CO Pharmacology & Medication Management 2

Question 1

A patient with diabetes mellitus is prescribed metformin. Which orthotic consideration is MOST important when fitting this patient?

Accepted Answer

Monitor for signs of peripheral neuropathy affecting sensation

Answer

Avoid all thermoplastic materials due to drug interactions

Answer

Prescribe high-top shoes to reduce glucose absorption

Answer

Delay orthotic fitting until metformin is discontinued

Question 2

Which class of medications can cause osteoporosis as a long-term side effect, directly impacting orthotic prescription goals?

Accepted Answer

Corticosteroids

Answer

ACE inhibitors

Answer

Beta-blockers

Answer

Antihistamines

Question 3

A patient taking warfarin presents for a lower extremity orthosis fitting. What special precaution should the orthotist take?

Accepted Answer

Use extra padding to minimize skin breakdown and bleeding risk

Answer

Avoid all metal components to prevent electromagnetic interference

Answer

Prescribe a KAFO instead of an AFO to reduce vascular compression

Answer

Discontinue the orthosis if INR is above 1.0

Question 4

NSAIDs like ibuprofen are commonly taken by orthotic patients. Which systemic side effect is MOST relevant to long-term orthotic use?

Accepted Answer

Renal impairment and fluid retention causing edema

Answer

Hyperglycemia leading to neuropathy

Answer

Osteoporosis leading to pathological fractures

Answer

Peripheral vasoconstriction reducing limb perfusion

Question 5

A patient on gabapentin for neuropathic pain reports dizziness and impaired balance. What is the MOST appropriate orthotic response?

Accepted Answer

Consider gait aids and fall-prevention orthotic strategies

Answer

Fit a rigid AFO to fully restrict ankle motion

Answer

Recommend discontinuing gabapentin before orthotic fitting

Answer

Switch to a more flexible orthotic material

Question 6

Which medication class used for rheumatoid arthritis can cause joint laxity and soft tissue fragility that directly impacts orthotic design?

Accepted Answer

Corticosteroids

Answer

Proton pump inhibitors

Answer

Disease-modifying antirheumatic drugs (DMARDs)

Answer

Calcium channel blockers

Question 7

A patient treated with bisphosphonates for osteoporosis presents with an atypical femoral fracture. How should this influence the orthotic management?

Accepted Answer

Provide a protective KAFO to offload the femoral shaft during ambulation

Answer

Avoid all weight-bearing orthotics permanently

Answer

Use only soft-goods orthoses to prevent further bone stress

Answer

Refer immediately for orthotic shoe inserts only