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Musculoskeletal Conditions (MPT1-3) > Arthritis, Amputations and Fractures > Flashcards

Arthritis, Amputations and Fractures Flashcards

1
Q

This K-Classification/s states that the amputee will require a Fixed-Cadence prosthetic device during ambulation.

  • K0
  • K2
  • K4
  • All of these will require a Fixed-Cadence prosthetic device
A

K2

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2
Q

A 47 year old professional athlete had a LE amputation after a vehicular accident. He states to the PT that after the accident, he has decided to retire as an athlete, and plans to go back to his previous job as an office employee. This patient is likely to be classified as…?

  • K1
  • K2
  • K3
  • K4
A

K3

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3
Q

The following are true of the Amputee Mobility Predictor (AMP), EXCEPT:

  • Can be administered before prosthetic fitting
  • Easy to use in clinical practice
  • Must be administered only after prosthetic fitting
  • Used to classify amputees for prosthetic prescription
  • Can be used as an outcome measure tool
A

Must be administered only after prosthetic fitting

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4
Q 
Which among the AMP test items is not performed during AMPnoPRO assessment?
  Item 6: Immediate Standing Balance 
  Item 8: Single Limb Standing Balance 
  Item 10: Nudge Test 
  Item 16: Step Continuity
A

Item 8: Single Limb Standing Balance

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5
Q 
The highest score possible for AMPPRO is…?
  14 
  43 
  47 
  55
A

47

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6
Q

While providing home instructions to a post-surgical transtibial amputee, the PT warns the patient that the most common joint contracture for similar patients (O’Sullivan, Schmidt & Fulk) is…?
Genu recurvatum
Knee flexion
Hip Abduction
Hip External rotation
Trans tibial amputees are not prone to contractures

A

Knee flexion

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7
Q 
While waiting the permanent/definitive LE prosthesis, post-surgical amputees who have intact balance and functional strength are best trained to use which assistive devices for mobility?
  Walker 
  Bilateral crutches 
  Manual wheelchair 
  Quadcane
A

Bilateral crutches

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8
Q

During post-surgical physical therapy, what is the recommended footwear during functional training…?
Barefooted, for optimal somatosensory feedback
Hospital slipper
Socks, for comfort
Sneaker/Rubber shoe

A

Sneaker/Rubber shoe

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9
Q 
What characterizes an effective bandage application?
 Smooth and wrinkle-free 
  Provides pressure distally 
  Encourages proximal joint extension 
  All of these
A

All of these

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10
Q

During bandaging of the transtibial stump, emphasis should also be in limiting knee flexion.
True
False

A

True

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11
Q

When bandaging a short transtibial stump, anchor should be placed
Superior to patella
Inferior to patella

A

Superior to patella

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12
Q

In bandaging a transfemoral stump, the two 6-in bandages cannot be sewn together end-to-end as this will alter the amount of pull towards the specified direction.
True
False

A

False

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13
Q

When using the 6 inches and 4 inches bandage, 4-inch bandage serves to promote hip extension.
True
False

A

False

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14
Q

The lack of complete somatosensory input following an amputation of one limb refers to the:
A. Impairment of LE proprioception due to having only one intact limb.
B. Diminished sensory information regarding the nature of the standing surface
C. Both
D. Neither

A

C. Both

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15
Q

The following characteristics are not found in amputees who have experienced a falls episode?
A. Increased reliance on vestibular system inputs
B. More frequent use of the ankle strategy to maintain postural control
C. Overreliance on the prosthetic limb during perturbed stance
D. None of the Above

A

A. Increased reliance on vestibular system inputs

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16
Q

Which of the following tasks will eccentrically strengthen the hip extensors the most on the intact limb of a patient with a left transfemoral amputation?
A. Ascending stairs with the right limb leading
B. Single leg squats while standing on the right limb
C. Single-leg hopping from side-to-side
D. Sit-to-stand exercises, emphasizing symmetrical weight bearing

A

B. Single leg squats while standing on the right limb

17
Q

Which of the following training situations will most likely promote adaptation and flexibility during ambulation?
A. Walking in an outdoor setting
B. Walking inside parallel bars
C. Walking on a treadmill at constant speed
D. Walking with both eyes closed

