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USA Prosthetics Exam 3

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USA - Prosthetics Quiz on USA Prosthetics Exam 3, created by Ben Williams on 13/11/2017.
Ben Williams
Quiz by Ben Williams, updated more than 1 year ago
Ben Williams
Created by Ben Williams about 7 years ago
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Question 1

Question
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).
Image:
Femur Length 1 (binary/octet-stream)
Answer
  • 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

Question 2

Question
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).
Image:
Femur Length 2 (binary/octet-stream)
Answer
  • 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

Question 3

Question
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).
Image:
Femur Length 3 (binary/octet-stream)
Answer
  • 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

Question 4

Question
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).
Image:
Femur Length 4 (binary/octet-stream)
Answer
  • 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

Question 5

Question
Which of the following are the ADVANTAGES of a SOFT DRESSING?
Answer
  • 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

Question 6

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

Question 7

Question
Which of the following are the ADVANTAGES of a RIGID DRESSING?
Answer
  • 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

Question 8

Question
Which of the following are the ADVANTAGES of an IPOP DRESSING?
Answer
  • 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

Question 9

Question
Which of the following are the DIS-ADVANTAGES of an IPOP DRESSING?
Answer
  • 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.

Question 10

Question
Which of the following are the DIS-ADVANTAGES of a RIGID DRESSING?
Answer
  • 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.

Question 11

Question
Which of the following are the DIS-ADVANTAGES of a SEMI-RIGID DRESSING?
Answer
  • 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.

Question 12

Question
Which of the following are the DIS-ADVANTAGES of a SOFT DRESSING?
Answer
  • 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.

Question 13

Question
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?
Answer
  • 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

Question 14

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

Question 15

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

Question 16

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

Question 17

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

Question 18

Question
Which of the following activities are appropriate for Post-Op Day 5?
Answer
  • Pre-prosthetic ambulation with walker
  • Sitting endurance
  • HEP
  • Patient education and reinforcement
  • Discharge
  • Bed mobility
  • Positioning
  • Transfer skills

Question 19

Question
Prosthetic Gait Training occurs during a follow-up visit. Which of the following is the EARLIEST week in which we should consider it?
Answer
  • Week 3
  • Week 4
  • Week 6
  • Week 7
  • Week 8
  • Week 9
  • Week 10
  • Week 11
  • Week 12
  • Week 2

Question 20

Question
When preparing a HEP, you recall from your Prosthetics Lessons that you should include no more than __#__ exercises, in order to maximize patient compliance.
Answer
  • 2
  • 3
  • 4
  • 5

Question 21

Question
If possible – lower extremity amputees should lie __(position)___ with a small towel roll promoting slight __(motion)__ for __(##)__ minutes per day.
Answer
  • position = PRONE
  • position = SUPINE
  • position = IN SIDELYING
  • motion = HIP EXTENSION
  • motion = HIP FLEXION
  • ## = 30
  • ## = 45

Question 22

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

Question 23

Question
What is the proper order for a prosthetic fitting process? [blank_start]Diagnostic[blank_end] prosthesis [blank_start]Temporary[blank_end] prosthesis [blank_start]Definitive[blank_end] prosthesis
Answer
  • Diagnostic
  • Temporary
  • Definitive
  • Final
  • Trial
  • Loaner

Question 24

Question
Which prosthesis is worn only for evaluation?
Answer
  • Diagnostic prosthesis
  • Temporary prosthesis
  • Definitive prosthesis
  • Evaluation prosthesis

Question 25

Question
Which prosthesis is worn during prosthetic training?
Answer
  • Diagnostic prosthesis
  • Temporary prosthesis
  • Definitive prosthesis
  • Training prosthesis

Question 26

Question
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)?
Answer
  • 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.

Question 27

Question
When donning socks, which of the following is correct?
Answer
  • 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

Question 28

Question
socks are commonly made out of which of the following materials (as listed in our course notes).
Answer
  • Wool
  • Cotton
  • Lycra
  • Angora
  • Mineral oil gel
  • Silicone
  • Urethane

Question 29

Question
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.
Answer
  • True
  • False

Question 30

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

Question 31

Question
Select the Principles of Compression
Answer
  • 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

Question 32

Question
A guiding principle in the management of pain is that prevention is more effective than reduction.
Answer
  • True
  • False

Question 33

Question
What percentage of amputees experience phantom sensations or pain?
Answer
  • 50%
  • 20%
  • 85%
  • 95%

Question 34

Question
The duration of phantom limb sensation is a significant predictor of phantom pain intensity.
Answer
  • True
  • False

Question 35

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

Question 36

Question
Which of the following are examples of Kinesthetic Sensation (Phantom Sensation)?
Answer
  • Posture
  • Length
  • Volume
  • Willed movements
  • Spontaneous Movements
  • Associated Movements
  • Touch
  • Pressure
  • Temperature

Question 37

Question
Which of the following are examples of Kinetic Sensation (Phantom Sensation)?
Answer
  • Willed movements
  • Spontaneous Movements
  • Associated Movements
  • Posture
  • Length
  • Volume
  • Touch
  • Temperature
  • Pressure

Question 38

Question
Which of the following are examples of Extroceptive Sensation (Phantom Sensation)?
Answer
  • Pressure
  • Temperature
  • Touch
  • Posture
  • Length
  • Volume
  • Willed movements
  • Spontaneous Movements
  • Associated Movements

Question 39

Question
Which of the following stimuli are likely to PROVOKE pain?
Answer
  • Emotional stress
  • Exposure to cold
  • Local irritants to the stump
  • Auriculotherapy
  • prosthetic ambulation
  • Stroking the stump
  • Heat
  • Distraction

Question 40

Question
Which of the following stimuli are likely to RELIEVE pain?
Answer
  • prosthetic ambulation
  • Stroking the stump
  • Heat
  • Distraction
  • Auriculotherapy
  • Emotional stress
  • Exposure to cold
  • Local irritants to the stump

Question 41

Question
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.
Answer
  • True
  • False

Question 42

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

Question 43

Question
Phantom Sensation may take the form of a feeling that insects are crawling all over the skin of the missing limb.
Answer
  • True
  • False

Question 44

Question
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.
Answer
  • True
  • False

Question 45

Question
According to some study vaguely cited in our lesson notes, what percentage of amputees benefit from pain management treatment?
Answer
  • 7%
  • 27%
  • 57%
  • 77%
  • 97%

Question 46

Question
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.
Answer
  • True
  • False
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