Orthotic Written Exam - O&P Board Prep Practice Exam
Review: Q&A
(1) A patient has sustained a stroke and you note that he has a flexion synergy
pattern in his upper extremity and lower extremity. Pick the best answer that
describes both synergy patterns: Correct Ans - UE: shoulder
abduction, external rotation, elbow flexion, forearm supination, wrist flexion
LE: hip flexion, abduction, external rotation, knee flexion, ankle dorsiflexion,
inversion
(6) A patient is seen in clinic and presents with L5,S1 spondylolisthesis. The
patient has handed you a script with RX: LSO aligned appropriately. How
would you align the patient in the sagittal plane: Correct Ans -
Decrease lumbar lordosis
(7) It is early in the recovery phase of a patient with a L3 compete spinal cord
injury. The expected outcome would MOST likely be: Correct Ans -
Some recovery of function since damage is to peripheral nerve roots
(8) With regards to spondylolisthesis, what are the radiographic signs that
contraindicate
orthotic intervention and indicate a surgical candidate: Correct Ans -
(C) Anterior translation of the superior vertebrae over the inferior vertebrae
greater
than 50%
(D) Superior vertebrae angulations of 50 deg relative to the inferior vertebrae
(9) A patient is seen in the hospital. The patient presents with a L1 burst
fracture from a
snowmobile accident. Which orthosis would be most appropriate: Correct
Ans - Polymer TLSO
(10) With a traction injury to the anterior division of the brachial plexus you
would expect, weakness of the elbow flexors, wrist flexors and forearm
pronators. What other muscle group would you expect to be weak:
Correct Ans - Thumb abductors
, (11) A patient is seen in the hospital. The patient presents with a T11 anterior
compression fracture from a bike accident. The patient is neurologically intact
and the fracture is stable.
Which orthosis(s) would be most appropriate: Correct Ans - (A) CASH
TLSO
(C) Jewett TLSO
(12) When taking an impression for a custom polymer LSO for a patient with
L5, S1
spondylolisthesis, how would you position the patient if they were allowed to
stand through
the procedure: Correct Ans - Patient should be asked to flex their hips
and knees slightly
(13) You have a patient that presents for evaluation for an AFO after a stroke.
You notice he has a forward flexed posture. What positive muscle length test
would you expect to see associated with this posture: Correct Ans -
Thomas test
(15) A patient is seen in clinic. The patient presents with a separated
connective tissue in her symphysis pubis. What orthosis is recommended and
what hormone can cause the elasticity of the symphysis pubis to increase
during pregnancy, choose two answers: Correct Ans - (B) Relaxin
hormone
(C) Elastin hormone
(16) You are working with a therapist on gait training for a patient that has a
L1 complete spinal cord injury along with another patient that has an L4
spinal cord injury. What bracing would you expect most appropriate for these
patients and ambulation tolerance respectively: Correct Ans - L1
spinal cord injury: Independent ambulation with knee ankle foot orthosis
(KAFO) household distance, L4 spinal cord injury: ankle foot orthosis,
community ambulator
independent
(22) A patient with an upper motor neuron disorder has a posterior loss of
balance with
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