O&P Board Prep: Mock Orthotics Written
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Exam QUESTIONS WITH ANSWERS |\ |\ |\
A patient has sustained a stroke and you note that he has a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
flexion synergy pattern in his upper extremity and lower
|\ |\ |\ |\ |\ |\ |\ |\ |\
extremity. Pick the best answer that describes both synergy
|\ |\ |\ |\ |\ |\ |\ |\ |\
patterns:
A) UE: shoulder abduction, internal rotation, elbow flexion,
|\ |\ |\ |\ |\ |\ |\ |\
forearm pronation, wrist |\ |\
flexion LE: hip flexion, abduction, external rotation, knee flexion,
|\ |\ |\ |\ |\ |\ |\ |\ |\
ankle dorsiflexion,
|\
inversion
B) UE: shoulder abduction, external rotation, elbow flexion,
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forearm supination, wrist |\ |\
flexion LE: hip flexion, abduction, external rotation, knee flexion,
|\ |\ |\ |\ |\ |\ |\ |\ |\
ankle dorsiflexion,
|\
inversion
C) UE: shoulder adduction, internal rotation, elbow extension,
|\ |\ |\ |\ |\ |\ |\ |\
forearm pronation, |\
wrist flexion LE: hip flexion, abduction, knee extension, ankle
|\ |\ |\ |\ |\ |\ |\ |\ |\
planarflexion
D) UE: shoulder adduction, internal rotation, elbow
|\ |\ |\ |\ |\ |\ |\
extension,forearm pronation, wrist |\ |\
flexion, LE: hip extension, adduction, internal rotation, ankle
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plantarflexion - CORRECT ANSWERS ✔✔B) UE: shoulder |\ |\ |\ |\ |\ |\ |\
abduction, external rotation, elbow flexion, forearm supination,
|\ |\ |\ |\ |\ |\ |\
,wrist flexion LE: hip flexion, abduction, external rotation, knee
|\ |\ |\ |\ |\ |\ |\ |\ |\
flexion, ankle dorsiflexion, inversion
|\ |\ |\
During normal heel strike, the forward hip is how flexed:
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A) neutral
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B) 10 deg flexed
|\ |\ |\
C) 25 deg flexed
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D) 40 deg flexed - CORRECT ANSWERS ✔✔C) 25 deg flexed
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Gait cycle is described by the activity between:
|\ |\ |\ |\ |\ |\ |\
A) Heel strike and push off
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B) Heel strike on one side and the following heel strike on the
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opposite side |\
C) Heel off to push off on the same side
|\ |\ |\ |\ |\ |\ |\ |\ |\
D) Heel strike on one side and the following heel strike on the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
same side - CORRECT ANSWERS ✔✔D) Heel strike on one side
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and the following heel strike on the same side
|\ |\ |\ |\ |\ |\ |\ |\
Pick the following choice that best describes Legg-Calve-Perthes
|\ |\ |\ |\ |\ |\ |\ |\
disease (osteochondrosis): |\
A) Males>females, age onset 13 years, AROM restricted in
|\ |\ |\ |\ |\ |\ |\ |\ |\
abduction, flexion, and internal rotation, vague pain at hip, knee,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and thigh
|\
B) Etiologies resulting in lack of blood supply to the femoral
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
head, AROM is decreased in hip flexion, internal rotation, and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
abduction, pain at groin, thigh, tenderness at hip
|\ |\ |\ |\ |\ |\ |\
,C) Males>females, average age onset 6 years old, psoatic limp
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
due to psoas major weakness, lower extremity moves into
|\ |\ |\ |\ |\ |\ |\ |\ |\
external rotation, flexion and adduction, MRI will show collapse of
|\ |\ |\ |\ |\ |\ |\ |\ |\
subchondral bone at femoral neck
|\ |\ |\ |\ |\
D Characterized by restriction in shoulder motion in external
|\ |\ |\ |\ |\ |\ |\ |\ |\
rotation, abduction and flexion, inflammation and fibrosis as the
|\ |\ |\ |\ |\ |\ |\ |\ |\
shoulder - CORRECT ANSWERS ✔✔C) Males>females, average
|\ |\ |\ |\ |\ |\ |\
age onset 6 years old, psoatic limp due to psoas major
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
weakness, lower extremity moves into external rotation, flexion
|\ |\ |\ |\ |\ |\ |\ |\
and adduction, MRI will show collapse of subchondral bone at
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
femoral neck |\
A patient is seen in clinic and presents with lumbar DJD. The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient has handed you a script with RX: LSO aligned
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
appropriately. How would you align the patient in the sagittal |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
plane:
A) Increase lumbar lordosis
|\ |\ |\
B) Decrease lumbar lordosis
|\ |\ |\
C) Utilize three point pressure system to provide m/l stability
|\ |\ |\ |\ |\ |\ |\ |\ |\
