Mako TKA 2.0 Exam SCRIPT 2026/2027 QUESTIONS
WITH ANSWERS RATED A+
• Which regions must be present in a Mako Total Knee CT scan? -✓✓ Hip, Knee, Ankle
• Why are metal components in the joint potentially problematic for a Mako Total Knee CT
scan? -✓✓ They cause scatter in the CT scan making it difficult to segment.
• How should a Mako patient be positioned in the CT scanner? -✓✓ Supine, feet first
• Why could a CT scan received 10 weeks prior to surgery be problematic? -✓✓ The patient's
anatomy/deformity could change if the scan is older than 8 weeks.
• What is the correct scanning procedure for a Mako Total Knee? -✓✓ One scan for the
individual hip, knee, and ankle regions.
• What is the earliest time before a Mako Total Knee procedure that a patient can be scanned?
-✓✓ Eight weeks
• Why is it not acceptable to use a Mako Total Knee CT scan older than eight weeks? -✓✓ The
patient's anatomy could change as their arthritis progresses.
• Must the motion rod be placed laterally during the CT scan? -✓✓ False (it should be anterior)
• Is it acceptable to use a CT scan that fails a motion check for a Mako Total Knee case? -✓✓
False
• What method(s) can be used to convert a DICOM file into a Mako Total Knee 2.0 patient plan?
-✓✓ Manual data import, Automatic data import, PKA to TKA
,• What must the user select to utilize the automatic data import method? -✓✓ Create plan
from media
• What CT landmarks are unique to Mako Total Knee 2.0 that must be selected manually? -✓✓
Distal shaft, proximal shaft, lateral slope, medial slope
• What warning will the user encounter when converting a lateral uni-compartmental plan to a
Mako Total Knee 2.0 plan? -✓✓ PKA session contains a plan for a lateral component. TKA
requires a medial arthrotomy.
• What will be prefixed to the file name of the original PKA session file name when converting
to Mako Total Knee 2.0? -✓✓ P2T_
• What is the purpose of CT Segmentation? -✓✓ To produce an accurate CT-based 3D bone
model of the patient's anatomy.
• Should attached osteophytes be included in the segmentation live wire? -✓✓ False
• What bone(s) must be segmented to create the full CT-based model for a Mako Total Knee
case? -✓✓ Femur & Tibia
• What kind of segmentation is the femur? -✓✓ Sagittal
• What kind of segmentation is the tibia? -✓✓ Oblique
• When do you segment approximately 100 mm proximal to the distal medial condyle? -✓✓
Femur Bounds
, • When do you produce 1 mm slices? -✓✓ Femur Bounds
• When do you always produce 40 slices? -✓✓ Tibia Bounds
• What should be considered when setting the femoral segmentation bounds? -✓✓ The tibial
tubercle should be included in the CT segmented bone model.
• What are the CT landmarks associated with the femur? -✓✓ Hip center, proximal shaft, femur
knee center, distal shaft, medial epicondyle, lateral epicondyle
• What are the CT landmarks associated with the tibia? -✓✓ Medial malleolus, lateral
malleolus, rotational landmark, tibia knee center, medial slope, lateral slope
• Which CT landmark is located at the most distal point of the trochlear groove? -✓✓ Femur
Knee Center
• The ankle axis is externally rotated approximately how many degrees from the tibia M/L axis?
-✓✓ 20
• What defines the A/P axis of the tibia? -✓✓ Rotational landmark
• What are the resection landmarks represented by on the implant planning screen? -✓✓
Spheres of magenta color
• Can resection landmarks be placed on osteophytes? -✓✓ False
• What are resection landmarks used to calculate? -✓✓ The patient's constitutional alignment
WITH ANSWERS RATED A+
• Which regions must be present in a Mako Total Knee CT scan? -✓✓ Hip, Knee, Ankle
• Why are metal components in the joint potentially problematic for a Mako Total Knee CT
scan? -✓✓ They cause scatter in the CT scan making it difficult to segment.
• How should a Mako patient be positioned in the CT scanner? -✓✓ Supine, feet first
• Why could a CT scan received 10 weeks prior to surgery be problematic? -✓✓ The patient's
anatomy/deformity could change if the scan is older than 8 weeks.
• What is the correct scanning procedure for a Mako Total Knee? -✓✓ One scan for the
individual hip, knee, and ankle regions.
• What is the earliest time before a Mako Total Knee procedure that a patient can be scanned?
-✓✓ Eight weeks
• Why is it not acceptable to use a Mako Total Knee CT scan older than eight weeks? -✓✓ The
patient's anatomy could change as their arthritis progresses.
• Must the motion rod be placed laterally during the CT scan? -✓✓ False (it should be anterior)
• Is it acceptable to use a CT scan that fails a motion check for a Mako Total Knee case? -✓✓
False
• What method(s) can be used to convert a DICOM file into a Mako Total Knee 2.0 patient plan?
-✓✓ Manual data import, Automatic data import, PKA to TKA
,• What must the user select to utilize the automatic data import method? -✓✓ Create plan
from media
• What CT landmarks are unique to Mako Total Knee 2.0 that must be selected manually? -✓✓
Distal shaft, proximal shaft, lateral slope, medial slope
• What warning will the user encounter when converting a lateral uni-compartmental plan to a
Mako Total Knee 2.0 plan? -✓✓ PKA session contains a plan for a lateral component. TKA
requires a medial arthrotomy.
• What will be prefixed to the file name of the original PKA session file name when converting
to Mako Total Knee 2.0? -✓✓ P2T_
• What is the purpose of CT Segmentation? -✓✓ To produce an accurate CT-based 3D bone
model of the patient's anatomy.
• Should attached osteophytes be included in the segmentation live wire? -✓✓ False
• What bone(s) must be segmented to create the full CT-based model for a Mako Total Knee
case? -✓✓ Femur & Tibia
• What kind of segmentation is the femur? -✓✓ Sagittal
• What kind of segmentation is the tibia? -✓✓ Oblique
• When do you segment approximately 100 mm proximal to the distal medial condyle? -✓✓
Femur Bounds
, • When do you produce 1 mm slices? -✓✓ Femur Bounds
• When do you always produce 40 slices? -✓✓ Tibia Bounds
• What should be considered when setting the femoral segmentation bounds? -✓✓ The tibial
tubercle should be included in the CT segmented bone model.
• What are the CT landmarks associated with the femur? -✓✓ Hip center, proximal shaft, femur
knee center, distal shaft, medial epicondyle, lateral epicondyle
• What are the CT landmarks associated with the tibia? -✓✓ Medial malleolus, lateral
malleolus, rotational landmark, tibia knee center, medial slope, lateral slope
• Which CT landmark is located at the most distal point of the trochlear groove? -✓✓ Femur
Knee Center
• The ankle axis is externally rotated approximately how many degrees from the tibia M/L axis?
-✓✓ 20
• What defines the A/P axis of the tibia? -✓✓ Rotational landmark
• What are the resection landmarks represented by on the implant planning screen? -✓✓
Spheres of magenta color
• Can resection landmarks be placed on osteophytes? -✓✓ False
• What are resection landmarks used to calculate? -✓✓ The patient's constitutional alignment