CO Patient Assessment & Evaluation 3

Question 1

When using a pressure mapping system to evaluate a patient's plantar pressure distribution, elevated peak pressure under the first metatarsal head most commonly indicates:

Accepted Answer

Pes cavus with clawed toes

Answer

Pes cavus typically results in elevated peak pressures under the metatarsal heads and heel due to the rigid high-arched foot structure.

Question 2

A patient presents with a positive Thomas test. This finding primarily indicates:

Accepted Answer

Hip flexor contracture or tightness

Answer

A positive Thomas test, where the opposite leg rises from the table when the tested hip is fully flexed, indicates hip flexor tightness or contracture.

Question 3

In spinal orthotic assessment, the term 'three-point pressure system' refers to:

Accepted Answer

The biomechanical principle of applying corrective forces at three locations to control spinal motion

Answer

The three-point pressure system applies opposing forces at three strategic points to control or correct spinal alignment in orthotic design.

Question 4

When assessing skin integrity prior to fitting a patient with a total contact cast (TCC), which skin condition is a relative contraindication?

Accepted Answer

Active cellulitis with induration and warmth

Answer

Active cellulitis with induration requires antibiotic treatment before total contact casting to avoid sealing in an active infection.

Question 5

A newly referred patient's medical record lists 'equinovarus' foot deformity. During assessment, the orthotist should expect to find:

Accepted Answer

Plantarflexion and inversion with forefoot adduction

Answer

Equinovarus combines equinus (plantarflexion) and varus (inversion/supination), commonly seen in clubfoot or post-stroke presentations.

(CO) Certified Orthoptist Practice Test

(CO) Certified Orthoptist Practice Test

CO Patient Assessment & Evaluation 3