ASSTECH: 2nd Shifting Flashcards by Mind Med

A shoe reinforcement seen in the vamp that protects the toes from stubbing and vertical trauma. Its depth can be modified to accomodate deformities such as hammer toe

Toe box

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Among the shoe reinforcements, this reinforces the quarter to help secure the shoe to the anatomic heel.

Heel counter

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Recommended shoe prescription for patients with Plantar Faciitis would include:
a. A high heel
b. Long lateral heel counter
c. Sole cushion
d. All of the above

a. A high heel

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Performance Characteristic of splinting materials include the following
EXCEPT:
a. Conformability
b. Drapability
c. Rigidity
d. Flexibility

b. Drapability

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This type of SHOE LAST is observed to be where the forefoot is directly slightly lateral to the midline
a. Outflared Last
b. Conventional Last
c. Inflared Last
d. Straight Last

b. Conventional Last

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This part of the SHOE is known to be over the dorsum of the foot

Upper

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On STATIC SPLINTING, the following statement is TRUE about its purpose or indications.
a. Prevents soft tissue contracture
b. Substitute for loss of motor function.
c. Designed to mobilize areas of the body and have one or more
movable parts.
d. Aids in fracture alignment and wound healing.

a. Prevents soft tissue contracture

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Part of the role of PTs and OTs in Orthotic/ Prosthetic rehabilitation
management include the following EXCEPT:
a. Alert the team to precautions, special considerations including skin issues, WB limitations, vascular diseases and spasticity.
b. Participate in patient evaluation particularly in relation to patient’s functional ability.
c. Participate in the generation of the therapy prescription.
d. Share knowledge with team members.

a. Alert the team to precautions, special considerations including skin issues, WB limitations, vascular diseases and spasticity.

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Type of shoe closure indicated for patients with rigid ankle orthoses, fixed deformity or fragile neuropathic foot.
a. Oxford-Balmoral
b. Lace-to-toe
c. Blucher

b. Lace-to-toe

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This professional provides care to patients with partial or total absence of limbs by designing, fabricating, and fitting artificial limb

Prosthetist

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This type of shoe quarter covers the malleoli providing more stabilization and is indicated to cover the foot having rigid pes equinus

High-quarter

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Among the compensations observed among patients wearing high heels, the wearer is often seen extending the knee and exaggerating lumbar
kyphosis
a. True
b. False

b. False

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Type of SHOE CLOSURE where the tongue is an extension of the VAMP

Blucher

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This is an externally applied device to an existing body part to improve function either to stabilize weak segments, unload distal segments, limit or augment motion among its other goals

Orthosis

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Among the metals used as materials for orthotic appliances, this metal is corrosion resistant, has a high strength to weight ratio and has a low endurance limit.
a. Titanium and Magnesium
b. Aluminum
c. Steel
d. All of the above

b. Aluminum

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This part of the sole is known to be the inside piece of the external sole

Welt

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A patient was referred to your care dt pes planus. Among the
recommendations you will make to your patient regarding shoe modifications / prescription will include the following EXCEPT:
a. Shoe should offer a long medial heel counter
b. A thomas heel is recommended
c. Lateral Heel Wedge to shift WB to the lateral aspect of the foot and correct eversion and reduce pronation.
d. Straight last

c. Lateral Heel Wedge to shift WB to the lateral aspect of the foot and correct eversion and reduce pronation.

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Recommended shoe prescriptions for patients with METATARSALGIA
include the following EXCEPT:
a. Wide width to reduce pressure on the longitudinal arches
b. Long fitting to eliminate plantar flexed MTP joints
c. Cushion soles to enhance shock absorption
d. A high toe box to allow forefoot flexion and extension

a. Wide width to reduce pressure on the longitudinal arches

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A high heel places the ankle in a greater plantar flexion range and forces the tibia posteriorly.
a. True
b. False

b. False

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Handling characteristics of splinting materials include the following
EXCEPT:
a. Memory
b. Bonding/ Adherence
c. Rigidity
d. Self finishing edges

c. rigidity

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This orthotic component is referred to as the proximal portion of the
orthosis which consists of the uprights, a shell, a band or brim.

