
d. Determine a persons conceptual and intellectual maturity.

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466. The BaFPE (Bay Area Functional Performance) is used to
a. Measure some of the function people must be able to perform
in general activities of daily living
b. Determine the functions of people in group settings
a
c. Measure functional ability in one-on-one settings
d. Determine ability to act on the environment in specific goalori-
ented
ways
467. The Minnesota Multiphasic Personality Inventory (MMPI) is
used by therapist to
a. Test the degree of emotional dysfunction
a
b. Determine IQ
c. Test the degree of personality dynamics
d. Determine PQ (personality quotient)
468. In the Signe Brunnstrom approach to hemiplegia, and eval-
uation is done to
a. Identify primitive spinal or brain stem postural reflexes and
associated reactions
b. Identify upper and lower extremity synergy patterns and their
a
associated reactions
c. Identify the proprioceptive neuromuscular facilitation (PNF) of
maximal resistance in spiral and diagonal patterns of movement
d. Identify the reflex activity that dominates early motor behavior,
which in turn reinforces the postural reflexes that support balance
469. The techniques of PNF were developed by
a. Signe Brunnstrom, P.T.
b b. Herman Kabat, M.D
c. Margaret Knot, P.T.
d. Dorothy Voss, P.T.
470. Assessment of motor function is necessary before treatment
goals can be formulated and procedures and techniques selected.
A sensory evaluation in the area of vision is made by the therapist
to determine if the
d
a. Person has a normal range of motion
b. Eyes are infected and/or if the person needs glasses
c. Eyes move in all directions and the hands reach out
d. Eyes follow an object and lead the head in that direction
471. In a hand evaluation the therapist often measures the
strength of the pinch using a pinch meter. Which of the following
describes the tip pinch?
a. The person pinches the meter between the pad of the thumb
and the pads of the index and middle fingers
b. The person pinches the meter between the pad of the thumb
c and the lateral surface of the index finger
c. The person pinches the ends of the pinch meter between the tip
of the pads of the thumb and the tip ends of the index and
middle fingers
d. The person pinches the ends of the pinch meter between the tip
of the pads of the thumb and the tip ends of the middle and ring
fingers
472. Which describes the palmar pinch?
a. The person pinches the meter between the pad of the thumb
and the pads of the index and middle fingers
b. The person pinches the meter between the pads of the thumb
a and the pads of the palmar surface of the hand
c. The person pinches the meter between the pad of the thumb
and the palmar surface of the index finger
d. The person pinches the meter between the palmar surface of
the thumb and the pad of the index finger

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473. Observation

A. A person shares information about his or her problems


B. A person has a careful identification of her or his skills recorded
d
C. Care is taken so that unnecessary duplication of effort does not
take place
D. Notice that a person's place in the total group is consistently
different
474. Interview

A. A person shares information about his or her problems


B. A person has a careful identification of her or his skills recorded
a
C. Care is taken so that unnecessary duplication of effort does not
take place
D. Notice that a person's place in the total group is consistently
different
475. Data from other sources

A. A person shares information about his or her problems


B. A person has a careful identification of her or his skills recorded
c
C. Care is taken so that unnecessary duplication of effort does not
take place
D. Notice that a person's place in the total group is consistently
different
476. Activity evaluation

A. A person shares information about his or her problems


B. A person has a careful identification of her or his skills recorded
b
C. Care is taken so that unnecessary duplication of effort does not
take place
D. Notice that a person's place in the total group is consistently
different
477. One subtest of the BaFPE is the Task Oriented Assessment
(TOA) which in turn uses five tasks. One task, "Sorting Skills,"
gives the therapist an evaluation of which of the primary percep-
tual-motor functions predominantly found in this task?
b
a. Evidence of acalculia
b. Evidence of bilateral integration
c. Evidence of visual perception
d. Evidence of agraphia
478. Another task of the BaFPE TOA is the "House Floor Plan".
This task gives the therapist an evaluation of which of the primary
perceptual-motor functions predominantly found in this task?
d a. Evidence of acalculia
b. Evidence of bilateral integration
c. Evidence of visual acuity
d. Evidence of agraphia
479. Another task of the BaFPE TOA is the "Block Design". This
task gives the therapist an evaluation of which of the primary
perceptual-motor functions predominantly found in this task?
c a. Evidence of acalculia
b. Evidence of bilateral integration
c. Evidence of visual perception
d. Evidence of agraphia
480. The other subtest of the BaFPE is the Social Interaction Scale
(SIS). This subtest gives the therapist an evaluation of which of the
following in working with a person with psychiatric dysfunction?
b
a. Some of the functions people must be able to perform in general
activities of daily living
b. The behavior of an individual in a social situation
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c. A group of people in a psychiatric occupational therapy depart-
ment
d. The presence or absence of certain observable aspects of
behavior
481. The tone of the process of assessment is one that should
lead directly to the establishment of objectives for a given person's
treatment. Overall objectives are usually developed by
c a. The occupational therapist assigned to that person
b. The occupational therapy staff responsible for the service
c. The team assigned to the person in treatment
d. The psychiatrist assigned to that person
482. In evaluation for occupational therapy treatment it is neces-
sary to
a. Start treatment as soon as the client arrives
c b. Get the client diagnosis and start from there
c. Collect and organize relevant data before seeing the client
d. Rely on past experience as it is the best judge of effective
treatment
483. In an evaluation, the stretch reflex is found to be abnormal
throughout the body, all of the reflexes will be
a. Abnormal
a
b. Normal
c. Asymmetrical
d. Symmetrical
484. If in an evaluation, the stretch reflex is found to be abnormal
in only part of the body, that related reflexes will be
a. Abnormal
a
b. Normal
c. Asymmetrical
d. Symmetrical
485. Tonic reflexes that govern the distribution of muscle tone
throughout the body are most obvious at specific ages during
infancy. They remain with us
b a. Through infancy
b. Throughout life
c. Only in times of stress
d. Only in times of fatigue
486. It is possible to use reflexes to determine the chronological
age of premature infants. In an evaluation of gestational age, a
more accurate assessment would be
a. comparison of development with normal infant charts
c b. comparison of development with other atypical infant charts
c. combination of an evaluation of neurological sighs with external
physical characteristics
d. combination of an evaluation of normal developmental se-
quences with a chart on reflex development
487. Resting postures are basically a reflection on the background
muscle tone present in an infant at rest. An experienced therapist
can assess muscle tone by
a a. looking at an infant's postures
b. picking up the sleeping infant and recording its reactions
c. recording reactions upon waling the infant
d. rolling the infant over, holding the head in midline

488. The Hester Evaluation System

c A. Occupational clusters of related jobs


B. Work sample recordings
C. Psychological test and ratings

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D. Eight accepted instruments based on five neuropsychological
factors
489. The McCarron-Dial Work Evaluation Series

A. Occupational clusters of related jobs


d B. Work sample recordings
C. Psychological test and ratings
D. Eight accepted instruments based on five neuropsychological
factors
490. The Philadelphia Jewish Employment and Vocational System

A. Occupational clusters of related jobs


b B. Work sample recordings
C. Psychological test and ratings
D. Eight accepted instruments based on five neuropsychological
factors
491. The Talent Assessment Program

A. Occupational clusters of related jobs


a B. Work sample recordings
C. Psychological test and ratings
D. Eight accepted instruments based on five neuropsychological
factors
492. In the evaluation of clients with problems of addiction, the
question of the need for perceptual or sensory integrative dys-
function assessment is based upon
d a. A slow level of self-esteem
b. A regression to oral levels of emotional need
c. Underlying depression and limited coping strategies
d. A deficit in an ability to process information
493. In the assessment of a hospitalized person with chronic
schizophrenia who is regressed and withdrawn, the most likely
place to start would be
c a. The development of adaptive habit patterns
b. Administration of a formal assessment battery
c. Collection of data from observations, family, and peers
d. Planning of a safe environment with a high level of interaction
494. In the assessment of a delinquent faced with possible pun-
ishment, the therapist should try and develop an atmosphere of
a. Discipline
b
b. Trust
c. Learning
d. Confrontation
495. The assessment process should be viewed as an attempt by
the therapist to collaborate with an anorexic adolescent in
a. Identifying situations in which the adolescent has typically felt
out of control or incompetent
a
b. Identifying the pattern of eating and the amount
c. Identifying and occupational choice and pursuing its develop-
ment
d. Identifying the nutritional value of foods for a proper diet

496. Because of the extreme sense of hopelessness and doom


experienced by the depress person, engaging the individual in the
evaluation process is
a. Easy, as the person can only go up and needs company
b
b. Difficult, as the person states he or she has no interests and
wants to be left alone
c. Random, as the person has had past experiences and one good
experience can be found

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d. Scientific, as more people in the United States seek mental
health services for depression than any other problem
497. One of the newer roles and focuses of treatment for occupa-
tional therapist has been elaborated and defined by Gary
Kielhofner. From his perspective therapist would describe their
work as
a. Evaluation of a client from the etiology and prognosis
d
b. Evaluation of activities as they relate to pathological dynamics
c. Evaluation of a client's dynamics as they relate to an activity
analysis
d. Evaluation of a client's occupational nature and the dynamics
of occupational dysfunction
498. In the evaluation of a person to determine the difference
between mild and profound retardation, the many instruments
available can be used
a. With little or no problem
d
b. With ease for efficiency in content
c. With ease foe efficiency in format
d. With difficulty, as most instruments cannot span this distance
effectively
499. There are a number of approaches to assessment of occu-
pational function in mentally retarded persons. One of the least
commonly accepted and used of these approaches is
a. Direct testing of criterion behaviors in real or simulated settings
c b. Observations accompanies by a rating scale of behavior
c. Knowledge measurements conducted with competent mea-
surement tools
d. Individual competencies evaluated against criteria required by
the environment of concern

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500. In planning for the use of an activity the therapist should
assume that
A. Since everyone participates in activities, the patient also should
be involved in them
b B. Activities have a role to play in the development of a physically
sound and well-integrated personality
C. Activities are an easy way to treat different dysfunctions
D. Occupational therapy is based on activity and, therefore, activ-
ities should be used
501. A therapist can further assume in planning the use of an
activity that a person might be able to
A. Learn a new occupation
c B. Learn a better way to utilize time
C. Attain a sense of mastery and well-being in the process
D. Attain a way of making extra money while at home or at the
hospital
502. In utilizing activities in planning programs therapist may as-
sume that activities
A. Are universally used by all therapists
c B. Are regulated by skills learned in school
C. Are socioculturally regulated by values and beliefs
D. Have little or no extrinsic value and thus can be used any way
one wishes
503. In planning an activity for a person in a certain age group the
therapist should be aware that
A. Activity related to age varies from society to society
a B. The person has the physical capacity to perform the activity
C. Others of the same age in the service area are doing the activity
D. The activity is highly successful for the person's dysfunction and
thus overrides other considerations
504. In planning an activity for a person of a certain sex the
therapist should be aware that
A. Activity related to sex varies from society to society
B. Activity related to sex varies little from society to society
a
C. Others of the same sex should be in the service area when
activity is instigated
D. The activity is highly successful for the person's dysfunction and
thus overrides other considerations
505. In planning group activities for young people from the same
age and background and mixed sexes the therapist, cognizant of
sex-role blurring in today's service areas, can plan
a A. The same activities for both sexes
B. Different activities for each sex group
C. A different activity for each person in the group
D. The schedule so that each sex group arrives at different times
506. In planning activities the therapist can make the assumption
about humankind that
A. People are different and no one assumption can be made
c
B. Individuals who are sick do not wish to change
C. Individuals can change and indeed desire change
D. All people who are sick wish others to make changes for them
507. In planning an activity such as eating a therapist needs to be
aware that this activity
A. Is a single universal category
b
B. May fit into more than one category
C. Need not to be considered as belonging in any category
D. Is good for any person at any time because everyone has to eat

508. In planning an activity the therapist should consider the notion


of activities in a field of action so that the activity
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A. Is interesting and exciting to the patient
B. Is interesting and exciting to those around the patient
d
C. Stimulates as nearly as possible the action of others
D. Simulates as nearly as possible conditions in the real world
509. In planning an activity in a field of action a therapist follows
rules governed by the conduct of the specific activity. These rules
are
A. Implicit - ingrained from past experience and automatic
c
B. Explicit - specific directives that are communicated verbally
C. Both implicit and explicit
D. Really of little value because each service area has its own rules
that supersede other outside rules
510. In planning an activity a therapist should keep in mind that to
help a person achieve a sense of accomplishment or competence
A. A task needs a beginning and an end
B. The time factor for a task is unimportant because success in
a
doing a part is enough
C. A task has to be liked to be successful
D. A task has to create interest in those around the person to be
successful
511. An activity that is "approved" or appropriate for a given age
group, class, and sex will give the therapist an advantage in
planning if the activity
A. Requires skill that is a little beyond that now possessed by the
a person
B. Requires no more skill that that possessed by the person
C. Requires barely any skills at all
D. Does not require that skill be a component of the planning
process
512. In planning a treatment program the therapist, in using herself
or himself as well as an activity, should keep in mind that in a
day-to-day situation the therapist should present a model for the
person to.
b
A. Imitate
B. Interact with
C. Like
D. Respect
513. In planning an activity a therapist should remember that
activities are therapeutic when they enable change to take place
A. In all patients with equal success
d
B. In some patients with equal success
C. In any direction with any dysfunction
D. In a direction from dysfunction to function
514. In planning activities that are therapeutic the therapist should
remember that activities will enable change to take place if they
have
a A. Meaning and relevance to the individual
B. Proven meaning and relevance to entire groups
C. Meaning to the individual
D. Relevance only to the individual
515. In planning activities to enable change to occur the therapist
should remember the activities must be systematically organized
and administered according to principles derived from
c A. The concept "if it works use it"
B. The concept that "what works for one will work for another"
C. An approach based on a theoretical rationale
D. An approach based on data provided by your school

