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Key Facts: Occupational Therapy License Exam

2 / year

Sittings (15.07.2026, 13.12.2026)

Ministry of Health — occupational therapy licensing page

5

Translation Languages Offered

Ministry of Health — occupational therapy licensing page

25%

Extra Time for Eligible Candidates

Ministry of Health — occupational therapy licensing page

50-59

Failing Score That May Be Appealed

Ministry of Health appeal procedure for the health professions

Binyanei Ha'uma

Examination Venue, Jerusalem

Ministry of Health — occupational therapy licensing page

100

Practice Questions

OpenExamPrep Practice Bank

The Israeli government occupational therapy licensing examination is a multiple-choice paper sat twice a year at Binyanei Ha'uma in Jerusalem and, from this year, taken on laptops. Candidates may request a translation into English, Arabic, Russian, French or Spanish at registration, and approved candidates receive 25% extra time. This 100-question set is independent English-language practice by OpenExamPrep across OT models and evaluation, physical rehabilitation and assistive technology, mental health, paediatrics, and Israeli ethics, accessibility and law.

Sample Occupational Therapy License Practice Questions

Try these sample questions to review concepts for the Occupational Therapy License exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1An occupational therapist applies the Model of Human Occupation (MOHO) to evaluate a 58-year-old accountant recovering from a mild ischemic stroke. The client expresses feelings of worthlessness, stating, 'I no longer have what it takes to do financial analysis, and I doubt I will ever manage my household bills.' According to MOHO, which component of the volition subsystem is primarily compromised in this client?
A.Values, because the client no longer views financial management as a morally worthwhile or culturally meaningful activity.
B.Personal causation, because the client demonstrates diminished self-efficacy and low belief in their personal skills and effectiveness.
C.Interests, because the client has lost the capacity for pleasure and enjoyment during occupational engagement.
D.Habituation, because the client's internalised roles and daily work routines have been completely dissolved.
Explanation: In MOHO, volition comprises personal causation, values, and interests. Personal causation refers to an individual's awareness of their capacities and self-efficacy (belief in their skill and effectiveness). The client's statements reflecting self-doubt regarding financial analysis and bill management directly indicate compromised personal causation.
2A 67-year-old retired mechanical engineer who underwent total hip arthroplasty struggles to structure their morning routine and feels disoriented without a formal workplace schedule. The occupational therapist utilizing MOHO aims to address the client's habituation subsystem. Which intervention strategy aligns most directly with this objective?
A.Administering a formal sensory profile to determine environmental sensory thresholds and modulation capacities.
B.Providing progressive resistive exercises with elastic bands to increase biomechanical hip abductor strength.
C.Collaborating with the client to establish a predictable daily routine incorporating former hobbies, volunteer work, and household roles.
D.Using cognitive reframing to challenge negative automatic thoughts about functional physical limitations.
Explanation: In MOHO, the habituation subsystem organizes occupational behavior into recurring patterns, routines, and internalized roles. Following major life transitions such as retirement and surgery, re-establishing structured daily routines and meaningful role identities (e.g., volunteer, hobbyist, homemaker) directly reconstructs habituation.
3According to the Model of Human Occupation (MOHO), how is 'performance capacity' distinguished from performance in other biomechanical or neurodevelopmental frames of reference?
A.Performance capacity encompasses both the underlying physical and mental components (objective body systems) and the client's subjective 'lived body' experience of illness and capability.
B.Performance capacity exclusively measures maximum voluntary isometric contraction and joint range of motion against gravity.
C.Performance capacity refers solely to the external social and physical environment supporting or hindering task execution.
D.Performance capacity is strictly limited to the unconscious psychological defense mechanisms developed during traumatic illness.
Explanation: MOHO defines performance capacity as the capacity for performance, which includes both underlying physical and mental components (the objective body systems such as musculoskeletal, neurological, and cardiopulmonary systems) and the subjective experience of the 'lived body'—how the individual experiences their own body and capabilities from within.
4An occupational therapist in an adult rehabilitation day center wishes to select a standardized MOHO assessment to gather a comprehensive life history, explore past occupational choices, and analyze the client's occupational identity development. Which assessment tool is specifically designed for this purpose?
A.Assessment of Motor and Process Skills (AMPS)
B.Volitional Questionnaire (VQ)
C.Occupational Circumstances Assessment Interview and Rating Scale (OCAIRS)
D.Occupational Performance History Interview-II (OPHI-II)
