Orthotics Practice Exam Questions & Answers(RATED A)

Patients recovering from Guillian-Barre syndrome experience motor function return in which pattern? a) Asymmetrical b) Distal to Proximal c) Proximal to distal d) Unilateral - ANSWERC Inadequate strength of the gastrocnemius results in which of the following gait deficiencies? a) Foot slap @ loading response b) Excessive dorsiflexion @ midstance c) Hip hyperextension @ midstance d) Toe drag in swing - ANSWERB An AFO with trimlines posterior to the malleoli provides PRIME? a) Knee Stability b) ML stability c) Talocrural stability d) Passive dorsiflexion assist - ANSWERD A hospital calls a practitioner to say that a patient who was fit with a device is bringing legal action against the hospital. The suit does not involve the device or the fitting. However the hospital is requesting the practitioner's records regarding the patient. The practitioner should? a) Advise the hospital that the patient records can be released only after receipt of properly signed release forms or a subpoena. b) Send the records to the hospital c) Contac the patient, advise the patient of the conversation with the hospital and ask permission to send the records. d) Send the records only after a written request from the hospital administration - ANSWERA Standard tightening value of halo skull pins for an adult a) 4in-lb b) 5in-lb c) 8in-lb d) 10in-lb - ANSWERC A KOs for OA is designed to? a) Stabilize the tibia under the femur in the sagittal plane b) Distract the joint surface of the medial or lateral compartment c) Enhance patellar tracking 2 d) Compress the soft tissue around the knee - ANSWERB Atlantoaxial instability is common with which of the following? a) Osteoporosis b) Rheumatoid arthritis c) MS d) Ankylosing spondylitis - ANSWERB The functions of the tibialis anterior muscle are: a) Dorsiflexion and inversion b) Dorsiflexion and eversion c) Plantar flexion and inversion d) Plantarflexion and eversion - ANSWERA Excessive knee flexion when standing in a locked metal KAFO results when? a) Proximal thigh band is too shallow b) Distal thigh band is too deep c) Calf band is too shallow d) Calf band is too deep - ANSWERC Poliomyelitis results from an acute viral infection of the: a) Cerebral spinal fluid b) Dura matter of the spinal cord c) Anterior horn cells d) Schwann cells - ANSWERC When fitting a thermoplastic AFO, which of the following helps diminish a moment at heel strike? a) Decreasing heel height of shoe b) Remaking he AFO with increased dorsiflexion c) Increasing the height of the posterior proximal trim line d) Adding a ¼" (6mm) heel lift - ANSWERA The primary reason for developing good documentation practices is to establish? a) Outcome studies b) Monitoring of quality assurance c) Justification for reimbursement d) Professional responsibility and accountability - ANSWERD Which of the following adjustments to a metal AFO would best accommodate excessive tibial torsion? a) Addition of valgus control strap b) Deflection of sidebars c) Internal rotation of stirrup attachment d) External rotation of mechanical ankle joint - ANSWERB A HALO ring should be placed a) 7cm superior to the lateral third of the eyebrow b) ¼" (19mm) superior to the ear c) 1cm superior to the lateral third of the eyebrow d) Superior to the greatest circumference of the skull - ANSWERC Quadriplegic patient with a functioning C7 will lose which of the following? a) Wrist extension b) Elbow flexion c) Finger flexion d) Shoulder abduction - ANSWERC A 57 year old adult female with adult onset diabetes mellitus presently in the wound care clinic with a recently healed plantar ulcer over the 1st met head and an insensate foot. Her current footwear is a pair of canvas tennis shoes. At this time the most appropriate orthotic treatment should be: a) A cam walker w/pressure relief insert b) A neuropathic walker (CROW) c) Extra-depth shoes w/a corrective insert d) Extra depth shoes w/an accommodative insert - ANSWERD An anterior hyperextension TLSO offers MAXIMUM control in which of the following planes? a) Control b) Transverse c) Sagittal d) Frontal - ANSWERC An example of a congenital spinal deformity is? a) Infantile scoliosis b) Hemivertebrae c) Thoracic hypokyphosis d) Anterior vertebral wedging - ANSWERB A patient with dropfoot and painful knee hyperextension was fit with a KAFO 2 weeks ago. At follow up the patient states that knee pain had decreased and foot clearance had improved, but that she fell twice when descending a ramp. The practitioner modifies the KAFO by: a) Increasing the height of the calf band b) Increasing plantar flexion resistance c) Decreasing dorsiflexion resistance d) Decreasing plantar flexion resistance - ANSWERD A mechanical knee joint that is too distal to the anatomical knee: a) Anterior distal pressure on the thigh to increase when the knee is flexed b) Posterior distal pressure on the thigh to increase when the knee is flexed c) The Patient is unable to flex the knee fully d) The patient is unable to extend the knee fully - ANSWERA The primary goal of lower extremity orthotic management in children w/hypertonia is to? a) Decrease spasticity b) Improve proprioception c) Provide stability d) Prevent contractures - ANSWERA Cauda equine comprises the? a) Nerve roots below the level of the spinal cord b) Lowest 4 vertebrae c) Sacral nerve roots d) Lumbar nerve roots