USA Prosthetics Exam 3

Pregunta 1 de 46

1

Following a transfemoral amputation, if the amputation site is in the Distal 1/4 to 1/3 of the femur (i.e. Femur Length), what is the percentage of strength reduction? Select only the most correct answer(s).

Selecciona una o más de las siguientes respuestas posibles:

35% of all movements
25% of all movements
45% of all movements
55% of extensors and abductors
65% of flexors and adductors
75% of extensors and abductors
85% of flexors and adductors
65% of extensors and abductors
85% of extensors and abductors
75% of flexors and adductors

Explicación

Pregunta 2 de 46

1

Following a transfemoral amputation, if the amputation site is in the Distal 1/3 to 1/2 of the femur (i.e. Femur Length), what is the percentage of strength reduction? Select only the most correct answer(s).

Selecciona una o más de las siguientes respuestas posibles:

35% of all movements
25% of all movements
45% of all movements
55% of extensors and abductors
65% of extensors and abductors
75% of extensors and abductors
85% of extensors and abductors
65% of flexors and adductors
75% of flexors and adductors
85% of flexors and adductors

Explicación

Pregunta 3 de 46

1

Following a transfemoral amputation, if the amputation site is in the Mid Femur Region (i.e. Femur Length), what is the percentage of strength reduction? Select only the most correct answer(s).

Selecciona una o más de las siguientes respuestas posibles:

35% of all movements
45% of all movements
25% of all movements
55% of extensors and abductors
65% of extensors and abductors
75% of extensors and abductors
85% of extensors and abductors
65% of flexors and adductors
75% of flexors and adductors
85% of flexors and adductors

Explicación

Pregunta 4 de 46

1

Following a transfemoral amputation, if the amputation site is in the Proximal 1/3 of the femur (i.e. Femur Length), what is the percentage of strength reduction? Select only the most correct answer(s).

Selecciona una o más de las siguientes respuestas posibles:

35% of all movements
25% of all movements
45% of all movements
55% of extensors and abductors
65% of extensors and abductors
75% of extensors and abductors
85% of extensors and abductors
65% of flexors and adductors
75% of flexors and adductors
85% of flexors and adductors

Explicación

Pregunta 5 de 46

1

Which of the following are the ADVANTAGES of a SOFT DRESSING?

Selecciona una o más de las siguientes respuestas posibles:

Ability to inspect wound easily
Provide alternative wound environment, as needed
Good support to the surgical site, improved wound environment.
Amputees demonstrate greater confidence with movement with less chance of injury to healing tissue
Psychological benefits of ambulation
Shorter hospital stay
Reduced severity of phantom pain

Explicación

Pregunta 6 de 46

1

Which of the following are the ADVANTAGES of a SEMI-RIGID DRESSING?

Selecciona una o más de las siguientes respuestas posibles:

Ability to inspect wound easily
Provide alternative wound environment as needed
Good support to the surgical site, improved wound environment
Amputees demonstrate greater confidence with movement with less chance of injury to healing tissue
Psychological benefits of ambulation
Shorter hospital stay
Reduced severity of phantom pain

Explicación

Pregunta 7 de 46

1

Which of the following are the ADVANTAGES of a RIGID DRESSING?

Selecciona una o más de las siguientes respuestas posibles:

Ability to inspect wound easily
Provide alternative wound environment as needed
Good support to the surgical site, improved wound environment
Amputees demonstrate greater confidence with movement with less chance of injury to healing tissue
Psychological benefits of ambulation
Shorter hospital stay
Reduced severity of phantom pain

Explicación

Pregunta 8 de 46

1

Which of the following are the ADVANTAGES of an IPOP DRESSING?

Selecciona una o más de las siguientes respuestas posibles:

Ability to inspect wound easily
Provide alternative wound environment as needed
Good support to the surgical site, improved wound environment
Amputees demonstrate greater confidence with movement with less chance of injury to healing tissue
Psychological benefits of ambulation
Shorter hospital stay
Reduced severity of phantom pain

Explicación

Pregunta 9 de 46

1

Which of the following are the DIS-ADVANTAGES of an IPOP DRESSING?

