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* Read the article on page 169.


* Take the test, recording your answers in the test answers section (Section B) of the CE enrollment form. Each question has only one correct answer.


* Complete registration information (Section A) and course evaluation (Section C).


* Mail completed test with registration fee to: Lippincott Professional Development, CE Group, 74 Brick Blvd., Bldg., 4 Suite 206, Brick, NJ 08723.


* Within 4-6 weeks after your CE enrollment form is received, you will be notified of your test results.


* If you pass, you will receive a certificate of earned contact hours and answer key. If you fail, you have the option of taking the test again at no additional cost.


* A passing score for this test is 12 correct answers.


* Need CE STAT? Visit http://www.nursingcenter.com for immediate results, other CE activities, and your personalized CE planner tool.


* No Internet access? Call 800-787-8985 for other rush service options.


* Questions? Contact Lippincott Professional Development: 800-787-8985


Registration Deadline: June 4, 2021


Provider Accreditation:


Lippincott Professional Development (LPD) will award 1.0 contact hours for this continuing nursing education activity.


LPD is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.


This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 1.0 contact hours. LWW is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida #50-1223.


Disclosure: The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.


This article has been approved by the Orthopaedic Nurses Certification Board for Category A credit toward recertification as an ONC.


Payment and Discounts:


* The registration fee for this test is $5.00 for NAON members and $10.00 for nonmembers.


* If you take two or more tests in any nursing journal published by LWW and send in your CE enrollment forms together, you may deduct $0.95 from the price of each test.


* We offer special discounts. Send in 6 tests together and the least expensive one is free; send in 12 tests and the 2 least expensive ones are free, etc. We also offer institutional bulk discounts for multiple tests. Call 800-787-8985 for more information.



GENERAL PURPOSE: To provide information about the components and function of a basic athletic-type shoe.


LEARNING OBJECTIVES/OUTCOMES: After completing this continuing education activity, you should be able to:


1. Outline how ill-fitting shoe gear can lead to foot ailments.


2. Summarize general shoe fitting techniques.


3. Discuss the selection of appropriate footwear for various populations.



1. According to Rossi, shoe fitting is a


a. craft.


b. profession.


c. challenge.


2. The American Podiatric Medical Association has reported that what percentage of Americans develop a foot problem over the course of their lifetime?


a. 40%


b. 60%


c. 80%


3. Shoes require replacement when there is a difference in the outsole between one shoe and the other of


a. 1 to 2 mm.


b. about 3 mm.


c. 4 mm or more.


4. The purpose of the midsole is to


a. absorb shock.


b. provide traction.


c. protect against friction.


5. A lower-arch foot requires


a. offsetting of deficient shock absorption.


b. counteracting too little pronation.


c. higher durometer materials.


6. Creasing in the midsole indicates that the shoes


a. have adequate flexibility.


b. require replacement.


c. are too large.


7. According to the article, which of these is the standard insole material?


a. acrylic


b. ethylene vinyl acetate


c. polyethylene foam


8. Which of the following parts of a shoe is at the forefront of the upper component and typically consists of several pieces and designs?


a. vamp


b. toe box


c. heel counter


9. Patients who have contracted digits such as hammer toes should consider shoes with an upper that is made of all of the followingexcept


a. leather.


b. nylon mesh.


c. full-stretch material.


10. When buying shoes, patients should


a. have both feet professionally measured.


b. be siting when their feet are measured.


c. be fitted for the shoes in the morning.


11. How much space should there be between the patient's longest toe and the end of the shoe?


a. one quarter to three eighths of an inch


b. three eighths to one half of an inch


c. one half to five eighths of an inch


12. The hinge point of the shoe should correlate with the anatomic position of the patient's


a. midtarsal joint.


b. tarsometatarsal joint.


c. first metatarsophalangeal joint.


13. Which of the following do shoe fitters use to obtain a general outline of the patient's foot as well as areas of increased plantar pressure?


a. a foam box


b. a Harris mat


c. tracing paper


14. A study by Harrison and colleagues reported that what percentage of the diabetes-mellitus patients in their study wore shoes that were not wide enough for their feet?


a. 33%


b. 45%


c. 66%


15. A study by Burns and colleagues reported that over half of the patients admitted for rehabilitation had foot pain and an increase in ulceration due to shoes that were too


a. large.


b. small.


c. narrow.


16. Branthwaite and colleagues reported that what percentage of young female participants in their study did not have their feet measured prior to purchasing their shoes?


a. 67%


b. 79%


c. 98%


17. Women who have overlapping toes might benefit from shoes that have


a. a higher heel.


b. a large toe box.


c. more padding.