2
Written Combined O&P Prep – Prosthetics Exam || || || || || || ||
with verified detailed solutions
|| || ||
1. Why was the L-code established? - ✔✔a. To develop a unified method of
|| || || || || || || || || || || || || ||
describing products/services to payers || || ||
What is a common compensation for poor flexion of the socket in a TF
|| || || || || || || || || || || || || ||
amputee? - ✔✔Hyperlordosis || ||
If a TF amputee tends to externally "smear" their foot in stance while abducting
|| || || || || || || || || || || || || ||
their prosthesis, what could be a probable cause and WHY? - ✔✔If inadequate
|| || || || || || || || || || || || ||
flexion is built into the TF socket the patient will develop gait deviations
|| || || || || || || || || || || ||
utilizing compensatory motions for forward progression. Inadequate flexion of
|| || || || || || || || ||
the socket will
|| ||
cause compensatory hyperlordosis, causing discomfort for the patient over
|| || || || || || || || ||
time.
Ehlers-danlos syndrome - ✔✔A group of inherited disorders that affect your || || || || || || || || || || ||
connective tissues — primarily your skin, joints and blood vessel walls. People
|| || || || || || || || || || || ||
who have this syndrome usually have overly flexible joints and stretchy, fragile
|| || || || || || || || || || || ||
skin. This can become a problem if you have a wound that requires stitches,
|| || || || || || || || || || || || || ||
because the skin often isn't strong enough to hold them.
|| || || || || || || || ||
Hydrocephalus accompanies what generally? - ✔✔Spina Bifida || || || || || ||
,2
What muscle most closely duplicates tibialis anterior? - ✔✔Extensor Digitorum
|| || || || || || || || ||
Longus
||
What is often the result of an irregular birth? - ✔✔Erb's Palsy
|| || || || || || || || || || ||
Erb's Palsy - ✔✔Caused by excessive stretching of the shoulder, tearing of
|| || || || || || || || || || || ||
uppermost roots C5 and C6 (sometimes C7 or superior trunk of brachial plexus.
|| || || || || || || || || || || || ||
Paralyzes deltoid, supraspinatus, biceps brachii and supinator muscles. (arms)
|| || || || || || || ||
Often occurs at birth|| || ||
Meningitis - ✔✔inflammation of the outer covering of the brain and spinal cord
|| || || || || || || || || || || ||
Pleuritis - ✔✔inflammation of the pleura (also called pleurisy)
|| || || || || || || ||
Left posterior plagio - ✔✔Bossing of the right posterior cranium and flattening
|| || || || || || || || || || || ||
of the left posterior cranium
|| || || ||
positional plagiocephaly - ✔✔flattening of the occiput and prominence of
|| || || || || || || || || ||
ipsilateral frontal area || ||
brachycephaly - ✔✔fetal head is elongated in the transverse diameter and || || || || || || || || || || ||
shortened in the anteroposterior diameter. || || || ||
,2
What pathology is most likely to be fit with free knee joints? - ✔✔Genu Varum
|| || || || || || || || || || || || || || ||
Deformity
nonstructural scoliosis - ✔✔a reversible lateral curvature of spine WITHOUT a
|| || || || || || || || || || ||
rotational component and straightening as individual flexes spine
|| || || || || || ||
resolves when the patient bends to the affected side
|| || || || || || || ||
Most likely the result of a LLD
|| || || || || ||
What ligament prevents hyperextension of the hip joint? - ✔✔Iliofemoral
|| || || || || || || || || ||
ligament
Central Cord Syndrome - ✔✔UE deficits
|| || || || ||
-to find your center on a balance beams, you have to use your UEs
|| || || || || || || || || || || || ||
often due to HE injury
|| || || ||
Anterior cord syndrome - ✔✔- caused by flexion injuries
|| || || || || || || ||
- occurs when 2/3 of the anterior cord is lost
|| || || || || || || || ||
- *motor function, pain, and temperature sensation lost bilaterally below the
|| || || || || || || || || || ||
lesion* (*flaccidity* below the lesion)
|| || || ||
Brown-Sequard Syndrome - ✔✔Hemi-section of the cord || || || || || ||
, 2
- ipsilateral (same side) loss of motor, proprioception, vibration, amd deep
|| || || || || || || || || || ||
touch
- contralateral (opposite side) loss of pain and thermal sense
|| || || || || || || || ||
Posterior Cord Syndrome - ✔✔Loss of dorsal columns bilaterally, bilateral loss
|| || || || || || || || || || ||
of proprioception, vibration, pressure, stereognosis, 2 point discrimination;
|| || || || || || || ||
preservation of motor function, pain and light touch; very rare!