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516. In planning activities for a patient the therapist should
A. Use an intuitive approach based upon years of experience
B. Use or develop and activity inventory showing a chronological
listing of the person's past activities
b
C. Shy away from past experience because the person's current
level is where to start
D. Try the person out on a number of different activities to see
which ones seem to work best
517. In planning a therapeutic program, establishing goals that
meet the person's needs is of primary concern. The next most
likely concern would be to see if
A. The attending physician approves of the goals
c
B. The occupational therapy supervisor approves of the goals
C. Goals can be carried out within the constraints of the therapeu-
tic situation
D. The family can afford the time it takes to meet the goals
518. In planning both long-range overall goals and short term
goals the therapist should be aware that
A. Each set of goals is completely separated by a time frame
b
B. At times both sets of goals may merge
C. The person not wish you to plan long-range goals
D. The physician may not want you to plan long-range goals
519. After an evaluation process and in the planning stages the
therapist (to effect maximal function) should
A. Use the simplest and least amount of equipment
B. Use a lot of equipment to check everything out
a
C. Use equipment only after the person has tried and cannot
complete a function
D. Not use any equipment until the person feels secure and com-
fortable in the service area
520. In planning, the therapist should schedule activities so that
there is sufficient frequency of repetition and duration to
A. Have the person feel secure and comfortable in the service
area
c
B. Have the person become familiar with routine
C. Ensure an integration of learning
D. Assure the person, family, and physician that everything
planned will be accomplished
521. In planning activities the therapist (to ensure adequate eval-
uation) should
A. Schedule more time than needed to do an occasional evalua-
b tion
B. Schedule evaluations of progress at specific times
C. Schedule evaluations when progress is noted
D. Schedule times for evaluations prior to staffing and discharge
522. In planning a program for persons over 65 years who have
experienced physical decline and require more energy to care for
and maintain their bodies, it would be expected that part of the
therapist's job in helping people return to their own homes is
A. Explaining that a great deal of independence must be relin-
quished
a B. Explaining that Social Security and its new dimensions will take
care of new problems encountered
C. Explaining that everyone else in that age group is in the same
situation so that learning to cope will not be a problem
D. Explaining that working hard in occupational therapy will over-
come most handicaps and that readjusting to the previous lifestyle
will be no problem

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523. When dealing with an older person in planning any activity,
the therapist needs to be aware that more energy is needed and
A. Some new patterns of life need to be initiated
a
B. Old patterns can be kept if proper timing is used
C. The correct activities will help maintain proper levels of energy
D. The correct activities will generate enough energy
524. In planning for an older person the therapist needs to be
aware that as the person's social world begins to diminish
A. More activities are needed to be planned to fill the gap
B. Fewer activities are needed in keeping with the diminished
c
social life
C. Loneliness often becomes an established consequence
D. Community agencies have been developed to take the place of
the person's former social world
525. In the planning process for the geriatric population the geri-
atric specialist or therapist should be aware of and knowledgeable
about the latest legislative programs offered to older persons,
because this will enable therapist to
b A. Discuss these programs intelligently
B. Inform persons in need of programs about what is available
C. Make sure others on the team know about new programs
D. Inform person in need of programs where to go if they are not
receiving proper care
526. In the planning a treatment program for older people the
therapist should be aware that very often
A. Two chronic disease may be involved simultaneously in one
person
a
B. Usually only one chronic disease affects a person at a time
C. If two chronic diseases are present, one takes a major role and
the other takes a minor role
D. Only one chronic disease can be worked on at one time
527. In planning a program for a person with more than one chronic
disease it is paramount that the therapist
A. Acquire a firm knowledge of the diseases prevalent among older
people
a B. Acquire a firm knowledge of one or two diseases and check on
others as needed
C. Know where to find additional information when necessary
D. Be aware of who on the team knows about specific disease in
order to check with them
528. In planning an overall treatment program for someone who is
in need of reinforced learning and needs to ameliorate disorien-
tation and confusion a therapist will chose to schedule a person
in
c
A. A traditional activity program in occupational therapy
B. an attitude therapy program
C. A reality orientation program
D. A demotivation program
529. In planning an overall treatment program for someone who
is in need of reinforcing desirable behavior a therapist should
schedule a person in
b A. A traditional activity program in occupational therapy
B. An attitude therapy program
C. A reality orientation program
D. A remotivation program
530. In planning an overall treatment program for someone who
is moderately confused and need to become more interested in
d their surroundings and environment a therapist should schedule a
person in
A. A traditional activity program in occupational therapy
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B. An attitude therapy program
C. A reality orientation program
D. A remotivation program
531. In planning an overall treatment program for a person, the
therapist should be aware that a reality orientation program in-
volves
A. A formal setting, is focused on an individual, and is consistent
every day until change occurs
c B. A semiformal setting, usually 5 to 12 people at a time, and one
30 to 60-minute session weekly for 12 weeks
C. A formal setting and 4 to 5 people in a class, meeting 5 times
per week until the class graduates
D. A formal setting, is focused on one or more persons at a time,
and lasts 30 to 60 minutes 5 time per week until change occurs
532. In planning an overall treatment program for a person, the
therapist should be aware that an attitude therapy program in-
volves
A. A formal setting, is focused on an individual, and is consistent
every day until change occurs
a B. A semiformal setting, usually 5 to 12 people at a time, and one
30 to 60-minute session weekly for 12 weeks
C. A formal setting and 4 to 5 people in a class, meeting 5 times
per week until the class graduates
D. A formal setting, is focused on one or more persons at a time,
and lasts 30 to 60 minutes 5 time per week until change occurs
533. In planning an overall treatment program for a person, the
therapist should be aware that a remotivation program involves
A. A formal setting, is focused on an individual, and is consistent
every day until change occurs
B. A semiformal setting, usually 5 to 12 people at a time, and one
b
30 to 60-minute session weekly for 12 weeks
C. A formal setting and 4 to 5 people in a class, meeting 5 times
per week until the class graduates
D. A formal setting, is focused on one or more persons at a time,
and lasts 30 to 60 minutes 5 time per week until change occurs
534. In planning a therapeutic craft program for a person, the
therapist would do well to keep in mind that
A. A therapeutic craft program is often misunderstood by the
patient and other health professionals
B. A therapeutic craft program no longer needs explanation be-
a
cause occupational therapy is over 60 years' old
C. Therapeutic crafts are used by many kinds of therapists and
others so misunderstanding is minimal
D. Today's OTR uses crafts infrequently and thus craft should not
be used if another activity can be found
535. In planning a hospital adjustment program for a terminally
ill person, the therapist should keep in mind that as a result of
modern technology, life expectancy is almost twice that of our
ancestors. Because of this and other factors, our society tends to
a treat death as
A. A remote possibility
B. An immediate and perpetual menace
C. Something each of us must endure
D. Something that will be removed and/or postponed in the hospital

536. In planning on working with a terminally ill person a therapist


should know that social scientist believe that the fear of death
is universal. The therapist should further beware that Americans
b
generally seem to cope with death by
A. Making plans for their desire demise
B. Using avoidance, denial, and repudiation
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C. Asking their family members to make plans for them
D. Using the time with a therapist to learn to accept death
1. Denial
2. Anger
3. Bargaining 537. Coping techniques and stages associated with death and
4. Organization and completion of unfinished business dying process: Kubler-Ross
5. Depression
6. Acceptance
1. Chronolgical age and distance from death
2. Physical and mental health
3. Various frames of reference
538. Coping techniques and stages associated with death and
4. Community attitudes
dying process: Jeffers and Verwoerdt
5. Family and personal experience related to death
6. Attitudes of people within the immediate environment
7. The individual's psychological maturity and integrity
1. Repudiation of getting older
2. Denial of the extension of aging
3. Denial of irreversible decline 539. Coping techniques and stages associated with death and
4. Impaired autonomy dying process: Weisman
5. A yielding of control and counter control
6. Cessation of life
540. In planning to work with a terminally ill person a therapist
should know that some professional teams agree that in the area
of death and dying most health care professionals
b A. Are very understanding of the death and dying process
B. Impose emotional isolation upon the dying person
C. Do not think the person will die
D. Do all they can help to the person enjoy the last days of life
541. In planning an activity designed to meet a goal of decreasing
an undesirable behavior the therapist should
A. Always attempt to increase acceptable behavior when trying to
decrease an unacceptable one
B. Always attempt to increase acceptable behavior and know that
a
unacceptable behavior will automatically decrease
C. Work on only one behavior at a time - increase acceptable
behavior and then work on decreasing unacceptable behavior
D. Work on only one behavior at a time - decrease unacceptable
behavior and then work on increasing acceptable behavior
542. In planning psychiatric treatment objectives and developing
a mutual understanding on the part of the person for whom the
objectives are planned the therapist should
A. Write them up and put them in file with a copy to the person
involved
b
B. Develop them with the person for whom they are intended
C. Write them up and present them only to the team members
approval
D. Develop them and present them only to the psychiatrist in
charge
543. In terms of the therapist who writes them, treatment plans
represent, among other things,
A. The therapist's compassion for people for whom they are as-
signed and responsible
B. The therapist's complete understanding of other team member's
c
contributions to the treatment process
C. A synthesis of the therapist's knowledge of an activity and its
relationship to growth and performance
D. A synthesis of the therapist's ability to understand personal
dynamics and their functions

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544.Planning involves setting goals. The therapist should remain
the attitude that the determination of life goals should rest with
A. The team, regardless of what the therapist agrees to
B. The person involved, regardless of what the therapist or team
b
agrees to
C. The physician, regardless of what the therapist or team agrees
to
D. The family, regardless of what the staff agrees to
545. In planning a program the therapist becomes aware that the
person for whom the program is planned does not respond readily
to that program and that person's prognosis is poor. The therapist's
attitude should be that
A. Other people need occupational therapy service more and
plans for discontinuance should be started
c
B. This person needs additional attention and should receive spe-
cial time in occupational therapy
C. This person and any other deserve the best occupational ther-
apy that can be offered
D. A person with that attitude and prognosis should be cared for
by someone less skilled
546. In planning the transfer of a quadriplegic person who has
weak elbow flexion and weak shoulder musculature, one should
use a
a A. Sliding transfer
B. Depression transfer
C. Pivot transfer
D. Lift (Hoyer or other brand name)
547. In planning the transfer of a quadriplegic person whom is
unable to move, one should use a
A. Sliding transfer
d
B. Depression transfer
C. Pivot transfer
D. Lift (Hoyer or other brand name)
548. In planning the transfer of a person who is unable to bear
weight on the lower extremities, but has strong upper extremities,
one should use a
b A. Sliding transfer
B. Depression transfer
C. Pivot transfer
D. Lift (Hoyer or other brand name)
549. In planning the transfer of a person who has weight bearing
on the lower extremities, one should use a
A. Sliding transfer
c
B. Depression transfer
C. Pivot transfer
D. Lift (Hoyer or other brand name)
550. In transfer planning the therapist should, in relationship to
her/his own strength, size, and weight,
A. Utilize the best transfer method because her/his win strength,
size, and weight have little to do with the correct method
B. Protect her/his own back and body because the correct method
b
of transfer is important but accidents can occur
C. Always have an aide or another therapist nearby to assist in
case of an emergency
D. Teach transfer only to family or aides because the risk of getting
hurt is too great relative to other people's needs
551. In Planning a specific transfer method the therapist uses one
method and, in so doing, finds the person slipping from the support
given. The therapist should.
A. Hold the person up at all costs and complete the transfer
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B. Ease the person to the floor and call for help
C. Ease the person to the floor and cushion the fall with his/her
c
own body
D. Hold the person up and call for help
552. The detachable arms are most necessary for
A. Ease to get up to a desk or table
b B. A depression transfer
C. Easy mobility on the chair
D.A lift transfer
553. The desk arms are most necessary for
A. Ease to get up to a desk or table
a B. A depression transfer
C. Easy mobility on the chair
D.A lift transfer
554. The traction foot plate is used
A. If the person's feet slide off the pedals
B. If the person has excessive clonus
a
C. If the person wishes to make a forward transfer
D. If the person wishes to readjust herself/himself back up into the
chair
555. The detachable leg rest is ordered
A. If the person's feet slide off the pedals
B. If the person has excessive clonus
c
C. If the person wishes to make a forward transfer
D. If the person wishes to readjust herself/himself back up into the
chair
556. Toe loops may be needed
A. If the person's feet slide off the pedals
B. If the person has excessive clonus
b
C. If the person wishes to make a forward transfer
D. If the person wishes to readjust herself/himself back up into the
chair
557. In planning independence for a person who is in a wheelchair,
the therapist should know that the person needs to conquer curbs.
Which method should be used in going up a curb?
A. Approach the curb backward, let the large back wheel tough the
curb, lean backward, and proper the large wheels onto the curb;
then keep going backward until the casters are over the curb.
B. Approach the curb forward, move the casters to curb, and pull
back quickly on the handrails to raise the casters up and over the
curb; lean forward, proper the large wheels onto the curb, and go
b
forward until the wheelchair is away from the curb.
C. Approach the curb forward, move the casters to the curb, and
pull back quickly on the handrails to raise the casters up and over
the curb; lean backward, proper the large wheels onto the curb,
and go forward until the wheelchair is away from the curb.
D. Approach the curb backward, let the large back wheels touch
the curb, lean forward and proper the large wheels onto the curb;
then lean backward, and propel the large wheels until the casters
clear the curb and move away from it
558. A person who has suffered an injury resulting in quadriplegia
and wishes to be a potential candidate for driver training will do
better, on the average, if the injury is at the
d A. C3 level and below
B. C4 level and below
C.C5 level and below
D.C6 level and below

