COF Patient Management & Education 2

Question 1

A patient with a new ankle-foot orthosis reports skin redness that persists more than 20 minutes after removal. What is the most appropriate initial action?

Accepted Answer

Discontinue use and schedule a fitting adjustment

Answer

Persistent redness lasting more than 20 minutes after orthosis removal indicates excessive pressure and requires fitting modification before continued use.

Question 2

When educating a patient with hemiplegia about donning an AFO, which step should be emphasized first?

Accepted Answer

Ensure a wrinkle-free, properly fitted sock is in place before donning

Answer

A smooth, wrinkle-free sock must be applied before donning an AFO to prevent skin breakdown from friction and pressure points.

Question 3

Which of the following best describes the purpose of a wearing schedule when introducing a new orthosis?

Accepted Answer

To allow gradual skin and tissue adaptation to the device

Answer

A graduated wearing schedule allows skin and underlying tissues to adapt progressively, reducing the risk of pressure injury.

Question 4

A diabetic patient with peripheral neuropathy is fitted with a custom insole. Which patient education point is most critical?

Accepted Answer

Inspect the foot daily for redness, blisters, or sores

Answer

Patients with neuropathy cannot reliably detect pressure injury, making daily visual and tactile foot inspection essential.

Question 5

During a follow-up appointment, a patient states they stopped wearing their TLSO because it is 'too hot.' What is the best response from the orthotist?

Accepted Answer

Explore breathable liner options and reinforce the medical necessity of consistent wear

Answer

Addressing comfort concerns with material solutions while reinforcing compliance importance is the most clinically sound approach.

(COF) Certified Orthotic Fitter Practice Test

(COF) Certified Orthotic Fitter Practice Test

COF Patient Management & Education 2