COMBINED AMPUTEE PTACTICE QNS WITH 100% ANSWERS
1. Which demographic is at the most risk for amputations?: Answer: African
Americans
2. Define congenital limb deformity.: Answer: The result of prenatal or birth defect
3. What are the majority of upper extremity amputations due to?: Answer: Trauma
4. What is the primary cause of amputation?: Answer: Peripheral vascular
disease
5. How much more energy do unilateral transfemoral amputees use compared to
an able-bodied individual?: Answer: 60%
6. What is the most common upper extremity amputation level?: Answer:
Transradial
7. Are the majority of amputations upper or lower extremity?: Answer: Lower
extremity 8. Why is a knee disarticulation advantageous?: Answer: End bearing
on the knee is possible
9. What is K Level 1?: Answer: Ability or potential ability to use a prosthesis for
transfer or amputation on a level surface at a fixed cadence
10. Which of the following is true of the amputee mobility predictor: 1. easily
differentiates between K2 and K3 levels,
2. is a subjective test of body systems and function in the ICF guidelines,
3. may be completed in about 15 minutes, or
4.requires that the individual already have their prosthesis?: Answer: be
completed in about 15 minutes
11. The transtarsal (Chopart) level amputation: an example of a forefoot
partial foot amputation a bad choice for distal end bearing a surgical level
for amputation, that has a tendency to develop equinus
has the advantage of being good for active patients: Answer: a surgical level for
amputation, that has a tendency to develop equinus
11. The prosthetic training phase begins when: post-operatively prosthetic fitting
is done. the patient is discharged from the hospital there is a fully healed wound:
Answer: there is a fully healed wound 13.
,12. The pre-operative phase begins when: the decision has been made to
amputate. a congenital limb deformity is present. medically stable. a massive
lower extremity tumor has been removed.: Answer: the decision has been made
to amputate
14. The following are all examples of "external" methods of suspension, except
knee strap waist belt neoprene sleeve shuttlelock: Answer: shuttlelock
15. For each of the transfemoral problems list in the first column, select the most
appropriate cause from the second column. There are more causes than problems.
A. Patient complains of pain in the pubic ramus on stance
B. Patient takes a long step with the prosthesis and a short step with the
unamputated leg
C. The heel of the prosthetic foot moves laterally on swingD. The prosthetic knee
is somewhat unstable at heel contact
Answer choices:
1. Patient is afraid to bear weight fully on the prosthesis
2. Knee axis is set too far forward
3. The residual limb has shrunk and patient is going too far into the socket
4. knee axis is set in too much internal rotation: Answer: A: The residual limb has
shrunk and patient is going too far into the socket
B. Patient is afraid to bear weight fully on the prosthesis
C. knee axis is set in too much internal rotation
D. Knee axis is set too far forward
16. What is a lisfranc amputation?: Answer: disarticulation b/w tarsals and
metatarsals "tarsometatarsal"
, 17. The most common upper extremity amputation level is the: elbow
disarticulation
wrist disarticulation transhumeral
transradial: Answer: transradial
18. The soft dressing type is:
advantageous over other types because it offers greater protection advantageous
because it allows for easy wound inspection advantageous because it decreases
risk of knee flexion contracture advantageous because it has been shown to have
improved healing time: Answer: advantageous because it allows for easy wound
inspection
19. The most appropriate foot for a "K level 1" foot would be:
Multi-axis
Shock absorption
SACH
Dynamic response: Answer: SACH
20. The rehabilitation and prosthesis follow-up phase begins when: the patient is
discharged from the hospital
the prosthesis is fitting well the
patient is free from contracture
there is a fully healed wound: Answer: the prosthesis is fitting well
21. A patient status post right transfemoral amputation secondary to trauma is
admitted to a rehabilitation hospital for prosthetic training. During a therapy
session the patient complains of phantom limb sensation where he can feel his
foot and complains of "pins and needles" in the portion of the leg that was
amputated. The therapist should advise the patient to:
Leave the residual limb unwrapped to allow for better motion and full exposure to
the air.
Avoid wearing the prosthesis until the sensation dissipates.
Provide tapping and massage to the residual limb on a regular basis.