D) Increase intra-abdominal pressure - CORRECT ANSWERS ✔✔B)
|\ |\ |\ |\ |\ |\ |\
Decrease lumbar lordosis
|\ |\ |\
A patient is seen in clinic and presents with L5, S1
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
spondylolisthesis. The patient has handed you a script with RX: |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
LSO aligned appropriately. How would you align the patient in the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
sagittal plane:
|\ |\
A) Increase lumbar lordosis
|\ |\ |\
B) Decrease lumbar lordosis
|\ |\ |\
C) Utilize three point pressure systems to provide m/l stability
|\ |\ |\ |\ |\ |\ |\ |\ |\
, D) Increase intra-abdominal pressure - CORRECT ANSWERS ✔✔B)
|\ |\ |\ |\ |\ |\ |\
Decrease lumbar lordosis
|\ |\ |\
It is early in the recovery phase of a patient with a L3 compete
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
spinal cord injury. The expected outcome would MOST likely be:
|\ |\ |\ |\ |\ |\ |\ |\ |\
A) With a complete spinal cord injury you would not expect any
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
progress in motor or sensory function below the level of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
lesion
B) A spastic bladder
|\ |\ |\
C) Some recovery of function since damage is to peripheral nerve
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
roots
|\
D) Increased weakness in the upper extremities compared to
|\ |\ |\ |\ |\ |\ |\ |\ |\
lower extremities - CORRECT ANSWERS ✔✔C) Some recovery of
|\ |\ |\ |\ |\ |\ |\ |\ |\
function since damage is to peripheral nerve roots
|\ |\ |\ |\ |\ |\ |\
With regards to spondylolisthesis, what are the radiographic signs
|\ |\ |\ |\ |\ |\ |\ |\
that contraindicate orthotic intervention and indicate a surgical
|\ |\ |\ |\ |\ |\ |\ |\ |\
candidate:
A) Anterior translation of the superior vertebrae over the inferior
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
vertebrae greater than 25% |\ |\ |\
B) Superior vertebrae angulations of 25 deg relative to the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
inferior vertebrae |\
C) Anterior translation of the superior vertebrae over the inferior
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
vertebrae greater than 50% |\ |\ |\
D) Superior vertebrae angulations of 50 deg relative to the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
inferior vertebrae - CORRECT ANSWERS ✔✔C) Anterior translation
|\ |\ |\ |\ |\ |\ |\
of the superior vertebrae over the inferior vertebrae greater than
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
50%
|\
|\ |\ |\ |\ |\ |\
Exam QUESTIONS WITH ANSWERS |\ |\ |\
A patient has sustained a stroke and you note that he has a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
flexion synergy pattern in his upper extremity and lower
|\ |\ |\ |\ |\ |\ |\ |\ |\
extremity. Pick the best answer that describes both synergy
|\ |\ |\ |\ |\ |\ |\ |\ |\
patterns:
A) UE: shoulder abduction, internal rotation, elbow flexion,
|\ |\ |\ |\ |\ |\ |\ |\
forearm pronation, wrist |\ |\
flexion LE: hip flexion, abduction, external rotation, knee flexion,
|\ |\ |\ |\ |\ |\ |\ |\ |\
ankle dorsiflexion,
|\
inversion
B) UE: shoulder abduction, external rotation, elbow flexion,
|\ |\ |\ |\ |\ |\ |\ |\
forearm supination, wrist |\ |\
flexion LE: hip flexion, abduction, external rotation, knee flexion,
|\ |\ |\ |\ |\ |\ |\ |\ |\
ankle dorsiflexion,
|\
inversion
C) UE: shoulder adduction, internal rotation, elbow extension,
|\ |\ |\ |\ |\ |\ |\ |\
forearm pronation, |\
wrist flexion LE: hip flexion, abduction, knee extension, ankle
|\ |\ |\ |\ |\ |\ |\ |\ |\
planarflexion
D) UE: shoulder adduction, internal rotation, elbow
|\ |\ |\ |\ |\ |\ |\
extension,forearm pronation, wrist |\ |\
flexion, LE: hip extension, adduction, internal rotation, ankle
|\ |\ |\ |\ |\ |\ |\ |\
plantarflexion - CORRECT ANSWERS ✔✔B) UE: shoulder |\ |\ |\ |\ |\ |\ |\
abduction, external rotation, elbow flexion, forearm supination,
|\ |\ |\ |\ |\ |\ |\
,wrist flexion LE: hip flexion, abduction, external rotation, knee
|\ |\ |\ |\ |\ |\ |\ |\ |\
flexion, ankle dorsiflexion, inversion
|\ |\ |\
During normal heel strike, the forward hip is how flexed:
|\ |\ |\ |\ |\ |\ |\ |\ |\
A) neutral
|\
B) 10 deg flexed
|\ |\ |\
C) 25 deg flexed
|\ |\ |\
D) 40 deg flexed - CORRECT ANSWERS ✔✔C) 25 deg flexed
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Gait cycle is described by the activity between:
|\ |\ |\ |\ |\ |\ |\
A) Heel strike and push off
|\ |\ |\ |\ |\
B) Heel strike on one side and the following heel strike on the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
opposite side |\
C) Heel off to push off on the same side
|\ |\ |\ |\ |\ |\ |\ |\ |\
D) Heel strike on one side and the following heel strike on the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