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559. In planning for person who has become handicapped and
who has homemaking and child care responsibilities after dis-
charge, a therapist should know that these tasks, even with adap-
tations, will
b
A. Require no more energy than previously
B. Require an even greater expenditure of energy than before
C. Require that some previous homemaking activities be dropped
D. Require that most previous homemaking activities be dropped.
560. In planning for energy conservation for the person in question
559, the therapist should realize that even with modifications but
without proper training the person
A. May consume an amount of energy in doing daily tasks dispro-
portionate to that required before
a B. May consume the same amount of energy in doing daily tasks
as required before
C. May not consume any more energy in daily tasks than required
before
D. May consume in doing daily tasks two to three times the energy
required before
561. In planning for a handicapped homemaker the therapist
should be skilled in demonstrating techniques to that person. The
best technique seems to be to
A. Demonstrate the skill to be used in a similar occupational
therapy activity
b
B. Demonstrate the skill as closely as possible to the manner in
which it will be used
C. Demonstrate the skill needed and have the person watch
D. Let the person demonstrate the skill needed the best way he or
she possibly can
562. In demonstrating a technique to the handicapped home-
maker, the therapist should sit or stand beside the person while
demonstrating the activity to
a A.Avoid left-right confusion
B. Give confidence to the person
C.Give assistance immediate if needed
D.Avoid problems of hearing, seeing, and feeling
563. In planning for "older" Americans the therapist should know
that the diagnosis "Organize brain syndrome" occurs in older
person. Which description comes closest to indicating the per-
centages of people with this diagnosis that might be encountered?
A. 10% of people 65-75 years old and 20% of people 75 years old
and older
b
B. 15% of people 65-75 years old and 25% of people 75 years old
and older
C. 20% of people 65-75 years old and 25% of people 75 years old
and older
D. 25% of people 65-75 years old and 30% of people 75 years old
and older
564. Organic brain syndrome is a psychiatric disorder that reflects
brain cell loss or impairment of brain tissue function. In planning
to work with this group of people, the therapist should know that
basic type(s) that will be encountered is
d
A.A mixed group with other diagnoses
B. A chronic group
C.An acute group
D. An acute group and a chronic group
565. In planning to work with a person with a senile psychosis, a
therapist should be aware that these symptoms are
c
A. Irreversible
B. Reversible
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C.Precursors of greater impairment
D.Episodic and will diminish
566. In planning a treatment program for a person with diabetes
mellitus, the therapist should be aware of insulin shock. If an
increased exercise program is planned, the therapist, to avoid
insulin shock, should
c A. Avoid additional time in occupational therapy and plan for rest
B. Avoid excessive verbal discussions of food in occupational
therapy
C. Assist the patient in increasing between-meal intake
D. Assist the patient in avoiding any between-meal intake
567. In planning treatment, perhaps the most important aspect to
remember is that the consumer should be involved as much as
possible with the plan
A.As soon after its inception as possible
a
B. As soon as the staff approves of the plan
C.As soon as the therapist designs the plan
D.As soon as the therapist formulates the plan and has it approved
by the physician
568. In planning treatment for a person with severe mood swings,
the therapist should be aware of the activities to plan for and those
to avoid, given that
A. The depressive reactions are severe symptoms of depression
that are attributed to life experiences and the person has tenuous
grip on reality and the ability to function may be greatly impaired.
B. The depressive reactions are most common in older persons
c
and often are initiated by the loss of a loved one, disappointment,
criticism, or threats
C. The depressive reactions may occurs as cyclic episodes of
mood swings from elation to depression at any time
D. The depressive reactions are characterized by guilt feelings, re-
duced self-regard, anxiety, somatic preoccupations, and delusory
ideas.
569. In planning treatment for person with a diagnosis of involu-
tional melancholia or involutional psychotic reaction, the therapist
should plan activities that would tend to counteract which of the
following situations?
A. The depressive reactions are severe symptoms of depression
that are attributed to life experiences and the person has tenuous
grip on reality and the ability to function may be greatly impaired
B. The depressive reactions are most common in older persons
d and often are initiated by the loss of a loved one, disappointment,
criticism, or threats
C. The depressive reactions may occurs as cyclic episodes of
mood swings from elation to depression at anytime. The depres-
sive reactions are characterized by guilt feelings, reduced self
regard, anxiety, somatic preoccupations, and delusory ideas.
D. The depressive reactions are characterized by guilt feelings,
reduced self-gard, anxiety, somatic preoocupations, and delusory
ideas
570. In planning treatment for person with a psychotic depressive
reaction, the therapist should plan activities of a very solid and
simple nature for which of the following situations?
A. The depressive reactions are severe symptoms of depression
that are attributed to life experiences and the person has a tenuous
a grip on reality and the ability to function may be greatly impaired
B. The depressive reactions are most common in older persons
and often are initiated by the loss of a loved one, disappointment,
criticism, or threats
C. The depressive reactions may occurs as cyclic episodes of
mood swings from elation to depression at anytime
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D. The depressive reactions are characterized by guil feelings,
reduced self-regard, anxiety, somatic preoccupation, and delusory
ideas
571. In planning treatment for a person with a diagnosis of a
depressive reaction, the therapist should plan to take into consid-
eration which of the following situations?
A. The depressive reactions are severe symptoms of depression
that are attributed to life experience and the person has a tenuous
grip on reality and the ability to function may be greatly impaired
B. The depressive reactions are most common in older person
b
and often are initiated by the loss of a loved one, disappointment,
criticism, or threats
C. The depressive reactions may occur as cyclic episodes of mood
swings from elation to depression at anytime
D. The depressive reactions are characterized by guilt feelings, re-
duced self regard, anxiety, somatic preoccupations, and delusory
ideas.
572. In planning a person's goals in the treatment process, the
therapist should know that understanding the client's goals is to
be
b A. Taken into consideration in the overall goals
B. The first priority in any treatment setting
C. Taken into consideration in view of the therapist's ability
D. Taken into consideration in view of the department's facilities
573. Treatment planning in occupational therapy is
A.A rigid technical application of an ameliorative procedure for
discrete problems
B. A process of professional judgement that has identified the right
course of action for groups of people with similar dysfunctions
c C.A problem solving process wherein the therapist selects rele-
vant information and integrates it into an explanation of a person's
dysfunction
D.A rather simplistic process of gathering professional judgement
from fellow workers and using past professional successes and
applying them to the individual person's dysfunction
574. In occupational therapy, treatment planning decisions re-
garding which goals should be accomplished first are
A. Too often made by the occupational therapist
a B. Too often made by the client
C. Too often made according to the occupational therapy depart-
ment's policies
D. Too often made according to the center's treatment policies.
575. In treatment planning, selection of media is based on the
A. Skill of the person for whom goals are selected
B. Skill of the therapist to track the task
c
C.Activity analysis and the person's style of learning
D.Person's ability to sense the continuum between the activity and
its outcome
576. When a student is involved in treatment planning, which
should take precedence?
A.Write detailed plans so as not to miss any steps
B. Write sketchy plans and fill in as more details arrive
a
C.Do not write plans, as most therapists overlook this part of
planning
D.Write plans that parallel those of the therapist who has respon-
sibility for the person involved
577. A therapist has evaluated a person suing a projective test
based on a psychoanalytical model and plans to implement treat-
ment on the basis of these results. The therapist would start by
planning
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A. To work on behavior modifications
B. To work on the person's defense mechanism
b
C.A detailed learning-education program
D.A program on occupational dysfunction
578. In the treatment planning process the most difficult step is
A. Development of the treatment objectives
B. Gathering the necessary data about the person
d
C. Determining if occupational therapy can be employed
D. Making the assumption that the treatment methods will meet
the objectives
579. In planning a ROM exam for certain joints, where should the
examiner be positioned in relation to the person tested?
A. Wherever the best anatomical position can be maintained
d B. Squarely in front of the person
C. On the side of the person where the joint is being measured
D. Wherever greatest comfort, correct placement of the instrument
and adequate stability of the joint can be obtained
580. In planning for the development of strength of a specific
individual muscle, the most precise method is
A. Using a functional muscle test including the specific muscle
b B. Testing the individual muscle
C. Testing groups of muscles and looking for specific motions
D. Observing ordinary activities and movement patterns that use
the individual muscle
581. In planning to use manual muscle test on a person with
a lower motor neuron disorder to increase muscle strength, the
student should be aware of which limitation of the test?
c A. It is a primary evaluation tool for such persons
B. Its results test for muscle contractions and range of motion
C. It measures muscle endurance and coordination
D. Its validity depends on careful observations and positioning
582. The student in planning to use a manual muscle test must
consider gravity as a form of resistance. Which of the following
must be considered as a limitation of the test?
A. Muscle grade is determined whether or not a muscle can move
the part against the gravity
c B. Gravity-eliminated positions and movements are parallel to the
floor
C. Gravity-assisted movements are toward the floor and are never
used in testing
D. Movements against gravity are away from the floor and are used
in testing
583. In planning treatment for person with hypotonic muscles, the
therapist should know that the ROM test will show
A. An unusually wide ROM
a
B. An average ROM
C. A limited ROM
D. No response to a ROM
584. In planning treatment for a person with spasticity, the therapist
should know that
A. A standardized method exists for evaluation of muscle tone
b
B. No standardized method exists for evaluation of muscle tone
C. Evaluation of muscle tone falls in an average category
D. Evaluation of muscle tone can largely be ignored

585. In planning treatment for a person with rigidity, the therapist


should know that evaluation of the ROM will show that
a A. The agonistic and antagonistic muscle groups contract steadily
B. The agonistic and antagonistic muscle groups work with a
"clasp-knife" phenomenon

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C. The agonistic muscle group works with a jerk immediately
followed by the jerk of the antagonistic group
D. Co-contraction of the agonistic and antagonistic muscle groups
is weak or absent.
586. If planning treatment for a person who will return to his/her
former occupation but has symptoms of anosmia the therapist
should be aware that
A. Persons with receptive aphasia can be tested with validity
B. Return of a person with a distorted sense of smell to their work
b
site may place him/her in jeopardy
C. Distortion of the sense of smell might not interfere with percep-
tion or toehr factors at the work place
D. Testing of persons with anosmia provides objective criteria on
which to plan ahead
587. For a person with rheumatoid arthritis with involvement of the
wrist metacarpophalangeal (MP) and interphalangeal (IP) joints,
a volar resting splint is indicated
A. To improve hand function and grip strength when the hand
c function is limited by wrist pain
B. To protect the MP joints from ulnar deviation and the forces of
volar subluxation
C. When there is acute synovitis of the wrist, fingers, and thumb
D. When both the wrist and MP joints are involved.
588. For a person with rheumatoid arthritis with involvement of the
wrist MP and IP joints, a wrist stabilization splint is indicated
A. To improve hand function and grip strength when the hand
function is limited by wrist pain
a
B. To protect the MP joint from ulnar deviation and the forces of
volar subluxation
C. When there is acute synovitis of the wrist, fingers, and thumb
D. When both the wrist and MP joints are involved
589. For a person with rheumatoid arthritis with involvement of the
wrist MP and IP joints, a protective MP splint is indicated.
A. To improve hand function and grip strength when the hand
function is limited by wrist pain
b
B. To protect the MP joint from ulnar deviation and the forces of
volar subluxation
C. Where there is acute synovitis of the wrist, fingers, and thumb
D. When both the wrist and MP joints are involved
590. In planning treatment for a person with rheumatoid arthritis
who has a swan-neck deformity at the distal interphalangeal (DIP)
joint, which of the following would the therapist identify as the
cause of the deformity and take the necessary precautions in
working with that person?
A. The deformity is a result of rupture of the flexor digitorum
c sublimis (FDS) tendon
B. The deformity is the result of rupture or lengthening of the
central slip of the extensor digitorum communis (EDC) tendon
C. The deformity is a result of rupture of the lateral slip of the EDC
tendons
D. The deformity is the result of a module or thickening of the FDS
tendon at the flex or tunnel

