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Exam (elaborations)

PTAE Amputation/Orthotic/Burn Questions With Complete Solutions!!

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A patient is transferred to a burn clinic w/ partial-thickness burns over 30% of the body. What type of healing will this type of wound be characterized by? A) Blister and minimal edema w/ spontaneous healing B) Depressed skin area that heals w/ grafting and scarring C) Moderate edema w/ spontaneous healing and minimal grafting D) Marked edema w/ slow healing and extensive hypertrophic scarring - Answer-D A PTA is instructing a SPTA in proper positioning to prevent the typical contractures in a pt w/ transfemoral amputation. What position should be PTA stress? A) Prone-lying w/ residual limb in neutral position B) A w/c w/ gel cushion and adductor roll C) Supine-lying w/ the residual limb resting on a small pillow D) Side-lying on the residual limb - Answer-A An older adult pt w/ transfemoral amputation is having difficulty wrapping the residual limb. The PTA should: A) Suggest the use of a shrinker B) Redouble efforts to teach proper Ace bandage-wrapping C) Apply a temporary prosthesis immediately D) Consult w/ the vascular surgeon about the application of a Unna's paste dressing - Answer-A A pt w/ a transfemoral amputation has been fitted w/ a prosthesis that utilizes a quadrilateral socket. The PTA is performing gait training activities. Following gait training, where should the PTA expect to observe evidence of weight bearing on the residual limb?A) Ischial tuberosity and lateral sides of residual limb B) Adductor magnus and medial side of residual limb C) Distolateral end of femur and ischial seat D) Perineal area and medial side of the residual limb - Answer-A A pt has extensive full-thickness burns to the dorsum of the R hand and forearm and is being fitted w/ a resting splint to support the wrists and hands in functional position. An appropriately constructed splint positions the wrist and hand in: A) Neutral wrist position w/ slight finger flexion and thumb flexion B) Slight wrist extension w/ fingers supported and thumb in partial opposition and AB C) Slight wrist flexion w/ interphalangeal joint extension and thumb opposition D) Neutral wrist position w/ interphalangeal joint extension and thumb flexion - Answer-B A PTA observes genu recurvatum while gait training a pt w/ hemiplegia. The pt has been using posterior leaf spring orthosis since DC from subacute rehab 4wk ago. Pt has strong synergies in the LE and NO outof-synergy movement. The MOST LIKELY cause of this deviation is: A) Extensor spasticity B) Hip flexor weakness C) DF spasticity D) Hamstring weakness - Answer-A hyperextended knee can be result of extensor spasticity, quad weak (compensatory locking of knee), or by plantar flexion contracture or deformity Pt w/ transtibial amputation is learning to walk w/ a patellar tendon-bering prosthesis and is having difficulty maintaining prosthetic stability from heel-strike to foot-flat. What ms are MOST LIKELY weak during stance phase?A) Knee extensors B) Back extensors C) Hip flexors D) Knee flexors - Answer-A quad is maximally active at heel strike to stabilize the knee and counteract the flexion moment What is the appropriate position in which to splint a patient w/ deep partial thickness burn to the anterior neck? A) Chin tucked B) Chin fwd C) Neck hyperextension D) Neck Flexion - Answer-C

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