Pedorthic Certificate program final exam QUESTIONS WITH COMPLETE 100% VERIFIED SOLUTIONS 2, Exams of Health sciences

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Pedorthic Certificate program final

exam QUESTIONS WITH COMPLETE

100% VERIFIED SOLUTIONS

2024/

Which wedge is indicated for cases of extreme pronation? A. Lateral B. Rigid C. SACH D. Medial D. Medial The preferred shoe type opening for a patient with severe edema is: A. Lace to toe B. Velcro C. Balmoral D. Blucher A. Lace to toe What are the effects of hallux rigidus? A. Abnormal gait patterns B. Heel counter break down C. Abnormal wear patterns of shoes D. Development of medial heel bursitis E. A & C E. A & C Abnormal gait patterns and abnormal wear patterns of shoes You receive a RX that says 1/2 inch heel elevation right foot. In doing your assessment you observe that the left leg is shorter than the right. What do you do? A. Fill the Rx as written B. Elevate the left shoe

C. Send the patient to an orthopedic surgeon for further evaluation D. Call the prescriber to discuss your findings D. Call the prescriber to discuss your findings Patient presents with plantar fasciitis. Evaluating their history, you are likely to see the condition in an individual with: A. Increased dorsiflexion of the foot B. Increased flatfoot C. Increased tibia varus D. Increased hammer toe deformity B. Increased Flatfoot A patient presents with a diagnosis of charcot arthropathy which is: A. Neuropathy B. Arthritis C. Sciatica D. Hemiplegia A. Neuropathy Insertional Achilles tendonitis is located: A. Inferior to the calcaneus B. Superior to the calcaneus C. Distal to the calcaneus D. Anterior to the calcaneus B. Superior to the calcaneus Supination is: A. Adduction/plantar flexion/inversion B. Adduction/plantar flexion/eversion C. Adduction/dorsiflexion/inversion D.Abduction/dorsiflexion/inversion A. Adduction/plantar flexion/inversion During a patient's assessment, observing feet while standing (weight bearing) they persent with too many toes sign; what condition of the foot do they have? A. Collapsed midfoot B. Hammer Toes

C. Supinated foot D. Charcot Marie Tooth A. Collapsed midfoot After wearing foot orthotics (3/4 length design) for 2 weeks, patient complains that the foot orthotic is digging into the metatarsal heads; the orthotic is probably: A. Too long B. Too short C. Too narrow D. Too wide A. Too Long For hallux rigidus, add the following modification to the foot insert: A. Met pad B. Cut out C. Morton's extension D. Cuboid wedge C. Morton's extension What is the difference between a positive cast and a negative cast for orthotics? A. The positive is based on the negative B. The negative is based on the positive C. The positive is larger than the negative D. The positive is smaller than the negative A. The positive is based on the negative The longest phase in the normal gait cycle is: A. Contact phase B. Midstance Phase C. Propulsive Phase D. Swing Phase B. Midstance Phase What device would one use for a child with clubfoot? A. Dennis Brown splint B. Plastar foot splint

C. Greater Trochanter device d. Hallux Valgus Night splint A. Dennis Brown Splint The major elements of fabrication orthoses include: A. Taking foot impressions B. Modifying positive foot models C. Selecting appropriate materials D. All of the above D. All of the above A client purchases a pair of shoes. After wearing the new shoes for two straight days, the foot became irritated. You should instruct the client to: A. Contact the doctor who prescribed the shoes B. Come back to your facility C. Wear them only an hour a day until the shoe breaks in D. Contact the vendor who manufactured the shoes B. Come back to your facility A patient is examined by a pedorthis/podiatrist and has a very flexible flat foot, tall stature, long arms and legs, long fingers, flexible body type (Abraham Lincoln stature). What disease does this patient have? A. Blount's Disease B. Charcot Marie Tooth C. Rickets D. Marfan's syndrome D. Marfan's Syndrome A casting block for custom shoes is used for which reason during fabrication? A. Heel height B. Sagittal plane alignment C. Transverse plane alignment D. Frontal plane alignment A. Heel height To monitor effectiveness of the prescribed device being used in addressing foot issues: A. Have the patient call you in two weeks