Explanation: The Occupational Performance History Interview-II (OPHI-II) is a semi-structured MOHO assessment specifically designed to obtain a comprehensive occupational life history, evaluate occupational identity, occupational competence, and the impact of the occupational environment over time.
5In the Person-Environment-Occupation (PEO) model, what represents the primary indicator of optimal 'occupational performance'?
A.The degree of overlap and congruence between the Person, Environment, and Occupation spheres at a given point in time.
B.The client's isolated score on standardized physical capacity and manual muscle testing protocols.
C.The therapist's unilateral determination of the client's readiness to return to independent competitive employment.
D.The complete elimination of environmental physical barriers regardless of individual personal capacities.
Explanation: In the PEO model, occupational performance is dynamic and conceptualized as the outcome of the transaction between the person, environment, and occupation. The greater the congruence and overlap between these three spheres, the higher the resulting occupational performance.
6An occupational therapist is conducting a home assessment using the PEO model for an 82-year-old client with bilateral age-related macular degeneration and moderate gait instability who has experienced two recent falls in the kitchen. To achieve maximum PEO congruence without altering the client's intrinsic physiological visual pathology, which environmental modification is most effective?
A.Prescribing high-dose nutritional supplements to reverse underlying retinal degeneration.
B.Installing high-contrast tactile markers on appliance knobs, glare-free task lighting, and non-skid flooring in the kitchen.
C.Advising the client to discontinue cooking completely and rely exclusively on commercially delivered frozen meals.
D.Recommending bed rest during peak morning hours to reduce physical fatigue.
Explanation: Under the PEO framework, when intrinsic person factors (macular degeneration, reduced visual acuity) are unchangeable, modifying the physical environment (installing glare-free high-illumination lighting, contrasting cabinet edges, tactile control markings) and task presentation directly enhances the PEO fit and restores safe kitchen occupational performance.
7An occupational therapist conducts an ergonomic workstation evaluation for a software developer suffering from recurrent bilateral lateral epicondylalgia and neck pain. Applying the PEO model, the therapist adjusts the monitor height to eye level, introduces an ergonomic split keyboard, and educates the worker on micro-break pacing. In PEO terminology, what has the therapist primarily modified?
A.Only the intrinsic psychological person factors.
B.Both the physical environment and the spatial/temporal demands of the occupation.
C.The institutional legal regulations governing working hours across the company.
D.The client's spiritual beliefs regarding career advancement.
Explanation: Adjusting hardware (monitor height, split keyboard) modifies the physical workstation environment, while introducing micro-break pacing alters the temporal structure and biomechanical demands of the computer programming occupation, optimizing the transactional PEO interface.
8Which theoretical premise uniquely distinguishes the Person-Environment-Occupation (PEO) model's view of occupational performance from traditional biomedical interactive frameworks?
A.The environment is viewed as an inert backdrop that rarely influences the biological expression of disease.
B.The person, environment, and occupation are static entities that maintain permanent, fixed boundaries over the human lifespan.
C.Occupational performance can only occur if the person achieves completely normal biomechanical joint angles.
D.The relationship among person, environment, and occupation is transactional and continuously changing across the lifespan, meaning a change in any single dimension dynamically reshapes the others.
Explanation: The PEO model is rooted in a transactional perspective (derived from Dewey and ecological systems theory), asserting that person, environment, and occupation are interdependent, continuously interacting over time across the lifespan. A modification in one domain inevitably alters the dynamic equilibrium of occupational performance.
9What is positioned at the absolute core of the person in the Canadian Model of Occupational Performance and Engagement (CMOP-E)?
A.Physical muscle power and reflex integrity
B.Cognitive executive functioning and memory
C.Spirituality, defined as the essence of self, meaning, and purpose
D.Socioeconomic financial capital
Explanation: The Canadian Model of Occupational Performance and Engagement (CMOP-E) places spirituality at the center of the person. In CMOP-E, spirituality is conceptualized broadly as the core essence of self, personal values, meaning-making, and connection to oneself, others, and the world.
10An occupational therapist administers the Canadian Occupational Performance Measure (COPM) before and after an outpatient hand rehabilitation intervention. What is the minimum change in score on the 1-to-10 performance or satisfaction rating scale that indicates a clinically meaningful change?
A.A change of at least 2.0 points
B.A change of at least 0.5 points
C.A change of at least 5.0 points
D.A change of exactly 1.0 point
Explanation: Extensive psychometric validation of the COPM demonstrates that a change score of 2.0 points or greater between initial assessment and discharge re-assessment represents a statistically significant and clinically meaningful change in self-perceived occupational performance or satisfaction.

