FCC Footwear & Orthotics 3

Question 1

How often should a patient's orthotic insoles be assessed for replacement?

Accepted Answer

Every 1-2 years or sooner if signs of wear, compression, or deterioration are present

Answer

Every 10 years regardless of visible condition

Answer

Only when the patient reports onset of new pain

Answer

Orthotics are permanent devices and never require replacement

Question 2

What is the primary purpose of a metatarsal pad placed in a shoe or orthotic?

Accepted Answer

To lift and splay the metatarsal heads, reducing plantar pressure in the forefoot

Answer

To increase the overall heel height of the device

Answer

To provide primary arch support for the longitudinal arch

Answer

To prevent the foot from sliding forward in the shoe

Question 3

Which shoe closure system is most recommended for patients with limited hand dexterity due to arthritis?

Accepted Answer

Velcro (hook-and-loop) straps

Answer

Traditional lace-up system requiring precise knotting

Answer

No closure at all (slip-on style)

Answer

Small decorative buttons along the vamp

Question 4

What is the correct placement of a metatarsal pad relative to the metatarsal heads?

Accepted Answer

Just proximal (behind) to the metatarsal heads

Answer

Directly under the metatarsal heads at the point of maximum tenderness

Answer

Positioned over the toes at the distal aspect

Answer

Placed at the heel to transfer weight posteriorly

Question 5

Which shoe material offers the best combination of breathability and protection for a patient with diabetes?

Accepted Answer

Genuine leather or high-quality breathable mesh with a seamless lining

Answer

Synthetic rubber with no ventilation perforations

Answer

Vinyl with decorative perforations only for aesthetics

Answer

Steel-reinforced rigid material for maximum structural protection

Question 6

A foot care nurse observes that a patient's prefabricated orthotic has developed visible compression and significant flattening. What is the most appropriate action?

Accepted Answer

Recommend replacement and document the assessment findings in the patient record

Answer

Continue use until the patient spontaneously reports new pain

Answer

Advise the patient to flip the orthotic upside down to extend its useful life

Answer

Add extra padding on top of the compressed orthotic to restore height

Question 7

What is the recommended break-in approach when a patient receives new therapeutic footwear?

Accepted Answer

Gradually increase wearing time over several days to two weeks, monitoring for pressure areas

Answer

No break-in period is needed; wear the shoes for a full day immediately

Answer

Wear the new shoes for 10 or more hours on the very first day to accelerate break-in

Answer

Soak the shoes in water before the first wear to soften the materials quickly