Custom DME Quiz Name* First Last Practice Name*1. Which types of patients could benefit from a custom AFO?*a. Patients with instability (with or without an assistance device)b. Patients who shuffle their feetc. Patients with ankle deformityd. Patients whose ankles roll ine. All of the above2. What is the most beneficial type of custom AFO to control patients who have gait instability?*a. Gauntlet style braceb. Sporty, low-profile bracec. Articulated, hinged braced. Balance brace3. When discussing the benefits of custom bracing with a patient, which of the following is important?*a. Utilizing staff to reinforce the benefits of custom bracesb. Providing examples of other patients who have benefitted from similar devicesc. Staying positive regarding the patient’s prognosis with complianced. Presenting the patient’s options with confidence and allowing them to make an educated decisione. All of the above4. What is the general “rule” when billing insurance for custom braces?*a. Always dispense the most expensive brace, as it will provide the best support.b. Bill insurance the day that the patient is castedc. Try a lower cost (pre-fabricated) brace prior to dispensing a custom brace and document the necessity for a custom device to followd. Document that it is necessary to place the patient directly into a custom brace (even if the condition is moderate)e. None of the above5. Which of the following needs to be documented when casting a qualifying patient?*a. Diagnosis and Medical Necessityb. Device most appropriate for the patient’s conditionc. Therapeutic Objectivesd. A, B, and Ce. None of the above6. Which of the following can be observed while calling a patient from the reception area back to the treatment room?*a. Difficulty in “get up and go”b. Shuffling feetc. Jerking motions when turningd. Inability to walk and talke. All of the above7. What is the name of the form used to categorize the instability of a patient?*a. Fall Prevention Formb. Imbalance Reportc. Fall Risk Assessmentd. Referral sheet for Physical Therapye. Patient Stability Test8. What is the major difference between dispensing custom AFOs and diabetic shoes?*a. No compliance paperwork is necessary for dispensing shoesb. Shoe dispensing requires the patient’s primary care physician to agree with the DPM’s diagnosisc. The DPM cannot act as the prescriber and supplier of custom bracesd. Staff is not able to cast for or dispense custom bracese. The supplier standards are not required for custom braces9. Which types of commonly seen ankle problems can be effectively treated with the use of a custom AFOs?*a. Patellar tendonitisb. Onychomycosisc. PT Tendon Dysfunctiond. Frequent Ankle Sprainse. C and Df. A and D10. When could it be appropriate to utilize a unilateral balance brace?*a. Plantar Fasciitis - recurrentb. Achilles tendonitisc. PT Tendon Dysfunctiond. Flaccid Drop Foote. Club Foot11. When it comes to brace closure, which is the most beneficial?*c. Buttonsa. Velcrob. Velcro/Lace combinatione. Laces onlyd. Speed Laces with one Velcro strap12. What is the most important element in the casting process?*d. That the doctor knows exactly which style of brace to ordere. That the insurance company is billed upon castinga. To achieve an accurate cast – as close to 90 degrees as possiblec. The patient’s color preferenceb. To force the patient’s foot and ankle into a neutral position13. Which are therapeutic objectives for a patient that require a custom brace?*f. All of the abovec. To improve mobilityb. To reduce paina. To improve gaite. To include physical therapy as part of a fall prevention programd. To reduce fall risk14. Which of the following is used to protect the patient’s skin from the fiberglass casting sock?*a. Stockinetteb. Coban/Coflexc. Plastic bagd. Tin foile. Pre-Tape15. For the standard Arizona (or gauntlet style) brace, which is appropriate to bill?*d. L4631a. L1970, L2330b. L1940, L2330, L2820e. L1940 for the day of casting, followed by L2330 and L2820 upon dispensingc. L197116. Which forms are required upon dispensing custom AFOs?*a. Medical Necessityb. Therapeutic Objectivesc. Patient Receiptd. Supplier Standardse. C and D17. How should you best prepare your patients for adjustment to their custom brace?*a. Ask them to bring several different pairs of shoes when they receive the braceb. Reiterate the importance of a slow break in periodc. Set realistic expectations of how long they will need to adjustd. Remind them that the brace serves to correct biomechanical deformities and may not feel natural at firste. All of the above
