Free BCP Practice Questions

Question 1

After constraint-induced movement therapy, an 8-year-old with unilateral cerebral palsy reaches, grasps, and releases more effectively with the affected hand. The child's priority is fastening a jacket. Observation shows that both hands can perform their separate parts, but the child releases the zipper base while pulling the slider. What should the next treatment block emphasize?

Accepted Answer

Practice fastening the jacket with both hands, grading the stabilizing and pulling demands.

Answer

Extend constrained practice with smaller objects before returning to jacket fastening.

Answer

Strengthen the affected hand, then reassess whether improved grip carries over to zipper stabilization.

Answer

Teach a one-handed fastening method that relies on the less-affected hand.

Question 2

An occupational therapist evaluates a 7-year-old whose handwriting is slow and poorly controlled. Beery VMI, Sixth Edition, standard scores are 76 for Visual-Motor Integration, 104 for Visual Perception, and 73 for Motor Coordination. Administration was valid, and recent vision screening was unremarkable. The most defensible interpretation of this pattern is:

Accepted Answer

Motor-output precision is a stronger concern than visual discrimination and warrants task-level handwriting assessment.

Answer

The low copying score identifies visual discrimination as the primary intervention target.

Answer

An oculomotor disorder is established and should be treated before handwriting is assessed.

Answer

The normal visual-perception score makes reduced effort the leading explanation for poor copying.

Question 3

A public-school student with juvenile idiopathic arthritis earns strong grades but cannot sustain handwriting or independently manage several school materials because of pain and limited hand function. A comprehensive evaluation finds no need for specially designed instruction. The team asks whether that finding rules out school-provided occupational therapy. Under federal Section 504 requirements, which response is accurate?

Accepted Answer

Section 504 can provide related services, including OT, when evaluation establishes disability-related educational need.

Answer

An IEP is required for OT; Section 504 permits accommodations but not related services.

Answer

Strong grades rule out school-provided services until academic achievement declines.

Answer

The medical diagnosis entitles the student to the outpatient OT schedule at school.

Question 4

A 10-year-old with spina bifida and a ventriculoperitoneal shunt arrives for outpatient therapy with a new headache. During check-in, the child vomits twice and becomes increasingly difficult to keep awake. The parent mentions that oral baclofen was increased yesterday and asks whether the child can rest before treatment. Which disposition is warranted?

Accepted Answer

Activate emergency medical services for immediate evaluation of possible shunt malfunction.

Answer

Arrange a same-day baclofen review with the prescribing clinician.

Answer

Observe until alertness improves, then reassess medical urgency.

Answer

Seek routine neurosurgical advice before arranging emergency transport.

Question 5

An autistic 9-year-old wants to eat lunch with friends but leaves when cafeteria noise becomes overwhelming. Hearing has been assessed, and there are no feeding-safety concerns. During observed trials, the child stays, eats, and talks with peers when seated at a quieter end table with comfortable hearing protection. The school can provide this arrangement. Which recommendation follows from the trial?

Accepted Answer

Use the quieter peer table and chosen hearing protection, tracking participation and the child's comfort.

Answer

Move lunch to a separate room until the child completes a specialist sensory evaluation and tolerates cafeteria noise.

Answer

Reward staying at the usual table before allowing access to the quieter seating.

Answer

Use a pre-lunch sensory-motor routine instead of the seating change, then reassess participation.

Question 6

An infant born at 30 weeks' gestation is now 28 weeks old chronologically. The infant holds the head steadily, brings both hands to the mouth, and is gaining skills symmetrically without regression. A parent is worried because the infant cannot sit independently. The developmental assessment uses corrected age through the first 24 months. Which interpretation should guide the therapist's response?

Accepted Answer

Use 18 weeks; absent independent sitting alone does not establish delay, and developmental surveillance should continue.

Answer

Use 21 weeks, correcting from the 37-week prematurity threshold, and compare performance with that age group.

Answer

Use 28 weeks because the infant has passed the expected due date, and classify the lack of sitting as a motor delay.

Answer

Use 18 weeks and document the 10-week age correction as an equivalent measured developmental delay.

Question 7

During CO-OP intervention, a 10-year-old with developmental coordination disorder chooses cutting out a paper figure as a goal. The child plans to turn the paper with the assisting hand and tries the plan, but cuts across an inside corner. The child can describe the intended result and asks, 'Did I do it right?' Which therapist response best supports the Check step and guided discovery?

Accepted Answer

'Compare your cut with the line. What worked, and what would you change in your plan?'

Answer

'Watch my hands while I repeat the cut; then copy the same movements on your next attempt.'

Answer

'Your supporting hand turned too slowly. Turn it earlier on the next attempt.'

Answer

'Try the same plan several more times before we discuss whether it helped you follow the line.'

Question 8

A medically stable 3-year-old has inefficient chewing, oral residue, and recurrent wet-sounding breathing after drinking. A clinical feeding evaluation cannot resolve the airway-safety concern. The team needs to examine bolus preparation and oral transit together with pharyngeal airway protection, and compare selected consistencies during swallowing. The child can participate in either instrumental procedure. Which assessment most directly answers that combined question?

Accepted Answer

Videofluoroscopic swallow study, examining oral and pharyngeal bolus movement with selected consistencies.

Answer

Flexible endoscopic evaluation of swallowing, examining secretions and laryngeal findings before and after each swallow.

Answer

An extended clinical mealtime observation, comparing oral clearance and cough frequency across foods and drinks.

Answer

Caregiver recordings of usual meals, comparing fatigue, meal duration, and breathing sounds across the day.

Question 9

Before a child goes home with a new hand orthosis, the occupational therapist demonstrates its application and skin checks. Using a qualified interpreter, the caregiver accurately explains the wearing schedule and the warning signs that require contact with the team. Staff have performed every application so far. Verification that the caregiver can carry out the routine should now rely on:

Accepted Answer

An observed caregiver application and skin inspection, followed by feedback and repeat demonstration as needed.

Answer

A second explanation of the wearing schedule and warning signs using the illustrated instructions intended for home.

Answer

The caregiver's verbal comparison of correct and incorrect orthosis placement while reviewing a demonstration video.

Answer

The caregiver's accurate explanation of whom to contact about discomfort or skin marks.

Question 10

An 8-year-old with cerebral palsy walks with a posterior walker. For everyday object use, the child independently handles most utensils, classroom materials, and clothing, but performance is consistently slower and less precise than peers'. The child does not generally require someone to prepare objects or modify activities to make handling possible. Which Manual Ability Classification System level best describes this usual hand function?

Accepted Answer

Level II

Answer

Level I

Answer

Level III

Answer

Level IV

Free BCP Practice Questions

Domain 1: Occupational Profile and Assessment

Question 1

Question 2

Question 3

Question 4

Question 5

Domain 2: Interventions

Question 6

Question 7

Question 8

Domain 3: Professional Responsibilities

Question 9

Question 10

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