COF COF Diabetic & Therapeutic Footwear

Question 1

What is the primary goal of therapeutic footwear for diabetic patients?

Accepted Answer

Reduce pressure points and prevent ulceration

Answer

Therapeutic footwear for diabetic patients is primarily designed to redistribute plantar pressure and prevent skin breakdown and ulceration.

Question 2

Which shoe depth is most commonly recommended for diabetic patients with foot deformities?

Accepted Answer

Extra depth

Answer

Extra-depth shoes provide additional room to accommodate custom insoles and foot deformities without creating pressure points.

Question 3

Which Medicare program covers therapeutic footwear for qualifying diabetic patients?

Accepted Answer

Medicare Part B — Therapeutic Shoe Bill (Section 4149)

Answer

The Therapeutic Shoe Bill under Medicare Part B allows qualifying diabetic patients to receive one pair of extra-depth shoes and three pairs of custom inserts per year.

Question 4

A diabetic patient presents with a Grade 2 Wagner ulcer. What orthotic intervention is most appropriate?

Accepted Answer

Total contact insert

Answer

A total contact insert distributes pressure evenly across the entire plantar surface to offload the ulcerated area and promote healing.

Question 5

Which shoe feature is MOST important for a patient with diabetic peripheral neuropathy?

Accepted Answer

Seamless interior lining

Answer

Seamless interior linings prevent friction and pressure points that a neuropathic patient cannot feel, reducing the risk of skin breakdown.

(COF) Certified Orthotic Fitter Practice Test

(COF) Certified Orthotic Fitter Practice Test

COF COF Diabetic & Therapeutic Footwear