Pharmacology & Medication Management Flashcards
7 cards from real CO practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Pharmacology & Medication Management flashcards as text
A patient taking amiodarone for cardiac arrhythmias develops peripheral neuropathy. What orthotic modification addresses this complication BEST?
Answer: Incorporate total-contact molding with extra cushioning for insensate areas
Amiodarone-induced peripheral neuropathy reduces protective sensation, requiring total-contact design and cushioning to prevent pressure injuries in insensate areas.
Which medication used to treat gout can cause tendinopathy, affecting orthotic management decisions?
Answer: Fluoroquinolone antibiotics prescribed for gout-related infections
Fluoroquinolone antibiotics sometimes prescribed for gout-related infections carry a black-box warning for tendinopathy, which must be considered when planning orthotic interventions.
A patient with multiple sclerosis is taking baclofen for spasticity. How does this affect lower extremity orthotic fitting?
Answer: Reduced spasticity from baclofen may change muscle tone baseline, affecting orthotic fit
Baclofen reduces spasticity, which may alter the muscle tone the orthosis was fitted against, requiring reassessment as medication dosage changes.
A patient prescribed statins for hypercholesterolemia reports myalgia and muscle weakness. What is the MOST important implication for orthotic care?
Answer: Muscle weakness may reduce ambulatory capacity and change orthotic function goals
Statin-induced myopathy causes proximal muscle weakness that can reduce ambulatory endurance and capacity, altering the functional goals and design of prescribed orthotics.
An orthotist notices that a patient's edematous limb fluctuates significantly throughout the day. After reviewing the medication list, which drug is MOST likely contributing?
Answer: Amlodipine (calcium channel blocker)
Calcium channel blockers like amlodipine cause peripheral vasodilation and dependent edema that commonly fluctuates with posture and time of day, directly complicating orthotic fit.
A patient taking anticonvulsants long-term presents with a gait ataxia and a request for an AFO. What should the orthotist prioritize in the clinical evaluation?
Answer: Assess fall risk and determine whether the AFO will address the ataxic component of gait
Anticonvulsant-induced ataxia requires careful fall risk assessment, as an AFO alone may not adequately address a cerebellar gait pattern and additional safety measures may be needed.
Which principle BEST describes the orthotist's role when a patient's medication causes a side effect that complicates orthotic outcomes?
Answer: Document findings and communicate concerns to the prescribing physician as part of the interprofessional team
Orthotists are integral interprofessional team members who document medication-related complications and communicate them to the prescribing physician for collaborative management.