Orthotic CPM Exam - Oral Questions Most Recent Exam
2025/2026 Actual Complete Real Exam Questions
And Correct Answers (Verified Answers)
Already Graded A+ / Newest Exam
/Just Released!!
Patient presents to your office for an adjustment to their
articulated AFO - they state that they are having pain in the
posterior compartment of the knee with prolonged standing or
ambulation. Upon ambulating, you notice a significant knee
extension moment. What adjustments do you make? What do
you need to consider prior to making adjustments? - ANSWER-
heel lift to decrease knee extension moment
-adjust double action joints if
available -adjust plantarflexion stop
-NEED TO CONSIDER QUADRICEPS STRENGTH - IS KAFO
NEEDED?
You have fit a patient with thermoplastic AFO, free DF/PF stop.
The ankle is set at neutral. During ambulation the patient
complains of pressure on the navicular and the lateral aspect
of the foot, proximal to the fifth metatarsal head. What might be
wrong with the orthosis? - ANSWER-inadequate dorsiflexion
range, patient collapsing at midfoot and forefoot abducting
,Patient presents to clinic and complains that their orthosis is
tight at the proximal calf area. Patient states they have been
swollen and have experienced tingling and numbness in the
foot. What adjustments might need to be made? - ANSWER-
Check clearance distal to fibular head for impingement on
peroneal nerve
-flare and expand calf to accommodate for swelling
What problems could you encounter in moving the KAFO
bands? - ANSWER-
peroneal nerve impingement, limited knee
flexion of orthosis
What is an advantage of an offset knee joint for treating
recurvatum? - ANSWER-puts the weight bearing line anterior to
the knee joint, making it unnecessary to lock the knee. reduce
extension moment as joint axis closer to mechanical axis
How would you trim the AFO section for a polio patient that
has a flail ankle, good knee muscles, good hip muscles, full
ROM at the knee with 25 degrees of recurvatum. Knee buckles
when tired? Why? - ANSWER-Solid ankle, anterior trim, flail
ankle needs stability in all planes
What effect would posterior placement of knee joints
have on a KAFO? -
ANSWER-Migrates proximally with pressure on
anterior calf cuff
,What modifications would you make to a plastic KAFO to
reduce recurvatum - ANSWER-Extend trimlines of proximal and
distal sections to be closer to the knee Pad shells Shallow
shells (calf and thigh_
True or False - Spasticity is a contraindication for Stance
Control? - ANSWER-
True
What are two effects of locking a knee within an orthosis in
normal gait? - ANSWER-Hip hiking, circumduction, vaulting,
excessive lateral trunk lean, increased energy consumption,
decreased cadence.
Name 3 ways to manage a T11 anterior compression
fracture? - ANSWER--
Jewett/CASH
(hyperextension
TLSO)
-Taylor (dorsal lumbar) -Custom TLSO
(body jacket)
What is the biomechanical principle of a CASH orthosis? -
ANSWER-3 point
pressures to induce
hyperextension
What is your orthotic recommendation for a patient with an
odontoid fracture
, who was just removed from a halo? -
ANSWER--SOMI
-Minerva brace -
Extended philli
What is the major advantage of a SOMI orthosis? - ANSWER-
Can be donned in
supin
e
How would you manage spondylolisthesis with an orthosis? -
ANSWER-Boston
Overlap Brace, Williams
Flexion LSO
How would you treat a fracture at T3? - ANSWER-Custom
TLSO
(body jacket)
with cervical
extension
Can you put a halo ring on a child? - ANSWER-Yes, less torque
more pins
Would you apply a halo vest to a patient in ICU without a
doctor? - ANSWER-
No, doctor should be there to stabilize the neck and
inject anesthetic
For stable compression fractures of the cervical spine the
head should be
positioned in flexion or extension? -
2025/2026 Actual Complete Real Exam Questions
And Correct Answers (Verified Answers)
Already Graded A+ / Newest Exam
/Just Released!!
Patient presents to your office for an adjustment to their
articulated AFO - they state that they are having pain in the
posterior compartment of the knee with prolonged standing or
ambulation. Upon ambulating, you notice a significant knee
extension moment. What adjustments do you make? What do
you need to consider prior to making adjustments? - ANSWER-
heel lift to decrease knee extension moment
-adjust double action joints if
available -adjust plantarflexion stop
-NEED TO CONSIDER QUADRICEPS STRENGTH - IS KAFO
NEEDED?
You have fit a patient with thermoplastic AFO, free DF/PF stop.
The ankle is set at neutral. During ambulation the patient
complains of pressure on the navicular and the lateral aspect
of the foot, proximal to the fifth metatarsal head. What might be
wrong with the orthosis? - ANSWER-inadequate dorsiflexion
range, patient collapsing at midfoot and forefoot abducting
,Patient presents to clinic and complains that their orthosis is
tight at the proximal calf area. Patient states they have been
swollen and have experienced tingling and numbness in the
foot. What adjustments might need to be made? - ANSWER-
Check clearance distal to fibular head for impingement on
peroneal nerve
-flare and expand calf to accommodate for swelling
What problems could you encounter in moving the KAFO
bands? - ANSWER-
peroneal nerve impingement, limited knee
flexion of orthosis
What is an advantage of an offset knee joint for treating
recurvatum? - ANSWER-puts the weight bearing line anterior to
the knee joint, making it unnecessary to lock the knee. reduce
extension moment as joint axis closer to mechanical axis
How would you trim the AFO section for a polio patient that
has a flail ankle, good knee muscles, good hip muscles, full
ROM at the knee with 25 degrees of recurvatum. Knee buckles
when tired? Why? - ANSWER-Solid ankle, anterior trim, flail
ankle needs stability in all planes
What effect would posterior placement of knee joints
have on a KAFO? -
ANSWER-Migrates proximally with pressure on
anterior calf cuff
,What modifications would you make to a plastic KAFO to
reduce recurvatum - ANSWER-Extend trimlines of proximal and
distal sections to be closer to the knee Pad shells Shallow
shells (calf and thigh_
True or False - Spasticity is a contraindication for Stance
Control? - ANSWER-
True
What are two effects of locking a knee within an orthosis in
normal gait? - ANSWER-Hip hiking, circumduction, vaulting,
excessive lateral trunk lean, increased energy consumption,
decreased cadence.
Name 3 ways to manage a T11 anterior compression
fracture? - ANSWER--
Jewett/CASH
(hyperextension
TLSO)
-Taylor (dorsal lumbar) -Custom TLSO
(body jacket)
What is the biomechanical principle of a CASH orthosis? -
ANSWER-3 point
pressures to induce
hyperextension
What is your orthotic recommendation for a patient with an
odontoid fracture
, who was just removed from a halo? -
ANSWER--SOMI
-Minerva brace -
Extended philli
What is the major advantage of a SOMI orthosis? - ANSWER-
Can be donned in
supin
e
How would you manage spondylolisthesis with an orthosis? -
ANSWER-Boston
Overlap Brace, Williams
Flexion LSO
How would you treat a fracture at T3? - ANSWER-Custom
TLSO
(body jacket)
with cervical
extension
Can you put a halo ring on a child? - ANSWER-Yes, less torque
more pins
Would you apply a halo vest to a patient in ICU without a
doctor? - ANSWER-
No, doctor should be there to stabilize the neck and
inject anesthetic
For stable compression fractures of the cervical spine the
head should be
positioned in flexion or extension? -