B. Have the Patient wear them everyday C. Set up a follow-up appointment in your facility in two weeks D. have patient wear them every other day C. Set up a follow-up appointment in your facility in two weeks Observing patient's shoe wear pattern and use, if the shoe crease is proximal to the ball of the foot, the shoe is: A. Too Long B. Too wide C. Too low of a heel height D. Too narrow A. Too long A person with diabetes comes into your facility for a pair of shoes, but the right foot is inflamed and red. What procedure should you follow? A. Fit them in a well-fitted pair of shoes B. Tell them they should see a doctor about their foot before you can help them C. recommend a good doctor. Fit them in a comfortable pair of shoes D. Contact a doctor you know to deal with this individual B. Tell them they should see a doctor about their foot before you can help them A person received a steroid injection for a Morton's Neuroma... Where would the person expect relief of pain? A. Between the interphalanges B. Between the distalphalanges C. Between the 1st - 2nd metatarsals D. Between the 3rd-4th metatarsals D. Between the 3rd-4th metatarsals A Thomas heel supports what anatomic part? A. Sustentaculum tali B. Cuboid notch C. Longitudinal arch D. 1st Metatarsal A. Sustentaculum tali The purpose of a medial rearfoot post on an orthotic is to:

A. Increase the stability of the foot B. Decrease the amount of pronation C. Decrease the rate of pronation D. All of the above D. All of the above The Distal end of the tibia articulates with the: A. Calcaneus B. Talus C. Navicular D. Cuboid B. Talus You receive an Rx for a rocker for charcot feet. Without further information, the preferred rocker design should be: A. negative heel rocker B. Double rocker C. Heel to toe rocker D. Toe only rocker B. Double rocker You are invited to make a presentation to a group of doctors on posterior tibial tendon dysfunction, and realize that you have great photos of one of your patients to include in your presentation. You must: A. Have patient's written permission to use the photos B. Have the prescribing physicians permission to use the photos C. Cover the eyes of the patient whose photo you are using D. Include the name of the patient to clarify your presentaion A. Have patient's written permission to use the photos What instructions should you give a diabetic about their prescribed foot orthotics? A. Wear them while seated the first day B. Wear them from morning until noon or until comfortable C. Wear them 1 hour the first day; increase wear 1 hour a day each additional day D. Wear them all day, but inspect them during the day C. Wear them 1 hour the first day; increase wear 1 hour a day each additional day

The purpose of a forefoot post on an orthotic is to: A. Support the osseous structures of the forefoot B. resist compensation of the rearfoot for a forefoot deformity C. control supinatus deformities of the forefoot D. All of the above D. All of the above The most important joint relationship when casting for a functional orthotic: A. Subtalar joint B. Navicular cuneiform joint C. Metatarsophalangeal joint D. Calcaneal cuboid joint A. Subtalar joint A diabetic patient has ulcers at the distal area of the toes. What rocker type would you use to enhance off-loading and healing of the ulcers? A. Toe only B. Double rocker C. Heel to toe rocker D. Metatarsal rocker A. Toe only What position does the foot go into when the posterior tibial tendon is ruptured? A. Supination of the forefoot B. Pronation of the rearfoot C. Plantarflexion of the ankle D. Dorsiflexion of the ankle B. Pronation of the rearfoot In casting for custom foot orthotics, the following are considered important landmarks except: A. Toes B. Metatarsals C. Long arch D. heel A. Toes

You receive an Rx asking you to provide a shoe modification to reduce lateral instability. Your best option is to provide a: A. Lateral flare B. Medial wedge C. Lateral SACH D. Medial Flare A. Lateral flare Toe spring is defined as: A. The height of the toe in relation to the heel B. The height of the heel in relation to the toe C. The height of the toe in relation to the ball D. The height of the ball in relation to the toe C. The height of the toe in relation to the ball The basic function of a rocker sole is to: A. Decrease pronation B. Increase pronation C. Rock the foot from heel-strike to toe-off without bending the shoe D. Increase supination C. Rock the foot from heel-strike to toe-off without bending the shoe You dispense a shock absorbing foot orthotic, and it is returned after two weeks because the insert is bottoming out. To resolve the problem you replace the topcover with: A. Polycopolymer foam B. Polyethylene foam C. Latex foam D. Subortholene B. Polyethylene foam An example of an adverse event would be: A. missing a patient's appointment B. Heel blisters due to a rough spot on an insert C. The patient falling walking out of the facility D. All of the above B. Heel blisters due to a rough spot on an insert

