Phys Dys Midterm 2026-NEW!!! | Questions with 100% Verified Answers |
Latest Update
Question: What is the initial OT priority in the immediate post-operative phase for amputation?
Answer:
Surgical recovery and wound management.
Question: What is a key focus of OT in the immediate post-operative phase for edema control?
Answer:
Elevation and the application of ACE wraps.
Question: What is the purpose of shaping the residual limb into a conical form?
Answer:
To prepare for a future prosthesis.
Question: What is an immediate priority for maintaining joint health after amputation?
Answer:
Gentle range of motion (ROM) exercises.
Question: Why is maintaining joint mobility important after amputation?
Answer:
To prevent the development of contractures.
Question: what to monitor for amputations during treatment
Answer:
• Signs of Infection: Closely observe the residual limb for redness, tenderness, increased pain,
pus/discharge, or fever.
• Skin Integrity: Perform daily checks for skin breakdown, especially once prosthetic training begins;
any redness lasting longer than 15–20 minutes after doffing a prosthesis must be reported to the
prosthetist.
• Vitals and Pain: Monitor vitals and differentiate between residual limb pain (from bone spurs or
neuromas) and phantom limb pain (cortical mapping errors).
Question: precautions guiding intervention
Answer:
• Fall Risk: These patients are a super high fall risk due to a significant change in their center of balance.
• Contracture Prevention: To prevent hip or knee flexion contractures, OTs must ensure no pillows are
placed under the residual limb for AKA patients or under the knee for BKA patients.
• Dangle Protocol: Some patients may require a gradual increase in the time the limb spends in a
, gravity-dependent position to manage pain and edema.
• Guarding: During mobility, therapists should generally guard on the side of the amputation, as loss of
balance (LOB) typically occurs toward that side.
Question: most appropriate assessment tool for amputations
Answer:
The K-Level assessment is the most specific tool for LE amputations. It is a functional assessment used
to predict success with a prosthesis and is required by insurance companies to determine the medically
necessary type of prosthetic. Other standard assessments include Section GG codes for ADLs and
mobility, MMT/ROM, and the Patient-Specific Functional Scale (PSFS).
Question: best fitting frame of reference for amputations
Answer:
• Rehabilitative: This is used to teach compensatory strategies for ADLs, such as using a tub transfer
bench or one-handed techniques, and for modifying the environment.
• Biomechanical: This is applied through strengthening of proximal muscles, physical conditioning, and
AROM/PROM to prepare the limb for prosthetic use
Question: primary functional goal for amputations
Answer:
The ultimate goal is to optimize future mobility. This begins with achieving independence in ADLs
(specifically lower body dressing and toileting) and functional transfers (e.g., slideboard or stand-pivot).
Long-term goals include community ambulation and the ability to perform complex IADLs like driving,
cooking, and vocational tasks
Question: most critical patient education for amputation
Answer:
Limb Hygiene and Skin Checks: Patients must learn to perform daily skin checks and wash the residual
limb daily with mild soap and water.
• Prosthetic Management: Education on how to don and doff residual limb coverings (socks, shrinkers)
and the prosthesis itself, as well as following a gradual wearing schedule.
• Diabetic Care: For those with vascular etiology, education on protecting the contralateral (sound) limb
is vital—this includes daily foot inspections and never going barefoot
Question: interdisciplinary collaboration amputation
Answer:
Occupational therapists work within an interdisciplinary (ID) team led by a physician. Key collaborators
include:
• Prosthetists: To determine K-levels and ensure proper prosthetic fit and alignment.
• Physical Therapists (PT): To coordinate gait training and early mobility/transfers.
• Behavioral Health/Peer Mentors: To support the patient’s psychosocial adjustment and body image.
Latest Update
Question: What is the initial OT priority in the immediate post-operative phase for amputation?
Answer:
Surgical recovery and wound management.
Question: What is a key focus of OT in the immediate post-operative phase for edema control?
Answer:
Elevation and the application of ACE wraps.
Question: What is the purpose of shaping the residual limb into a conical form?
Answer:
To prepare for a future prosthesis.
Question: What is an immediate priority for maintaining joint health after amputation?
Answer:
Gentle range of motion (ROM) exercises.
Question: Why is maintaining joint mobility important after amputation?
Answer:
To prevent the development of contractures.
Question: what to monitor for amputations during treatment
Answer:
• Signs of Infection: Closely observe the residual limb for redness, tenderness, increased pain,
pus/discharge, or fever.
• Skin Integrity: Perform daily checks for skin breakdown, especially once prosthetic training begins;
any redness lasting longer than 15–20 minutes after doffing a prosthesis must be reported to the
prosthetist.
• Vitals and Pain: Monitor vitals and differentiate between residual limb pain (from bone spurs or
neuromas) and phantom limb pain (cortical mapping errors).
Question: precautions guiding intervention
Answer:
• Fall Risk: These patients are a super high fall risk due to a significant change in their center of balance.
• Contracture Prevention: To prevent hip or knee flexion contractures, OTs must ensure no pillows are
placed under the residual limb for AKA patients or under the knee for BKA patients.
• Dangle Protocol: Some patients may require a gradual increase in the time the limb spends in a
, gravity-dependent position to manage pain and edema.
• Guarding: During mobility, therapists should generally guard on the side of the amputation, as loss of
balance (LOB) typically occurs toward that side.
Question: most appropriate assessment tool for amputations
Answer:
The K-Level assessment is the most specific tool for LE amputations. It is a functional assessment used
to predict success with a prosthesis and is required by insurance companies to determine the medically
necessary type of prosthetic. Other standard assessments include Section GG codes for ADLs and
mobility, MMT/ROM, and the Patient-Specific Functional Scale (PSFS).
Question: best fitting frame of reference for amputations
Answer:
• Rehabilitative: This is used to teach compensatory strategies for ADLs, such as using a tub transfer
bench or one-handed techniques, and for modifying the environment.
• Biomechanical: This is applied through strengthening of proximal muscles, physical conditioning, and
AROM/PROM to prepare the limb for prosthetic use
Question: primary functional goal for amputations
Answer:
The ultimate goal is to optimize future mobility. This begins with achieving independence in ADLs
(specifically lower body dressing and toileting) and functional transfers (e.g., slideboard or stand-pivot).
Long-term goals include community ambulation and the ability to perform complex IADLs like driving,
cooking, and vocational tasks
Question: most critical patient education for amputation
Answer:
Limb Hygiene and Skin Checks: Patients must learn to perform daily skin checks and wash the residual
limb daily with mild soap and water.
• Prosthetic Management: Education on how to don and doff residual limb coverings (socks, shrinkers)
and the prosthesis itself, as well as following a gradual wearing schedule.
• Diabetic Care: For those with vascular etiology, education on protecting the contralateral (sound) limb
is vital—this includes daily foot inspections and never going barefoot
Question: interdisciplinary collaboration amputation
Answer:
Occupational therapists work within an interdisciplinary (ID) team led by a physician. Key collaborators
include:
• Prosthetists: To determine K-levels and ensure proper prosthetic fit and alignment.
• Physical Therapists (PT): To coordinate gait training and early mobility/transfers.
• Behavioral Health/Peer Mentors: To support the patient’s psychosocial adjustment and body image.
