ORTHOTICS WRITTEN EXAM 2024
ACTUAL EXAM COMPLETE 350
QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100%
CORRECT ANSWERS) / ALREADY
GRADED A+
A patient with a year long history of amyotropic
lateral sclerosis is ambulating with bilateral canes,
shows limited endurance, and foot drop. Based on
the diagnosis, what device do you recommend for
trial? - ....ANSWER...ALS is a progressive
degenerative disease where an AFO would be
appropriate for her fatigue and foot drop
Patient presents with unstable odontoid fracture.
What orthosis is indicated? - ....ANSWER...A HALO
CTLSO is indicated for unstable C1 and C2 fractures.
The orthosis spans a long distance to maximize end-
point control
,Patient presents with DX of lower lumbar stenosis,
RX LSO aligned appropriately. What do you
recommend? - ....ANSWER...LSO aligned in flexion
will allow the spinal canal to relatively decrease
occlusion and whereby increase space for the spinal
cord
A patient has fixed forefoot varus. What are three
compensatory strategies? - ....ANSWER...Subtalor
pronation
Plantarflexed first ray
Tibial internal rotation
A patient has a fxed forefoot varus, what isn't a
compensatory strategy? - ....ANSWER...Subtalor
supination
Where is the proper anterior pin placement in a
HALO CTLSO application? - ....ANSWER...Lateral 1/3
of eyebrows, slightly superior to eyebrow - this
placement gives you a relatively safe starting
position to avoid puncturing sinues, nervous system
structures, as well as ecrease migration of HALO
ring
,Where is the proper posterior pin placement in a
HALO CTLSO application? - ....ANSWER...Slightly
superior to ear, opposing the anterior pins directly,
inferior to the equator of the cranium - optimize
placement to avoid nervous system structures as
well as superior migration of the HALO
A patient with median nerve lesion is expected not to
lose the function in: - ....ANSWER...Flexor carpi
ulnaris - one of the few muscles in the anterior
compartment of the forearm that the median n
doesn't innervate. Lesion to the median n. can
produce carpal tunnel, ape hand deformity, and
benedictine deformity
What are the "visible to the eye" clinical signs of
scoliosis? - ....ANSWER...Rib hump
Arm gapping, shoulder asymmetry
Pelvic obliquity
Prominent scapula
When fabricating a Williams Flexion LSO or
spondylolithesis, what should the anterior corset
, panel be fabricated out of? - ....ANSWER...Elastic
material so as to not limit sagittal plane flexion
You are consulted for treatment of a 6 year-old girl
spina bifida with a 30 deg scoliotic thoracic
curvature and club foot. What would be part of her
treatment? - ....ANSWER...Prevent contractures due
to neurogenic deformities
With hydrocephalus, decompress and place shunt in
place
Prevent pressure sores
Fit patient with AFO and TLSO
Spina bifida is caused by incomplete closure of one
or more neural arches that can cause a wide range
of impairments. Joint contractures and pressure
ulcers are always a risk for the patient with
neurological defects.
What are the signs of congenital scoliosis? -
....ANSWER...Wedge, bar, hemi-vertebrae are
common radiographic findings for congenital
scoliosis
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