Orthotic fitter Questions and Answers Already Passed

Orthotic fitter Questions and Answers Already Passed What is the best course of action when a long time patient asks to be referred to another practitioner? B. Provide him with a list of certified practitioners A 75 year old, quadruple bypass, obese patient who is also a transfemoral amputee come to you with a prescription for a suction socket with hydraulic knee unit and a dynamic response vertical shock pylon type prosthetic foot. You should: A. Call the physician and suggest an alternate prescription Records do not fulfill all of their purposes unless they: D. Are maintained and up to date A transtibial amputee has an anatomical A-P measurement of 95mm (3 - 3/4). What is the correct A-P measurement of the positive model for a PTB hard socket? C. 101mm (4) A Unilateral transradial prosthetic patient complains that the axilla loop of his harness is uncomfortable. The most common reason for this complaint is that the Cross point is: B. Too close to the sound side Venous return of the blood to the heart is assisted by the: A. Action of the skeletal muscles The anterior trim line of the Symes prosthesis usually extends to the level of the patellar tendon in order to: A. Provide a long lever arm to distribute force A 23 year old, wrist disarticulation amputee intends to return to work as a carpenter. Which terminal device will offer the largest range of tool handling capabilities? B. Dorrance 7 When the counter of the shoe fits too tightly on a SACH foot, which of the following problems can result? B. Less compression of the heel Which of the following muscles would be MOST suitable for myoelectric control of the 1. Elbow joint by a shoulder disarticulation amputee? C. Pectoralis major and trapezius Custom fit versus custom fabricated Custom fit orthopedic are off-the-shelf, custom fabricated pet hoses are created from a custom mold of the patient. Five things to know before walking into a patient room Patient name, referring physician, prescription, diagnosis, insurance information Mallet finger deformity Forced *hyperflexion* of DIP MCC: volleyball or basketball Complication: *Swan neck deformity* Tx: Splint in *extension* 4-8 weeks Boutonniere deformity flexion of PIP joint and hyperextension of DIP joint Swan neck deformity hyperextension of PIP joint and flexion of DIP joint Arches of the hand Proximal transverse(heal of palm, CMC joint), distal transverse (MCP joint of palm, mobile), and longitudinal arches(dorsal arch of curved/cupped hand) Cock-Up Splint dorsal or volar immobilzation, maintain hand arches, full thumb and MP flex; carpal tunnel, radial nerve palsy, wrist extensor tendonitis, colles' fracture, RA, RSD Resting hand splint Static wrist-hand orthosis used to immobilize the wrist, fingers and thumb. Used b/c MCPs and IPs are kept stretched (minimizing future joint contractures) Static progressive splint -provides a constant static force, adjusted serially as tissues lengthen -Often used with contractures in order to elongate affected tissues -ex: pt with TBI causing severe flexor tone -ex: pt recovering from burns -reliable cts w/ normal muscle tone may make more rapid progress b/c they can tailor the adjustment to their own pace and tolerance. -canNOT be used for ct with abnormal tone or ct who is unreliable. Volar Opening Dorsal hand brace so as to not impede on burns, incisions, or sensitivity on the underside (volar) surface of hand and wrist Wrist driven prehension orthosis (flexor hinge