About the Occupational Therapy License Exam

The Israel Occupational Therapy Government Licensing Examination (בחינת רישוי ממשלתית בריפוי בעיסוק) is the statutory qualifying examination mandated under the Regulation of Health Professions Law, 5768-2008 (חוק הסדרת העיסוק במקצועות הבריאות, התשס"ח-2008) for obtaining a professional license to practice occupational therapy in Israel. Administered by the Medical Professions Licensing Division of the Ministry of Health, the examination evaluates theoretical knowledge, clinical reasoning, functional assessment, therapeutic intervention, and legal/ethical principles across the human lifespan. This practice question bank is an independent English-language MCQ study adaptation authored by OpenExamPrep to assist international graduates and Israeli candidates preparing for licensure; it is not an official translation or government examination pool.

Exam sponsor: Ministry of Health (משרד הבריאות) — Division of Medical Professions (האגף לרישוי מקצועות רפואיים). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

Multiple-choice ('American-style') government examination, now sat on laptops instead of printed question and answer sheets, at the International Convention Center (Binyanei Ha'uma), Jerusalem. The paper is translated into English, Arabic, Russian, French or Spanish when that language is marked on the registration form.

Time Limit

Not published by the Ministry of Health

Passing Score

60 (a failing score of 50-59 carries the right to inspect the paper on the published review day and to appeal within 10 days)

Exam / Certification Fees

Statutory examination fee set in the Ministry of Health fee schedule; it must be paid through the government payments service at least 10 days before the examination

Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

20%

OT Models, Theory & Evaluation

Core occupation-focused models including MOHO (volition, habituation, performance capacity), PEO (Person-Environment-Occupation fit), CMOP-E (Canadian Model of Occupational Performance and Engagement), occupational profile creation, activity analysis, and evidence-based functional assessment instruments (FIM, Barthel Index, AMPS, Lawton-Brody IADL).

25%

Physical Rehabilitation & Assistive Technology

Neurorehabilitation for stroke (hemiplegia, pusher syndrome, hemispatial neglect), traumatic brain injury (Rancho Los Amigos levels), spinal cord injuries, biomechanical splinting/orthotic fabrication (resting hand splints, wrist cock-up, thumb spica, dynamic tenodesis), burn rehabilitation and scar contracture positioning, ergonomic workstation assessments, and wheelchair seating.

20%

Mental Health & Psychosocial OT

Psychiatric recovery paradigm, social and vocational reintegration for severe mental illness (schizophrenia, bipolar disorder), Allen Cognitive Levels (ACL screen and Leather Lacing assessment), Toglia Dynamic Interactional Model, psychosocial rehabilitation frameworks under Israel's Rehabilitation Basket (סל שיקום), group dynamics, and trauma-informed occupational therapy.

25%

Pediatric OT & Developmental Disorders

Ayres Sensory Integration theory and treatment (sensory modulation disorders, sensory discrimination, vestibular-proprioceptive dyspraxia), Autism Spectrum Disorder interventions, ADHD executive functioning strategies (Cognitive Orientation to daily Occupational Performance - CO-OP), Developmental Coordination Disorder (DCD), cerebral palsy functional motor classification (GMFCS and MACS), and fine motor/pre-writing readiness.