A

A. Walking in an outdoor setting

18
Q

In order to maximize an amputee patient’s capacity to return to work and social activities, the following should be included in the physical therapy treatment program:

Balance training with the prosthetic leg
Endurance Training
Mobility training without the prosthesis
Training in navigating obstacles
  A. I and III only 
  B. II and IV only 
  C. I, II, III only 
  D. All of the Above
A

D. All of the Above

19
Q

When ranking the following single-limb balance tasks in terms of difficulty, which one would be ranked the second most difficult?
A. Standing on a foam surface
B. Standing only
C. Standing while touching targets with the hands
D. Standing while turning the head side to side

A

C. Standing while touching targets with the hands

20
Q

In order to promote weight-bearing through the stump of a patient with a transfemoral amputation during preprosthetic training, the therapist should:
A. Ask the pt to maintain standing while the distal stump is placed on a non-padded surface.
B. Instruct the pt to lean towards the side with the amputation while bearing weight on the distal stump
C. Make the patient stand on one leg while the therapist manually supports the distal aspect of the stump with both hands.
D. Do none of the above.

A

D. Do none of the above.

21
Q

Which of the following interventions could be considered as part of the Evidenced-Based Amputee Rehabilitation (EBAR) Program?

Dynamic balance training
Treadmill ambulation
Flexibility exercises
Static balance training
  A. I and III only 
  B. II and IV only 
  C. I, II, III only 
  D. All of the Above
A

D. All of the Above

22
Q 
The following are considered prosthetic causes of CIRCUMDUCTION during swing on a Transfemoral Gait Analysis, EXCEPT:
  Inadequate suspension 
  Prosthesis too long 
  Abduction contracture 
  Knee unit locked
A

Abduction contracture

23
Q 
The following Gait deviations/compensations can be observed in the FRONTAL plane, EXCEPT:
  Terminal swing impact 
  Abducted stance 
  Lateral trunk bending 
  Whip 
  External rotation of Foot
A

Terminal swing impact (seen in sagittal view)

24
Q

During static analysis, the intact and prosthetic limbs are compared. In standing, the patient’s pelvis must be:
Level, with both intact and amputated limb with prosthesis at relatively equal length
Non-level, with the amputated limb with prosthesis at longer length to prevent discomfort from the residual limb sinking too deep into the socket
Non-level, with the amputated limb with prosthesis at shorter length to ensure that the residual limb fits snugly into the socket to prevent pistoning action

A

Level, with both intact and amputated limb with prosthesis at relatively equal length

25
Q

Patients who experience traumatic amputation typically go through a preoperative phase of rehabilitation. The preoperative phase includes psychosocial assessment facilitated by a psychologist or psychiatrist.

Only the first statement is true
Only the second statement is true
Both statements are true
Both statements are false

A

Only the second statement is true

26
Q

Actual ADL skills-retraining is usually facilitated by which of the following? (check all possible answers)

Physical therapist
Prosthetist-Orthotist
Occupational Therapist
Physician

A

Physical therapist

Occupational Therapist

27
Q

Residual limb care is provided by which of the following?

  Physician 
  Physical Therapist 
  Orthotist Prosthetist 
  Nurse 
  All of these provide this care to the amputee patient
A

All of these provide this care to the amputee patient

28
Q

True of False? The ischial tuberosity is a weight-bearing portion for a trans-femoral prosthesis socket.
True
False

A

True

29
Q 
The first Philhealth benefit package (Z MORPH) for LE Amputees offered was specific for which level(s) of amputation?
  Trans tibial 
  Trans femoral 
  Knee disarticulation 
  All of these
A

Trans tibial

30
Q 
A polycentric knee joint in LE prosthesis means?
  Single-axis knee 
  Multi-axial knee 
  Fixed knee joint 
  All of these
A

Multi-axial knee

31
Q

What are the categories under 2010 classification of RA?

A

Joint involvement, Serology, Acute Phase Reactants, Duration of Sx

32
Q

What type of arthritis is more commonly affects the C1-C2 (upper cervical)? (OA or RA)

A

RA

Musculoskeletal Conditions (MPT1-3) (6 decks)

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