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

Metformin is used for type 2 diabetes, which commonly causes peripheral neuropathy, reducing sensation and increasing ulceration risk in orthotic fitting.

Question 2

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

Accepted Answer

Corticosteroids

Answer

Long-term corticosteroid use reduces bone mineral density, increasing fracture risk and making orthotic offloading and protection critical.

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

Warfarin is an anticoagulant that increases bleeding risk, so extra padding reduces the likelihood of skin breakdown that could lead to significant bleeding.

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

NSAIDs can cause renal impairment and fluid retention, leading to lower extremity edema that affects orthotic fit and requires frequent reassessment.

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

Gabapentin commonly causes dizziness and ataxia; orthotic planning should incorporate fall-prevention strategies such as gait aids and appropriate stability devices.

(CO) Certified Orthoptist Practice Test

(CO) Certified Orthoptist Practice Test

CO Pharmacology & Medication Management 2