CO Patient Care, Fitting & Follow-Up Procedures 2

Question 1

When fitting a diabetic patient with a custom foot orthosis, the orthotist's PRIMARY concern during the fitting appointment is:

Accepted Answer

Skin integrity and pressure distribution

Answer

Diabetic patients are at high risk for pressure ulcers and neuropathic wounds, so skin integrity and even pressure distribution are the primary concerns during fitting.

Question 2

A patient returns for a follow-up visit and reports that their AFO causes a red mark that persists for more than 20 minutes after removal. The orthotist should:

Accepted Answer

Modify or adjust the AFO to relieve the pressure point

Answer

Redness persisting more than 20 minutes indicates excessive pressure that requires orthotic modification, not just padding or reassurance.

Question 3

During an initial patient evaluation for a knee orthosis, range of motion measurements should be documented:

Accepted Answer

Bilaterally for comparison to the uninvolved extremity

Answer

Bilateral ROM measurements provide a baseline comparison to the uninvolved extremity and help set functional goals for the orthosis.

Question 4

Which of the following patient instructions is MOST important after dispensing a new thoracolumbosacral orthosis (TLSO)?

Accepted Answer

Inspect the skin daily for signs of irritation or breakdown

Answer

Daily skin inspection is critical with a rigid TLSO because restricted movement and prolonged contact can cause pressure injuries that the patient may not feel.

Question 5

A patient fitted with a wrist-hand orthosis (WHO) reports difficulty performing fine motor tasks at work. The BEST initial intervention is to:

Accepted Answer

Re-evaluate functional needs and modify the orthosis design accordingly

Answer

Re-evaluating the patient's functional demands and modifying the orthosis allows the orthotist to balance support with the dexterity required for daily activities.

(CO) Certified Orthotics Specialist Practice Test

(CO) Certified Orthotics Specialist Practice Test

CO Patient Care, Fitting & Follow-Up Procedures 2