Selecciona una o más de las siguientes respuestas posibles:

Difficult to monitor moisture, temperature, sterility of wound surface under the dressing.
Application of the dressing may create tourniquet effect or varied pressure to the limb.
Slippage of the dressing frequently occurs.
Movement of the dressing over underlying wound and soft tissue can create pain and apprehension.
Frequently the elderly and more pain sensitive amputees will restrict movement and activity to avoid further discomfort.
Improper application of the dressing fails to promote adequate circulation.
Limited access to the wound to monitor healing.
Ambulation could be permitted too soon.
The ability to access the wound to monitor healing is a little more difficult.

Explicación

Pregunta 10 de 46

1

Which of the following are the DIS-ADVANTAGES of a RIGID DRESSING?

Selecciona una o más de las siguientes respuestas posibles:

Difficult to monitor moisture, temperature, sterility of wound surface under the dressing.
Application of the dressing may create tourniquet effect or varied pressure to the limb.
Slippage of the dressing frequently occurs.
Movement of the dressing over underlying wound and soft tissue can create pain and apprehension.
Frequently the elderly and more pain sensitive amputees will restrict movement and activity to avoid further discomfort.
Improper application of the dressing fails to promote adequate circulation.
Limited access to the wound to monitor healing.
Ambulation could be permitted too soon.
The ability to access the wound to monitor healing is a little more difficult.

Explicación

Pregunta 11 de 46

1

Which of the following are the DIS-ADVANTAGES of a SEMI-RIGID DRESSING?

Selecciona una o más de las siguientes respuestas posibles:

Difficult to monitor moisture, temperature, sterility of wound surface under the dressing.
Application of the dressing may create tourniquet effect or varied pressure to the limb.
Slippage of the dressing frequently occurs.
Movement of the dressing over underlying wound and soft tissue can create pain and apprehension.
Frequently the elderly and more pain sensitive amputees will restrict movement and activity to avoid further discomfort.
Improper application of the dressing fails to promote adequate circulation.
Limited access to the wound to monitor healing.
Ambulation could be permitted too soon.
The ability to access the wound to monitor healing is a little more difficult.

Explicación

Pregunta 12 de 46

1

Which of the following are the DIS-ADVANTAGES of a SOFT DRESSING?

Selecciona una o más de las siguientes respuestas posibles:

Difficult to monitor moisture, temperature, sterility of wound surface under the dressing.
Application of the dressing may create tourniquet effect or varied pressure to the limb.
Slippage of the dressing frequently occurs.
Movement of the dressing over underlying wound and soft tissue can create pain and apprehension.
Frequently the elderly and more pain sensitive amputees will restrict movement and activity to avoid further discomfort.
Improper application of the dressing fails to promote adequate circulation.
Limited access to the wound to monitor healing.
Ambulation could be permitted too soon.
The ability to access the wound to monitor healing is a little more difficult.

Explicación

Pregunta 13 de 46

1

There are some basic similarities between the goals of post-operative treatment and those of pre-prosthetic treatment.
Which of the following are unique to Post-Operative Treatment?

Selecciona una o más de las siguientes respuestas posibles:

Reduce edema
Prevent loss of motion
Assist with the limb loss adjustment
Increase cardiac, pulmonary and other organ system function
Increase activity
Improve balance
Stimulate proprioception

Explicación

Pregunta 14 de 46

1

Which of the following activities are appropriate for Post-Op Day 1?

Selecciona una o más de las siguientes respuestas posibles:

Bed mobility
Positioning
A/PROM to uninvolved joints
Non-amputated limb exercises
Transfer skills
Sitting to tolerance (15-20 min)
PROM and AROM to involved joint
Gluteal and quad sets

Explicación

Pregunta 15 de 46

1

Which of the following activities are appropriate for Post-Op Day 2?

Selecciona una o más de las siguientes respuestas posibles:

Transfer skills
Sitting to tolerance (15-20 min)
AROM to uninvolved joints
Gluteal and quad sets
Non-amputated limb exercises
Pre-prosthetic ambulation with walker
PROM and AROM to involved joint
Dressing education
Contracture and precaution exercises

Explicación

Pregunta 16 de 46

1

Which of the following activities are appropriate for Post-Op Day 3?

Selecciona una o más de las siguientes respuestas posibles:

Pre-prosthetic ambulation with walker
Sitting endurance
PROM and AROM to involved joint
Gluteal and quad sets
Non-amputated limb exercises
Dressing education
Sound side exercises
Contracture and precaution exercises
HEP

Explicación

Pregunta 17 de 46

1

Which of the following activities are appropriate for Post-Op Day 4?

