100+ Free BOCPD Practice Questions

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Question 1

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Which bone forms the posterior portion of the calcaneus and serves as the attachment point for the Achilles tendon?

Talus

Navicular

Calcaneus tuberosity

Cuboid

to track

2026 Statistics

Key Facts: BOCPD Exam

110

Total Questions

BOC Candidate Handbook

2 hours

Exam Time

BOC Candidate Handbook

Scored Questions

BOC (15 unscored pretest items)

55 CEUs

Recertification Requirement

BOC (per 5-year cycle)

~275

Active BOCPD Certificants

BOC NCCA Accreditation Report

CMS + VA

Federal Recognition

BOC

The BOC Candidate Handbook describes the BOCPD exam as a 110-question, 2-hour multiple-choice examination (including 15 unscored pretest items) administered at PSI testing centers. BOC credentials are accepted by CMS and the Department of Veterans Affairs. The BOCPD certification requires 55 CEUs per 5-year recertification cycle.

Sample BOCPD Practice Questions

Try these sample questions to test your BOCPD exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1Which bone forms the posterior portion of the calcaneus and serves as the attachment point for the Achilles tendon?

A.Talus

B.Navicular

C.Calcaneus tuberosity

D.Cuboid

Explanation: The calcaneal tuberosity is the posterior projection of the calcaneus where the Achilles tendon inserts. This landmark is critical in pedorthic assessment because heel height modifications and rearfoot posting directly affect tension on this attachment site.

2How many metatarsal bones are in each foot?

A.Four

B.Five

C.Six

D.Seven

Explanation: Each foot contains five metatarsal bones, numbered 1 through 5 from medial to lateral. The metatarsal heads form the ball of the foot and are common sites for pressure-related pathology that pedorthists must address with orthotic modifications.

3The transverse arch of the foot is primarily supported at which anatomical level?

A.The calcaneus

B.The metatarsal heads

C.The talar dome

D.The phalanges

Explanation: The transverse arch runs across the foot at the level of the metatarsal heads, creating a dome-shaped structure. Pedorthists use metatarsal pads and bars placed just proximal to the metatarsal heads to support this arch and redistribute forefoot pressure.

4Which muscle is the primary inverter of the foot and helps support the medial longitudinal arch?

A.Peroneus longus

B.Posterior tibialis

C.Extensor digitorum longus

D.Anterior tibialis

Explanation: The posterior tibialis is the primary inverter of the foot and plays a critical role in supporting the medial longitudinal arch. Dysfunction of this tendon (posterior tibial tendon dysfunction) is a common cause of adult acquired flatfoot that pedorthists manage with custom orthoses and supportive footwear.

5What is the normal range of ankle dorsiflexion needed for unimpeded gait?

A.0-5 degrees

B.10-15 degrees

C.25-30 degrees

D.35-40 degrees

Explanation: Approximately 10-15 degrees of ankle dorsiflexion is required for normal gait, particularly during the midstance-to-late-stance phase. Limited dorsiflexion leads to compensatory pronation, early heel rise, or toe walking patterns that pedorthists must address through footwear modifications or orthotic interventions.

6During the gait cycle, at what phase does the foot typically pronate to absorb shock?

A.Heel strike to midstance (contact phase)

B.Terminal stance to pre-swing

C.Initial swing

D.Mid-swing to terminal swing

Explanation: Pronation occurs primarily during the contact phase, from heel strike through midstance. This normal pronation unlocks the midtarsal joint, allowing the foot to become a flexible shock absorber. Excessive or prolonged pronation during this phase is a common finding that pedorthists address with medial posting or motion-control footwear.

7Which gait deviation is most commonly associated with excessive forefoot varus?

A.Trendelenburg gait

B.Compensatory subtalar pronation

C.Foot drop

D.Steppage gait

Explanation: Forefoot varus is an intrinsic structural deformity where the forefoot is inverted relative to the rearfoot. To get the medial forefoot to the ground, the subtalar joint compensates with excessive pronation. Pedorthists correct this with intrinsic forefoot varus posting in custom orthoses.

8A pedorthist observes asymmetric shoe wear with excessive medial heel wear on the right shoe. What does this finding most likely indicate?

A.Right foot supination

B.Right foot pronation

C.Right leg length discrepancy (longer right leg)

D.Left foot pronation

Explanation: Excessive medial heel wear is a classic sign of overpronation. When the foot pronates excessively, the heel tilts medially, causing greater wear on the inside of the heel counter and sole. Pedorthists analyze wear patterns as part of the patient assessment to guide orthotic and footwear recommendations.

9What is the primary purpose of a metatarsal pad in a pedorthic device?

A.To increase push-off power at toe-off

B.To redistribute pressure proximal to the metatarsal heads

C.To immobilize the forefoot

D.To elevate the heel height

Explanation: A metatarsal pad is placed just proximal to the metatarsal heads to lift and spread them, redistributing plantar pressure away from the metatarsal heads. This is one of the most common pedorthic interventions for metatarsalgia and conditions causing forefoot pain.