591. In planning treatment for a person with rheumatoid arthritis


who has a swan-neck deformity at the PIP joint, which of the
following would the therapist identify as the cause of the deformity
and take the necessary precautions in working with that person?
a
A. The deformity is a result of rupture of the FDS tendon
B. The deformity is a result of rupture or lengthening of the central
slip of the EDC tendon
C. The deformity is a result of rupture of the lateral slip of the EDC
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tendons
D. The deformity is the result of a module or thickening of the FDS
tendon at the flex or tunnel
592. In planning treatment for a person with rheumatoid arthritis
who has a boutonniere deformity at the PIP joint, which of the
following would the therapist identify as the cause of the deformity
and take the necessary precautions in working with that person?
A. The deformity is a result of rupture of the FDS tendon
b B. The deformity is a result of rupture or lengthening of the central
slip of the EDC tendon
C. The deformity is a result of rupture of the lateral slip of the EDC
tendons
D. The deformity is the result of a module or thickening of the FDS
tendon at the flex or tunnel
593. In planning a ROM program for a person who has had a
severe head injury, the therapist must know that
A. Most adults have muscle weakness
B. A person may start with flaccid muscles and rapidly develop
b
severe spasticity
C. Most adults have normal muscle strength
D. A person may usually have severe extensor patterning of the
upper extremities and flexor patterning of the lower extremities
594. Abnormal postural reflexes such as ATNR, STNR, and TCR
are common problems usually found in people suffering from head
injuries In planning a ROM program the therapist must know that
A. Unless prevented or controlled, these abnormal reflexes will
eventually come back to normal after the severity of the injury
wears off
B. Unless prevented or controlled, these abnormal reflexes may
b prevent the person from making even basic physical and functional
gains
C. The brain injured person has the same clinical picture as the
person with a CVA and the same ROM pattern will return in the
same general time period
D. Even though one or all four extremities may be involved a ROM
program should plan on the progress of extremities from proximal
to distal
595. A therapist planning to use the "object relations" model
should know that this model is
A. Based primarily on Lewin's concept of life space but enlarged
to include the forces of the community, specifically of time, space,
resources, and relationships
B. Based on concepts of a therapeutic community or milieu therapy
c and group dynamics and, further on the premise that many mental
health problems are the result of failure to learn to function in the
community
C. Based on the Freudian psychoanalysis, which is in turn based
on the mechanistic model
D. Not based on any specific school of thought, but the concepts
and assumptions of Freudian psychoanalysis are clearly evident.
596. A therapist planning to use the "Activity Therapy" model
should know that this model is
A. Based primarily on Lewin's concept of life space but enlarged
to include the forces of the community, specifically of time, space,
resources, and relationships
b B. Based on concepts of a therapeutic community or milieu therapy
and group dynamics and, further on the premise that many mental
health problems are the result of failure to learn to function in the
community
C. Based on the Freudian psychoanalysis, which is in turn based
on the mechanistic model
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D. Not based on any specific school of thought, but the concepts
and assumptions of Freudian psychoanalysis are clearly evident.
597. A therapist planning to use the "communication process"
model should know that this model was
A. Based primarily on Lewin's concept of life space but enlarged
to include the forces of the community, specifically of time, space,
resources, and relationships
B. Based on concepts of a therapeutic community or milieu therapy
d and group dynamics and, further on the premise that many mental
health problems are the result of failure to learn to function in the
community
C. Based on the Freudian psychoanalysis, which is in turn based
on the mechanistic model
D. Not based on any specific school of thought, but the concepts
and assumptions of Freudian psychoanalysis are clearly evident.
598. In planning for a child with a chronic disability, the therapist
must be aware that the model of human occupation provides
a useful framework for planning and subsequent treatment. It
compels the therapist to view the child as
a
A.An open system
B. A closed system
C.A long term (chronic) system
D.A dependent system
599. In planning a program using the model of human occupation,
the therapist must examine which of the following perspectives in
order to prevent becoming preoccupied with the pathology of the
child?
c
A. The parents' or family's view of chronicity
B. The child's view of his or her won chronicity
C. His or her own view of chronicity
D. The team's overall view of chronicity

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600. In children with dysfunctions from birth, the younger the child
the greater the potential for treatment because
A. The central nervous system is still developing and primitive
patterns are not strongly developed
B. No injury to the central nervous system has occurred, and
a therefore it is still intact
C. Families with youngster are more eager and willing to assist in
the overall treatment plan, especially aftercare
D. Psychological components of both the young child and the
family have not been damaged by long-term chronicity and thus
are easier to work with.
601. Treatment plans designed for motor function in a child with
severe damage of long standing may have the therapist
A. Exercise for gross motor patterns
b B. Utilize primitive reflexes for locomotion
C. Inhibit reflexes so higher functions are promoted first
D. Evaluate upper extremities for utilization of an electric wheel-
chair
602. (In implementing treatment for people with disturbances of
coordination, the therapist notices the conditions listed)

There is an impaired ability to accomplish repeated alternat-


ing movements rapidly and smoothly such as alternate supina-
b
tion-pronation of the forearm
A. Tremor
B. Dysdiadochokinesia
C. Decomposition of movement
D. Dysmetria
603. (In implementing treatment for people with disturbances of
coordination, the therapist notices the conditions listed)

There is an extreme amount of movement during a planned move-


a ment and diminished or absent movement during rest.
A. Tremor
B. Dysdiadochokinesia
C. Decomposition of movement
D. Dysmetria
604. (In implementing treatment for people with disturbances of
coordination, the therapist notices the conditions listed)

There is an ability to control muscle length, which results in over-


shooting, such as trying to touch the face and hitting the face
d
instead.
A. Tremor
B. Dysdiadochokinesia
C. Decomposition of movement
D. Dysmetria
605. (In implementing treatment for people with disturbances of
coordination, the therapist notices the conditions listed)

Each joint in a person's movement pattern functions independent-


ly so that the movement is broken up into parts rather than being
c
smooth and coordinated.
A. Tremor
B. Dysdiadochokinesia
C. Decomposition of movement
D. Dysmetria

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(In implementing treatment for persons with basal ganglia lesions
or disease the therapist notices that conditions listed (lettered).
Match the condition with its description.)

606. The person demonstrates rapid, jerky, irregular movements,


b
involving primarily the face and distal extremities.
A. Athetosis
B. Chorea
C. Dystonia
D. Tremor
(In implementing treatment for persons with basal ganglia lesions
or disease the therapist notices that conditions listed (lettered).
Match the condition with its description.)

607. When the person is at rest, rapid movement begins; but


d when the person works at an activity, the excessive movements
disappear.
A. Athetosis
B. Chorea
C. Dystonia
D. Tremor
(In implementing treatment for persons with basal ganglia lesions
or disease the therapist notices that conditions listed (lettered).
Match the condition with its description.)

608. Movement about the neck, face, and extremities is charac-


a
terized as slow, writing, twisting, and wormlike.
A. Athetosis
B. Chorea
C. Dystonia
D. Tremor
(In implementing treatment for persons with basal ganglia lesions
or disease the therapist notices that conditions listed (lettered).
Match the condition with its description.)

609. A person demonstrates a distorted posture of the trunk and


c
extremities.
A. Athetosis
B. Chorea
C. Dystonia
D. Tremor
610. The therapist begins treatment of a new person who, after
a few minutes, starts a violent, forceful, flinging movement of the
extremities on the left side of the body, particularly involving the
proximal musculature. The therapist reports that the person has
c
A. Right CVA
B. Epilepsy
C. Hemiballismus
D. Hemiparesis
611. A student is working with a person who has rheumatoid
arthritis. The student asks the person to flex and extend the fingers.
The person attempts to do this, but the fingers droop. The student
reports to the supervisor that the person has
a
A. Tendon ruptures at the metacarpophalangeal joints
B. A volar subluxation of the hand
C. An interphalangeal hyperextension
D. A Landsmeer's ligament, boutonniere deformity

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612. A student plans a treatment program for a person with
rheumatoid arthritis to maintain or increase mobility of joints and
strength in the hands. The therapist approves the plan. The student
starts the plan, but the person complains of pain. The therapist
suggests that the student
A. Disregard the pain because the increase in mobility and devel-
b opment of strength are more important at this time
B. Continue with the plan to limit of pain for each joint, but work
with each joint at a different time.
C. Continue with the plan to limit of pain for each joint at one period,
with the remainder of the day for rest.
D. Disregard the pain because the person is well known in the
occupational therapy section as a chronic complainer.
613. In the preceding situation the therapist makes a second
suggestion to the student so that the pain can be reduced and
the student can be more relaxed. The therapist suggests that the
student
A. Talk to the person and explain the reason for the treatment and
that pain is a natural process
d
B. Let the person come to occupational therapy and rest for the
first few minutes before treatment starts
C. Find a simple activity that the person likes, and let him/her do
it carefully while monitoring the activity
D. Warm the hand by some method for a period of time before
starting treatment
614. If a person in treatment who has rheumatoid arthritis does
not have a full active ROM in the hand, a passive ROM to just
beyond the point of pain may be necessary. Using a paraffin bath
would reduce the pain. The therapist knows the pain should not
persist for how many hours after treatment without reducing the
d
next treatment or having the joints rest?
A. 0-1 hour
B. 1-2 hours
C.2-3 hours
D. 3-4 hours
615. A student is assigned to and is working with a person who has
had a fairly recent traumatic spinal cord injury. The person talks of
walking out of the center in the next couple of months. The student
know that as soon as the spinal shock subsides, return of motor
d functions begins and continues approximately
A. 2-4 months, so the person is about right
B. 4-8 months, so the person is not too far off
C. 8-10 months, so the person has some time to recover
D. 11-12 months, so the person has a much longer time to wait.
616. In working with the person who has sustained a severe burn,
the occupational therapist becomes involved very early in the
treatment process by
A. Increasing independence in daily life tasks
d
B. Increasing endurance
C. Assisting the person in dealing with psychological reactions to
pain
D. Positioning to prevent deformity by splinting
617. A student new at a field work experience placement is as-
signed to a person who has had a myocardial infarction. The stu-
dent asks If the department has telemetry and electrocardiogram
monitoring. The therapist states that
b A. Televisions are not permitted in the occupational therapy ser-
vice area
B. Telemetry ad electrocardiogram monitoring are new procedures
unavailable at this center
C. Telemetry and electrocardiogram monitoring are not part of
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occupational therapy work responsibility
D. Telemetry and electrocardiogram monitoring are too new to
bother with because they have not been proven to work
618. In planning a cardiac rehabilitation program for a person
the therapist should encourage the view that successful recovery
from the myocardial infarction leads to a relatively normal and
productive life. To assist in accomplishing this goal the therapist
d will need to educate the
A. Occupational therapy student
B. Treatment team
C. Patient
D. Patient and the family
619. In planning treatment for a person who needs to strengthen
shoulder flexors the student notes that the person previously
indicated a strong interest in and desire for exercise. With this idea
in mind the student suggests that simply sanding blocks of wood
would be a good treatment plan. The therapist supervisor states
that
A. This plan is lacking in that any activity selected should have a
c reasonable end product
B. This is a good exercise for shoulder strengthening, and when
the wood is sanded the person can put it together and make
something out of it
C. This is a good plan as long as the person is concerned about
exercise and informed that this activity is only for exercise
D. This plan is lacking because pure exercise is what the physical
therapist does, whereas occupational therapist do activities.
620. After 2 weeks of treatment the therapist asks the student
to do a motor analysis of an activity. The student quickly asks if
the motor analysis should be made from a biomechanical or a
neurodevelopmental point of view. The therapist quickly responds
that
d A. There is only one way to do it
B. The biomechanical point of view is the best, so do that one
C. The neurodevelopmental point of view is the best, so do that
one
D. Either one is a good approach, so give me your reasons as to
why you want to do one or the other.
621. The student wishes to do a motor analysis of a person
in treatment to make an objective evaluation of the person's
progress. In planning a biomechanical analysis the student should
A. Observe from which side an object is picked up
b
B. Position the project to be used in exact places
C. Observe whether the object's se demands stability
D. Place a number of objects in front of the person to see which
one is chosen
622. In the preceding situation the student starts the biomechan-
ical analysis using a clinical approach: observation, palpation,
and deduction based on anatomical and kinesiological data. The
therapist indicates that in a few weeks the department will have
equipment delivered to it so that the student can do more exact
a
measurements. The equipment will be
A. EMG equipment
B. EEG equipment
C. ECG equipment
D. ECT equipment