An obese patient has worn down the lateral side of their shoes heel and sole, this could be an indication of what foot function? A. Rear foot varus B. Fore foot Valgus C. Fore foot Varus D. rear foot Valgus A. Rear foot varus Gait cycle consists of stance and swing phases. The percentage in stance versus swing is: A. 40% stance / 60% swing B. 62% stance / 38% swing C. 50/ D. 70% stance / 30% swing B. 62% stance / 38% swing A patient is referred with a diagnosis of HAV deformity. In completing your pedorthic assessment your worn shoe evaluation of the patient's existing footwear will probably show signs of a: A. Wedge type sole B. Inflare last C. Narrow toe box D. Low heel C. Narrow toe box Flexor hallucis longus passes under all except: A. Sustentaculum tali B. Navicular C. Talus D. Cuboid D. Cuboid Without a prescription, what firmness is the most commonly used with compression stockings? A. 15-20 mm/Hg B. 20-30 mm/Hg C. 30 - 40 mm/Hg D. Over 40 mm/Hg A. 15-20 mm/Hg

The shoe type rocker ideally suited for hallux rigidus A. Double rocker B. Negative heel rocker C. Lisfranc rocker D. Met rocker D. Met rocker What type of orthotic device selection is considered appropriate for posterior tibial tendon dysfunction? A. Rigid device B. Accommodative device C. Varus posted device D. Valgus posted device A. Rigid device What instructions should you give to your patient about the effect a rocker modification has on their gait? A. It shortens stride B. It will cause the heel to lift out of the shoe C. Wear one hour the first day, and increase one hour each additional day D. It will wear out in a month A. It shortens stride The curve of the shank within the shoe is related to the: A. Height of the heel B. Length of the arch C. Location of the ball D. All of the above D. All of the above When fitting a shoe, the person says the toe feels too short. Yet, when you check the shoe fits long enough. What may the problem be? A. Toe box is too shallow B. Width is too wide C. Wrong last

D. There is no problem E. A & C E. A & C The toe box is too shallow and it is the wrong last The components of open chain pronation are? A. Dorsiflexion, adduction, eversion B. Dorsiflexion, abduction, eversion C. Dorsiflexion, Abduction, inversion D. Dorsiflexion, adduction, inversion B. Dorsiflexion, abduction, eversion An individual is wearing an AFO; a prescription is presented that reads "depth shoe with appropriate modifications" Based on this information the modification you might choose for this individual would be: A. Rocker bottom and SACh heel B. Medial and lateral flares C. High Top shoe with limited toe spring D. Full length cushioned removable insole A. Rocker bottom and SACH Heel Diabetes effects mostly which 4 organs of the body? A. Eyes, kidneys, heart, feet B. Kidneys, heart, feet, teeth C. Lungs, heart, feet, liver D, Liver, lungs, heart, feet A. Eyes, kidneys, heart, feet A patient referred to you by their physician had a stroke resulting in a right hemiplegia. They need a shoe with a velcro closure and a D ring. How would you construct the shoes for this individual? A. Left shoe: medial D ring, Lateral strap; right shoe: medial D ring, lateral strap B. Left shoe: lateral D right, medial strap; Right shoe: medial D right lateral strap C. Left shoe: medial D ring, lateral strap; Right shoe: lateral d ring medial strap D. Left shoe: Lateral D ring, medial strap ; right shoe: lateral D ring medial strap C. Left Shoe: medial D ring, Lateral strap; Right Shoe: lateral D ring, medial strap

While you are evaluating a foot orthotic, you notice that the orthotic rocks on the anterior edge of the post, the problem could be that the post is: A. Angled wrong B. Tapered wrong C. Heel height is too high D. Anterior end is too short B. Tapered wrong Semmes-Weinstein monofilament instrument is used to check for: A. Ankle Dorsiflexion B. Neuropathy C. Diabetes D. Circulation B. Neuropathy A heel post modification affects what phases of stance? A. Contact and mid-stance B. Contact and swing C. Mid-stance and propulsion D. Contact and propulsion A. Contact and Mid-stance A hammertoe is defined as: A. Dorsiflexed at proximal interphalangeal joint B. Plantarflexed at proximal interphalangeal joint C. Dorsiflexed at distal interphalangeal joint D. Plantarflexed at disatal interphalangeal joint B. Plantarflexed at proximal interphalangeal joint What plane of motion does abduction/adduction occur in? A. Sagittal B. Coronal C. Frontal D. Transverse D. Transverse

