Amputations Flashcards

1
Q

A patient who has undergone a transtibial amputation has a difficult time placing his correctly during heel strike–the foot tends to move medial or lateral outside of the gait path. You have checked the prosthetic and it is just fine. What exercise would help the individual MOST with this issue?

A. Controlled tapping of the prothesis on a colored circle while standing

B. side stepping to the side of the prosthesis with a resistance band

C. repeated sit to stand activities for strengthening

D. Standing on the prosthesis and tapping the contralateral foot

A

A. Controlled tapping of the prothesis on a colored circle while standing

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2
Q

A PTA is performing gait training on a patient who has a trans-tibial amputation. After 15 min of training, the patellar tendon-bearing prosthesis is removed for skin inspection. Redness is noted on multiple areas of the residual limb. Which area of redness should cause the MOST concern to the PTA?

A. Fibular Shaft
B. Patellar tendon
C. Gastrocnemius muscle
D. Distal Anterior Tibia

A

D. Distal Anterior Tibia

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3
Q

Which of the following prosthetics are primarily constructed for those who have paraplegia?

A. Craig-Scott orthosis
B. Reciprocating Gait Orthosis (RGO)
C. Parapodium
D. Hip-knee-ankle-foot-orthosis (HKFO)

A

B. Reciprocating Gait Orthosis (RGO)

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4
Q

Translation of the residual limb in a prosthesis:

A. Pistoning
B. Pylon/shank
C. Shrinker
D. Suspension

A

A) pistoning

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5
Q

The pipe-like structure used to connect the socket and prosthesis:

A. Pistoning
B. Pylon/shank
C. Shrinker
D. Suspension

A

B) Pylon/Shank

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6
Q

Describes how the socket is attached to the residual limb:

A. Pistoning
B. Pylon/shank
C. Shrinker
D. Suspension

A

D) Suspension

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7
Q

Elastic-sleeve used to control edema and shape limb:

A. Pistoning
B. Pylon/shank
C. Shrinker
D. Suspension

A

C) Shrinker

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8
Q

A forequarter amputation is the same as a scapulothoracic amputation.

True or False

A

True

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9
Q

The amputee must have a near-perfect prosthetic initially because the equipment is expensive. The providers only have one chance to get it right for the patient and it is difficult due to the incision, shape and swelling of the residual limb.

True or False

A

False

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10
Q

What is the most common reason for LE amputation in the United States for individuals over the age of 50?

A) Cancer
B) Trauma
C) Uncontrolled Diabetes

A

Uncontrolled diabetes

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11
Q

A pt who underwent a BKA 12 weeks ago presents to PT with a valgus deformity. They have had their prosthetic for 2 weeks. What is the most likely cause?
A. The leg is loose due to decrease in stump size.
B. The stump is swelling
C. the patient is pushing away from the new limb
D. ataxic gait pattern

A

A. The leg is loose due to decrease in stump size.

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12
Q
Out of the list below, what is the most likely reason a patient would need an AFO? 
A  weakness of the everters 
B parkinsonion gait 
C  paralyzation of the dorsiflexors 
D spasticity of the dorsiflexors
A

Paralyzation of the dorsiflexors

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13
Q

If a patient who has had an AKA amputation complains that his prosthetic has become loose over the last few days. The best way to decrease the friction until a new leg is given to the pt is to….

A wrap a compression sleeve around the prosthetic
B Use an ace bandage
C place prosthetic “socks” over the stump
D No answer text provided.

A

place prosthetic “socks” over the stump

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14
Q

If a prosthetic limb is too long, what combination of gait deviations would most likely be noted?
A) hip hiking, steppage gait
B) lateral weight shift towards the prosthetic, circumduction
C) lateral weight shift away for the prosthetic, circumduction

A

lateral weight shift away, circumduction

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15
Q

A PTA intends to use compression stockings for a patient. In which of the following scenarios would this be contraindicated?

A Post op TKA
B Residual limb edema following TTA
C Lower extremity edema due to CHF
D following an ankle inversion injury

A

C) Lower extremity edema due to CHF

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16
Q

The PT inserts a heel lift into the patient’s shoe. Which of the following conditions would MOST warrant this type of modifcation?

  • Equinus Contracture
  • Sesmoiditis
  • metatarsalgia
  • Pes Cavus Deformity
A

Equinus contracture

17
Q

removal at the ankle leaving the heel in tact:

A) Symes
B) Forequarter
C) transtibial

A

Symes

18
Q

This is the removal of the upperlimb and the entire shoulder girdle.

A) Symes
B) Forequarter
C) Transtibial

A

Forequarter