BK Practice Exams Flashcards
Stance phase in px side in knee extension most likely to occur?
IC
The PTB cuff strap suspension strap derives its suspension over which area:
Proximal patella
Lack of total contract in the PTB limb
Distal edema
A/P measurement of a BK pt. Is taken in flexion at
15 deg
The preferred px foot and ankle unit for the BK PTB is
SACH
PHANTOM sensation is experienced by:
Nearly all acquired amputees
In evaluation the unilateral lower limb amputee’s ability to utilize a prosthesis successfully, an important consideration is his:
Balance and coordination on crutches
If the patient complains of prolonged anterior distal tibial discomfort probably cause is:
Foot too posterior
In order to obtain optimum m/l stability of the PTB prosthesis during locomotion:
Observe that the socket displaces laterally not more than 1/2” during midstance phase of locomotion
As the amputee roll over the foot in stance phase, hiss knee joint should
Extend slightly
In dynamic alignment, if the knee is forced forward and knee flexion is exaggerated at heel contract, it indicates
Socket positioned too far anterior
As the outset of the foot is increased in alignment a BK px pressures are increased on the following areas of the RL
Medial distal, proximal lateral
When the BK amputee controls the tendency of the knee to flex after heel strike, the pressures are increased on the following aspects of the RL
Anterior proximal and posterior distal
In the BK stump the peroneal nerve passes above the head of the fibula and therefore care must be exercised in fitting to avoid pressure in this area: T/F
False
BK patent with knee joint flexion contracture of 15 should not be fit with the PTB limb: T/F
False
Hyperextension of the knee can be decreased by moving the socket posterior in relation to the foot: T/F
False
Even pressure is applied over the entire BK stump surface by a socket:
That is shaped to relieve hard areas
The scarpa’s area extends laterally about 2/3 of the distance across the proximal-anterior socket. T/F
False
What are the two main functions of the BK cuff suspension strap:
Maintain the knee in flexion and suspends px
A BK amputee returns to your office complaining that he is stopping in mid stance and have trouble rolling over the toe. His gait and alignment were perfect at the time of delivery of the px one week ago. What could be the problem?
He’s changed his shoes to a lower heel height
With a BK at mid stance where are the pressures (force) in the socket in the sagittal plane:
Straight down in the floor
For a very short BK, why is a PTS advantageous?
Added m/l stability
Patient’s who are converted from side joints and thigh lacer to a corset less PTB commonly exhibit what problem
Knee extension throughout stance phase
Compared to a PTB with cuff suspension, the PTB SCSP socket offers all the following adv. except : Enhanced medial lateral stability More positive knee extension stop More freedom for kneeling Less piston in during swing Self suspending px
More freedom for kneeling
When the counter of the shoe fits too tightly on a SACH foot, which of the following problems can result?
Less compression of the heel
Anterior stop in a single axis foot substitutes for which of the following muscles
Gastrocnemius
With a PTB px, excessive knee flexion occurs after heel strike, which of the following foot and socket adjustment best corrects the problem
More the foot-Anterior
Socket flexion-decrease
One reason for aligning the PTB px so that the patient’s knee is partially flexed is to:
Give the amputee better balance while standing
Improperly located PTB studs (bar?)can cause all the following problems except: Swing phase whip Inadequate suspension Peroneal nerve impingement Difficult in sitting
Peroneal nerve impingement
When the BK patient controls the tendency of the knee to flex after heel strike, the pressures are increased on which areas of limb?
Anterior distal , posterior proximal
During dynamic alignment of a PTB px, excessive knee flexion occurs at the beginning of heel rise. Which of the following adjustments best corrects the problem?
Move foot anterior
Socket flexion decrease
A long posterior flap in a BK amputation secondary to ischemia is preferred because of
Better blood supply
Tendon that is readily visible in the popliteal area when the knee is flexed is that of the
Biceps femoris