This document contains 5 multiple choice questions related to occupational therapy. Question 1 asks to identify the diagnosis that matches screening results for a 45-year-old welder with wrist pain, with options of carpal tunnel syndrome, De Quervain's tenosynovitis, first CMC joint arthritis, or trigger thumb. Question 2 asks to interpret the percentile score of 16 on a standardized child development assessment. Question 3 asks to recommend the next food preparation task to progress treatment for a patient with attention and sequencing deficits who can now make a sandwich. Question 4 asks to identify the maximum allowable activity level of 1.5 METS for a post-coronary bypass patient being discharged home.

1. 1. An otr receives a referral from an occupational health physician that reads 45 year old welder
with wrist pain , X-rays negative Evaluate and treat History and initial screening results are as
follows
 Insidious onset of pain on dominant right hand
 No history of direct trauma
 Positive finklesteins test
 Negative phalens sign
 Negative tinels sign at the wrist
 Full active rom all digits bilateral hands
 Pain with resistance to thumb abduction and extension
 Tenderness along the abductor pollicis longus and extensor pollicis brevis
 Sensation of fingertips on all digits is 4 mm
Which diagnosis is consistent with the screening results and the clients history
a. Carpal tunnel syndrome
b. De quervains tenosynovitis
c. First cmc joint arthritis
d. Trigger thumb
2. An otr is interpreting the result of a standardized development assessment administered to a
school child. Results indicate the child achieved a percentile score of 16 on the assessment what
does this score indicate
a. Eighty- four percent of the children in the normative group scored higher
b. Sixteen percent of the children in the notmative group scored higher
c. The child passed 16 % of the item on the test
d. The child passed 84% of the items on the test.
3. A patient who has attention and sequencing deficits has a goal of preparing meals
independently . the patient can now make a sandwich with minimal verbal cues what should the
otr ask the patient to prepare next to progress the treatment
a. Fruit salad following written instructions
b. Hot soup using directions provided on the can
c. Instant iced tea following written instructions
d. Pancakes using directions provided on the package

2. 4. A patient had a coronary artery bypass graft one week ago . the patient will be discharged from
the inpatient rehabilitation unit to live at home with family . one of the patients goal is to
resume homemaking and childcare tasks. The cardiologist is allowing the patient to resume an
activity level of no more than 1.5 metabolic equivalent ( METS) unit. Which activity represents a
maximum allowable met level activity for this patient?
a. Moving laundry from the washer to the dryer
b. Grooming while standing ar the bathroom sink
c. Assisting a young child with bathing and dressing
d. Standing under water in the shower
5.