P&O Final
P&O Final Quiz: Test Your Knowledge
Welcome to the P&O Final Quiz, designed for those seeking to deepen their understanding of orthopedic and prosthetic orthotics. This comprehensive quiz covers a variety of topics related to orthosis types, their fun
Prepare to challenge yourself with questions that will test your knowledge and enhance your learning. Key features of the quiz include:
- 50 thought-provoking questions
- Multiple-choice format
- Instant feedback on your answers
This type of orthosis does not limit any cervical motion
Semirigid Collar
Soft Collar
CTO
CTHO
This type of CTO prevents flexion, extension, lateral bending, and rotation
Four-Point CTO
Three-Point CTO
Semirigid CTO
Skeletal halo-vest CTO
These orthotics are designed to compress the abdomen and increase lumbar stiffness and passive stability
Rigid TLSO
Semirigid LSO
Soft Thoracolumbar corset
Rigid CTO
You might give this orthosis to a patient post partum, if they have a SCI, or if a patient with OP is complaining of pain
Soft Lumbosacral corset
RGO
Rigid TLSO
LSO with flexion control
Which of the following is true in regards to lengthening an orthotic?
It will provide more support as we are increasing the lever arm
It will provide less support as we are increasing the moment arm
It will resist more flexion than extension
It will always provide control in all planes
This orthotic ...
Resists extension
Resists flexion
Resists rotation
Resists lateral flexion
This type of force is typically applied perpendicular to a surface with forces that act toward one another
Tension
Compression
Shear
Torsion
Stage II of Charcot's Foot is called...
Desolution
Resolution
Coalescence
Acute
Step 4 of the Orthotic Checkout is...
Reexamination of the client's physical status
Static Assessment
Dynamic Assessment
Integument assessment after sustained orthotic wear
You are completing a foot check on a patient who has a history of CHF, DM II, and PAD. The patient tells you that they have pain throughout their LEs while walking. Upon observation, you notice wound on the top of the foot that is necrotic and surrounded by shiny and tight tissue. Pedal pulses were a 1+ at the dorsalis pedis and a 0 at the tib posterior. Based on this information, your patient most likely has...
Pressure Injury Stage 4
Pressure Injury stage 2
Venous Ulcer
Arterial Ulcer
Based on the answer above, what is your best course of treatment?
Compression Stockings to increase blood flow back to the heart
Elevating the LEs to relieve pooling of blood in the bottom of the foot
Debride the wound because it is ischemic
Keep the wound dry and protected
Loss of Protective Sensation testing includes all of the following except...
Use of 10g monofilaments
Use of tuning forks
Pinprick sensation
Testing the patella reflex
Hardening of the skin directly surrounding the wound that is also a red flag for undermining and tunneling is known as...
Induration
Xerosis
Hyperkeratosis
Maceration
Which documentation of wound bed color best describes the above diabetic foot ulcer?
50% yellow, 20% red, 30% black
33% red, 33% yellow, 33% black
40% black, 10% yellow, 50% red
60% yellow, 30% red, 10% black
A high shoe heel, insufficient PF, a stiff heel cushion, and the socket being too far anterior are all...
Prosthetic Causes of Excessive Knee Flexion
Prosthetic Causes of Insufficient Knee Flexion
Prosthetic Causes of Lateral Thrust
Prosthetic Causes of Lateral Trunk bending
Abduction contracture, weak abductors, lateral/distal pain, and adductor redundancy are all anatomical causes to which gait deviation?
Lateral trunk bending
Abducted Gait
Circumduction
Vaulting
This gait deviation is called...
Vaulting
Lateral Thrust
Medial Whip
Lateral Whip
An orthotic with the trimline posterior to the malleoli would be best for...
Stability
Inhibition of Tone
Stance phase control
Mobility
An anterior ground (floor) reaction AFO would be contraindicated for an individual with
Troubles with knee buckling
A knee flexion contracture over 20 degrees
Crouched gait
Excessive forward motion of the tibial and rollover
An individual in the burn unit comes in with a burn that is pink with significant swelling that blanches to the touch. The patient's sensation is intact. They most likely have...
A superficial burn
A 3rd degree full thickness burn
A superficial partial-thickness burn
A deep partial-thickness burn
In the zone of stasis, a partial thickness burn can convert to a full thickness burn in the presence in all of the following except...
Infection
Inflammation
Poor Resuscitation of fluids
Hypertension
Positioning guidelines for a patient who has experienced a 3rd degree burn on the palm of their hand and forearm include...
Placing the pt in slight wrist extension and elbow extension
Placing the pt in wrist flexion and elbow flexion
Place the pt in wrist flexion and elbow extension
Placing the pt in wrist extension and elbow flexion
An hour glass-like leg appearance, hemosiderin staining, and pain relieved with elevation are all characteristics of
An arterial wound
A venous ulcer
A pressure injury
A neuropathic ulcer
You are asked to evaluate a pressure injury located on the R greater trochanter of a 67 y/0 with a history of HTN, COPD, and CHF in the ICU. Upon examination, you can see skin loss with adipose and epibole present. You are most likely encountering which type of pressure injury?
Stage 1
Stage 2
Stage 3
Stage 4
Based on the question before, what is the best positioning for this patient?
