CO Pharmacology & Medication Management 5

Question 1

A patient taking amiodarone for cardiac arrhythmias develops peripheral neuropathy. What orthotic modification addresses this complication BEST?

Accepted Answer

Incorporate total-contact molding with extra cushioning for insensate areas

Answer

Amiodarone-induced peripheral neuropathy reduces protective sensation, requiring total-contact design and cushioning to prevent pressure injuries in insensate areas.

Question 2

Which medication used to treat gout can cause tendinopathy, affecting orthotic management decisions?

Accepted Answer

Fluoroquinolone antibiotics prescribed for gout-related infections

Answer

Fluoroquinolone antibiotics sometimes prescribed for gout-related infections carry a black-box warning for tendinopathy, which must be considered when planning orthotic interventions.

Question 3

A patient with multiple sclerosis is taking baclofen for spasticity. How does this affect lower extremity orthotic fitting?

Accepted Answer

Reduced spasticity from baclofen may change muscle tone baseline, affecting orthotic fit

Answer

Baclofen reduces spasticity, which may alter the muscle tone the orthosis was fitted against, requiring reassessment as medication dosage changes.

Question 4

A patient prescribed statins for hypercholesterolemia reports myalgia and muscle weakness. What is the MOST important implication for orthotic care?

Accepted Answer

Muscle weakness may reduce ambulatory capacity and change orthotic function goals

Answer

Statin-induced myopathy causes proximal muscle weakness that can reduce ambulatory endurance and capacity, altering the functional goals and design of prescribed orthotics.

Question 5

An orthotist notices that a patient's edematous limb fluctuates significantly throughout the day. After reviewing the medication list, which drug is MOST likely contributing?

Accepted Answer

Amlodipine (calcium channel blocker)

Answer

Calcium channel blockers like amlodipine cause peripheral vasodilation and dependent edema that commonly fluctuates with posture and time of day, directly complicating orthotic fit.

(CO) Certified Orthoptist Practice Test

(CO) Certified Orthoptist Practice Test

CO Pharmacology & Medication Management 5