Musculoskeletal

Question 1

UE amputation, type of wrap

Answer 1

2-4” wrap

Question 2

transtibial amputation, type of wrap

Answer 2

3-4” wrap

phantom limb does NOT mean phantom pain!

Question 3

transfemoral amputation, type of wrap

Answer 3

6” wrap

Question 4

craig scott KAFO

Answer 4

for paraplegia (can stand with posterior trunk lean)

Question 5

reciprocating gait orthosis

Answer 5

paraplegia, cable system, advance one leg once shifted weight

Question 6

hemicorpectomy

Answer 6

surgical removal of pelvis and BLE

Question 7

Syme’s amputation

Answer 7

surgical removal of foot at ankle joint with removal of malleoli

Question 8

Choparts amputation

Answer 8

disarticulation at midtarsal joint

Question 9

forequarter amputation

Answer 9

scapulothoracic amputation, loss of all shoulder/elbow/hand function

Question 10

Ortolani’s test

Answer 10

supine, hip/knees to 90 deg (BOTH LEs at SAME TIME)
grab legs so thumbs placed on medial thigh, fingers on lateral thigh toward buttock.
Abduct hips, applying pressure at greater troch until resistance (30 deg)
+ = click/clunk dislocation being reduced

Question 11

Barlows test

Answer 11

supine, hip/knee flex to 90deg. Stabilize femur/pelvis/opposite leg. Move testing leg into adduction while applying PA force posterior to greater troch
+ = click or clunk dislocation being reduced

Question 12

Gowers sign

Answer 12

Using hands to push up on legs to attain upright standing position due to insufficient proximal muscle strength

Question 13

Ankle strategy forward away activation

Answer 13

Activated distal to proximal. 1. Gastroc, hamstring, paraspinals

Question 14

Ankle strategy backward sway activation

Answer 14

1. Anterior tib, quads, and abdominals

Question 15

Hip strategy forward sway

Answer 15

Proximal to distal.

1. Abdominals, then quads.

Question 16

Hip strategy backward sway

Answer 16

1. Paraspinals then hamstrings

Question 17

Ankle strategy forward away activation

Answer 17

Activated distal to proximal. 1. Gastroc, hamstring, paraspinals

Question 18

Ankle strategy backward sway activation

Answer 18

1. Anterior tib, quads, and abdominals

Question 19

Hip strategy forward sway

Answer 19

Proximal to distal.

1. Abdominals, then quads.

Question 20

Hip strategy backward sway

Answer 20

1. Paraspinals then hamstrings

Question 21

Froment test

Answer 21

Positive if thumb flexes at IP to hold paper, indicates weakness of adductor pollicis (ulnar nerve lesion) , flexor pollicis longus substitutes

Question 22

Close packed position of hip

Answer 22

Internal rotation with extension and abduction.

OR 90 deg Flexion with abduction and slight ER

Question 23

Ottawa knee rules following acute knee trauma

Answer 23

Receive radiograph if any one of five is present:
TTP across fibular head or patella, age >55, inability to flex knee past 90 deg, or inability to weight bear for four steps