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SCFHS Saudi Licensure Examination – Occupational Therapy Specialist: free practice test

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Practice test questions with answers and explanations

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01A 34-year-old man, 3 weeks after a traumatic brain injury, is restless, pulls at his nasogastric tube and shouts at staff. He cannot attend to a task for more than a few seconds. Which approach should the occupational therapist use during sessions?

Practice question Unit: Neurological Conditions

  1. AGroup cooking sessions to build social skills, turn-taking and frustration tolerance

    A busy group setting adds stimulation and is likely to increase agitation at this stage.

  2. BPaper-and-pencil memory drills with new word lists repeatedly

    New learning demands exceed his attention span; at this level the aim is calm, not new learning.

  3. CA quiet, low-stimulus room with familiar tasks and the same staff ✓ Correct answer

    This matches Rancho Los Amigos level IV (confused-agitated): reducing stimulation and using familiar routines lowers agitation.

  4. DCommunity outings to practise money handling and route finding

    Community tasks suit higher levels (VII–VIII); he is not yet safe or attentive enough.

Reference: SCFHS Occupational Therapy Specialist Examination Content Guideline (V1.220901, 2024), Section 1: Neurological Conditions, p. 2; Pedretti's Occupational Therapy: Practice Skills for Physical Dysfunction, chapter: Traumatic brain injury

02Fatimah, 62, had a right-hemisphere stroke. During grooming she combs only the right side of her hair and ignores items on the left of the sink, but she has full visual fields on testing. Which intervention is most appropriate?

Practice question Unit: Neurological Conditions

  1. APatching the right eye full-time to force use of the left visual field

    Neglect is an attention problem, not an eye problem; patching one eye does not address it this way.

  2. BTeaching her to read large-print text with good lighting to improve acuity

    Her problem is inattention to the left side, not reduced visual acuity.

  3. CPlacing the grooming items on her right for her to finish independently

    Placing items on the intact side is a short-term adaptation and does not train attention to the left.

  4. DPractising visual scanning with a bright left anchor ✓ Correct answer

    Scanning with a left anchor is a standard remedial approach for unilateral neglect with intact fields.

Reference: SCFHS Occupational Therapy Specialist Examination Content Guideline (V1.220901, 2024), Section 1: Neurological Conditions, p. 2; Pedretti's Occupational Therapy: Practice Skills for Physical Dysfunction, chapter: Visual and perceptual dysfunction after stroke

03A patient with a recent total hip replacement is learning to put on trousers while seated, using a reacher. Which leg should go in first?

Practice question Unit: Physical Disabilities

  1. AThe non-operated leg

    Starting with the sound leg leaves less slack to reach the operated leg safely.

  2. BBoth legs together while standing

    Stepping into trousers while standing risks loss of balance and breaking precautions.

  3. CEither leg; the order does not matter

    The order matters for safety and ease after hip surgery.

  4. DThe operated leg ✓ Correct answer

    Dressing the operated leg first means the stiffer leg needs the least movement.

Reference: SCFHS Occupational Therapy Specialist Examination Content Guideline (V1.220901, 2024), Section 2: Physical Disabilities, p. 2; Pedretti's Occupational Therapy: Practice Skills for Physical Dysfunction, chapter: Hip fractures and lower extremity joint replacement

04A 10-month-old picks up a small piece of cereal using the pad of the thumb against the side of the index finger. Which grasp is this?

Practice question Unit: Developmental Disabilities

  1. ARaking grasp

    Raking uses the whole fingers to sweep the object in, earlier in development.

  2. BNeat pincer grasp

    A neat pincer uses the tips of thumb and index, at about 12 months.

  3. CInferior pincer grasp ✓ Correct answer

    Thumb pad against the side of the index finger is the inferior pincer, typical at 9–10 months.

  4. DPalmar grasp

    A palmar grasp holds the object against the palm.

Reference: SCFHS Occupational Therapy Specialist Examination Content Guideline (V1.220901, 2024), Section 3: Developmental Disabilities, p. 2; Case-Smith, Occupational Therapy for Children and Adolescents, chapter: Hand skills and fine motor development

05To test flexor digitorum superficialis of the ring finger, how should the therapist position the other fingers?

Practice question Unit: Hand Dysfunctions

  1. AThe fingers bending freely in unison

    Flexing all fingers lets FDP do the work.

  2. BHold the others straight, then bend it ✓ Correct answer

    Holding the other fingers straight blocks FDP, so PIP flexion shows FDS action.

