COF Pediatric Orthotics 2

Question 1

What hip flexion angle is typically maintained by a Pavlik harness during DDH treatment?

Accepted Answer

90 to 100 degrees

Answer

30 to 45 degrees

Answer

50 to 70 degrees

Answer

110 to 130 degrees

Question 2

Genu varum (bowlegs) observed in an otherwise healthy 18-month-old child is BEST characterized as:

Accepted Answer

A normal developmental variant that typically self-corrects by age 2 to 3

Answer

A pathological deformity requiring immediate orthotic correction

Answer

An indication for urgent surgical referral

Answer

A sign of severe nutritional deficiency requiring laboratory workup before any observation period

Question 3

Which spinal orthosis is MOST commonly prescribed for adolescent idiopathic scoliosis with a Cobb angle between 25 and 40 degrees in a skeletally immature patient?

Accepted Answer

Thoracolumbosacral orthosis (TLSO) such as the Boston or Rigo Chêneau brace

Answer

Milwaukee brace (CTLSO)

Answer

Rigid lumbosacral orthosis (LSO)

Answer

Soft spinal corset

Question 4

The Milwaukee brace (CTLSO) is specifically indicated over a standard TLSO in pediatric scoliosis when:

Accepted Answer

The curve apex is at or above T6 (high thoracic or cervicothoracic region)

Answer

The curve is located in the thoracolumbar or lumbar region

Answer

The Cobb angle exceeds 45 degrees

Answer

The patient is post-operative

Question 5

In a child with spastic diplegic cerebral palsy, the PRIMARY goal of AFO prescription is to:

Accepted Answer

Improve functional mobility, gait efficiency, and energy expenditure

Answer

Completely eliminate all ankle and foot motion

Answer

Eliminate the need for physical therapy

Answer

Prevent skin breakdown as the only outcome

Question 6

Which consideration is UNIQUE to pediatric orthotic fitting and does NOT apply in adult orthotic care?

Accepted Answer

Frequent size adjustments and device replacement due to ongoing skeletal growth

Answer

Documentation for third-party payer reimbursement

Answer

Patient compliance counseling

Answer

Preference for lightweight materials

Question 7

According to the Ponseti protocol, what is the recommended brace wear schedule immediately after completing serial casting for clubfoot?

Accepted Answer

23 hours per day for approximately 3 months, then nighttime and nap-time wear until age 4 to 5

Answer

Nighttime wear only from the start

Answer

Continuous wear for 5 years

Answer

Wear only during physical activity for 1 year