Kim Written Study guide

Question 1

What is the most common Plagio presentation?

Answer 1

Left Flattening

Question 2

What condition is gower’s sign associated with?

Answer 2

Duschenes muscular Dyst

Question 3

Legg Calve Perthes

Answer 3

Femoral head necrosis

Question 4

Spondylosis

Answer 4

Fx of the pars

Question 5

What do you do when your patient develops Charcot Foot symptoms?

Answer 5

Refer to MD. Look for redness, warmth, may have no pain, deformed foot

Question 6

Who do you bill when patient is in hospital?

Answer 6

the hospital not medicare

Question 7

How many CEUs does a practitioner need every 5 years?

Answer 7

CP/CO-75

CPO- 100

Question 8

How does someone with Guilian Barre recover if LE is affected?

Answer 8

Descending, (hips -> knees -> feet)

Question 9

When turning a conventional AFO into a dorsiflexion assist AFO, how would you set up double action ankle joint

Answer 9

Springs in the posterior channel will produce dorsiflexion assist in double action ankle joint

Question 10

A patient is seen in clinic with flaccid ankle plantarflexors and dorsiflexors. Choose appropriate double action joint configurations

Answer 10

pins in the anterior and posterior channels or springs in the posterior channels and pins in the anterior channels, both these configurations will provide anterior and posterior support for flaccid ankle plantarflexors and dorsiflexors

Question 11

The patient is seen in clinic with flaccid ankle plantarflexors and dorsiflexors. The patient also buckles at the knee during loading response/heel strike. You have choose to recommend a conventional with double action ankle joint. What would be the most appropriate configuration of the ankle joints

Answer 11

Springs in the posterior channels and pins in the anteriors channels. By having springs in the posterior channels and pins in anterior channels you will provide adequate anterior posterior support to the lower leg muscular imbalance but the posterior springs will allow controlled plantarflexsion during loading response whereby keeping the ground reaction forces anterior to the knee joint to decrease knee buckling

Question 12

Wheres the pressure:

If KAFO mechanical knee joint too proximal or too distal, when sitting?

Answer 12

too proximal- posterior thigh

too distal- anterior thigh

Question 13

Which muscle most closely duplicates the function of the anterior tibialis?

Answer 13

Extensor hallucis longus

Question 14

one action of the peroneus longus is to

Answer 14

plantarflex the first ray

Question 15

What muscle weakness causes Trendelenburg gait?

Answer 15

weak glut med

Question 16

At initial contact where is the GRF at ankle, knee, hip

Answer 16

Posterior to ankle

Anterior to knee, hip

Question 17

What is IRD presentation

Answer 17

the forefoot in a position of adduction, supination, and plantarflexion.
The calcaneus is sustained in a position of varus and dorsiflexion

Question 18

What is ERD presentation

Answer 18

the midtarsal joint is abducted, pronated, and dorsiflexed against the plantarflexed and everted hindfoot.

Question 19

Y-ligament

Answer 19

can be used in place of weak hip extensors for sagittal plane stability

Question 20

Which joint controls iv/ev?

Answer 20

subtalor

Question 21

Blount’s disease

Answer 21

tibial bowing/varus

KAFO at night

Question 22

The hip joint is ______ in relation to the greater trochantor

Answer 22

proximal/superior

Question 23

When treating a hip dislocation what do you first need to know

Answer 23

the direction of the dislocation

Question 24

When the tibial nerve is affected, what gait dev should you expect?

Answer 24

dec step length on contralateral side

Question 25

what AFO mod should you have when the PFs are weak?

Answer 25

DF stop

Question 26

What nerve is the tibialis posterior innervated by?

Answer 26

Tibial

Question 27

What is constitutes a full gait cycle?

Answer 27

heel strike to heel strike on same side

Question 28

To relieve pressure on a hyperext TLSO what should you do?

Answer 28

Change the sternal pad to pectoral pads

Question 29

Halo Anterior Pin Placement

Answer 29

Just superior to the first 1/3 of eyebrow

Question 30

A patient is seen in clinic. She presents with severe chronic bilateral posterior tibialis tendon dysfunction “PTTD”. She has worn custom UCBL’s in the past but they were ineffective. What would be the most appropriate recommendation given her presentation and past

Answer 30

A articulated AFO. Given that UCBL’s were ineffective, articulated AFO’s would be appropriate as they grasp the lower legs and can help to modify internal tibial rotation. By decreasing internal tibial rotation, pronation will decrease whereby decreasing the work load of tibialis posterior muscle

Question 31

Patient that is 4 wks post up Ankl Fx, what brace do you provide?

Answer 31

PTB AFO to off load ankle

Question 32

Swan Neck vs Mallet Finger

Answer 32

Swan neck- DIP/PIP affected

Mallet- DIP affected

Question 33

What are the characteristics of the congenital abnormality in infants called torticollis

Answer 33

Contracture of the sternocleidomastoid, ipsilateral head tilt, and contralateral head rotation.

Question 34

aponuerosis

Answer 34

flat tendon

Question 35

how do you account for tibial torsion in a conventional AFO

Answer 35

deflect side bars

Question 36

What is not a business associate under HIPAA regulations>

Answer 36

courier