  3. CA full fist with the wrist flexed

    A full fist does not isolate either tendon.

  4. DKeep the ring finger PIP straight and bend its DIP

    This isolates FDP, not FDS.

Reference: SCFHS Occupational Therapy Specialist Examination Content Guideline (V1.220901, 2024), Section 4: Hand Dysfunctions, p. 2; Cooper, Fundamentals of Hand Therapy, chapter: Clinical examination and assessment of the hand

06Saad, 30, has schizophrenia. His hallucinations are controlled, but he stays in bed most of the day and does not wash or change unless reminded. Which symptom mainly explains his self-care problem?

Practice question Unit: Mental Health

  1. AGrandiose delusions

    Nothing suggests grandiosity.

  2. BCommand hallucinations, a positive symptom

    His hallucinations are described as controlled.

  3. CIdeational apraxia

    He washes when reminded, so motor planning is intact.

  4. DAvolition, a negative symptom ✓ Correct answer

    Avolition, a negative symptom, reduces initiation of self-care even when positive symptoms are controlled.

Reference: SCFHS Occupational Therapy Specialist Examination Content Guideline (V1.220901, 2024), Section 5: Mental Health, p. 2; Brown, Occupational Therapy in Mental Health: A Vision for Participation, chapter: Psychiatric conditions and occupational performance

07What does the Canadian Model of Occupational Performance and Engagement (CMOP-E) place at the centre of the person?

Practice question Unit: Occupational Therapy Models of Practice

  1. APhysical power

    Physical performance is one of three performance components.

  2. BSpirituality ✓ Correct answer

    Spirituality is at the core of the person, surrounded by affective, cognitive and physical performance components.

  3. CCognition

    Cognition is a performance component, not the core.

  4. DSocial roles

    Social roles relate to the environment and occupation.

Reference: SCFHS Occupational Therapy Specialist Examination Content Guideline (V1.220901, 2024), Section 6: Occupational Therapy Models of Practice, p. 2; Willard and Spackman's Occupational Therapy, chapter: Person-Environment-Occupation models

08Moving the rear wheel axle of a manual wheelchair forward has which main effect?

Practice question Unit: Community Based Services and Assistive Technology

  1. AGreater stability, but harder pushing

    This describes moving the axle backward.

  2. BEasier pushing, less rear stability ✓ Correct answer

    A forward axle puts more weight on the rear wheels, so pushing and turning are easier, but the chair tips back more easily.

  3. CA higher seat, with no change in stability

    Axle position mainly changes balance and propulsion.

  4. DEasier folding, with less frame weight

    Axle position does not change folding.

Reference: SCFHS Occupational Therapy Specialist Examination Content Guideline (V1.220901, 2024), Section 7: Community Based Services and Assistive Technology, p. 2; Pedretti's Occupational Therapy: Practice Skills for Physical Dysfunction, chapter: Wheelchair assessment and transfers

09On an assembly line, workers of very different heights share one fixed-height bench, and tall workers stoop all day. Which solution is an engineering control?

Practice question Unit: Occupational Health and Patient Safety

  1. AHeight-adjustable benches ✓ Correct answer

    Changing the equipment to fit each worker removes the stooping.

  2. BBack belts for tall workers

    Back belts are not an effective control.

  3. CShorter shifts for tall workers

    Shorter shifts are administrative and keep the hazard.

  4. DPosture posters

    Posters are an awareness measure.

Reference: SCFHS Occupational Therapy Specialist Examination Content Guideline (V1.220901, 2024), Section 8: Occupational Health and Patient Safety, p. 2; Willard and Spackman's Occupational Therapy, chapter: Ergonomics and work-injury prevention

10Researchers enrol 300 adults discharged after stroke and follow them for five years to see which factors predict return to work. What design is this?

Practice question Unit: Evidence Based Practice

  1. AProspective cohort ✓ Correct answer

    A group is followed forward in time to see who develops the outcome.

  2. BCross-sectional study

    Cross-sectional studies measure one point in time.

  3. CCase-control study

    Case-control starts from the outcome and looks back.

  4. DRandomised trial

    No intervention is assigned.

Reference: SCFHS Occupational Therapy Specialist Examination Content Guideline (V1.220901, 2024), Section 9: Evidence Based Practice, p. 2; Willard and Spackman's Occupational Therapy, chapter: Research designs

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