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Orthotic Fitter Exam (Practice questions) answered with 100% correct and complete solutions with Rationales| Updated

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Orthotic Fitter Exam (Practice questions) answered with 100% correct and complete solutions with Rationales| Updated A patient calls and complains that their elbow brace you fit them with earlier in the week is preventing them from flexing their arm to the ROM the brace is set. Which area of the arm could have misplaced a strap? a. Olecranon b. Antecubital space c. Distal Radius b (If the brace migrates it could impinge on this area preventing flexion of the arm. The distal strap could impinge on wrist flexion but the questions pertains to the arm flexion.) The boney landmark lateral malleolus is found at: a. the distal end of the fibula b. the proximal end of the malleoli c. the subtalar junction a (The lateral malleolus is the prominence on the outer side of the ankle, and formed by the lower end of the fibula. Distal is the anatomical term for point furthest from.) If a patient is flexing their elbow, what plane does this occur? a. frontal b. sagittal c. transverse b (Note that specific flexion activities may occur only along the sagittal plane, i.e. from the forward to backward direction, and not side-to-side direction) When fitting a patient with a pavlik harness, you would be concerned with this? a. social history b. diabetes mellitus c. rigidity of the brace a (A Pavlik harness is used in the treatment of hip dysplasia in infants. Social History is important because the parents or caregivers must be responsible to keep the harness donned correctly. DM would not play as a role, and the brace is not rigid) If a patient receives a functional walking boot, you will always instruct them how to bare full weight. a. True b. False b ( False --You would not instruct patient to bare weight unless physician has expressed for you to do so. The boot can be ordered for a NWB (non weight bearing status)) A patient calls with a prescription from their physician to fit a back brace and the diagnosis is lower back pain and scoliosis. How should the fitter proceed? a. measure the patient and order a prefabricated scoliosis corrective brace? b. Tell the patient they will have o take the prescription to an orthotist c. obtain more information c (C. Is correct answer because you don't adequate info to know if the brace is for corrective scoliosis. Many elderly patients have scoliosis and can have back pain. First there is a need to assess the patient) Knee pain when walking up and downstairs could be associated with these conditions: I. Chondromalacia II. Tinea Pedis III. PFPS IV. Peroneal Rupture a. I & IV b. I & II c. I & III C (Chondromalacia patella is the softening and breakdown of the tissue (cartilage) that lines the underside of the kneecap (patella). Patellofemoral pain syndrome (PFPS) is a syndrome characterized by pain or discomfort seemingly originating from the contact of the posterior surface of the patella (back of the kneecap) with the femur (thigh bone)) An acute syndesmosis sprain is best fit with: a. A walking boot b. a ROM knee brace c. An elastic ankle brace A ( Also known as a high ankle sprain. A walker boot is the best option of the three, and an elastic ankle brace would not give necessary support) When measuring a patient pre-operatively for a post-operative prefabricated LSO, you should always: a. Have the patient prone b. Face the patient facing in a mirror c. Sit on stool C (For patient modesty and also to have an eye view a fitter should sit to measure LSO) A physician sees the patient immediately post-trauma for a non-displaced midshaft tib/fib fracture, and the physician sends the patent directly to you for a fit and delivery of an off the shelf tibia fracture brace. You should: a. Immediately fit the patient to prevent swelling

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