623. A student who wishes to do a neurodevelopmental analysis


of an activity during treatment will
a
A. Observe if the person's primitive reflexes are being reinforced
B. Observe if the person is enjoying and receiving benefit from the
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activity
C. Ask the person what his/her interest and activities are
D. Ask the person to select an activity of his/her own choice
624. In analyzing an activity to determine if it is therapeutically
appropriate, a student often watches to see if it is related to the
developmental levels and if the potential of the activity provides
meaningful opportunities for the individual to develop competence
and balance within his or her role in society. This type of analysis
d
is
A. Neurodevelopmental
B. Psychiatric
C. Sensory integrative
D. Occupational behavior
625. In analyzing an activity to determine if it is therapeutically
appropriate, a student often watches to see what if any sensory,
perceptual, or physical aspects of activity are present. This type of
analysis is
c
A. Neurodevelopmental
B. Psychiatric
C. Sensory integrative
D. Occupational behavior
QUESTIONS 626-629: In suing an activity on a flat surface (such
as using finger paint, sanding or using an exercise skate) the ther-
apist asks the student to change the work surface to accomplish
certain function. Match the change the student needs to make on
the work surface with the function to be accomplished.
c
626. To accomplish increased resistance to shoulder extension
and elbow flexion.
A. Raise the work surface to axilla height
B. Incline the work surface up
C. Incline the work surface down
D. Lower the work surface to elbow height
QUESTIONS 626-629: In suing an activity on a flat surface (such
as using finger paint, sanding or using an exercise skate) the ther-
apist asks the student to change the work surface to accomplish
certain function. Match the change the student needs to make on
the work surface with the function to be accomplished.
b
627. To accomplish increased resistance to shoulder flexion and
elbow extension.
A. Raise the work surface to axilla height
B. Incline the work surface up
C. Incline the work surface down
D. Lower the work surface to elbow height
QUESTIONS 626-629: In suing an activity on a flat surface (such
as using finger paint, sanding or using an exercise skate) the ther-
apist asks the student to change the work surface to accomplish
certain function. Match the change the student needs to make on
the work surface with the function to be accomplished.
a
628. To accomplish flexion and extension of the elbow on a grav-
ity-eliminated plane.
A. Raise the work surface to axilla height
B. Incline the work surface up
C. Incline the work surface down
D. Lower the work surface to elbow height

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QUESTIONS 626-629: In suing an activity on a flat surface (such
as using finger paint, sanding or using an exercise skate) the ther-
apist asks the student to change the work surface to accomplish
certain function. Match the change the student needs to make on
the work surface with the function to be accomplished.

d 629. To accomplish supination-pronation movements and elimi-


nate shoulder rotation by allowing the upper arm to remain ad-
ducted.
A. Raise the work surface to axilla height
B. Incline the work surface up
C. Incline the work surface down
D. Lower the work surface to elbow height
630. In the treatment of people who have chronic illness wherein
the goal is independence in self-care, worker hypothesize an order
of regaining independence. Comparison of this order with child
development and anthropological observations seems to reveal
b
A. A psychosocial consistency
B. An ontogenetic consistency
C. A phylogenetic consistency
D. An egocentric consistency
631. In the above described studies of regaining independence in
people with chronic illness, which (as a general rule) sequence
would be followed (excluding some diagnostic groups that might
require modification or change of the order of sequence)?
A. Feeding, continence, transferring, going to the toilet, dressing,
and bathing
a
B. Feeding, dressing, bathing, continence, transferring, and going
to the toilet.
C. Feeding, transferring, continence, going to the toilet, bathing,
and dressing
D. Feeding, bathing, dressing, transferring, continence, and going
to the toilet
632. In the treatment planning for self-care activities the principle
of compensation for limited range of joint motion is to
A. Provide stability
c
B. Change body mechanics or techniques
C. Increase a person's reach
D. Provide substitution for stabilizing
633. In the treatment planning for self-care activities the principle
of compensation for incoordination is to
A. Provide stability
a
B. Change body mechanics or techniques
C. Increase a person's reach
D. Provide substitution for stabilizing
634. In the treatment planning for self-care activities the principle
of compensation for decreased strength is to
A. Provide stability
b
B. Change body mechanics or techniques
C. Increase a person's reach
D. Provide substitution for stabilizing
635. In the treatment planning for self-care activities the principle
of compensation for loss of use on one side of the upper extrem-
ities is to
d A. Provide stability
B. Change body mechanics or techniques
C. Increase a person's reach
D. Provide substitution for stabilizing

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636. In treatment planning that invades the home, the therapist
should have some basic facts relative to doorways and ramps.
For wheelchairs, which measurements are correct for an ideal
architectural design for a doorway width (inches), ramp width
a (inches), and incline (degrees)?
A. Doorway, 36;ramp 30 to 40; incline 1 to 12
B. Doorway, 34; ramp, 24 to 36; incline, 1 to 6
C. Doorway 36; ramp, 24 to 36; incline, 1 to 18
D. Doorway, 34; ramp, 30 to 40; incline, 1 to 14
637. In normal developmental sequencing, tasks are selected ac-
cording to the normal progression of skills acquired in the average
child or adult.
A. The sequence may not be an advantage for a person's handi-
c cap
B. The activity is not useful unless it meets the client's needs
C. The sequence may increase problems rather than reduce them
D. Performance does not always occur normally but as an inte-
grated continuous flow of behavioral performance.
638. In normal activity sequencing, many activities have a logical
sequence of steps that facilitate task performance. The steps are
not always necessarily invariant, but a sequence may require less
total time or a repetition of steps.
A. The sequence may not be an advantage for a person's handi-
a
cap
B. The activity is not useful unless it meets the client's needs
C. The sequence may increase problems rather than reduce them
D. Performance does not always occur normally but as an inte-
grated continuous flow of behavioral performance.
639. In a task analysis of a therapeutic approach, each step in a
sequence is examined so the therapist can determine which steps
a person can or cannot perform.
A. The sequence may not be an advantage for a person's handi-
d cap
B. The activity is not useful unless it meets the client's needs
C. The sequence may increase problems rather than reduce them
D. Performance does not always occur normally but as an inte-
grated continuous flow of behavioral performance.
640. Which most closely describes the psychiatric occupational
therapy treatment process of intervening directly in the illness of
the person?
A. Dealing with the person's strengths and promotion of optimum
c
abilities
B. Dealing with the person's strength and healthy parts
C. Effecting changes in the pathology
D. Effecting changes in personality by support and encouragement
641. Another of the psychiatric occupational therapy treatment
processes is that of the maintenance of function. Which of the
following refers to this process?
A. Dealing with the person's strengths and promotion of optimum
a
abilities
B. Dealing with the person's strengths and healthy parts
C. Effecting changes in the pathology
D. Effecting changes in personality by support and encouragement

642. A third treatment process is a developmental and occupation-


al frame of refence or a rehabilitation prevention process. Which
of the following refers to this process?
b
A. Dealing with the person's strengths and promotion of optimum
abilities
B. Dealing with the person's strengths and healthy parts

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C. Effecting changes in the pathology
D. Effecting changes in personality by support and encouragement
643. After evaluation and planning have occurred the implemen-
tation process starts. IT is broken into parts. Which set comprises
the parts of the implementation phase?
A. Orientation, implementation, and termination
d
B. Evaluation, implementation, reevaluation, and termination
C. Evaluation, objective setting, planning, implementation, and
termination
D. Orientation, development, and termination
644. The therapeutic program requires that after implementation
begins, the objectives be translated into specific activities. This
activities must be relevant to the
a A. Objectives and have meaning for the client
B. Physician and team members
C. Hospital's overall plan and objectives
D. Objectives of the occupational therapy service area
645. In a schematic representation of the levels on which activ-
ities for people with psychosocial dysfunctions may be experi-
enced, the first of six levels is body awareness experiences where
movement and sensory input activities are of value. Which of the
following would further guide the selection of activities for this
experience level?
A. Activities may use but are not dependent upon verbal activity,
b
end products, and process
B. Activities are individual, and process is important, automatic,
and noncortical
C. Activities are primarily nonverbal, and end products are
process-oriented and individual
D. Activities are group-oriented, verbal and nonverbal, and
process and product-oriented.
646. Ion the same schematic representation the second level
is body effectiveness experience. Which of the following would
further guide the selection of activities for this experience level?
A. Activities may use but are not dependent upon verbal activity,
end products, and process
c B. Activities are individual, and process is important, automatic,
and noncortical
C. Activities are primarily nonverbal, and end products are
process-oriented and individual
D. Activities are group-oriented, verbal and nonverbal, and
process-and product oriented.
647. In the same schematic representation the third level refers to
the experience of performing actions that have impact on objects
and/or the environment. Which of the following would further guide
the selection of activities for this experience level?
A. Activities may use but are not dependent upon verbal activity,
end products and process
a
B. Activities are individual, and process is important, automatic,
and noncortical
C. Activities are primarily nonverbal, and end products are
process-oriented and individual
D. Activities are group-oriented, verbal and nonverbal, and
process- and product-oriented

648. In the same schematic representation the fourth level refers


to the coordination of thought, body, and other factors. Which of the
following would guide the selection of activities for this experience
d
level?
A. Activities may use but are not dependent upon verbal activity,
end products, and process
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B. Activities are individual, and process is important, automatic,
and noncortical
C. Activities are primarily nonverbal, and end products are
process-oriented and individual.
D. Activities are group-oriented, verbal and nonverbal, and
process and product oriented
649. In the rood or neurophysiological approach to treatment,
developmental patterns are used to evaluate the person's level of
development, which determines the level of treatment. When it is
determined to use sensory stimulation for proprioceptors, which
d of the following should be used?
A. Light touch
B. Ice
C. Slow stroking
D. Vibrations
650. When it is determined to use sensory stimulation for extero-
ceptive input, which of the following should be used?
A. Light touch
a
B. Ice
C. Slow stroking
D. Vibrations
651. When it is determined to use an inhibitory procedure in the
rood approach, which of the following should be used?
A. Light touch
c
B. Ice
C. Slow stroking
D. Vibrations
652. In using the rood technique of slow stroking, the therapist in-
structs the student to stroke the person continuously for 4 minutes
as part of the therapy. The student corrects the therapist and states
correctly, that slow stroking should not be continued for more than
d
A. 1 minute
B. 2 minutes
C. 2-1/2 minutes
D. 3 minutes
653. In the rood technique, depending upon the type of muscle
tone and developmental level of the person needing therapy, a
treatment program may be
d A. All inhibitory and facilitating
B. Inhibitory and facilitating
C. All facilitating
D. All inhibitory, inhibitory and facilitating, all facilitating
654. A therapist introducing proprioceptive neuromuscular facilita-
tion to a new student stated that kabat, knott and voss developed
this therapy system and that current techniques include maximal
resistance, postural and righting reflexes, mass movement pat-
terns, reversal of antagonist, and ice. The student suggested that
b
to complete the list the therapist add
A. Vibration
B. Quick stretch
C. Flexion synergies
D. Extension synergies
655. A therapist introducing a student to working with people who
have acquired hemiplegia stated that Signe Brunnstrom delin-
eated the stages of recovery and techniques to facilitate recov-
ery. Brunnstrom stated that treatment consists of developing the
d
potential for coordinated movement with reflex like mechanisms,
sensory cues, volitional efforts, and graduation of demand through
the six stages of recovery. Which statement about the stages
of recovery did the student add to make the information more
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complete?
A. The stages follow a definite sequence
B. The stages can follow any sequence
C. The stages can skip any stage and plateau anywhere
D. The stages follow a definite sequence, never skip a stage, and
plateau at any one stage
656. In further introducing the student to the treatment process
for hemiplegia developed by brunnstrom the therapist stated that
postures and positions used during treatment include supine, sit-
ting, and standing. Volitional effort and functional activities should
be initated early and are considered necessary if there is to be
carryover by the person with the problem. The therapist asks
b "What have I omitted that would make this more complete?" The
student answers that
A. Tactile and sensory input are used throughout treatment
B. Visual and verbal clues are used throughout the treatment
C. A total sensory integrated mechanism is used throughout treat-
ment
D. No other procedures or techniques are used by Brunnstrom
657. In describing the basic idea of orthokinetics to a student a
therapist states that a cuff is composed of elastic and inclastic
parts. The cuff is placed over those body parts where support and
muscle activity are desired. The therapist asks the student which
of the following statements is correct.
d A. The elastic or inactive field becomes facilitating
B. The elastic or active field becomes inhibitory
C. The inclastic or inactive field becomes inhibitory, and the elastic
or active field becomes the facilitator
D. The cuffs work either way, depending upon which surface is
placed on the muscle belly.
658. I explaining to an occupational therapy student about the sen-
sory integrative theory constructed by Ayres, the therapist states
that the objective of the approach is to enhance the brain's ability
to develop the capacity to perceive, remember, and motor plan
in order to provide a basis for mastery of all academic and other
tasks rather than to focus on specific content. The therapist then
asks the student: "Toward what, then, is the therapeutic approach
directed?" The student states that
a
A. It is directed toward controlling sensory input in order to activate
brain mechanisms
B. It is directed toward integrating sensory input in order to activate
brain mechanisms
C. It is directed toward the development of academic tasks in order
to activate brain mechanisms
D. It is directed toward the development of skill tasks in or der to
activate brain mechanisms
659. In further explanation to a student of the Ayres concept for
treatment, the therapist states that one of the implications for
the therapeutic process lies in the premise that some neurons
require convergence of many impulses. The therapist then asks
the student: "The summation of stimuli wdirected toward a specific
response would be more effective with which of the following?"
A. Stimuli from one modality directed toward a specific response
b
used frequently
B. Stimuli from various sensory modalities directed toward a spe-
cific response
C. Stimuli from various sensory modalities directed toward general
responses in the area needed
D. Stimuli from a single sensory modality along with cognitive input
at the same time interval.