10%

Professional Ethics, Accessibility & Israeli Law

The Regulation of Health Professions Law 5768-2008, Equal Rights for Persons with Disabilities Law 5758-1998, Israeli Accessibility Regulations (תקנות נגישות השירות ומבנים), Patient Rights Act 1996, clinical record keeping, confidentiality, professional boundary ethics, and mandatory reporting protocols.

Preparing for the Occupational Therapy License Exam

What You Need to Know

  • Passing score: 60 (a failing score of 50-59 carries the right to inspect the paper on the published review day and to appeal within 10 days)
  • Assessment: Multiple-choice ('American-style') government examination, now sat on laptops instead of printed question and answer sheets, at the International Convention Center (Binyanei Ha'uma), Jerusalem. The paper is translated into English, Arabic, Russian, French or Spanish when that language is marked on the registration form.
  • Time limit: Not published by the Ministry of Health
  • Exam / certification fees: Statutory examination fee set in the Ministry of Health fee schedule; it must be paid through the government payments service at least 10 days before the examination Official sources

Using Our Practice Resources

  • Work through all 100 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

Occupational Therapy License: Suggested Study Strategy

1Master the clinical distinctions between occupation-focused conceptual models (MOHO's volition/habituation, PEO's transactional fit, and CMOP-E's spirituality and engagement).
2Memorize the biomechanical positioning and anatomical landmarks for splinting: wrist cock-up (20-30° wrist extension), resting hand splint (functional vs. anti-deformity/intrinsic-plus position), and thumb spica angles.
3Review the Allen Cognitive Levels (ACL 1 through 6) thoroughly, particularly the stitching tasks on the ACL Screen (running stitch, whipstitch, single cordovan) and their real-world IADL functional implications.
4Understand Ayres Sensory Integration terminology: distinguish between sensory modulation dysfunction (hypo-reactivity, hyper-reactivity, sensory seeking) and dyspraxia (ideation, planning, execution).
5Learn the core provisions of Israeli legislation: the Regulation of Health Professions Law (title protection and scope), Patient Rights Act (informed consent and medical records), and Israeli accessibility standards (ramp gradients, doorway clear widths of at least 80 cm, and accessible service counters).

Frequently Asked Questions

What is the format and passing score of the Israeli Occupational Therapy Licensing Exam?

The Ministry of Health publishes the format - a multiple-choice ('American-style') paper, now taken on laptops rather than printed question and answer sheets - together with the sitting dates, the translation options and the appeal rules, but it does not publish the number of questions or the duration for this examination. Candidates who fail with a score of 50-59 may inspect the paper on the published review day and appeal within 10 days.

Who is required to take the Ministry of Health licensing examination?

All graduates of Israeli university and college occupational therapy programs (B.O.T.) and overseas-trained occupational therapists seeking to obtain a Certificate of Profession (תעודת מקצוע) from the Ministry of Health under the Regulation of Health Professions Law 5768-2008 must pass this government examination.

In what language is the official examination administered?

The official Ministry of Health examination is primarily administered in Hebrew, with official Arabic translations provided at testing stations upon registration. This OpenExamPrep resource provides an independent English-language adaptation to facilitate comprehensive clinical review for international graduates, immigrants (Olim), and students.

What are the clinical fieldwork requirements for exam eligibility?

Candidates must have completed at least 1,000 hours of supervised clinical fieldwork (הכשרה מעשית) across recognized healthcare, educational, and rehabilitation institutions during their academic degree, spanning physical, psychosocial, pediatric, and geriatric clinical domains.

What Israeli laws and accessibility regulations are tested on the exam?

The exam tests knowledge of the Regulation of Health Professions Law 5768-2008, the Equal Rights for Persons with Disabilities Law 5758-1998, the Accessibility Regulations (including Service Accessibility and Built Environment Standards), the Patient Rights Act 1996, and statutory reporting obligations for vulnerable populations.

What is the 'Rehabilitation Basket' (סל שיקום) in Israeli mental health OT?

Sal Shikun (סל שיקום) is the statutory community rehabilitation entitlement provided under the Rehabilitation of Persons with Mental Disabilities in the Community Law, 5760-2000. Occupational therapists play a central role in assessing functional capacity, recommending residential, vocational, social, and educational services, and formulating individualized rehabilitation plans.