SUPERSTRUCTURE

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The following orthotic gait deviations are associated with an Inadequate
Dorsiflexion Assist EXCEPT:
A. Excessive knee flexion
B. Foot slap
C. Toes first
D. Vaulting

A. Excessive knee flexion

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This gait deviation is described as having the LE elevated at the pelvis to
enable the LE to swing forward.

Hip-hiking

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Which of the following is correct bandaging technique to a patient suffering
form a LE Gr 1 edema?
a. Use spiral technique with more pressure applied on the distal
decreasing as you go proximally
b. Use spiral technique with more pressure applied on the proximal
decreasing as you go distally
c. Use oblique technique with more pressure applied on the distal
decreasing as you go proximally
d. Use circular technique with more pressure applied on the distal
decreasing as you go proximally

a. Use spiral technique with more pressure applied on the distal decreasing as you go proximally

Which of the following should be observed pre-tape application? a. Shave the treated area at all times b. Apply dehesive spray. c. Instruct patient to apply lotion on treated area. d. All are correct e. None are correct

e. None are correct

You were tasked to apply bandageing on your patient who suffered a transfemoral amputation. Which is the best bandage technique to be applied? a. Spica b. Velpau c. Spiral Reverse d. Circular

Spica

Check out of taping effectivity is done: a. Before the taping procedure b. During the taping procedure c. After taping procedure d. Any part of the procedure

c. After taping procedure

A patient who has a wrist flexor strain must favor which movement during application of taping? a. Wrist flexion b. Wrist extension c. Wrist ulnar deviation d. wrist radial deviation

a. Wrist flexion

After completing taping technique, your patient tells you that pain has lessened on the injured part. However, the area feels numb. Which should you do next? a. Tell the patient that it is just a normal reaction after the taping procedure. b. Check the nail beds and look for signs of occlusion c. Check for wrinkles and creases d. Applhy additional support strips

b. Check the nail beds and look for signs of occlusion

Checking for any allergic reaction should be done: a. Before the taping procedure b. During the taping procedure c. After the taping procedure d. Any part of the procedure

a. Before the taping procedure

A 23 y/o female patient suffered from wrist sprain. Which is a correct technique? a. Circular technique using 2 inch bandage b. Oblique technique using 4 inch bandage c. Figure of eight using a 4 inch bandage d. Oblique technique using a 6 inch bandage

c. Figure of eight using a 4 inch bandage

Bandage application can immobilize a body part. a. True b. False

b. False

Which of the following is a significant benefit of a taping technique? a. It may improve patient's position sense during exercise. b. Tapes can be used to hold dressing in place. c. It is used to limit wanted movements. d. Both A and B are correct e. All are correct

d. Both A and B are correct

Which of the following may cause discomfort after taping application? a. Tape applied too tightly. b. Presence of too many wrinkles and creases c. Too much traction applied on each strip d. All of the above

d. All of the above

A bandage that is too narrow may provide insuffient pressure during application. a. True b. False

a. True

A person will be treated for an ankle inversion injury using a prophylactic ankle taping technique. Which should should you add to protect the bony areas? a. Pro- Wrap b. Gauze dresing c. Padding d. None

c. Padding

A patient dislocated her shoulder during a game. Which is the best bandage technique to be applied? a. Spica b. Velpeau c. Spiral reverse d. Circular

b. Velpeau

These are strips applied above and below the injury site. a. Anchors b. Gibney c. Support strips d. Check reins

a. Anchors

A reverse spiral is a technique used to conform with an irregular joint surface such as the cubital fossa a. True b. False

a. True

To restrict lateral deviation of the ankle during tape application, which of these basic taping techniques accomplishes the job? a. Anchors b. Gibney c. support strips d. check reins

b. Gibney

These strips secure the cut end of the stretch tapes which tend to roll back on itself,and neatly finish the technique when applied over anchors. a. Reinforcing strips b. Check reins c. Lock strips d. Stirrups

