Reddit reviews NBCOT-COTA Exam Secrets Study Guide: NBCOT Test Review for the Certified Occupational Therapy Assistant Examination
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I may not be the best example for this, but I barely studied for the test and ending up getting a 520 on it, although I took the COTA version. It really doesn't test your knowledge, you just have to know how they want you to answer. You went through years of school and passed fieldwork, so you know the material, you really do. Your specific study style depends on what works best for you. I'm lucky and things tend to come naturally for me, so I'll answer your questions based on what I did.
I can't say what's on the OTR test, but for the COTA test it was a few straight knowledge questions, and they rest was what is the best course of action questions. If you think you're going to be overwhelmed by the amount of material, I would advise you to stay away from flashcards. I would personally prefer to read a book rather than go through hundreds of flashcards, but it really depends on your personal study habits. How do you normally prepare for tests?