Where is the origin of the plantar fascia? A. Talus B. Tendo Achilles C. Calcaneus D. Sustentaculum Tali C. Calcaneus A fusion of the subtalar joint would most likely affect what joint(s) during gait? A. Hip and knee joint B. Hip and mid-tarsal joint C. Ankle joint only D. Hip and calcaneal cuboid joint A. Hip and knee joint The topline of the shoe primarily aggravates the: A. Dorsal Exostosis B. Lateral Malleolus C. Medial Cuneiform D. Posterior tibial tendon B. Lateral Malleolus What preparation of a positive cast is done for the purpose of offloading pressure, in creating a custom orthotic device for a diabetic patient with a plantar midfoot ulcer? A. Add plaster to the negative cast in the area of the ulcer B. Add plaster to the positive cast in the area of the ulcer C. Remove plaster from the positive in the area of the ulcer D. None of the above B. Add plaster to the positive cast in the area of the ulcer Compression stocking are used mostly to control what issues? A. Edema B. Varicose Veins C. Post-phlebitic conditions D. All of the above D. All of the above

A separating agent for a bivalve cast is all except: A. Soap B. Powder C. Petroleum Jelly D. Water D. Water A parent and child enter your facility with a Rx for straight last shoes for the child. This shoe type prescription is usually used to treat which of the following? A. When the width of heel and forefoot are the same B. For an equinovarus deformity C. For a metatarsus adductus deformity D. Juvenile arthritis C. For a metatarsus adductus deformity All of the following muscles plantarflex the foot except for: A. Tibialis posterior B. Flexor hallicus longus C. Tibialis anterior D. Peroneal brevis and longus C. Tibialis anterior You must abide by the rules of the following entities to function legally and ethically, except: A. American board of Certification B. State or city government C. Federal government D. Pedorthic footcare association D. Pedorthic footcare association Talipes equinovarus is an alternate name for: A. Rigid flatfoot B. Clubfoot C. Femoral anteversion D. Fused ankle B. Clubfoot

The tongue of the shoe is attached to the: A. Quarter B. Welt C. Vamp D. Toe box C. Vamp A detailed written order must be signed: A. Within 3 months of delivery B. Within 12 months of delivery C. Before the in-person visit D. Within 6 months of delivery D. Within 6 months of delivery An inch equals: A. 2.54 cm B. 2.54 mm C. 2.54 m D. 2.54 km A. 2.54 cm Spina Bifida results in the following foot type: A. Flat B. Cavus C. Valgus D. Calcaneous B. Cavus First thing when taking a cast for a patient an open ulcer: A. Position the foot on the casting board B. Mark the location of the ulcer with an indelible pencil C. Put on gloves D. Apply Sanitizer C. Put on gloves Materials to make a rigid orthotic are:

A. Acrylic B. EVA Foam C. Plastazote D. Cork A. Acrylic A Mallet toe is a contraction of the A. Distal IP Joint B. Proximal IP joint C. Intermediate IP joint D. MP joint A. Distal IP joint The purpose of a medial flange of an orthotic is to: A. resist the foot from slipping laterally off the device B. Support the arch C. Control supination of the rearfoot D. None of the above B. Support the arch A forefoot metatarsal rocker modification should be placed on the shoe at what location? A. Proximal to the metatarsal head B. Just at the metatarsal head C. Anterior to the metatarsal head D. Proximal to the IP joint A. Proximal to the metatarsal head What other deformit/deformities might you see during the patient's foot assessment of hallux abducto valgus deformity? A. Forefoot abductus B. Plantar callus C. Flattening of the arch D. all of the above D. All of the above Which is least important for a diabetic with neuropathy during the process of shoe fitting? A. Skin condition

