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Free Practice Questions for Thai OT Healing Arts License
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Key Facts: Thai OT Healing Arts License Exam
60%
Passing score standard set by the Professional Board of Occupational Therapy
DHSS / Professional Board Examination Regulations
B.E. 2542
Governing statute: Practice of the Healing Arts Act (พระราชบัญญัติการประกอบโรคศิลปะ พ.ศ. 2542)
Ministry of Public Health Legal Framework
B.E. 2545
Royal decree recognizing occupational therapy as a healing art branch
Royal Thai Government Gazette
DHSS
Administering department: Department of Health Service Support, Ministry of Public Health
Medical Registration Division Portal
B.S. in OT
Educational prerequisite: accredited Bachelor of Science in Occupational Therapy
Professional Board Licensing Criteria
Independent practice by OpenExamPrep for the Thai Occupational Therapy Healing Arts License (การสอบความรู้เพื่อขอขึ้นทะเบียนและรับใบอนุญาตเป็นผู้ประกอบโรคศิลปะ สาขากิจกรรมบำบัด): an English-language MCQ study adaptation covering physical rehabilitation, pediatric sensory integration, psychosocial OT, geriatric care, assistive technology, and Thai healing arts law. This resource is not an official examination translation or simulation of the Thai clinical testing environment.
Sample Thai OT Healing Arts License Practice Questions
Try these sample questions to review concepts for the Thai OT Healing Arts License exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1A 58-year-old client recovering from an acute ischemic stroke demonstrates marked spasticity in the hemiplegic upper extremity. Voluntary movement is emerging only within gross synergistic patterns, specifically a strong flexor synergy of the elbow, wrist, and fingers with no isolated joint control. According to the Brunnstrom Stages of Motor Recovery, which stage is this client demonstrating?
A.Stage 1 (Flaccidity with complete absence of voluntary movement)
B.Stage 2 (Spasticity begins to develop with minimal voluntary movement)
C.Stage 3 (Severe spasticity with voluntary synergistic movement patterns)
D.Stage 4 (Spasticity begins to decline with some movement combinations out of synergy)
Explanation: Brunnstrom Stage 3 is characterized by the peak of spasticity and the emergence of voluntary movement performed strictly within synergistic patterns (flexor or extensor synergies). At this stage, the client cannot yet produce isolated joint movements outside the obligatory synergy. Stage 4 marks the beginning of movement combinations outside synergy as spasticity begins to decline.
2An occupational therapist is screening a subacute stroke survivor for eligibility to participate in Constraint-Induced Movement Therapy (CIMT). What is the minimum active movement threshold in the hemiparetic hand required by traditional CIMT protocol criteria?
A.At least 10 degrees of active wrist extension and 10 degrees of active extension in at least two digits
B.Full active range of motion in all digits and 45 degrees of wrist extension
C.Active shoulder abduction to 90 degrees with no active wrist motion required
D.Passive full wrist extension with trace palpable wrist flexor contraction only
Explanation: Standard CIMT eligibility requires a minimum baseline of active motor control to ensure functional use during constraint: at least 10 degrees of active wrist extension, 10 degrees of active thumb abduction/extension, and 10 degrees of active extension in at least two other digits. Without this minimal motor capability, the client cannot release grasped objects or engage in repetitive task practice.
3A client with flaccid hemiplegia following an acute middle cerebral artery stroke is at high risk for inferior shoulder subluxation. Which upper extremity intervention is contraindicated because it increases traction forces and damages periarticular soft tissues?
A.Supporting the hemiplegic arm on a lap tray or arm trough while seated in a wheelchair
B.Using an overhead reciprocal pulley system for active-assisted range of motion exercise
C.Performing gentle scapular mobilization into upward rotation and protraction prior to elevation
D.Positioning the paretic arm on a supportive wedge in bed with the shoulder in slight abduction
Explanation: Overhead reciprocal pulleys are contraindicated in stroke rehabilitation because the non-paretic arm forcefully pulls the flaccid shoulder into excessive elevation and abduction without active scapulothoracic stabilization. This uncontrolled traction causes subacromial impingement, rotator cuff tears, and severe complex regional pain. Safe management emphasizes proper bed and wheelchair positioning, scapular mobilization, and supported functional tasks.
4A client with a right hemispheric stroke displays contraversive pushing (Pusher syndrome), actively pushing away from the non-hemiparetic right side toward the hemiparetic left side and resisting passive correction to upright vertical. Which occupational therapy intervention is most effective?
A.Physically pulling the client upright while forcefully holding the non-paretic arm against the chest
B.Placing the client in a dark room and eliminating all visual references to reduce sensory overload
C.Using vertical visual cues (such as a full-length mirror or doorframe) and training active weight shifts toward the non-paretic side
D.Maintaining the client in a fully reclined wheelchair tilt to prevent any upright trunk engagement
Explanation: Clients with Pusher syndrome experience an altered subjective perception of vertical body posture (tilted toward the hemiparetic side by ~18 degrees), but their visual perception of objective vertical remains intact. Therapy utilizes visual vertical references (mirrors, vertical room lines) and self-directed motor strategies to guide active weight shifts toward the unaffected side, rather than manual force which triggers increased pushing resistance.
5During a morning self-care evaluation, a stroke survivor picks up a hairbrush and attempts to brush their teeth with it, then takes a toothbrush and uses it like a pencil to write on the sink. Motor strength, sensation, and visual acuity are intact. What type of cognitive-perceptual impairment is this client exhibiting?
