Answers) Plus Rationales 2026/2027 Q&A
1. Which gait deviation is most associated with inadequate dorsiflexion in
mid-stance?
A. Vaulting
B. Excessive knee flexion
C. Early heel rise
D. Foot slap
Inadequate dorsiflexion forces premature heel rise to maintain forward
progression.
2. A KAFO with offset knee joints primarily provides stability in:
A. Stance and swing
B. Swing phase only
C. Stance phase only
D. Terminal swing
Offset knee joints align posterior to weight line, increasing stance stability.
3. Excessive valgus alignment in a transtibial prosthesis commonly causes:
A. Lateral distal tibial pressure
B. Medial proximal tibial pressure
C. Posterior knee discomfort
D. Drop-off at terminal stance
Valgus moments increase pressure medially at the proximal tibia.
4. A patient with L5 weakness will benefit most from which orthotic
component?
A. Free ankle joint
B. Dorsiflexion assist (DF assist)
C. Solid ankle AFO
,D. Knee extension stop
L5 controls dorsiflexion; assist helps prevent foot drop.
5. The purpose of a metatarsal pad in orthotics is to:
A. Raise the arch
B. Shift pressure proximally away from metatarsal heads
C. Improve supination
D. Limit pronation
Pad supports the met shafts, unloading distal heads.
6. The ideal trimline for a posterior leaf-spring AFO allows for:
A. Maximum ML control
B. Maximum dorsiflexion flexibility
C. Controlled plantarflexion stop
D. Knee hyperextension control
Thin posterior strut permits spring-like DF assistance.
7. A quadrilateral socket focuses weight-bearing mainly on the:
A. Scarpa’s bulge
B. Posterior wall
C. Ischial-gluteal seat
D. Medial brim
Quad sockets use ischial support as primary weight-bearing.
8. Which foot component best provides inversion/eversion control?
A. SACH foot
B. Single-axis foot
C. Multiaxial foot
D. Solid ankle
Multiaxial feet permit controlled tri-planar accommodation.
, 9. A cervical orthosis that offers the most restriction is:
A. Philadelphia collar
B. Miami-J collar
C. Minerva orthosis
D. Soft collar
Minerva restricts flexion/extension and rotation most effectively.
10. Excessive socket flexion in a transfemoral prosthesis may cause:
A. Vaulting
B. Excessive knee stability
C. Incomplete knee extension
D. Increased lordosis
Socket flexion places GRF anterior to knee, increasing stability.
11. Which patient would benefit most from a solid ankle AFO?
A. Mild foot drop
B. Severe mediolateral ankle instability
C. Mild knee hyperextension
D. Tight hamstrings
Solid ankle provides strongest ML stability.
12. Pes planus is best addressed by:
A. Soft accommodative insert
B. Medial longitudinal arch support
C. Heel wedge
D. Rocker bottom
Primary correction involves supporting the medial arch.
13. What is the main purpose of a heel rocker in diabetic footwear?
A. Cushioning
B. Reducing forefoot pressure during late stance
C. Increasing propulsion