B. Skin Color C. Shoe comfort D. Pressure at fifth toe C. Shoe comfort To cushion the impact of heel strike a _____ could be used. A. SACH heel B. Extended steel shank C. Medial stabilizer D. none of the above A. SACH heel What is the appropriate solution for shoe heel slipping? A. Tongue pads B. Heel Lift C. Thicker socks with silicon heels D. Toecrest A. Tongue pads Where would you place a scaphoid pad for a cavus foot? A. Under the cuboid notch B. Under the tuberosity of the navicular C. Under the 1st ray D. Under the calcaneal cuboid B. Under the tuberosity of the navicular Posterior tibial tendon rupture can lead to the results of a: A. Acquired adult flatfoot B. Congenital Flatfoot C. Cavus Foot D. Equines foot A. Acquired adult flatfoot A sprain of the lateral ankle will often involve what ligament? A. Spring ligament B. Inferior talo-calcaneal ligament

C. Deltroid ligament D. Anterior talo-fibular ligament D. Anterior talo-fibular ligament Best example of community service for a pedorthist is to: A. Make a donation to charity B. Give time to a charity C. Speak at a diabetic support group D. Conduct a trunk show on diabetic footwear in your facility C. Speak at a diabetic support group What modification would best be used to control the foot from sliding laterally off of an orthotic? A. Lateral Flange B. Higher heel C. Medial arch pad D. Metatarsal pad A. Lateral flange A patient receives a new pair of orthotics. The following is required of the pedorthist: A. Provide written/oral instructions on device B. Notify doctor of delivery C. notify lab that orthotics were dispensed D. Contact the insurance company A. Provide Written/oral instructions on device The design and location of a metatarsal bar to unload 2nd MPS pressure is: A. Controured to the met heads B. Transverse distal to met heads across sole C. Transverse proximal to met heads across sole D. Transverse under met heads across sole C. Transverse proximal to met heads across sole All of the following are indications of a bunion except: A. Hallux Varus B. HAV C. medial prominence protrusion D. Joint destruction

A. Hallux Varus The lateral extrinsic muscles that plantar flex the foot are: A. peroneal longus, Peroneal brevis B. Posterior tibial, Anterior tibial C. medial gastrocnemius, soleus D. Gluteus medius, gluteus maximus A. Peroneal longus, peroneal brevis A bunionette is often found: A. With a pronated 5th metatarsal bone B. Splay foot C. Larger intermetatarsal angle between the 4th and 5th met bones D. All of the above D. All of the above Which phalanx has 2 bones? A. Hallux B. Second toe C. Third toe D. Fourth toe A. Hallux To help a haglund's deformity problem choose: A. Internal heel lift B. Internal heel counter modification C. Longer shoe size D. All of the above D. all of the above A marathon runner with rigid cavus feet has an onset of knee pain after wearing custom orthotics what may be the problem with her orthotics? A. Too hard B. Too soft C. Too short D. Not enough subtalar joint control A. too hard

What temperature is polyethylene foam heated at to form over a positive model? A. 250-300° F for 3 minutes B. 300-350° F for 3 minutes C. 350-400° F for 3 minutes D. 400-450° F for 3 minutes A. 250-300° F for 3 minutes What is the optimum path of weight bearing on the sole of the shoe? A. Lateral heel to bisection of sole to medial toe B. Central heel to bisection of sole to medial toe C. medial heel to bisection of sole to medial toe D. Lateral heel to lateral sole to central toe A. Lateral heel to bisection of sole to medial toe A customer with diabetes complains of insensate feet and asks you to refer them to a specialist. You should recommend: A. Dermatologist B. Oncologist C. Rheumatologist D. Endocrinologist D. Endocrinologist What is a denver bar made of? A. Polypropylene B. Polyethylene C. Chrome tanned leather D. Firm Rubber D. Firm Rubber When the leg is bearing the full weight of the body it is considered to be: A. Closed kinetic chain B. Straight C. Open kinetic chain D. Stepping A. Closed kinetic chain

To describe the location of the pain in the foot the pedorthist must know: A. Musculoskeletal system B. Kinesiology C. Gait cycle D. Range of motion A. Musculoskeletal system Weight bearing pressure (static/dynamic) variations may be evaluated and measured in a pedorthic facility by using a: A. Harris mat, pedograph or I-Step and goniometer B. Brannock Device C. Ritz Stick D. Patient's x-rays A. Harris mat, pedograph, or I-step and goniometer