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660. In continuing to orient a student to the ayres concept the
therapist states that awareness from action or feedback from the
somatosensory and vestibular system is important in organizing
and using a sensory input for motor performance. In planning an
activity for treatment for a person needing to utilize procedures that
c emphasize the process of accurate discriminative information the
therapist asks the student "Which activities are most preferable?"
A. Activities of interest to the person doing them
B. Complex motor activities creating a challenge
C. Activities that have simple motor demands
D. Motor activities requiring a great many responses
661. A person is referred to the occupational therapy service area
for self-care activities. The therapist and student visit the person
on the ward while the person is still in bed. The student wishes
to transfer the person to a chair to do the self-care activities. The
therapist suggests that for self-care activities in a chair, the person
b
A. Needs to be gradually put into a sitting position
B. Needs to be able to maintain trunk balance
C. Should be brought to the service area where all activities are
taught
D. Should be taught parallel activities to create motivation
662. A person confined to a bed on a ward is referred to occupa-
tional therapy for independent eating. The person indicates his/her
need in wishing to eat by himself/herself. The therapist states to
the student that independent eating can start as soon as the
A. Person can sit comfortably in a bed or wheelchair or tilted on a
a
tilt board
B. Person is transported to the occupational therapy service area
C. Nurses agree to carry through on the program once it starts
D. Dietary department agrees to let the student have the food to
feed the person
663. In working with a person in self-care and/or dressing proce-
dures many basic considerations should be employed. One con-
sideration relative to adaptive equipment is that little or no adaptive
equipment should be used unless it is absolutely necessary and
then primarily
b
A. To motivate the person in showing success
B. For safety and to reduce energy
C. To show the person that eating or dressing can be accomplish
D. To demonstrate the many ways eating or dressing can be
accomplish with adaptive equipment
664. A student is arranging for activities of daily living for a person
who has suffered an injury at the c4 level resulting in quadriplegia.
The therapist suggests that the student use
A. Zippers, Velcro fastenings, plastic cuff, plate guards, and so
c forth
B. A 24 hour nursing program
C. An environmental control system
D. Large-size clothes, large buttons, built up handles, long handled
combs, a toothbrush, and so forth
665. In training a student in the utilization of splints, the therapist
states that the static splint has many uses. In the support of a hand
or a joint of a person with arthritis the splint
b A. Protects weak muscles from being stretched
B. Is used as substitute for weak muscles
C. Provides a force to counteract a strong muscle group
D. Immobilizes a joint to prevent movement
666. In additional training of a student on static splints, the thera-
pist states that a splint may be indicated to protect weak muscles
from being stretched by
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A. Providing the force necessary to counteract a strong muscle
group
a B. Immobilizing a joint to prevent movement
C. Being used as a substitute for the weak muscles
D. Forcing a joint or bone into correct alignment
667. Additional information given the student by the therapist
indicates that corrective splinting can
A. Provide the force necessary to counteract a strong muscle
d group
B. Immobilize a joint to prevent movement
C. Substitute for weak muscles
D. Force a joint or bone into correct alignment
668. The therapist informs the student that whenever possible, the
static splint should hold the forearm or hand in
A. A comfortable position
c
B. An anatomical position
C. A functional position
D. A position that allows supination and pronation
669. With respect to the use of splints, the therapist should in-
dicate to the student the precautions that should be taken. One
complication to watch for is edema. Another problem that arises
with prolonged use of a static splint is that
b
A. Splints get dirty and need to be cleaned
B. A joint may become immobile
C. Different parts of the splint may move out of alignment
D. Prolonged pressure on the plastic will cause splitting
670. In the implementation of a program the treatment room
provides an atmosphere of activity. Activities are geared toward
what is interesting, purposeful, and acceptable to the person
concerned. Activities are also geared to
b
A. Having fun as fun is essential in life
B. Showing their relationship to overall rehabilitation goals
C. Making "things" to show accomplishments
D. Diverting the person away from his/her pathology
671. In implementing a splint for a brain-injured person, the ther-
apist must know that among other occupational therapists (OTs),
orthotists, and physical therapists (PTs) splinting is
A. A generally accepted practice
b
B. Still a controversial subject
C. Strongly accepted by some and not others
D. Strongly accepted by occupational therapists but not by the
others.
672. Splinting, if planned appropriately, can do certain things for
certain dysfunctions. Which splint is apt to do the most good for
the restoration of upper extremity function?
c A. A dynamic splint
B. An orthokinetic splint
C. A static cock-up splint
D. A static forearm hand splint.
673. Splinting, if planned appropriately, can do certain things for
certain dysfunctions. Which splint is apt to do the most good for
strengthening palmar grasp, opposition
a A. A dynamic splint
B. An orthokinetic splint
C. A static cock-up splint
D. A static forearm hand splint

674. Splinting, if planned appropriately, can do certain things for


certain dysfunctions. Which splint is apt to do the most good in
providing a combination of mobilization and support for relief of

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pain, increased muscle strength, ROM, and muscle reeducation?
A. A dynamic splint
b B. An orthokinetic splint
C. A static cock-up splint
D. A Static forearm hand splint
675. An arm sling is commonly used to support the flaccid arm
and prevent subluxation of the shoulder. About which force should
the therapist be concerned during the treatment process while the
person is using the sling during ambulation?
a A. The earth's gravitational pull on the arm
B. The strength of forearm muscle groups
C. The weight of the arm pulling against the shoulder
D. The total weight of the person jarring the shoulder during walk-
ing
676. The arm sling is an easily recognizable means of support for
the paralyzed arm. The therapist must be careful not to use a sling
that will case
c A. An increase in shoulder abduction and flexor spasticity
B. A shoulder disarticulation
C. Shoulder pain and an increase in adductor or flexor spasticity
D. An increase in shoulder adduction and extension spasticity
677. Vibration is used in treatment when the therapist wishes to
A. Dampen or enhance the vestibulocochlear system
B. Stimulate the sensory ending of the neuromuscular spindle
b
C. Improve sensory response and increase motor function of
flaccid muscles
D. Stimulate individual muscle responses
678. Vestibular therapy is used in treatment when the therapist
wishes to
A. Dampen or enhance the vestibulocochlear system
a B. Stimulate the sensory ending of the neuromuscular spindle
C. Improve sensory response and increase motor function of
flaccid muscles
D. Stimulate individual muscle responses
679. Tactile stimulation is used in treatment when the therapist
wishes to
A. Dampen or enhance the vestibulocochlear system
c B. Stimulate the sensory ending of the neuromuscular spindle
C. Improve sensory response and increase motor function of
flaccid muscles
D. Stimulate individual muscle responses
680. Pressure is used in treatment when the therapist wishes to
A. Dampen or enhance the vestibulocochlear system
B. Stimulate the sensory ending of the neuromuscular spindle
d
C. Improve sensory response and increase motor function of
flaccid muscles
D. Stimulate individual muscle responses
681. A therapist wishing to use thermal stimulation as a method of
motor control therapy needs to know that when a brief application
of ice to the skin over the muscles being treated is applied to the
palm of the hand or sole of the feet.
d
A. A facilitating response will take place
B. An inhibitory response will take place
C. A tonic response will take place
D. A phasic response will take place

682. A therapist wishing to use thermal stimulation as a method of


motor control therapy needs to know that when a brief application
a
of ice to the skin over the muscle being treated is applied to the
palm of the hand or sole of the feet

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A. A facilitating response will take place
B. An inhibitory response will take place
C. A tonic response will take place
D. A phasic response will take place
683. A therapist wishing to use thermal stimulation as a method
of motor control therapy needs to know that application of ice for
a few seconds over a muscle will produce
c A. A facilitating response
B. An inhibitory response
C. A tonic response
D. A phasic response
684. A therapist is working with a person who needs to develop a
swallowing response. Which method of icing is required?
A. Swiping the skin just under the nose
c
B. Swiping the skin along the borders of the rib cage
C. Swiping the skin over the sternal notch
D. Swiping the skin over the muscles in the neck
685. A therapist working with a person who has spastic muscles in
the shoulder, usually encountered in people who have hemiplegia,
can hold the person's elbow, abduct the arm about 35 to 45
degrees, and gently push and hold the head of the humerus into
the glenoid fossa. This action will
a
A. Relax the muscles and relieve the pain
B. Stimulate the muscles so that a ROM can be completed
C. Inhibit the extrinsic muscles of the hand to start an activity
D. Rebias the muscle spindles to decrease tone in the hand and
wrist
686. Occupational therapy for person with burns may often start in
the emergency room. Later in treatment the therapist may not do
a ROM or muscle test on the burn site areas. Why would a ROM
and muscle test be done on the unaffected body segments?
b
A. To prevent contractures and deformity
B. To develop an information base
C. To develop rapport with the person during this period
D. To do planning as part of ongoing therapy
687. In treating the burn-injured person, the therapist must help
the person plan for a home program. To encourage and convince
the person that a treatment plan involving the use of splints and
wearing of pressure garments may continue for a year or more
after discharge, the therapist must convey to the client
A. Studies show that only 15% of those who followed this plan
a needed additional surgery
B. Studies show that only 5% of those who followed this plan
needed additional surgery
C. Studies show that only 75% of those who followed this plan
needed additional surgery
D. The ratio of length of time following such a plan to need for
surgery is immaterial
688. An occupational therapist working with a young person who
has been abused or neglected may use play as a treatment
modality. The therapist must realize that ins this approach
b A. The setting up of play situations guides the therapy
B. The child and the play guide the therapy
C. The therapist and the play guide the therapy
D. The therapy is guided by the treatment team's goals
689. A therapist using a spatiotemporal adaptation theory for
children with developmental disabilities will not that when faced
with a stressful situation
A. The child will use previously acquired patterns to adapt and
make use of the stress to move to higher levels of functions
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B. The child will use previously acquired patterns to adapt and not
make use of the stress to move to a higher level of function
C. The child will not use previously acquired patterns to adapt but
b
will stop at a this point
D. The child will use previously acquired patterns and even more
primitive levels of functioning to adapt
690. The therapist working with a dysfunctioning child's develop-
mental and adaptive performance using the spatiotemporal adap-
tation theory knows that
A. The child's performance is the mirror image of an immature
normal child's performance
c B. The child's performance is the same as a normal child's only not
as quick or precise
C. The child's performance is not a mirror image of an immature
normal child's
D. The child's performance is not the same as a normal child's nor
will any performance be equal to that of the normal child
691. A therapist is working with an infant who demonstrates neck
asymmetry past 4 months of age. Which muscles would the ther-
apist be attempting to develop to correct the asymmetry
a A. Flexors
B. Extensors
C. Adductors
D. Abductors
692. A therapist working with an infant just past 5 months is
attempting to develop back extension and stability to reinforce
sitting, standing, and walking. Which action would most likely be
strengthened?
b
A. Scapula elevation
B. Scapula adduction
C. Scapula abduction
D. Scapula depression
693. In an infant who has cerebral palsy, the anterior pelvic tilt
is strong because it is not opposed. The therapist in attempting
to block this tile tries to balance this tilt by strengthening which
muscle group?
c
A. Neck muscles
B. Shoulder muscles
C. Abdominal muscles
D. Hip muscles
694. A therapist working with a child with cerebral palsy may find
it more meaningful to refer to a type of muscle tone rather than
a diagnostic classification when presenting the child's progress.
However, to communicate with others who use a diagnostic clas-
sification the therapist would describe muscle tone that fluctuates
b
from low to normal
A. Ataxia
B. Athetosis
C. Flaccidity
D. Spasticity
695. A therapist working with a child with cerebral palsy may find
it more meaningful to refer to a type of muscle tone rather than
a diagnostic classification when presenting the child's progress.
However, to communicate with others who use a diagnostic clas-
sification the therapist would describe muscle tone that is extreme
d
and above normal as
A. Ataxia
B. Athethosis
C. Flaccidity
D. Spasticity

