ORTHOTICS FITTER EXAM 2024| ACTUAL EXAM
QUESTIONS WITH COMPREHENSIVE ANSWERS| LATEST
UPDATE| EXPERT VERIFIED FOR GUARANTEED PASS
A pt presents for a prefabricated posterior leaf spring (PLS) AFO w/ a diagnosis of flaccid foot.
He is leaving for Europe tomorrow to participate in a biking tour. A COF should fit the pt and:
Add articulating joints to PLS AFO. Have the pt return to the physician. Advise the pt that
function may be limited. Refer the patient to PT. - CORRECT ANSWER - advise the pt that
function may be limited
A man fell at work and has acute lower back. He is taken to the company nurse to be seen as the
physician is not available. The RN calls & asks a COF to fit the pt w/ a hyperextension brace.
The fitter should:
Ask the RN to transport the pt for the fitting. Tell the RN to transport the pt to the company
physician for proper diagnosis & Rx. Instruct the pt to have complete bed rest for 1 week. Go to
the company & fit the pt w/ the proper size hypertension brace. - CORRECT ANSWER - tell the
RN to transport the pt to the company physician for proper diagnosis & Rx
Which of the following lumbar fractures is MOST commonly treated w/ a hyperextension
orthosis? Facet. Transverse process. Compression. Pars. - CORRECT ANSWER - Compression
A pt fit w/ a prefabricated plastic body jacket c/o of chafing due to heat. Which of the following
is the BEST method to alleviate this problem?
Recommend that the pt use powder. Ventilate the body jacket. Relieve the chafing areas by heat
molding. Instruct the pt to wear cotton undergarment. - CORRECT ANSWER - instruct the pt to
wear cotton undergarment
A Brannock device measure:
Foot length. Head circumference. ROM. Gait length. - CORRECT ANSWER - foot length
A pt presents a Rx for multiligamentous support for an ankle sprain. The pt asks the COF how
this orthosis will help the problem. Which of the following is the BEST response regarding the
multiligamentous support?
,It prevents drop foot. It increases genu-recurvatum. It prevents internal rotation. It increases
medial-lateral stability. - CORRECT ANSWER - it increases medial-lateral stability
A pt wearing a knee orthosis for osteoarthritis c/o pressure on the lateral condyle. A COF should:
Add a check strap. Pad over the medial condyle. Recontour the uprights. Place a wedge in the
shoe. - CORRECT ANSWER - recontour the uprights
Bandages removed from a pt w/ venous stasis should be disposed of in which of the following
colors of bag?
Yellow. Red. Orange. Clear. - CORRECT ANSWER - red
To reshape a Kydex orthosis, it's necessary to use:
Offset bending irons. Hot water. A stay bender. A heat gun. - CORRECT ANSWER - a heat gun
An elastic ankle support is useful in:
Immobilizing the joint. Providing lateral stability to the joint. Providing dynamic stability to the
joint. Giving gentle pressure to the joint. - CORRECT ANSWER - giving gentle pressure to the
joint
The preferred position for final adjustment of axillary straps on an orthosis is the pt:
Supine w/ arms above the head. Standing w/ arms above the head. Standing w/ arms extended to
the side at shoulder height. Sitting in chair w/ arms extended to the sides at shoulder height. -
CORRECT ANSWER - standing w/ arms extended to the sides at shoulder height
A rigid TLSO controls which of the following areas?
(see hard flashcard) - CORRECT ANSWER - C. Lumbar: Yes. Cervical: Yes. Sacral: Yes.
Dorsal: No
A pt diagnosed w/ HIV presents w/ an open wound that has been fit w/ gradient compression
stockings. The pt's brother calls the COF w/ questions about caring for the pt. HIPAA requires
the fitter to:
,Maintain the pt's confidentiality. Confer w/ the facility manager. Consult w/ the pt's physician.
Warn the pt's family about the HIV status. - CORRECT ANSWER - maintain the pt's
confidentiality
A 15 y/o pt w/ spondylolisthesis presents w/ a Rx for an LS corset w/ steel stays. When a COF
prepares to fit the orthosis, the pt questions why she can't wear an elastic support that would be
less noticeable. Best response:
Fit the pt w/ her preferred orthosis. Inform the pt that the corset provides the needed support.
Explain that elastic support will not immobilize the spine as required. Contact the physician to
change the order. - CORRECT ANSWER - inform the pt that the corset provides the needed
support
When fitting a pt w/ a WHO, the pt's limb should be positioned:
Slightly extended. Slightly flexed. Fully extended. Fully flexed. - CORRECT ANSWER -
slightly extended
When fitting a hyperextension orthosis in a standing position, the sternal pad should be placed:
At the xiphoid. 1" above the xiphoid. At the sternal notch. 2"below the sternal notch. -
CORRECT ANSWER - 2" below the sternal notch
Anti-embolism elastic stockings are important for:
Non-ambulatory pt's. Arterial insufficiency. Ambulatory pt's. Postfracture edema. - CORRECT
ANSWER - non-ambulatory pt's
Information about a new prefabricated orthosis is BEST obtained by:
Practicing fitting on a model. Reading the package insert. Attending a product in service.
Discussing it w/ a PT. - CORRECT ANSWER - attending a product in service
Which of the following must a pt sign when receiving a new orthotic device?
Proof of delivery. Warranty documentation. Medicare standards. Device care plans. - CORRECT
ANSWER - proof of delivery
, Which of the following disorders is considered a degenerative joint disease?
RA. Osteoarthritis. Ankylosing spondylitis. Osteomyelitis. - CORRECT ANSWER -
osteoarthritis
A pt w/ Medicare presents w/ a Rx for an AFO for medial-lateral stabilization. Before fitting the
pt, the COF receives verbal confirmation from the physician to fit a hinged AFO. A week later,
the physician signs & dates a detailed Rx. The fitter should ensure the new Rx:
Is dated the day of delivery. Is dated the day of physician signature. Includes HCPC codes.
Includes the pt's DOB. - CORRECT ANSWER - is dated the day of delivery
A pt being fitted w/ a lumbosacral support w/ steel stays has a marked lordosis. A COF should
FIRST:
Contour the steel stays to fit the pt's back w/ the pt standing. Bridge the steel stays to the pt's
back w/ the pt standing. Contour the steel stays to fit the pt's back w/ the pt sitting. Bridge the
steel stays to the pt's back w/ the pt sitting. - CORRECT ANSWER - bridge the steel stays to the
pt's back w/ the pt standing
A pt presents to a COF w/ Rx for an orthosis for treatment of a ruptured disc. The MOST likely
diagnosis is:
A fracture of the odontoid. Herniated nucleus pulposus. A subluxation. Spondylolysis. -
CORRECT ANSWER - herniated nucleus pulposus
A pt presents w/ a Rx for a Philadelphia cervical orthosis. In addition to the neck circumference,
which of the following measurements should a COF take?
Mandible to xiphoid. Axilla to sternal notch. Mandible to sternal notch. Mid-gladiolus to
mandible. - CORRECT ANSWER - mandible to sternal notch
The attorney for a pt who was involved in a MVC calls the COF to request copies of the pt's
record. The fitter should:
Obtain the pt's authorization. Have the attorney sign an authorization form. Have the pt's
physician sign a release form. Refer the attorney to the patient's insurance company. -
CORRECT ANSWER - obtain the pt's authorization
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