Selecciona una o más de las siguientes respuestas posibles:

Pre-prosthetic ambulation with walker
Sitting endurance
AROM to all joints (involve family)
Gluteal and Quad sets (Home Exercise Program - HEP)
Sound side exercises
Contracture and precaution exercises
Bed mobility
Transfer skills
Patient education and reinforcement

Explicación

Pregunta 18 de 46

1

Which of the following activities are appropriate for Post-Op Day 5?

Selecciona una o más de las siguientes respuestas posibles:

Pre-prosthetic ambulation with walker
Sitting endurance
HEP
Patient education and reinforcement
Discharge
Bed mobility
Positioning
Transfer skills

Explicación

Pregunta 19 de 46

1

Prosthetic Gait Training occurs during a follow-up visit.
Which of the following is the EARLIEST week in which we should consider it?

Selecciona una de las siguientes respuestas posibles:

Week 3
Week 4
Week 6
Week 7
Week 8
Week 9
Week 10
Week 11
Week 12
Week 2

Explicación

Pregunta 20 de 46

1

When preparing a HEP, you recall from your Prosthetics Lessons that you should include no more than # exercises, in order to maximize patient compliance.

Selecciona una de las siguientes respuestas posibles:

2
3
4
5

Explicación

Pregunta 21 de 46

1

If possible – lower extremity amputees should lie (position)_ with a small towel roll promoting slight (motion) for (##) minutes per day.

Selecciona una o más de las siguientes respuestas posibles:

position = PRONE
position = SUPINE
position = IN SIDELYING
motion = HIP EXTENSION
motion = HIP FLEXION
## = 30
## = 45

Explicación

Pregunta 22 de 46

1

Which of the following are part of the Essential Home Exercise Program (Basic Four)?

Selecciona una o más de las siguientes respuestas posibles:

Supine AROM alternating hip and knee flexion
Supine AROM hip abduction and adduction
Sidelying AROM hip flexion and extension
Sitting AROM knee flexion and extension
Quad Setting
Prone AROM Hip extension
Manual resistance exercise to hip
PROM and AROM to all joints of the lower extremity

Explicación

Pregunta 23 de 46

1

What is the proper order for a prosthetic fitting process?
❌ prosthesis
❌ prosthesis
❌ prosthesis

Arrastra y suelta para completar el texto.

Diagnostic

Temporary

Definitive

Final

Trial

Loaner

Explicación

Pregunta 24 de 46

1

Which prosthesis is worn only for evaluation?

Selecciona una de las siguientes respuestas posibles:

Diagnostic prosthesis
Temporary prosthesis
Definitive prosthesis
Evaluation prosthesis

Explicación

Pregunta 25 de 46

1

Which prosthesis is worn during prosthetic training?

Selecciona una de las siguientes respuestas posibles:

Diagnostic prosthesis
Temporary prosthesis
Definitive prosthesis
Training prosthesis

Explicación

Pregunta 26 de 46

1

Which of the following BEST describes the differences between the Home-Wearing Schedule for a Transtibial (TTA) prosthesis in weeks 2-3 versus that for a Transfemoral (TFA)?

Selecciona una de las siguientes respuestas posibles:

With TTA, the prosthesis is worn for SHORTER periods of time, MORE times per day than a TFA prosthesis.
With TTA, the prosthesis is worn for LONGER periods of time, MORE times per day than a TFA prosthesis.
With TTA, the prosthesis is worn for SHORTER periods of time, LESS times per day than a TFA prosthesis.
With TTA, the prosthesis is worn for LONGER periods of time, LESS times per day than a TFA prosthesis.
There is no difference between the Home-Wearing Schedules for TTA and TFA.

Explicación

Pregunta 27 de 46

1

When donning socks, which of the following is correct?

Selecciona una de las siguientes respuestas posibles:

The sock seam (if it has one) should be PARALLEL to the suture line
The sock seam (if it has one) should be PERPENDICULAR to the suture line

Explicación

Pregunta 28 de 46

1

socks are commonly made out of which of the following materials (as listed in our course notes).