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696. A therapist working with a child with cerebral palsy may find
it more meaningful to refer to a type of muscle tone rather than
a diagnostic classification when presenting the child's progress.
However, to communicate with others who use a diagnostic clas-
sification the therapist would describe muscle tone that fluctuates
a
from below normal to normal as
A. Ataxia
B. Athetosis
C. Flaccidity
D. Spasticity
697. A therapist working with a child with cerebral palsy may find
it more meaningful to refer to a type of muscle tone rather than
a diagnostic classification when presenting the child's progress.
However, to communicate with others who use a diagnostic clas-
sification the therapist would describe muscle tone that is charac-
c
terized by fluctuating low muscle tone as
A. Ataxia
B. Athetosis
C. Flaccidity
D. Spasticity
698. A therapist working with a child with cerebral palsy must be
aware that the child may have as many as ___ additional disorders
to deal with
c A. 1 to 3
B. 2 to 4
C. 2 to 7
D. 5 to 9
699. During treatment and reevaluation the therapist working with
a child with cerebral palsy (CP) needs to be aware that
A. No single evaluative tool defines all the abnormalities seen in
CP
B. Specific tools developed by OTs will define all abnormalities
a
seen in CP
C. Specific tools developed by OTs and PTs will define all abnor-
malities seen in CP
D. Specific tools developed for each diagnostic CP classification
will define all abnormalities seen in CP

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700. The American occupational therapy association (AOTA) was
formerly the National Society for the promotion of occupational
therapy, Inc. In which year was the society founded?
b A. 1914
B. 1917
C.1920
D.1923
701. In which year did the society change its name to the American
occupational therapy association
A. 1914
d
B. 1917
C.1920
D.1923
702. The first occupational therapists to become registered did so
A. 1920
c B. 1923
C.1931
D.1948
703. The first advanced master's degree program for occupational
therapists, registered, (OTRs) began in the year
A. 1931
d
B. 1948
C.1959
D. 1965
704. The AOTA began a program of approving educational pro-
grams for occupational therapy assistants in the year
A. 1931
c
B. 1948
C.1959
D.1965
705. ATOA history includes the formation of the American Occu-
pational Therapy Foundation (AOTF). In which year was it found-
ed?
d A. 1931
B. 1948
C.1959
D. 1965
706. The AOTA's general purpose in furtherance of its objectives
as set forth in its Articles of Incorporation is
A. To act as a charitable, scientific, literary, and educational orga-
nization
b B. To act as an advocate for occupational therapy in education,
research, action, service, and standards
C. To establish essentials and, thus,to establish occupational ther-
apy curricula
D. To establish and enforce standards of practice
707. The general purpose of the American Occupational Therapy
Foundation is
A. To act as a charitable, scientific, literary, and educational orga-
nization
a B. To act as an advocate for occupational therapy in education,
research, action, service, and standards
C. To establish essentials and, thus, to establish occupational
therapy curricula
D. To establish and enforce standards of practice

708. The AOTA Representative Assembly (formerly the Delegate


Assembly) is
c
A. A forum for each state to share occupational therapy concerns
B. A group of members from each state who discuss occupational
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therapy concerns
C. The legislative and policymaking body
D. The standards and enforcement body of the association
709. In addition to representative from the District of Columbia and
Puerto Rico, the AOTA Representative Assembly includes
c A. One representative per state
B. One representative from each state that has a state association
C. Proportional representation from each state
710. The AOTA representative assembly is presisded over by the
A. President of AOTA
d B. Vice president of AOTA
C. President of AOTA's Representative Assembly
D. Speaker of AOTA's representative assembly
711. Officers of the AOTA Representative Assembly are elected by
the
A. Representative Assembly's own members
a
B. AOTA membership
C. Officers of the AOTA
D. Officers of the AOTA's Representative Assembly
712. The chair of the Commissionon Standards and Ethics is
A. Recommended y the AOTA president
a B. Recommended by the head of the Representative Assembly
C. Elected by its own members
D. Elected by AOTA members
713. The chair of the Commission on Education is
A. Recommended y the AOTA president
c B. Recommended by the head of the Representative Assembly
C. Elected by its own members
D. Elected by AOTA members
714. The chair of the Commission on Practice is
A. Recommended y the AOTA president
a B. Recommended by the head of the Representative Assembly
C. Elected by its own members
D. Elected by AOTA members
715. The accreditation Committee's function is the accreditation of
approval
A. Of certification of the OTR
b
B. Of education programs
C. Of the standards of practice
D. Of the reviews of the format and content of standards
716. The AOTA executive board is composed of
A. No paid members
c B. All paid members
C. Only one paid member
D. All paid members except one
717. The executive Board is responsible for
A. Implementation of the association 's policies
B. Implementation of the business of the Representative Assem-
d
bly
C. Management of the Representative Assembly
D. Management of the association
718. The national office of the AOTA is responsible for
A. Implementation of the association's policies
B. Implementation of the business of the Representative Assem-
a
bly
C. Management of the Representative Assembly
D. Management of the association

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719. The executive director of the AOTA is
A. The same person as the president
d B. Elected by the members
C. Appointed by the president
D. Employed by the association
720. The executive director of the AOTA
A. Manages the operations of the national office
a B. Is the manager of the representative assembly
C. Is the chief executive officer of the association
D. Discharges presidential duties in the absence of the president
721. The World Federation of Occupational Therapists (WFOT) is
A. Composed of OTRs who work overseas
B. Composed of people interested in occupational therapy over-
d
seas
C. A formal organization like AOTA
D. A part of the AOTA
722. AOTA offers a wide range of benefits to its members
A. These benefits are free to all members
B. These benefits are free to all members but not to the public
c
C. Some benefits are free but other are charged
D. These benefits are free to members and charged to those who
are certified only
723. A person who successfully passes the certification examina-
tion of Occupational Therapist, Registered, must pay which of the
following to become an OTS and a member of AOTA?
b A. Payment of one fee
B. One fee for certification and one fee for membership
C. An examination fee
D. A certification fee
724. Award of merit is
A. Given to OTRs in recognition of significant contribution
b B. The highest honor of the association
C. Given to Certified Occupational Therapy Assistants
D. The highest academic honor of the association
725. Eleanor Clarke Slagle Lectureship is
A. Given to OTRs in recognition of significant contribution
d B. The highest honor of the association
C. Given to Certified Occupational Therapy Assistants
D. The highest academic honor of the association
726. Roster of Fellows
A. Given to OTRs in recognition of significant contribution
a B. The highest honor of the association
C. Given to Certified Occupational Therapy Assistants
D. The highest academic honor of the association
727. Roster of Honors
A. Given to OTRs in recognition of significant contribution
c B. The highest honor of the association
C. Given to Certified Occupational Therapy Assistants
D. The highest academic honor of the association
728. To direct, govern, and legislate itself and its members the
AOTA has developed
A. By laws and a constitution
b B. By laws only
C. A constitution only
D. Parliamentary rules and procedures from robers rules of order,
newly revised

729. An individual AOTA member in good standing is one who


among other things, has
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A. Paid his or her fee
B. Passed the certification examination
a
C. A special interest in occupational therapy
D. Made significant contributions to the field
730. The AOTA has developed "essentials" for occupational ther-
apy curricula. Which statement is true?
A. These essentials are the same for OTRs and COTAs
b
B. These essentials are completely different for OTRs and COTAs
C. Half of the essentials are for OTRs and the other half for COTAs
D. The same essentials are used for both OTRs and COTAs
731. The OTR must pass a certification examination offered by the
AOTA. This is
A. The same examination given to COTAs
b B. Completely different from the examination given to COTAs
C. In part the same examination given to COTAs
D. The same examination given to COTAs but a different passing
score is used
732. The status of licensure has become a reality in many states,
the District of Columbia, and Puerto Rico. In which year did the
first licensure for occupational therapy take place?
c A. 1951
B. 1961
C. 1971
D. 1976
733. When preparing an occupational therapy budget, the occu-
pational therapy administrator should be aware that
A. The indirect costs and direct costs are 50-50
c
B. The indirect costs are higher than the direct costs
C. The direct costs are higher than the indirect costs
D. The hospital administrator takes care of the indirect costs
734. Considering a 40% indirect cost, the amount for a $130,400
direct-cost occupational therapy budget would be
A. $48,933
c
B. $56,933
C. $86,933
D. $99,933
735. In determining an occupational therapy bufget, the supervisor
should consider
A. Direct costs
c
B. Direct and indirect costs
C. Direct and indirect costs and bad debt allowance
D. Direct and indirect costs and faculty education
736. In determining the fee for service the total budget is divided
by the
A. Number of patients to be seen
b
B. Number of procedures to be performed
C. Number of days and therapists one uses
D. Amount of money one wishes to make
737. To plan a controlled budget for a budget period in addition to
monitoring the results the occupational therapy administrator must
divide the budget by the
b A. Number of months
B. Number of projected procedures
C. Number of therapists on staff
D. Total number of people on staff
738. A management report must be understood at many levels. To
do this the administrative therapist should
c
A. Write in simple English and short sentences
B. Write progress reports
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C. Write in a style accepted within the facility's system
D. Write in descriptive yet short reports
739. Research in occupational therapy is
A. In its infancy
a B. Well established
C. Done only in conjunction with other disciplines
D. Not necessary
740. Much of the research in occupational therapy completed thus
far
A. Supports occupational therapy theory
b
B. Is descriptive of client characteristics
C. Is of little value
D. Does not need to be pursued
741. Within the medical community the
A. Terms "referral" and "prescription" are used incorrectly
B. Terms "referral" and "prescription" often are used interchange-
b
ably
C. Term "referral" is the only one used
D. Term "Prescription" is old and "referral" is the new term
742. When occupational therapy is offered as part of a medical
management program, a referral or a prescription must be signed
by a physician. In fact, daily practice suggests that
d A. The referral is most highly considered
B. The prescription is passé
C. Both are passé
D. Both are current
743. To evaluate and select goals for occupational therapy most
physicians
A. Are not knowledgeable enough about occupational therapy
a B. Do not care enough about occupational therapy to bother
C.Do not know enough about occupational therapy goals so they
do not send patients
D.Leave goal selection entirely up to the OTR without concern
744. If a physician has inadequate education in rehabilitation
services, it is up to the
A. Physician to obtain this information
d B. Physician's school to give this information
C. Physical medicine and rehabilitation or other departments to
give this information to the physician
D. Occupational therapists to educate the physician
745. If physicians know a lot about occupational therapy, their role
then is
A. To coordinate and manage patient services
a
B. To coordinate and manage occupational therapy services
C. To coordinate and manage the OTRs who serve their patients
D. To let the occupational therapy service carry on without them
746. Referrals from nurses, speech pathologists, social workers,
and others may
A. Be received and acted on
a
B. Be received and turned over to the physician
C. Not be received
D. Be received only if they work in the same institution
747. In the evaluation of a referral from a source other than a
physician the OTR should
A. Proceed with whatever treatment is necessary
c B. Proceed with treatment only if the source is within the same
facility
C. Determine if medical management is necessary and receive it
D. Determine what she/he can do and do it but not charge for it

