CTO Study Guide 2026

Everything you need to pass the CTO exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.

📋 CTO Exam Format at a Glance

150
Questions
180 min
Time Limit
70%
Passing Score

📚 CTO Topics to Study (37)

✍️ Sample CTO Questions & Answers

1. Which measurement is most important when sizing a prefabricated wrist orthosis?
Wrist circumference

Wrist circumference is the primary sizing parameter used by most prefabricated orthosis manufacturers to ensure proper fit and support.

2. Which of the following best describes the purpose of a corrective action plan (CAP) following a documentation audit finding?
To identify root causes and implement changes to prevent recurrence

A CAP addresses the root cause of a deficiency and documents steps taken to prevent the issue from recurring, supporting continuous quality improvement.

3. Which thermoplastic material is most appropriate for fabricating a rigid ankle-foot orthosis (AFO) requiring high durability and resistance to deformation under load?
Polypropylene

Polypropylene is the standard rigid thermoplastic for AFOs due to its high durability, stiffness, and resistance to deformation under body weight.

4. Which scenario represents a violation of the Certified Orthotic Technician code of professional conduct?
Misrepresenting qualifications or certification status

Misrepresenting qualifications is a serious violation that undermines public trust.

5. A practitioner writes a prescription for a 'custom-fabricated AFO.' The work order arrives without a diagnosis code. What should the technician do?
Hold fabrication and request the diagnosis code from the practitioner's office

Complete documentation including diagnosis codes is required before fabrication to ensure medical necessity compliance and proper billing.

6. A patient scheduled for wrist-hand orthosis (WHO) fitting is assessed for intrinsic muscle tightness. Which test distinguishes intrinsic from extrinsic finger flexor tightness?
Bunnel-Littler test

The Bunnel-Littler test differentiates intrinsic tightness from joint contracture by comparing passive PIP flexion with the MCP in extension versus slight flexion.

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Your CTO Study Path
1. Learn with Flashcards → 2. Drill Practice Tests → 3. Take the Full Exam Simulation
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