Selecciona una o más de las siguientes respuestas posibles:

Wool
Cotton
Lycra
Angora
Mineral oil gel
Silicone
Urethane

Explicación

Pregunta 29 de 46

1

If a patient notices a small wound on their stump, it is okay for them to apply a small bandage/dressing and then apply their sock as normal.

Selecciona uno de los siguientes:

VERDADERO
FALSO

Explicación

Pregunta 30 de 46

1

While instructing your patient in proper skin care, the presence of which of the following on the residual limb would be considered a warning sign?

Selecciona una o más de las siguientes respuestas posibles:

Swelling
Erythema lasting longer than 15 minutes
Blisters
Callusses
Dry cracks
Sweat
Heat
Pale skin (pallor)
Signs of inflammation

Explicación

Pregunta 31 de 46

1

Select the Principles of Compression

Selecciona una o más de las siguientes respuestas posibles:

Diagonal turns, when possible
Pressure should be decreased distal to proximal
Pressure should be evenly distributed
Residual limb should be totally enclosed
No folds or wrinkles in wrap
90-degree turns, when possible
Pressure should be increased distal to proximal
Pressure should be increased medial to lateral

Explicación

Pregunta 32 de 46

1

A guiding principle in the management of pain is that prevention is more effective than reduction.

Selecciona uno de los siguientes:

VERDADERO
FALSO

Explicación

Pregunta 33 de 46

1

What percentage of amputees experience phantom sensations or pain?

Selecciona una de las siguientes respuestas posibles:

50%
20%
85%
95%

Explicación

Pregunta 34 de 46

1

The duration of phantom limb sensation is a significant predictor of phantom pain intensity.

Selecciona uno de los siguientes:

VERDADERO
FALSO

Explicación

Pregunta 35 de 46

1

According to our lesson notes, which of the following are true regarding phantom pain/sensation?

Selecciona una o más de las siguientes respuestas posibles:

85% of all amputees experience phantom sensations and pain
33% of employed amputees reported phantom pain interferes with work
82% stated that phantom pain interfered with sleep
Typically, back pain is more bothersome than phantom pain
Synonymous with residual limb pain
Phantom pain is more likely to interfere with work than with sleep.
Phantom sensation can take the form of a feeling of the limb moving, without willful control.
50% stated that phantom pain interferes with sleep
25% of all amputees experience phantom sensations and pain
Phantom pain, if present, always interferes with work.

Explicación

Pregunta 36 de 46

1

Which of the following are examples of Kinesthetic Sensation (Phantom Sensation)?

Selecciona una o más de las siguientes respuestas posibles:

Posture
Length
Volume
Willed movements
Spontaneous Movements
Associated Movements
Touch
Pressure
Temperature

Explicación

Pregunta 37 de 46

1

Which of the following are examples of Kinetic Sensation (Phantom Sensation)?

Selecciona una o más de las siguientes respuestas posibles:

Willed movements
Spontaneous Movements
Associated Movements
Posture
Length
Volume
Touch
Temperature
Pressure

Explicación

Pregunta 38 de 46

1

Which of the following are examples of Extroceptive Sensation (Phantom Sensation)?

Selecciona una o más de las siguientes respuestas posibles:

Pressure
Temperature
Touch
Posture
Length
Volume
Willed movements
Spontaneous Movements
Associated Movements

Explicación

Pregunta 39 de 46

1

Which of the following stimuli are likely to PROVOKE pain?

Selecciona una o más de las siguientes respuestas posibles:

Emotional stress
Exposure to cold
Local irritants to the stump
Auriculotherapy
prosthetic ambulation
Stroking the stump
Heat
Distraction

Explicación

Pregunta 40 de 46

1

Which of the following stimuli are likely to RELIEVE pain?

Selecciona una o más de las siguientes respuestas posibles:

prosthetic ambulation
Stroking the stump
Heat
Distraction
Auriculotherapy
Emotional stress
Exposure to cold
Local irritants to the stump

Explicación

Pregunta 41 de 46

1

According to a study by Jensen, Krebs, and Nielson (1985), stump pain is rather common shortly after amputation, but generally disappears over the course of the next two-years.

Selecciona uno de los siguientes:

VERDADERO
FALSO

Explicación

Pregunta 42 de 46

1

According to a study by Jensen, Krebs, and Nielson (1985), stump pain is rather common shortly after amputation, but generally disappears within one year.