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748. Provided no third-party payment is to be processed, a physi-
cian's consent may not be necessary when a referral comes to
occupational therapy for developing a
a A. Health maintenance or prevention program
B. Long range goal for posthospital care
C. Very short-range goal for an inpatient
D. Long-range goal for an outpatient
749. Occupational therapists themselves may refer individuals
A. Only to others in the same facility
c B. Only to other OTRs
C. To any agency, facility, or professional
D. To any agency approved by their facility
750. In some medical management programs, especially mental
health, referral to occupational therapy may be routine and are
sometimes called "blanket referrals" These referrals pose:
A. No problems and allow the OTR free rein
B. Some problems in that the physician may be unaware of the
b
OTR's goals and objectives for the patient
C. No problems because the goals and objectives are established
for the occupational therapy department
D. Some problems because OTRs do not stay in mental health
work for long periods
751. With respect to the blanket referral, occupational therapists
should
A. Encourage it because it brings in more patients who bring in
more money
d
B. Discourage it because it is unprofessional
C. Encourage it as a way of increasing the size of staff
D. Discourage it as a device to use occupational therapy as a
diversional or recreational program
752. Certification of a COTA is granted by
A. The AOTA
d B. The AOTA and the AMA
C. COTA's own association
D. An ad hoc American OT certification board
753. Management of an occupational therapy department differs
little from the management of other health care groups. The range
of problems facing any manager regardless of discipline is
A. Controlled by the manger, thus reducing management to a
functional level
b B. So great that one habitual set of responses or alternatives by a
manager is inadequate
C. Restricted by the manager in order to motivate his/her staff to
accomplish their goals
D. Reduced by discipline, thus allowing the manager to be able to
handle all problems through his/her own style
754. Reed and sanderson list eight basic performance criteria
each occupational therapist should be able to enact. Continuing
education is one of these. Occupational therapists should partic-
ipate in continuing education because
b A. They need it for licensure
B. Universities cannot teach new therapists all the information they
need to know
C. Hospitals, agencies, and institutions pay for it, so it is free
D. Staff promotions are dependent on it
755. Continuing education is needed by therapists because
A. Information is constantly increasing, changing, and being re-
a vised and continuing education is a way to receive new informa-
tion
B. It is required for licensure
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C. Staff promotions are dependent upon it
D. It is the fastest growing education program in the counter and
OTRs should be a part of it
756. One of the relatively recent additions to the health care
lexicon is "quality assurance" Which is the best describes quality
assurance?
A. Concern for monitoring and evaluating the quality and appro-
priateness of patient care
B. Concern that the hospital/agency prohibits discrimination and
a
has established quality guidelines for testing and selection proce-
dures for all health care personnel
C. Concern that credentialing, licensure, and practice standards
or protocols are regulated to assure or improve quality of care
D. Concern and purpose in showing what has happened to the
person during treatment, including the cost containment factors
757. Studies have shown that successful managers use participa-
tive management. The building of consensus is one element of this
approach wherein the staff must come to a consensus on what the
real problems are and how they will solve them. This approach is
c
A. Almost impossible to achieve
B. Simple but time consuming
C. Complex but effective
D. Easy for a strong manager
758. Certification and licensure for OTRs are
A. Identical
B. Identical only in certain states
d
C. Granted by the same agency
D. Granted by a nongovernment agency (Certification) and a
government agency (licensure)
759. Record keeping is an ongoing function in any service. Care-
fully kept records may
A. Document the course of intervention
a
B. Be a way for administrators to keep track of therapists
C. Keep staff from duplicating services
D. Show a well-organized occupational therapy department
760. In most cases the format for record keeping is
A. Outlined by the occupational therapy manager
B. Agreed upon by consensus in the occupational therapy depart-
c
ment
C. Outlined by regulations for and by the institution
D. Agreed upon by the top manager of the institution
761. Record keeping should above all else
A. Include mainly subjective feelings
B. Contain mainly objective facts
d
C. Contain some objective feelings and some objective facts
D. Include objective factors and subjective feelings based on ob-
jective facts
762. In record keeping the most desirable practice is to
A. Use facts that can be measured to the maximum
a B. Use any fact as long as the information is covered
C. Utilize any information heard, seen, or experienced
D. Utilize only the data heard, seen or experienced

763. In discharge planning, prevention of further injury or ill-


ness involves knowledge of many safety factors plus professional
knowledge about the person's progress. Such a combination of
a knowledge
A. Ensures that the therapist takes whatever action is necessary
to communicate these factors to the person with the illness and to
other on the team

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B. Should be possessed, but the responsibility belongs to the
physician to disseminate this information
C. Is found in the team members, and each takes responsibility
accordingly
D. Is important; however, institutional or hospital policy dictates
what each team person is to do
764. For occupational therapists to implement occupational ther-
apy services in today's complex environment they must have a
system. One system suggested is General Systems Theory. The
main objective of this approach is to provide a framework for
b
A. Communication within the occupational therapy service
B. Communication between specialists
C. Satisfying third party payees
D. Satisfying specific occupational therapy procedures
765. General Systems Theory is used t describe a level of theoret-
ical model building. Which statement closely describe the model?
A. It introduces arbitrary techniques to analyze the relationship of
the parts to the whole
B. It uses a mathematical approach to examine the relationship of
c
the parts to the whole
C. It accepts the complexities of the system and searches for a
structural pattern to examine the parts and the whole
D. IT uses a specific scientific approach to examine the parts and
the whole
766. A problem of the system's approach is that it
A. Lacks clarity
a B. Seems so clear that no one believes it will work
C. Often goes counter to the agency's general system
D. Is only a theory
767. The skill gained from a systems approach assists the occu-
pational therapy manager and individual clinician in gaining
A. Authority
b
B. Power
C. Recognition
D. Status
768. A manager with power has more opportunity than one without
power to
A. Maintain control over activities within his/her jurisdiction
b
B. Be more creative and explore
C. Give commands and take action
D. Run a shipshape organization
769. One of the management tools used by an occupational ther-
apy director to establish programs is
A. Staff attitudes and concerns
d
B. Staff consensus
C. Current trends in treatment
D. Budget
770. When staffing functions are established the occupational
therapy manager must require
A. That both the quality and/or number of persons necessary to
accomplish the objectives be identified
B. That the only quality of work necessary to accomplish the
a
objectives be obtained
C. A generous budget to attract the necessary therapist to accom-
plish the objectives
D. An adequate budget to hire a staff in keeping with the size of
the other support services offered

771. In the hiring of an occupational therapist a job specification is


prepared on the basis of the job description. The job specification

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A. Identifies maximum acceptable qualifications
B. Identifies minimum acceptable qualifications
b
C. Is a general guide to job duties including salary
D. Is a specific guide to job duties including salary
772. The federal government Privacy Act of 1974 limits the infor-
mation that can be obtained in a reference check on a prospective
employee to
A. Education, character, and work performance
c
B. Grade point average (GPA), school activities, and clinical expe-
rience
C. Actual employee, time spent on the job, and salary
D. Supervisory report, promotions if any, and quality of work
773. During the actual interview process, in today's market of
supply and demand, which of the following would be a critical point
for the employer to ask the prospective occupational therapist?
A. If the starting salary is fair and commensurate with the employ-
c ee's experience
B. If the working conditions offered to the employee are satisfac-
tory
C. If the employee's job expectations can be met on the job
D. If the employee can do the job expected in the organization
774. With which of the following sets of conditions would a new
employee be more apt at performing all the job functions as
described after the initial probationary period:
A. Graduation from an excellent school with a high GPA
B. Good recruitment, sound interview, and good induction to the
b
job by the organization
C. High score and excellent recommendations from all field work
centers
D. Good working facilities and good educational and field work
experience
775. The purpose of a person's medical record is to document the
course of the person's health care. The person must be assured
that information shared must remain confidential. During which
procedure might a person have no say as to where and how this
c record is used?
A. Clinical staff meetings
B. Clinical teaching meetings
C. Litigation
D. Decisions requiring reimbursement claims
776. The medical record includes information about an individual's
course of treatment collected from many people and departments.
The occupational therapy record-keeping procedures may follow:
A. The one planned by the occupational therapy department
d
B. The one planned by the rehabilitation department
C. Any plan by the occupational therapist providing it is accurate
and concise
D. Only the plan of the medical records department
777. The "problem-oriented" record is one way to keep patient
records. The process for recording in this system is called
A. PORR - Problem-Oriented Record Report
b B. SOAP - Subjective
C. SOPR - Standard Operating Procedure Report
D. OTSCCRS - Occupational Therapy Sequential Client Care
Recording System
778. Professionals in health care facilities work under a code of
ethics. The purpose of such a code is to describe the relationships
a among the practitioner, the client and
A. Society
B. The hospital
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C. The immediate occupational therapy department
D. The occupational therapy department and the institution/agency
779. AOTA has established Principles of Occupational Therapy
Ethics. These principles are intended as a guide for conduct of its
members. Therefore, these principles or ethics should
A. Be considered separately from the law
b
B. Not be considered separately from the law
C. Be considered only when members are "on duty"
D. Be considered only when members are performing certain
professional functions
780. The Principles of Occupational Therapy Ethics were intended
to be used
A. By the national government
c
B. By the state government
C. By the occupational therapy district
D. Only internally by AOTA
781. The principles of occupational therapy ethics were intended
to be used
A. By the national government
d
B. By the state government
C. By the occupational therapy district
D. Only internally by AOTA
782. The AOTA code of ethics states that occupational therapists
shall function with discretion and integrity in relations with other
professional members. If one becomes aware of objective evi-
dence of a breach of ethics or substandard service the therapist
should
d A. Talk to the person involved to correct the problem
B. Talk to the person's supervisor and let him/her take action
C. Talk it over with one's immediate supervisor and let him/her take
action
D. Take whatever action is necessary according to established
procedures
783.Strategic planning is part of all health care agencies. When an
occupational therapy department fails to become involved in such
planning
A. The department will lose value to its organization and will
ultimately be eliminated
a B. The department will not lose value as occupational therapists
still have not met the supply needed
C. The department would only lose if the entire agency lost be-
cause such department generally do not make money
D. The department is part of the rehabilitation service that is
needed and will always be used
784.In the developmental portion of any strategic plan adjust-
ments are made to accommodate change. Without access to this
phase of planning an occupational therapy director
A. Will look to administration for any support needed
B. Would not need to worry as nationally occupational therapy will
c
always be supported
C. Would find that decisions about the department would be little
more than arbitrary
D. Would miss little as most plans last only a few years and
everything would change in that time
785.In strategic planning the occupational therapy manger might
ask himself/herself the following question about a specific service
offered by the department "If I were not already offering this
a
service, would I do so now?" if the answer is "no" then the manager
would
A. Abandon the service
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B. Continue the service
C. Reduce the rate (of cost) of that service
D. Increase the rate (of cost) of that service
786.Most if not all occupational therapists are concerned about
quality of care for their clients. In this respect, quality assurance is
best described as
A. Accreditation of schools, certification of therapists, and licen-
c sure of therapists
B. Objective standard for service delivery to clients
C. Assessment of actual service delivery and outcome
D. Recruitment of high caliber students, high GPAs and field work
performance reports
787.In attempting to develop research in occupational therapy
is has been said that theories consist of statements that relate
concepts. Concerns are a way of classifying the world according
to some criteria. Occupational therapy concepts often
b
A. Are easily defined conceptually
B. Are unclearly defined conceptually
C. Are easily agreed upon by many
D. Have definite operational definition
788.With respect to the knowledge of occupational therapy that
can be developed and tested
A. Very few theories exist
B. Many theories exist
a
C. Most theories are based upon clinical evidence and have al-
ready been tested
D. Most theories are based on clinical data from other disciplines
and transfer easily to occupational therapy.
789.Occupational therapy practice, for the most part, is based
upon
A. Past clinical evidence of successful cases
b
B. Tradition and untested hypothesis
C. Carefully recorded data from previous cases
D. Theories based upon clinical evidence
790. The American journal of Occupational therapy made two
surverys, in 1973 and 1979, of papers published about occupa-
tional therapy. The percentage papers that were research papers
a A. Philosophical
B. Experimental
C. Descriptive
D. Scientific
791.Much of the research in occupational therapy done thus far is
A. Philosophical
c B. Experimental
C. Descriptive
D. Scientific
792. The current state of research in occupational therapy repre-
sents
A. Political and economic pressures from within and from outside
d the profession
B. Pressure from the academic side of the profession
C. Pressure from the clinical side of the profession
D. A process of normal evolution of professional knowledge

793.In the development and/or management of a rehabilitation


service, a manager must recognize the interrelated nature of peo-
ple's varied needs. To meet these needs a manager must make
c
role assignments to departments based on the
A. Traditional role of a discipline
B. Modality used by the discipline

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C. Discipline's and /or individual staff's preparation to provide the
service
D. The discipline's facilities and space provided for the modality
794.An occupational therapy manager in establishing staffing pat-
terns and ratios of staff to patients will depend mainly on the
A. Nature of the patient population and organizational structure of
a the center
B. Standard ratios of other comparable departments in a center
C. Established budget set by the center
D. Standard ratio set by the AOTA
795.A manager in establishing particular roles and duties as-
signed to staff as well as considering other unique factors in
a given center will influence how staffing ratios are set. Ideally,
nonsupervisory staff should spend what percent of their time in
b direct patient care and what percent in support service?
A. 50%-50%
B. 60%-40%
C. 70%-30%
D. 80%-20%
796.In a psychiatric occupational therapy staff which ratio of staff
to patients is suggested?
A. 1 OTR to 17 patients
c
B. 1 OTR to 22 patients
C. 1 OTR to 27 patients
D. 1 OTR to 32 patients
797.COTAs could make up part of the occupational therapy staff
discussed in questions. Which ratio of OTRs to COTAs is suggest-
ed?
b A. 1 OTR to 1 COTA
B. 1 OTR to 2 COTAs
C. 1 OTR to 3 COTAs
D. 1 OTR to 4 COTAs
798.In the organizational structure of rehabilitation services there
is continuous debate about the relative merits of a decentralized
hospital versus a centralized model. Administrative staff most
frequently support a
b
A. Centralized system
B. Decentralized system
C. Relative balance between the two
D. Straight-line authority system
799.With reference to Question 798, the staff for professional
services usually favor a
A. Centralized system
a
B. Decentralized system
C. Relative Balance between the two
D. Straight-line authority system
800.A manager in a new system who wishes to do program
planning and development will first address
A. What changes must be made
d
B. Who the people available to make changes are
C. Why the changes are necessary
D. What the service system look like

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