CERTIFIED THERAPEUTIC
SHOE FITTER PRACTICE
EXAM Question 1: A patient with diabetes reports a new open sore on the plantar surface of the foot. What is the most appropriate action for the therapeutic shoe �tter?
Choices:
1) Add a softer insert and continue 2) Proceed with �tting if the shoe is extra depth 3) Refer the patient promptly to the appropriate healthcare provider 4) Measure only the uninvolved foot Correct Answer: Refer the patient promptly to the appropriate healthcare provider Explanation: An open wound requires medical evaluation and is beyond routine therapeutic shoe �tting. The �tter should refer rather than attempt to manage the lesion through footwear alone.Page 1
Question 2: Which �nding most directly indicates loss of protective sensation in a diabetic foot assessment?
Choices:
1) A �exible forefoot 2) Mild shoe wear at the lateral heel 3) Inability to perceive an appropriate mono�lament stimulus at tested sites 4) A warm shoe upper after walking Correct Answer: Inability to perceive an appropriate mono�lament stimulus at tested sites Explanation: Failure to perceive an appropriate mono�lament stimulus at standard test sites is a key indicator of diminished protective sensation and increased ulcer risk.Question 3: The distal end of the �bula forms which ankle landmark?
Choices:
1) Lateral malleolus 2) Navicular tuberosity 3) Medial malleolus 4) Tibial tubercle
Correct Answer: Lateral malleolus
Explanation: The distal �bula forms the lateral malleolus on the outside of the ankle.Page 2
Question 4: Which bone is located on the medial side of the midfoot and has a
prominent tuberosity that may create shoe pressure?
Choices:
1) Calcaneus 2) Navicular 3) Cuboid 4) Talus
Correct Answer: Navicular
Explanation: The navicular lies medially in the midfoot, and its tuberosity can be prominent and vulnerable to shoe pressure.Question 5: A patient has a prominent bunion at the �rst metatarsophalangeal joint.Which shoe area deserves the closest pressure assessment?
Choices:
1) Lateral heel 2) Medial forefoot 3) Posterior collar 4) Heel seat
Correct Answer: Medial forefoot
Explanation: A bunion is a prominence at the medial �rst metatarsophalangeal joint, so the medial forefoot must be checked carefully for pressure and adequate width.Page 3