Placement: 1-10.

Question 0

What relevant medical history is important?

Answer 0

Diabetes Type 1
Diabetes Type 2
CVA
Neurological disorder
Peripheral disorder
Cognitive disorder
RA
OA
Arterial disease
Vascular disease
Heart disease
Hypertension
Ulceration - diag
Oedema - diag
Previous surgery - outline
Other

Question 1

What is on the first sheet of the primary orthotic assessment sheet?

Answer 1

Diagnosis
Subjective
Previous Treatment
Personal Information (employment, activities etc)
Relevant Medical History
Medication
Other Relevant Info

Question 2

What is on the second sheet of the primary orthotic assessment?

Answer 2

Objective nwb assessment
Observations(callus, venous return etc) 
Sensation/proprioception/balance
Tone
Leg length

Question 3

What is included in the nwb objective assessment?

Answer 3

RT and LT
Rom- full and passive
Power-oxford scale

Hip rom- flex, ext, abd, add, int rot, ext rot
Hip power-flex, ext, abd, add

Knee rom-flex, ext
Knee power-flex, ext
Knee other-mcl/lcl, acl/pcl

Ankle rom-pf, df flexed knee (soleus), df extended knee (gastroc)
Ankle power-pf, df flexed knee (soleus), df extended knee (gastroc)

Stj rom-inversion, eversion
Stj power-inversion, eversion

Mtj rom-df, pf, pronation, supination

1st mpj rom-df, pf

Tib post function other

Question 4

What is included in the leg length section?

Answer 4

Left(mm) and right(mm)
True and apparent

Raise amount(mm) 
Side

Question 5

What is on page 4 of the primary orthotic assessment sheet?

Answer 5

Wb foot posture index-data sheet
Observations (windlass mech, FHL etc)
Ambulation status
Gait analysis-stance and swing

Question 6

What is nwb?

Answer 6

Non weight bearing

Question 7

What is wb?

Answer 7

Weight bearing

Question 8

How do you grade foot posture index?

Answer 8

Normal=0-5
Pronated=+6 to +9
Highly pronated=10+
Supinated=-1 to -4
Highly supinated=-5 to -12

Question 9

What are the factors for foot posture index?

Answer 9

Talar head palpation-transverse
Curves above and below lat mall-fronal/trans
Inv/Eversion of calcaneus-frontal
Bulge in TNJ region-trans
Congruence of ML arch-sagittal
Abd/add of forefoot on rearfoot (too many toes)- transv
Total

Question 10

What should be graded for each factor in the foot posture index?

Answer 10

Score 1
Date-
Comment-
-left (+2 to -2)
-right (+2 to -2) 

Score 2
Date-
Comment-
-left (+2 to -2)
-right (+2 to -2) 

Score 3
Date-
Comment-
-left (+2 to -2)
-right (+2 to -2)

Question 11

What is included in the ambulation status section of primary orthotic assessment sheet?

Answer 11

Independently mobile
W/c dependant
Walking aids
Non ambulatory

Walking aid type-

Question 12

What is on the last page of the primary orthotic assessment sheet?

Answer 12

Objective of orthotic treatment
Patient/parental expectation
Action
Orthotic prescription incl stock part number if required
Plan
Clinician stamp

Question 13

What is diagnosis?

Answer 13

Identification of the nature and cause of a certain phenomenon

Question 14

What is subjective?

Answer 14

Based on or influenced by personal feelings, tastes or opinions

Question 15

What is diabetes type 1?

Answer 15

Form of diabetes mellitus that results from the autoimmune destruction of the insulin-producing beta cells in the pancreas. The subsequent lack of insulin leads to increased blood and urine glucose
The classical symptoms are polyuria(frequent urination), polydipsia (increased thirst), polyphagia (increased hunger) and weight loss

Question 16

What is diabetes type 2?

Answer 16

A metabolic disorder characterised by hyperglycaemia(high blood sugar) in the context of insulin resistance and relative lack of insulin.
This is in contrast to diabetes mellitus type 1, in which there is an absolute lack of insulin due to breakdown of islet cells in the pancreas
The classic symptoms are excess thirst, frequent urination, and constant hunger. Type 2 diabetes makes up about 90% of cases of diabetes, with other 10% primarily due to diabetes type 1 and gestational diabetes. Obesity is thought to be the primary cause of type 2 diabetes in people who are genetically predisposed to the disease (although this is not the case in people of East-Asian ancestry).

Question 17

What is cva?

Answer 17

A stroke, sometimes referred to as a cerebrovascular accident(cva), cerebrovascular insult(cvi), or colloquially brain attack is the loss of brain function due to a disturbance in the blood supply to the brain. The disturbance is due to either ischemia (lack of blood flow) or hemorrhage. As a result, the affected area of the brain cannot function normally, which might result in an inability to move one or more limbs on one side of the body, failure to understand or formulate speech, or a vision impairment of one side of the visual field

Question 18

What is a neurological disorder?

Answer 18

Any disorder of the body nervous system. Structural, biochemical or electrical abnormalities in the brain, spinal cord or other nerves can result in a range of symptoms. Examples of symptoms include paralysis, muscle weakness, poor coordination, loss of sensation, seizures, confusion, pain and altered levels of consciousness. There are many recognized neurological disorders, some relatively common, but many rare. They may be assesses by neurological examination, and studied and treated within the specialities of neurology and clinical neuropsychology

Question 19

What is peripheral neuropathy?

Answer 19

Damage or diseases affecting nerves, which may impair sensation, movement, gland or organ function, or other aspects of health, depending on the type of nerve affected. Common causes include systemic diseases(such as diabetes or leprosy), vitamin deficiency, medication(eg chemotherapy), traumatic injury, excessive alcohol consumption, immune system disease, or infection, or it may be inherited (present from birth). In conventional medical usage, the word neuropathy (neuro-nervous system, and pathy-disease of) without modifier usually means peripheral neuropathy

Question 20

What is a cognitive disorder?

Answer 20

Category of mental health disorders that primarily affect learning, memory, perception, and problem solving, an include amnesia, dementia and delirium. While anxiety disorders, mood disorders and psychotic disorders can also have an effect on cognitive and memory functions, the dsm-iv-tr does not consider these cognitive disorders, because loss of cognitive function is not the primary (causal) symptom. Causes vary between the different types of disorders but most include damage to the memory portions of the brain. Treatments depend on how the disorder is caused. Medication and therapies are most common treatments; however for some types of disorders such as certain types of amnesia, treatments can suppress the symptoms but there is currently no cure.