Orthotic fitter Questions with Complete Solutions 100% Verified What is the best course of action when a long time patient asks to be referred to another practitioner? - Correct Answers B. Provide him with a list of certified practitioners A 75 year old, quadruple bypass, obese patient who is also a transfemoral amputee come to you with a prescription for a suction socket with hydraulic knee unit and a dynamic response vertical shock pylon type prosthetic foot. You should: - Correct Answers A. Call the physician and suggest an alternate prescription Records do not fulfill all of their purposes unless they: - Correct Answers D. Are maintained and up to date A transtibial amputee has an anatomical A-P measurement of 95mm (3 - 3/4). What is the correct A- P measurement of the positive model for a PTB hard socket? - Correct Answers C. 101mm (4) A Unilateral transradial prosthetic patient complains that the axilla loop of his harness is uncomfortable. The most common reason for this complaint is that the Cross point is: - Correct Answers B. Too close to the sound side Venous return of the blood to the heart is assisted by the: - Correct Answers A. Action of the skeletal muscles The anterior trim line of the Symes prosthesis usually extends to the level of the patellar tendon in
order to: - Correct Answers A. Provide a long lever arm to distribute force
A 23 year old, wrist disarticulation amputee intends to return to work as a carpenter. Which terminal device will offer the largest range of tool handling capabilities? - Correct Answers B. Dorrance 7 When the counter of the shoe fits too tightly on a SACH foot, which of the following problems can result? - Correct Answers B. Less compression of the heel Which of the following muscles would be MOST suitable for myoelectric control of the 1. Elbow joint by a shoulder disarticulation amputee? - Correct Answers C. Pectoralis major and trapezius 1 / 2
Custom fit versus custom fabricated - Correct Answers Custom fit orthopedic are off-the-shelf, custom fabricated pet hoses are created from a custom mold of the patient.Five things to know before walking into a patient room - Correct Answers Patient name, referring physician, prescription, diagnosis, insurance information Mallet finger deformity - Correct Answers Forced *hyperflexion* of DIP
MCC: volleyball or basketball
Complication: *Swan neck deformity*
Tx: Splint in *extension* 4-8 weeks
Boutonniere deformity - Correct Answers flexion of PIP joint and hyperextension of DIP joint Swan neck deformity - Correct Answers hyperextension of PIP joint and flexion of DIP joint Arches of the hand - Correct Answers Proximal transverse(heal of palm, CMC joint), distal transverse (MCP joint of palm, mobile), and longitudinal arches(dorsal arch of curved/cupped hand) Cock-Up Splint - Correct Answers dorsal or volar immobilzation, maintain hand arches, full thumb and MP flex; carpal tunnel, radial nerve palsy, wrist extensor tendonitis, colles' fracture, RA, RSD Resting hand splint - Correct Answers Static wrist-hand orthosis used to immobilize the wrist, fingers and thumb. Used b/c MCPs and IPs are kept stretched (minimizing future joint contractures) Static progressive splint - Correct Answers -provides a constant static force, adjusted serially as tissues lengthen -Often used with contractures in order to elongate affected tissues
-ex: pt with TBI causing severe flexor tone
-ex: pt recovering from burns
-reliable cts w/ normal muscle tone may make more rapid progress b/c they can tailor the adjustment to their own pace and tolerance.-canNOT be used for ct with abnormal tone or ct who is unreliable.
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