Selecciona uno de los siguientes:

VERDADERO
FALSO

Explicación

Pregunta 43 de 46

1

Phantom Sensation may take the form of a feeling that insects are crawling all over the skin of the missing limb.

Selecciona uno de los siguientes:

VERDADERO
FALSO

Explicación

Pregunta 44 de 46

1

A feeling of coldness in the missing limb is a type of phantom sensation, but a feeling of burning in the missing limb is a type of phantom pain.

Selecciona uno de los siguientes:

VERDADERO
FALSO

Explicación

Pregunta 45 de 46

1

According to some study vaguely cited in our lesson notes, what percentage of amputees benefit from pain management treatment?

Selecciona una de las siguientes respuestas posibles:

7%
27%
57%
77%
97%

Explicación

Pregunta 46 de 46

1

Analgesics may be effective in the treatment of residual limb pain, but, as the limb doesn't actually exist, they are not effective for treating phantom pain.

Selecciona uno de los siguientes:

VERDADERO
FALSO

	Creado por Ben Williams hace alrededor de 7 años

USA - Prosthetics Test sobre USA Prosthetics Exam 3, creado por Ben Williams el 13/11/2017.

USA Prosthetics Exam 3

Pregunta 1 de 46

Following a transfemoral amputation, if the amputation site is in the Distal 1/4 to 1/3 of the femur (i.e. Femur Length), what is the percentage of strength reduction? Select only the most correct answer(s).

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 2 de 46

Following a transfemoral amputation, if the amputation site is in the Distal 1/3 to 1/2 of the femur (i.e. Femur Length), what is the percentage of strength reduction? Select only the most correct answer(s).

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 3 de 46

Following a transfemoral amputation, if the amputation site is in the Mid Femur Region (i.e. Femur Length), what is the percentage of strength reduction? Select only the most correct answer(s).

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 4 de 46

Following a transfemoral amputation, if the amputation site is in the Proximal 1/3 of the femur (i.e. Femur Length), what is the percentage of strength reduction? Select only the most correct answer(s).

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 5 de 46

Which of the following are the ADVANTAGES of a SOFT DRESSING?

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 6 de 46

Which of the following are the ADVANTAGES of a SEMI-RIGID DRESSING?

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 7 de 46

Which of the following are the ADVANTAGES of a RIGID DRESSING?

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 8 de 46

Which of the following are the ADVANTAGES of an IPOP DRESSING?

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 9 de 46

Which of the following are the DIS-ADVANTAGES of an IPOP DRESSING?

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 10 de 46

Which of the following are the DIS-ADVANTAGES of a RIGID DRESSING?

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 11 de 46

Which of the following are the DIS-ADVANTAGES of a SEMI-RIGID DRESSING?

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 12 de 46

Which of the following are the DIS-ADVANTAGES of a SOFT DRESSING?

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 13 de 46

There are some basic similarities between the goals of post-operative treatment and those of pre-prosthetic treatment. Which of the following are unique to Post-Operative Treatment?

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 14 de 46

Which of the following activities are appropriate for Post-Op Day 1?

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 15 de 46

Which of the following activities are appropriate for Post-Op Day 2?

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 16 de 46

Which of the following activities are appropriate for Post-Op Day 3?

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 17 de 46

Which of the following activities are appropriate for Post-Op Day 4?

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 18 de 46

Which of the following activities are appropriate for Post-Op Day 5?

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 19 de 46

Prosthetic Gait Training occurs during a follow-up visit. Which of the following is the EARLIEST week in which we should consider it?

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 20 de 46

When preparing a HEP, you recall from your Prosthetics Lessons that you should include no more than __#__ exercises, in order to maximize patient compliance.

There are some basic similarities between the goals of post-operative treatment and those of pre-prosthetic treatment.
Which of the following are unique to Post-Operative Treatment?

Prosthetic Gait Training occurs during a follow-up visit.
Which of the following is the EARLIEST week in which we should consider it?

When preparing a HEP, you recall from your Prosthetics Lessons that you should include no more than # exercises, in order to maximize patient compliance.

If possible – lower extremity amputees should lie (position)_ with a small towel roll promoting slight (motion) for (##) minutes per day.

What is the proper order for a prosthetic fitting process?
❌ prosthesis
❌ prosthesis
❌ prosthesis