same side - CORRECT ANSWERS ✔✔D) Heel strike on one side
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and the following heel strike on the same side
|\ |\ |\ |\ |\ |\ |\ |\
Pick the following choice that best describes Legg-Calve-Perthes
|\ |\ |\ |\ |\ |\ |\ |\
disease (osteochondrosis): |\
A) Males>females, age onset 13 years, AROM restricted in
|\ |\ |\ |\ |\ |\ |\ |\ |\
abduction, flexion, and internal rotation, vague pain at hip, knee,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and thigh
|\
B) Etiologies resulting in lack of blood supply to the femoral
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
head, AROM is decreased in hip flexion, internal rotation, and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
abduction, pain at groin, thigh, tenderness at hip
|\ |\ |\ |\ |\ |\ |\
,C) Males>females, average age onset 6 years old, psoatic limp
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
due to psoas major weakness, lower extremity moves into
|\ |\ |\ |\ |\ |\ |\ |\ |\
external rotation, flexion and adduction, MRI will show collapse of
|\ |\ |\ |\ |\ |\ |\ |\ |\
subchondral bone at femoral neck
|\ |\ |\ |\ |\
D Characterized by restriction in shoulder motion in external
|\ |\ |\ |\ |\ |\ |\ |\ |\
rotation, abduction and flexion, inflammation and fibrosis as the
|\ |\ |\ |\ |\ |\ |\ |\ |\
shoulder - CORRECT ANSWERS ✔✔C) Males>females, average
|\ |\ |\ |\ |\ |\ |\
age onset 6 years old, psoatic limp due to psoas major
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
weakness, lower extremity moves into external rotation, flexion
|\ |\ |\ |\ |\ |\ |\ |\
and adduction, MRI will show collapse of subchondral bone at
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
femoral neck |\
A patient is seen in clinic and presents with lumbar DJD. The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient has handed you a script with RX: LSO aligned
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
appropriately. How would you align the patient in the sagittal |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
plane:
A) Increase lumbar lordosis
|\ |\ |\
B) Decrease lumbar lordosis
|\ |\ |\
C) Utilize three point pressure system to provide m/l stability
|\ |\ |\ |\ |\ |\ |\ |\ |\
D) Increase intra-abdominal pressure - CORRECT ANSWERS ✔✔B)
|\ |\ |\ |\ |\ |\ |\
Decrease lumbar lordosis
|\ |\ |\
A patient is seen in clinic and presents with L5, S1
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
spondylolisthesis. The patient has handed you a script with RX: |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
LSO aligned appropriately. How would you align the patient in the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
sagittal plane:
|\ |\
A) Increase lumbar lordosis
|\ |\ |\
B) Decrease lumbar lordosis
|\ |\ |\
C) Utilize three point pressure systems to provide m/l stability
|\ |\ |\ |\ |\ |\ |\ |\ |\
, D) Increase intra-abdominal pressure - CORRECT ANSWERS ✔✔B)
|\ |\ |\ |\ |\ |\ |\
Decrease lumbar lordosis
|\ |\ |\
It is early in the recovery phase of a patient with a L3 compete
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
spinal cord injury. The expected outcome would MOST likely be:
|\ |\ |\ |\ |\ |\ |\ |\ |\
A) With a complete spinal cord injury you would not expect any
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
progress in motor or sensory function below the level of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
lesion
B) A spastic bladder
|\ |\ |\
C) Some recovery of function since damage is to peripheral nerve
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
roots
|\
D) Increased weakness in the upper extremities compared to
|\ |\ |\ |\ |\ |\ |\ |\ |\
lower extremities - CORRECT ANSWERS ✔✔C) Some recovery of
|\ |\ |\ |\ |\ |\ |\ |\ |\
function since damage is to peripheral nerve roots
|\ |\ |\ |\ |\ |\ |\
With regards to spondylolisthesis, what are the radiographic signs
|\ |\ |\ |\ |\ |\ |\ |\
that contraindicate orthotic intervention and indicate a surgical
|\ |\ |\ |\ |\ |\ |\ |\ |\
candidate:
A) Anterior translation of the superior vertebrae over the inferior
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
vertebrae greater than 25% |\ |\ |\
B) Superior vertebrae angulations of 25 deg relative to the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
inferior vertebrae |\
C) Anterior translation of the superior vertebrae over the inferior
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
vertebrae greater than 50% |\ |\ |\
D) Superior vertebrae angulations of 50 deg relative to the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
inferior vertebrae - CORRECT ANSWERS ✔✔C) Anterior translation
|\ |\ |\ |\ |\ |\ |\
of the superior vertebrae over the inferior vertebrae greater than
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
50%
|\