|| || || || || || || || ||
C6 muscles - ✔✔Teres Major
|| || || ||
Pec MAjor ||
ECR Longus and brevis|| || ||
Pronator Teres ||
Flexor Carpi Radialis || || ||
Lat Dorsi ||
(Finishes up the innervation of...) || || || ||
Supraspinatus
Infraspinatus
Deltoids
Brachialis
Biceps Brachii ||
brachoiradialis, ||
Subscapularis
supinator, ||
Written Combined O&P Prep – Prosthetics Exam || || || || || || ||
with verified detailed solutions
|| || ||
1. Why was the L-code established? - ✔✔a. To develop a unified method of
|| || || || || || || || || || || || || ||
describing products/services to payers || || ||
What is a common compensation for poor flexion of the socket in a TF
|| || || || || || || || || || || || || ||
amputee? - ✔✔Hyperlordosis || ||
If a TF amputee tends to externally "smear" their foot in stance while abducting
|| || || || || || || || || || || || || ||
their prosthesis, what could be a probable cause and WHY? - ✔✔If inadequate
|| || || || || || || || || || || || ||
flexion is built into the TF socket the patient will develop gait deviations
|| || || || || || || || || || || ||
utilizing compensatory motions for forward progression. Inadequate flexion of
|| || || || || || || || ||
the socket will
|| ||
cause compensatory hyperlordosis, causing discomfort for the patient over
|| || || || || || || || ||
time.
Ehlers-danlos syndrome - ✔✔A group of inherited disorders that affect your || || || || || || || || || || ||
connective tissues — primarily your skin, joints and blood vessel walls. People
|| || || || || || || || || || || ||
who have this syndrome usually have overly flexible joints and stretchy, fragile
|| || || || || || || || || || || ||
skin. This can become a problem if you have a wound that requires stitches,
|| || || || || || || || || || || || || ||
because the skin often isn't strong enough to hold them.
|| || || || || || || || ||
Hydrocephalus accompanies what generally? - ✔✔Spina Bifida || || || || || ||
,2
What muscle most closely duplicates tibialis anterior? - ✔✔Extensor Digitorum
|| || || || || || || || ||
Longus
||
What is often the result of an irregular birth? - ✔✔Erb's Palsy
|| || || || || || || || || || ||
Erb's Palsy - ✔✔Caused by excessive stretching of the shoulder, tearing of
|| || || || || || || || || || || ||
uppermost roots C5 and C6 (sometimes C7 or superior trunk of brachial plexus.
|| || || || || || || || || || || || ||
Paralyzes deltoid, supraspinatus, biceps brachii and supinator muscles. (arms)
|| || || || || || || ||
Often occurs at birth|| || ||
Meningitis - ✔✔inflammation of the outer covering of the brain and spinal cord
|| || || || || || || || || || || ||
Pleuritis - ✔✔inflammation of the pleura (also called pleurisy)
|| || || || || || || ||
Left posterior plagio - ✔✔Bossing of the right posterior cranium and flattening
|| || || || || || || || || || || ||
of the left posterior cranium
|| || || ||
positional plagiocephaly - ✔✔flattening of the occiput and prominence of
|| || || || || || || || || ||
ipsilateral frontal area || ||
brachycephaly - ✔✔fetal head is elongated in the transverse diameter and || || || || || || || || || || ||
shortened in the anteroposterior diameter. || || || ||
,2
What pathology is most likely to be fit with free knee joints? - ✔✔Genu Varum
|| || || || || || || || || || || || || || ||
Deformity
nonstructural scoliosis - ✔✔a reversible lateral curvature of spine WITHOUT a
|| || || || || || || || || || ||
rotational component and straightening as individual flexes spine
|| || || || || || ||
resolves when the patient bends to the affected side
|| || || || || || || ||
Most likely the result of a LLD
|| || || || || ||
What ligament prevents hyperextension of the hip joint? - ✔✔Iliofemoral
|| || || || || || || || || ||
ligament
Central Cord Syndrome - ✔✔UE deficits
|| || || || ||
-to find your center on a balance beams, you have to use your UEs
|| || || || || || || || || || || || ||
often due to HE injury
|| || || ||
Anterior cord syndrome - ✔✔- caused by flexion injuries
|| || || || || || || ||
- occurs when 2/3 of the anterior cord is lost
|| || || || || || || || ||
- *motor function, pain, and temperature sensation lost bilaterally below the
|| || || || || || || || || || ||
lesion* (*flaccidity* below the lesion)
|| || || ||
Brown-Sequard Syndrome - ✔✔Hemi-section of the cord || || || || || ||
, 2
- ipsilateral (same side) loss of motor, proprioception, vibration, amd deep
|| || || || || || || || || || ||
touch
- contralateral (opposite side) loss of pain and thermal sense
|| || || || || || || || ||
Posterior Cord Syndrome - ✔✔Loss of dorsal columns bilaterally, bilateral loss
|| || || || || || || || || || ||
of proprioception, vibration, pressure, stereognosis, 2 point discrimination;
|| || || || || || || ||
preservation of motor function, pain and light touch; very rare!
|| || || || || || || || ||
C6 muscles - ✔✔Teres Major
|| || || ||
Pec MAjor ||
ECR Longus and brevis|| || ||
Pronator Teres ||
Flexor Carpi Radialis || || ||
Lat Dorsi ||
(Finishes up the innervation of...) || || || ||
Supraspinatus
Infraspinatus
Deltoids
Brachialis
Biceps Brachii ||
brachoiradialis, ||
Subscapularis
supinator, ||