c. Lock strips

It appears that the tape tends to restrict the movement of the injured body part. However, you noticed thagt the edges tend to roll back. Which of these basic tchniques should be checked? a. Lock strips b. Gibney c. Support strips d. check reins

a. Lock strips

On initial assessment, you noted that your patient was seen to have aa small open wound but free from hair on the treatment area. Which taping product should you add int his case? a. Pro-wrap b. Gause squares c. Padding

b. Gause squares

"While assessing the gait of your patient during orthotic check out, you noted that the patient's knee hyperextends as the weight is transferred to the LE. Orthotic issues associated with this deviation include the following EXCEPT:" A. Inadequate knee lock B. Excessively concave (deep) calf band C. Pes equinus uncompensated by contralateral shoe lift D. Inadequate dorsiflexion stop

D. Inadequate dorsiflexion stop

"As you were observing your patient who was wearing a KAFO ambulate, you noted that he was leaning forward as his weight is transferred to the involved LE. This gait deviation is associated with this orthotic issue:" A. Inadequate Knee Lock B. Excessive height of medial upright C. Inadequate dorsiflexion stop D. Inadequate plantarflexion stop

A. Inadequate Knee Lock

The following orthotic gait deviations are observable during the Late Stance Phase: A. Inadequate transition: delayed or absent transfer of weight over the forefoot B. Hip hiking C. Circumduction D. Excessive knee flexion

A. Inadequate transition: delayed or absent transfer of weight over the forefoot

This mechanism for orthotic foot control is sewn to the medial portion of the shoe upper near the sole, and buckles around the lateral upright exerting a LATERALLY DIRECTED force to restrain PRONATION

Medial T strap / Valgus correction strap

Among the orthoses indicated for patients with paraplegia and patients with myelodisplasia, the Swivel Walker is articulated and allows the wearer to sit. A. True B. False

B. False

The following orthotic gait deviations are observable during the Swing Phase EXCEPT: A. Vaulting B. Circumduction C. Toes first D. Hip hiking

C. Toes first

This ankle control mechanism provides DF assist through a coil spring which compresses in stance and rebounds during swing.

Klenzak joint

This internal shoe modification allows for minimum support that is positioned at the medial border of the insole with the apex between the sustentaculum tali and the navicular tuberosity.

Scaphoid pad

This gait deviation is a tiptoe posture which may or may not be maintained throughout stance. A. Foot slap B. Toe drag C. Toes first D. Hip hiking

C. Toes first

The following orthotic gait deviations are associated with an Inadequate Knee Lock EXCEPT: A. Anterior trunk bending B. Hyperextended knee C. Excessive knee flexion D. Lateral trunk bending

D. Lateral trunk bending

The following is/are indication/s on the use of a LATERAL HEEL WEDGE to accomodate a RIGID deformity. A. Supination B. Pes cavus C. Pes valgus D. Inversion

C. Pes valgus

This knee control mechanism applies a posteriorly directed force to the knee to complement the anteriorly directed force from the back of the shoe and the thigh band and may restrict sitting

Knee cap

This gait deviation observed with orthotic use is best described as an exaggerated plantarflexion of the contralateral LE to enable the limb to swing forward. A. Hip hiking B. Circumduction C. Toe drag D. Vaulting

D. Vaulting

This is a is a convex transverse band affixed to the sole proximal to the metatarsal heads which reduces the distance the wearer must travel during stance phase, improving late stance, as well as shifting load from the metatarsophalangeal joints to the metatarsal shafts.

Rocker bar

This knee control mechanism is usually prescribed for patients who cannot achieve full knee extension due to a knee flexion contracture. A. Serrated knee joint B. PAWL Lock C. Drop ring lock D. Off-set joint

A. Serrated knee joint

While observing the gait of a patient wearing an HKAFO/ AFO, you noted that the patient was leaning towards the stance leg as weight is transferred to the LE. Possible orthotic issues associated with this deviation include the following EXCEPT: " A. Insufficient shoe lift B. Excessive height of medial upright of the KAFO C. Excessive abduction of hip joint of HKAFO D. Inadequate knee lock

D. Inadequate knee lock