Seek a referral for grief counseling.: Answer: Provide tapping and massage to the
residual limb on a regular basis
1. Which demographic is at the most risk for amputations?: Answer: African
Americans
2. Define congenital limb deformity.: Answer: The result of prenatal or birth defect
3. What are the majority of upper extremity amputations due to?: Answer: Trauma
4. What is the primary cause of amputation?: Answer: Peripheral vascular
disease
5. How much more energy do unilateral transfemoral amputees use compared to
an able-bodied individual?: Answer: 60%
6. What is the most common upper extremity amputation level?: Answer:
Transradial
7. Are the majority of amputations upper or lower extremity?: Answer: Lower
extremity 8. Why is a knee disarticulation advantageous?: Answer: End bearing
on the knee is possible
9. What is K Level 1?: Answer: Ability or potential ability to use a prosthesis for
transfer or amputation on a level surface at a fixed cadence
10. Which of the following is true of the amputee mobility predictor: 1. easily
differentiates between K2 and K3 levels,
2. is a subjective test of body systems and function in the ICF guidelines,
3. may be completed in about 15 minutes, or
4.requires that the individual already have their prosthesis?: Answer: be
completed in about 15 minutes
11. The transtarsal (Chopart) level amputation: an example of a forefoot
partial foot amputation a bad choice for distal end bearing a surgical level
for amputation, that has a tendency to develop equinus
has the advantage of being good for active patients: Answer: a surgical level for
amputation, that has a tendency to develop equinus
11. The prosthetic training phase begins when: post-operatively prosthetic fitting
is done. the patient is discharged from the hospital there is a fully healed wound:
Answer: there is a fully healed wound 13.
,12. The pre-operative phase begins when: the decision has been made to
amputate. a congenital limb deformity is present. medically stable. a massive
lower extremity tumor has been removed.: Answer: the decision has been made
to amputate
14. The following are all examples of "external" methods of suspension, except
knee strap waist belt neoprene sleeve shuttlelock: Answer: shuttlelock
15. For each of the transfemoral problems list in the first column, select the most
appropriate cause from the second column. There are more causes than problems.
A. Patient complains of pain in the pubic ramus on stance
B. Patient takes a long step with the prosthesis and a short step with the
unamputated leg
C. The heel of the prosthetic foot moves laterally on swingD. The prosthetic knee
is somewhat unstable at heel contact
Answer choices:
1. Patient is afraid to bear weight fully on the prosthesis
2. Knee axis is set too far forward
3. The residual limb has shrunk and patient is going too far into the socket
4. knee axis is set in too much internal rotation: Answer: A: The residual limb has
shrunk and patient is going too far into the socket
B. Patient is afraid to bear weight fully on the prosthesis
C. knee axis is set in too much internal rotation
D. Knee axis is set too far forward
16. What is a lisfranc amputation?: Answer: disarticulation b/w tarsals and
metatarsals "tarsometatarsal"
, 17. The most common upper extremity amputation level is the: elbow
disarticulation
wrist disarticulation transhumeral
transradial: Answer: transradial
18. The soft dressing type is:
advantageous over other types because it offers greater protection advantageous
because it allows for easy wound inspection advantageous because it decreases
risk of knee flexion contracture advantageous because it has been shown to have
improved healing time: Answer: advantageous because it allows for easy wound
inspection
19. The most appropriate foot for a "K level 1" foot would be:
Multi-axis
Shock absorption
SACH
Dynamic response: Answer: SACH
20. The rehabilitation and prosthesis follow-up phase begins when: the patient is
discharged from the hospital
the prosthesis is fitting well the
patient is free from contracture
there is a fully healed wound: Answer: the prosthesis is fitting well
21. A patient status post right transfemoral amputation secondary to trauma is
admitted to a rehabilitation hospital for prosthetic training. During a therapy
session the patient complains of phantom limb sensation where he can feel his
foot and complains of "pins and needles" in the portion of the leg that was
amputated. The therapist should advise the patient to:
Leave the residual limb unwrapped to allow for better motion and full exposure to
the air.
Avoid wearing the prosthesis until the sensation dissipates.
Provide tapping and massage to the residual limb on a regular basis.
Seek a referral for grief counseling.: Answer: Provide tapping and massage to the
residual limb on a regular basis