10Which type of orthotic is fabricated from a negative impression or 3D scan of the patient's foot?

A.Prefabricated over-the-counter insole

B.Accommodative arch support

C.Custom-molded foot orthosis

D.Generic cushion insert

Explanation: A custom-molded foot orthosis is fabricated from a negative impression (plaster cast, foam box impression, or 3D scan) of the patient's foot. This ensures the orthosis matches the patient's unique foot shape and biomechanical needs, which is a core competency for pedorthists.

About the BOCPD Exam

The BOCPD is the pedorthist certification exam administered by the Board of Certification/Accreditation (BOC). It assesses competency in pedorthic assessment, treatment planning, device fabrication and fitting, therapeutic footwear, practice management, and professional responsibility. BOC accepted final new applications in 2016, but existing BOCPD certificants maintain their credentials and the exam remains relevant for recertification and state licensure.

Questions

110 scored questions

Time Limit

2 hours

Passing Score

Scaled score (criterion-referenced)

Exam Fee

$300 (VPE retake fee; contact BOC for current initial exam fees) (BOC / PSI)

BOCPD Exam Content Outline

~32%

Patient Evaluation & Assessment

Patient history, biomechanical evaluation, gait analysis, sensory testing, vascular assessment, and footwear analysis

~25%

Treatment Plan Formulation

Prescription interpretation, device selection, material selection, treatment goals, and consultation with healthcare providers

~25%

Implementation of Treatment Plan

Custom orthotic fabrication, shoe modifications, therapeutic footwear fitting, casting/scanning, trial fittings, and patient education

~10%

Continuation of Treatment Plan

Follow-up evaluations, device adjustments, outcome assessment, documentation, and ongoing care management

~8%

Practice Management

Documentation, billing/coding (HCPCS), Medicare Therapeutic Shoe Program, infection control, ethics, and professional responsibility

How to Pass the BOCPD Exam

What You Need to Know

Passing score: Scaled score (criterion-referenced)
Exam length: 110 questions
Time limit: 2 hours
Exam fee: $300 (VPE retake fee; contact BOC for current initial exam fees)

Keys to Passing

Complete 500+ practice questions
Score 80%+ consistently before scheduling
Focus on highest-weighted sections
Use our AI tutor for tough concepts

BOCPD Study Tips from Top Performers

1Focus on patient evaluation and assessment first, as it is the largest exam domain at approximately 32% of content

2Master diabetic foot care topics including the Medicare Therapeutic Shoe Program, HCPCS codes, and neuropathy screening methods

3Study shoe modification types (rocker soles, heel lifts, flares, Thomas heels) and understand when each is indicated

4Practice identifying gait deviations and their biomechanical causes, linking them to specific orthotic and footwear interventions

5Review materials science fundamentals including durometer, compression set, EVA properties, and polypropylene characteristics

Frequently Asked Questions

How many questions are on the BOCPD exam?

The BOC Candidate Handbook states that pedorthist candidates are given 2 hours to finish 110 questions, which includes 15 unscored pretest items used for future exam development. Only 95 questions count toward your score.

Is BOC still accepting new BOCPD applications?

BOC stopped accepting new applications for the BOCPD credential after July 31, 2016. However, existing BOCPD certificants maintain their credentials through continuing education, and the BOCPD remains recognized by CMS, the VA, and many state licensure boards.

How does the BOCPD differ from the ABC C.Ped credential?

Both credentials certify pedorthists, but BOC's pedorthist scope of practice is broader than ABC's. The BOCPD exam has 110 questions in 2 hours, while the ABC C.Ped exam has 165 questions in 3 hours. Both are accepted by Medicare and many state licensure boards.

What are the continuing education requirements for BOCPD?

BOC requires BOCPD certificants to complete 55 CEUs per 5-year recertification cycle, with at least 27.5 in scientific categories and no more than 27.5 in business categories. Up to 11 excess CEUs may carry over to the next cycle.

Where can I take the BOCPD exam?

The BOCPD exam is administered at PSI testing centers nationwide. Candidates register through BOC and schedule with PSI. Remote proctored testing may also be available.

What score do I need to pass the BOCPD exam?

The BOCPD uses a criterion-referenced passing score determined by a panel of practicing pedorthists using psychometric methods. BOC does not publish a specific numerical cutoff. You receive your results immediately after completing the computer-based exam.

What topics should I focus on for BOCPD exam preparation?

Focus on patient evaluation and assessment (~32%), treatment plan formulation (~25%), and implementation of the treatment plan (~25%). Key topics include foot anatomy and biomechanics, gait analysis, diabetic foot care, custom orthotic fabrication, shoe modifications, and Medicare billing codes.