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NBCOT COTA EXAM QUESTIONS AND ANSWERS.
Typology: Exams
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Dysphagia - \discomfort or difficulty in swallowing Aphasia - \an impairment of language, affecting the production or comprehension of speech and the ability to read or writ Anomia - \Loss of ability to name objects or to to recognize or recall names; can be receptive of expressive (type of aphasia) Broca's aphasia - \Expressive aphasia- difficulty speaking Wernicke's aphasia - \Receptive aphasia- difficulty understanding language Autonomic Dysreflexia - \Immediate pounding headache, anxiety, perspiration, flushing, chills, nasal congestion, sudden onset of hypertension, and bradycardia Heterotopic ossification - \Also called ectopic bone, is bone that develops in abnormal anatomic locations. It most often occurs in the muscles around the hip and knee, but occasionally it can be noted at the elbow and shoulder. The first symptoms are swelling, warmth, and decreased joint ROM. The onset of HO is usually 1 to 4 months after injury (SCI). Apraxia - \inability to perform particular purposeful actions; result of brain damage Dyspraxia - \difficulty translating sensory information into physical movement, unfamiliar movements, or movement with multiple steps Ataxia - \loss of full control of bodily movements Paraphasia - \type of language output error commonly associated with aphasia, characterized by the production of unintended phrases during effort to speak
Hemiparesis - \general weakness on one side of the body Fibromyalgia - \musculoskeletal disorder associated with generalized severe pain, weakness, and loss of strength Directive role - \leadership is the responsibility of the OTA Facilitative role - \leadership responsibilities are shared among members of the group but ultimately controlled by OTA Advisory role - \leadership is delegated to members of the group and the OTA serves as a resource Evaluation group - \type of group that serves to assess the abilities of it's members Thematic group - \type of group that has the primary focus of teaching knowledge in order to perform a specific task Topical group - \type of group that focuses to assist in the development of personal skills in order to appropriate complete an activity Task-oriented group - \type of group in which individual's have an opportunity to work on personal skills by completing a specific task Developmental groups - \a continuum of group settings that depends on the cognitive levels of its members Parallel group - \developmental group in which individuals work on a project within the vicinity of others, but is not required to participate with others Project group - \developmental group in which members work on a short-term, common goal with focus on cooperation rather than completion of task Egocentric-Cooperative group - \developmental group in which members work together on a long-term goals and start to identify individual needs and abilities
\field deficit in both eyes following a CVA; blindness of 1/2 of visual field (right or left) Macular degeneration - \age-related loss of central vision Diabetic retinopathy - \damage to retinal capillaries leading to retinal damage; central vision loss, blurriness Scleroderma - \connective tissue disease that is associated with poor circulation affecting comfortability with thermal changes Ideational apraxia - \breakdown of knowledge of what is to be done and how to perform specific activities Allen Level 1 - \age comparison to infant; total assistance required Allen Level 2 - \age comparison to 12-18 month old; maximum cognitive assistance needed Allen Level 3 - \age comparison to 18 month old - 3 year old; moderate cognitive assistance needed Allen Level 4 - \age comparison to 4 - 10 year old; minimum cognitive assistance needed Allen Level 5 - \age comparison to teen or early 20 year old; mild impairment but generally independent 31 inches - \maximum height for a counter under universal design Presbycusis - \age-related loss of hearing Rancho Cogn. Func. Scale - \Levels 1- Level 6 is confused but responds appropriately Level 7 is able to learn and train with IADLs Dequervain's Tenosynovitis - \inflammation in the abductor pollicus longus and extensor pollicuc brevis
\listen to words used by patient to ascertain the person's underlying message Dysmetria - \undershooting or overshooting a target Dysarthria - \slurred speech Friedrich's ataxia - \poor coordination of all muscles, including the eyes Cerebellum - \part of brain important for equilibrium and balance Erb's Palsy - \brachial plexus injury that results in paralysis of one UE Splint with a locking elbow splint Isotonic - \muscle contraction in which muscle length changes (weight lifting) Isometric - \muscle contraction in which the muscle length does not change (contract-relax techniques, muscle contractions and holds) Concentric - \isotonic muscle contraction in which muscle contracts (gets smaller) Eccentric - \isotonic muscle contraction in which muscle elongates Boutenniere Deformity - \John Casper flexion at PIP joint, extension at DIP joint Swan-neck Deformity - \extension at PIP joint, flexion at DIP joint Dysthymic disorder - \persistant depression disorder Thromboangiitis obliterans - \rare disease in which blood vessels of hands and feet become blocked Myasthenia gravis -
Shift - \a linear movement of an object by the fingers allowing for repositioning of an object relative to finger pads Simple rotation - \the turning or rolling of an object held at the finger pads approx. 90 degrees or less Complex rotation - \rotation of an object 360 degrees Translation - \linear movement of an object in the hand from palm to fingers or from fingers to palm Symmetric tonic - \reflex where flexion of neck muscles causes hip extension; moving from supine to sitting difficult Asymmetric tonic - \neck reflex that decreases the ability bring both arms to midline while in supine position Tonic labyrinth supine - \reflex where flexion of the head in supine position is difficult due to extensor tone Tonic labyrinth prone - \reflex where extension of head in prone position is difficult due to flexor tone Utilization review - \service management task that reviews the use of OT departments resources to determine medical necessity and cost efficiency Rheumatic - \any disease marked by inflammation and pain in the joints, muscles, or fibrous tissue Raynaud - \syndrome associated with excessively low blood circulation in limbs in response to cold temperatures; component of scleroderma