Footwear & Orthotics Flashcards
7 cards from real FCC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Footwear & Orthotics flashcards as text
How often should a patient's orthotic insoles be assessed for replacement?
Answer: Every 1-2 years or sooner if signs of wear, compression, or deterioration are present
Orthotics should be inspected regularly and replaced every 1-2 years or sooner if they show significant wear, loss of support, or structural deterioration that compromises their function.
What is the primary purpose of a metatarsal pad placed in a shoe or orthotic?
Answer: To lift and splay the metatarsal heads, reducing plantar pressure in the forefoot
A metatarsal pad is positioned just proximal to the metatarsal heads to splay and lift them, redistributing pressure away from the ball of the foot.
Which shoe closure system is most recommended for patients with limited hand dexterity due to arthritis?
Answer: Velcro (hook-and-loop) straps
Velcro closures are easy to manipulate with limited hand dexterity, provide a secure and adjustable fit, and can be modified throughout the day as swelling changes.
What is the correct placement of a metatarsal pad relative to the metatarsal heads?
Answer: Just proximal (behind) to the metatarsal heads
The metatarsal pad must be placed just proximal to (behind) the metatarsal heads to effectively lift and splay them, reducing plantar forefoot pressure.
Which shoe material offers the best combination of breathability and protection for a patient with diabetes?
Answer: Genuine leather or high-quality breathable mesh with a seamless lining
Leather or breathable mesh allows moisture to escape, reducing the risk of maceration and fungal infection, while a seamless lining prevents friction-related skin breakdown.
A foot care nurse observes that a patient's prefabricated orthotic has developed visible compression and significant flattening. What is the most appropriate action?
Answer: Recommend replacement and document the assessment findings in the patient record
A compressed, flattened orthotic has lost its functional properties and should be replaced; the assessment and recommendation must be documented in the patient record per professional standards.
What is the recommended break-in approach when a patient receives new therapeutic footwear?
Answer: Gradually increase wearing time over several days to two weeks, monitoring for pressure areas
Gradual break-in allows the foot and shoe to adapt, revealing pressure points early before significant skin damage occurs — this is especially critical in patients with reduced sensation.