Prone with sitting for meals
Turned 30-40 degrees towards the left with positioning changes every 2 hours
Turning 30-40 degrees towards the right with positioning changes every 2 hours
R sidelying with a switch to supine every 2 hours
An AFO may be indicated for all of the following except...
Weak plantarflexors contributing to excessive DF in single limb support
PF spasticity leading to excessive PF in WA
A knee flexion contracture causing excessive DF in single limb support
A patient with decreased proprioception who exhibits an ankle wobble during ambulation
Which of the following statements is true?
Reducing a lever arm will lessen the tibial restraint and this lead to an increase in control using an AFO
As the foot/ankle area of an orthotic becomes more flexible, it provides a stabilizing effect
When stiffer material is used in the AFO design, more stability is present
None of the above
Increased heel height with a fixed ankle joint...
Results in a flexor moment at the knee
Results in an extensor moment of the knee
Results in a valgus deformity at the knee
Results in a varus deformity at the knee
This type of AFO is primarily metal and padded with leather, fabric, or plastic material. It can be adjusted to accommodate sagittal and frontal plane abnormalities.
Posterior Calf Shell AFO
Conventional AFO
Anterior Floor Reaction AFO
Anterior Shell Toe Off AFO
Which is true in regards to all 4 main types of AFOs?
They all provide DF resist and PF assist
They are all total contact designs
They are all indicated for individuals diagnosed with MS
They all provide able stability in stance
This layer of the dermis is the fourth layer
Stratum corneum
Stratum granulosum
Stratum Spinosum
Stratum Basale
This would dressing is most beneficial for low to moderate weeping wounds and helps promote autolytic debridement
Hydrocolloids
Hydrogels
Foam
Transparent Films
Which of the following is the gold standard for removal of necrotic tissue?
Autolytic Debridement
Saline Solution
Sharp Debridement
Enzymatic Debridement
This type of intention is closed by surgical approximation resulting in immediate closure
Primary Intention
Secondary Intention
Tertiary Intention
Delayed Primary Intention
This type of neuropathy results in decreased perspiration and sebaceous secretions that lead to dryness, crack, and calluses
Sensory
Autonomic
Motor
Sympathetic
The use of a CROW (Charcot Restraint Orthotic Walker) would be indicated for which phase of Charcot Arthropathy?
The Dissolution Stage
The Coalmining Stage
The Coalescence Stage
The 3rd Stage
True or False: Foot structure implicates dysfunction and/or pain around 80% of the time
True
False
The footwear industry will typically recommend more cushion and shock absorption for this type of foot
Hypomobile Foot
Neutral Foot
Hypermobile Foot
It depends on the colors of the shoe
This type of orthotic offers both some control and some shock absorption to a misaligned foot
Flexible
Semi-Rigid
Semi-Flexible
Rigid
A CTLSO or TLSO applies all of the following forces except _________ when used for scoliosis bracing in adolescents with idiopathic scoliosis
Distraction
Bending
Derotation
Compression
If we wanted to restrict rotation that occurs in the spine, which of the following orthoses would be most beneficial?
SO
TLSO
LSO
HO
This type of AFO provides DF assist during swing but has little effect on stance or in the frontal plane
Articulated AFO with DF stop and free PF
Posterior Calf Spring AFO
Anterior Ground Reaction AFO
Anterior Spring Toe-Off AFO
A GRFV anterior to the knee joint axis will result with which type of moment at the knee?
Flexion
Extension
Varus
Valgus
You have a patient who comes into the clinic with a dx of medial knee OA. You notice that they also have a slight varus deformity. The patient reports their pain levels as being 8/10 and tells you that their orthopedic doctor has recommended a TKA, except her insurance deductible had just restarted and she would rather wait for at least 7 months. Which of the following might you recommend she try or consult her orthopedic doctor about?
Patellofemoral KO
Functional KO
Rehabilitative KO
Off-Loading KO
Which option to control knee movement requires good control at the hip and trunk and allows for swing phase knee flexion?
Posterior Offset Knee Joint
Bail Lock
Fan Lock
Dial Lock
Which of the following is true in regards to a RGO?
It does not allow for a reciprocal gait pattern
It advances the leg by limiting rotation at the trunk
Rotation of the trunk couple with a hip mechanism results of extension of the other hip in stance
Rotation of the trunk couple with a hip mechanism results of flexion of the other hip in stance
You are seeing a patient s/p CVA who is trying to increase and maintain wrist ROM. Which is an appropriate recommendation for their orthotic wearing schedule?
Wear your orthotic during functional activities and doff when resting
Wear the orthotic for 5-6 hours a day up to 12 hours a day
Wear the orthotic for 10-12 hours a day up to 24 hours a day
Wear the orthotic for 1 hour every 4 hours
This type of UE orthotic is known as...
Carpal Tunnel Wrist Splint
Standard Wrist Support Splint
Short Opponens Splint
Long Opponens Splint
The BIOMECHANICAL description of this AFO would be best described as...
A Posterior Leaf Spring AFO
A prefabricated AFO with PF resist and DF assist
A prefabricated AFO with DF resist and PF assist
An Anterior Shell Toe-Off AFO
A KAFO would be MOST indicated for which of the following patient presentations?
A patient with excessive knee flexion during weight acceptance with a 4-/5 quadriceps strength
A patient who has utilizes an extension thrust for more stability
A patient with slight genu varum during ambulation
A patient with hyperextension at the knee of 12 degrees
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