The practitioner written exam is a three hour, multiple choice exam that assesses your knowledge of patient and practice management. Knowledge assessed on the written exam includes anatomy, physiology, biomechanics, kinesiology, disease process, pathologies, material science, ethics and professionalism. Also included are general practice questions that you should be familiar with based on the practical experience you gained from your residency.
The written exam contains 165 questions, however only 150 count toward your result. The other 15 questions are new questions that are being tested to see how they perform prior to being used in future exams.
Combined O&P Written Multiple Choice Exam
The three and a half hour, 200 question, multiple choice exam assesses your knowledge of patient management. Knowledge assessed on the exam includes anatomy, physiology, biomechanics, kinesiology, disease process, pathologies, prescription criteria, material science, ethics and professionalism.
>>Sample Written Exam Questions
Included in the Practitioner Candidate Guide are sample questions.
Here are two examples of sample written exam questions:
1.) The trim lines of a ground reaction ankle foot orthosis should be anterior to the malleoli to serve as a:
a. Dorsiflexion assist
b. Plantar flexion assist
c. Dorsiflexion stop
d. Plantar flexion stop
2.) The anterior/proximal trim line of the Symes prosthesis usually extends to the level of the patella tendon in order to:
a. Provide a long lever arm to distribute force
b. Achieve better suspension
c. Decrease compression loads on the prosthesis
d. Improve cosmetic appearance
Written Simulation Exam
The written simulation exam is interactive and concentrates on implementation of practice rather than just information recall. The problems will require you to apply information you obtain about a patient to what type of device would be recommended as well as the components and fitting criteria associated with the device. For example, the problem might provide medical history, symptoms, functional abilities and vocational activities for a particular patient and ask, "What would be the appropriate steps to take or assessments to make?" or "What would be the most appropriate device recommendation?"
The simulation problems also incorporate follow up scenarios where you will assess the patient at a follow up appointment and determine what actions should be taken based on the findings from the follow up assessment. For orthotics, the problems may include scoliosis/kyphosis, spinal cord injuries, fractures, treatment of stroke, upper extremity management, hip and knee pathologies, cervical spine and neuromuscular disease. The prosthetic problems may include management of the lower and upper extremity amputee including immediate postoperative fitting procedures. You will encounter seven simulation problems at the exam. Like the written exam, ABC tests simulation problems prior to using them in a future exam. One of the simulation problems on the exam is a pilot problem.
Clinical Patient Management Examination
Many activities in your daily practice relate to the patient situations you will encounter at the Clinical Patient Management (CPM) exam. Remember that every day you collect clinical information about a patient—you determine what orthotic or prosthetic intervention would be the most appropriate and then implement that established treatment plan—and all of that knowledge will be helpful in preparing you for the CPM exam. For example, the practical exam assesses your ability to identify gait deviations, understand the underlying causes of the deviations and what orthotic or prosthetic treatment would address the pathology.