A.Ideomotor apraxia
B.Constructional apraxia
C.Dressing apraxia
D.Ideational apraxia (conceptual apraxia)
Explanation: Ideational (conceptual) apraxia is a loss of the conceptual knowledge of what tools are used for and how to formulate the motor plan for tool use. The client misuses everyday objects (e.g., brushing teeth with a hairbrush) or performs steps of a multi-step task in the wrong sequence, despite possessing intact motor ability. In contrast, ideomotor apraxia involves impaired motor execution of a known concept upon verbal command or imitation.
6A client with left-sided unilateral spatial neglect following a right hemispheric stroke consistently ignores food on the left side of the tray and bumps into doorframes on the left. Which restorative intervention teaches systematic visual scanning across the midline?
A.Visual scanning training using the 'lighthouse technique' and colored anchoring lines on the affected margin
B.Patching the left eye continuously to force visual dominance in the right eye
C.Placing all meal items and personal belongings strictly on the right side to prevent frustration
D.Using full physical restraints on the right arm to force left eye gaze
Explanation: Visual scanning training, such as the 'lighthouse technique' (imagining the eyes and head sweeping like a lighthouse beam from far right to far left) combined with prominent visual anchors (e.g., bright red tape on the left boundary), trains clients to actively initiate exploratory eye and head movements into the neglected hemispace during reading and self-care.
7A client recovering from a traumatic brain injury (TBI) is assessed at Rancho Los Amigos Level IV (Confused-Agitated). The client exhibits bizarre behavior, is highly distractible, experiences brief aggressive outbursts, and lacks short-term recall. What is the most appropriate occupational therapy approach?
A.Confront the client directly about aggressive outbursts and impose strict verbal reprimands for non-compliance
B.Administer complex multi-step computer cognitive retraining games to challenge executive processing speed
C.Provide a calm, low-stimulation environment with structured, familiar gross-motor activities and consistent daily routines
D.Engage the client in a noisy 10-person group discussion to build social frustration tolerance
Explanation: Clients at Rancho Los Amigos Level IV are in a state of heightened internal agitation and cannot process complex environmental stimulation or new learning. The therapist must maintain a quiet, predictable, low-stimulation environment, avoid demands for abstract reasoning, offer brief familiar activities (e.g., gross-motor movement, simple self-care), and prioritize safety and emotional containment.
8An adult who sustained a severe closed-head injury 6 months ago is functioning at Rancho Los Amigos Level VII (Automatic-Appropriate). Which behavioral and cognitive presentation accurately reflects this cognitive level?
A.The client responds inconsistently to simple commands and requires total assistance for all activities
B.The client is alert, highly insightful, independently solves novel complex problems, and functions safely in competitive employment
C.The client goes through familiar daily routines robot-like but displays shallow recall, superficial insight, and impaired judgment in novel situations
D.The client requires continuous 24-hour physical restraint due to persistent unprovoked physical aggression
Explanation: At Rancho Los Amigos Level VII (Automatic-Appropriate), clients can independently perform familiar daily routines in structured, familiar settings in a robot-like manner. However, they demonstrate superficial awareness of their condition, minimal insight into deficits, impaired executive judgment, difficulty planning for the future, and reduced problem-solving when unexpected changes occur.
9A patient with traumatic brain injury in the intensive care unit is evaluated at Rancho Los Amigos Level III (Localized Response). The patient blinks when a bright flashlight is turned on, turns head toward familiar family voices, and inconsistently pulls their leg away when pinched. What is the primary occupational therapy intervention goal?
A.Train the patient in independent slide-board transfers and manual wheelchair propulsion
B.Implement a structured multisensory stimulation protocol while monitoring vital signs and tracking consistency of behavioral responses
C.Teach advanced money management and grocery shopping strategies
D.Administer vocational aptitude tests to plan career retraining
Explanation: At Rancho Los Amigos Level III, responses are localized and directly related to the stimulus, but remain inconsistent and delayed. The occupational therapy focus is structured multisensory stimulation (tactile, auditory, olfactory, visual, kinesthetic), paired with behavioral tracking (e.g., Coma Recovery Scale-Revised), upright positioning in a tilt-in-space chair, and family education to optimize arousal and communication.
10A client with a complete C5 spinal cord injury (ASIA A) is undergoing rehabilitation. What key upper extremity motor function is preserved, and what assistive equipment is typically required for independent self-feeding?
A.Active wrist extension and finger flexion; needs standard heavy cutlery with non-slip handles
B.Complete intrinsic hand muscle innervation; operates chopsticks and fine cutlery with no adaptation
C.Active elbow extension (triceps) and forearm pronation; feeds independently using standard table utensils without devices
D.Active elbow flexion (biceps) and shoulder abduction/flexion; requires a universal cuff, mobile arm support (or balanced forearm orthosis), and long straw
Explanation: At the C5 neurological level, the biceps brachii, brachialis, and deltoid are innervated, allowing active shoulder abduction, flexion, and elbow flexion. However, wrist extensors, triceps, and finger muscles are denervated. Feeding is achieved using a mobile arm support (or balanced forearm orthosis) to support arm weight against gravity, paired with a universal cuff holding an angled utensil.
About the Thai OT Healing Arts License Practice Questions
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