Ultimate Comprehensive ABC Combined
Written Prep (borrowed, check)
1. The muscle that has the PRIMARY responsibility of rotating the thumb to touch the
tips of the index and middle fingers is the:
A. Opponents pollicis
B. Flexor pollicis longus
C. Abductor pollicis brevis
D. Extensor pollicis longus - answer A. Opponents pollicis
2. What is the MOST important factor in decreasing the vertical loading of the lumbar
spine?
A. Application of a three-point pressure system for vertical stabilization
B. Enhancement of the abdominal hydropneumatic mechanism
C. Strengthening of the gluteal and abdominal musculature
D. Immobilization of the thoracolumbar spine - answerB. Enhancement of the abdominal
hydropneumatic mechanism
3. In which of the following conditions is a Milwaukee CTLSO contraindicated?
A. Skeletal immaturity
B. Idiopathic scoliosis
C. Thoracolumbar curves
D. Curves greater than 60 degrees - answerD. Curves greater than 60 degrees
4. The measurement for a TLSO (anterior hypertension orthosis) should be taken with
the patient in what position?
A. Standing erect
B. Sitting erect
C. Lying prone
D. Lying supine - answerD. Lying supine
5. Which of the following orthoses is designed to manage spondylolisthesis in an active
teenager?
A. LSO (Corset)
B. LSO (Knight)
C. Jewitt
D. LSO (Anterior Overlap) - answerD. LSO (Anterior Overlap)
6. The trim lines of a ground reaction ankle foot orthosis should be anterior to the
malleoli to serve as a:
A. Dorsiflexion assist
,B. Plantarflexion assist
C. Dorsiflexion stop
D. Plantarflexion stop - answerC. Dorsiflexion stop
7. The orthotic recommendation for treating a patient with an ulnar nerve lesion at the
wrist is an opponens orthosis plus what component?
A. IP extension assist
B. Thumb post
C. MP stop
D. Opponens bar - answerC. MP stop
8. When treating a patient with a knee flexion contracture, what is the MOST
appropriate knee joint to use when designing a KAFO?
A. Dial lock joint
B. Polycentric joint
C. Extension stop knee joint
D. Bail lock joint - answerA. Dial lock joint
9. Facilities material safety data sheets should be:
A. Read by all staff that uses the materials.
B. Stored safely in the manufacturing business office.
C. Filed with the Food and Drug Administration.
D. Sent to the HCFA office in your region. - answerA. Read by all staff that uses the
materials.
10. A patient who has relocated to your area comes in with a device fabricated at
another orthotics and prosthetics facility. The patient is in your office because of
discomfort and dissatisfaction with the overall fit. Upon evaluation you notice some
minor fitting problems, but the main problem is that the assembly of the device is
structurally unsound.
What should you do?
A. Tell the patient that his device is no good, nor is his practitioner.
B. Tell the patient to go back to where the device was fabricated.
C. Provide immediate structural repair, then consult with the patient's physician to
schedule for a replacement.
D. Discuss the fitting problems, but do nothing until the patient can pay for a new
device. - answerC. Provide immediate structural repair, then consult with the patient's
physician to schedule for a replacement.
1. Which of the following muscles would be MOST suitable for myoelectric control of the
elbow joint by a shoulder disarticulation amputee?
A. Rhomboid major and sternocliedomastoid
B. Rhomboid major and subscapularis
C. Pectoralis major and trapezius
D. Pectoralis major and corachobrachialis - answerC. Pectoralis major and trapezius
,2. When the counter of the shoe fits too tightly on a SACH foot, which of the following
problems can result?
a. Posterior lean of pylon
b. Less compression of the heel
c. Decrease in push-off resistance
d. Decrease in external rotation of the foot - answerB. Less compression of the heel
3. A 23-year-old, wrist disarticulation amputee intends to return to work as a carpenter.
Which terminal device will offer the largest range of tool handling capabilities?
a. Dorrance 555
b. Dorrance 7
c. Dorrance 88X
d. Dorrance 12P - answerB. Dorrance 7
4. The anterior trim line of the Symes prosthesis usually extends to the level of the
patellar tendon in order to:
A. Provide a long lever arm to distribute force.
B. Achieve better suspension.
C. Decrease compression loads on the prosthesis.
D. Improve cosmetic appearance. - answerA. Provide a long lever arm to distribute
force.
5. Venous return of the blood to the heart is assisted by the: - answerA. Action of the
skeletal muscles.
6. A unilateral transradial prosthetic patient complains that the axilla loop of his harness
is uncomfortable. The most common reason for this complaint is that the cross point is:
A. Too close to the amputated side.
B. Too close to the sound side.
C. Superior to C7.
D. Inferior to C7. - answerB. Too close to the sound side.
7. A transtibial amputee has an anatomical A-P measurement of 95 mm (3-3/4). What is
the correct A-P measurement of the positive model for a PTB hard socket?
A. 95 mm (3-3/4)
B. 97 mm (3-7/8)
C. 101 mm (4)
D. 103 mm (4-1/8) - answerC. 101 mm (4)
8. Records do not fulfill all of their purposes unless they:
A. Include a comprehensive medical history.
B. Are detailed and include a description of all symptoms and treatment.
C. Can be used for legal purposes.
D. Are maintained and up-to-date - answerD. Are maintained and up-to-date
, 9. A 75-year-old, quadruple-bypass, obese patient who is also a transfemoral amputee
comes to you with a prescription for a suction socket with hydraulic knee unit and a
dynamic response vertical shock pylon type prosthetic foot. You should:
A. Call the physician and suggest an alternate prescription.
B. Provide the prosthesis as ordered by the referring physician.
C. Tell the patient to schedule an appointment at an amputee clinic.
D. Refer patient to another practitioner for a second opinion. - answerA. Call the
physician and suggest an alternate prescription.
10. What is the best course of action when a long- time patient asks to be referred to
another practitioner?
A. Offer your services for free.
B. Provide him with a list of certified practitioners.
C. Telephone his doctor and complain.
D. Refer to a psychiatric practitioner. - answerB. Provide him with a list of certified
practitioners.
The paraspinal bars of a TLSO: sagittal control should extend superiorly to the
a. inf angle of the scapula
b. superior angle of the scapula
c. 25 mm inf to the inferior angle
d. spine of the scapula - answerSpine of the scapula
The TLSO: Anterior Control should be fitted with the patient in a ___________ position
a. standing
b. prone
c. supine
d. seated - answerc. supine
What orthosis would be used to manage a patient with a T3 compression fracture
a. LSO: Corset
b. TLSO: Sagittal control
c. TLSO: Anterior control
d. TLSO Anterior control with cervical extension - answerd. TLSO Anterior control with
cervical extension
In scoliosis management, lateral flexion radiographs are used to:
a. determine if the curve is structural
b. determine vertebral rotation
c. promote bend and stretch exercises
d. determine the amount of wedging of intervertebral discs - answera. determine if the
curve is structural
The axial skeleton is attached to the appendicular skeleton at the:
a. sternothoracic and sacroiliac joints
b. acromioclavicular and lumbosacral joints
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