Midterm Exam/Prosthetics Mid-term Exam/Questions & Answers/Updated A+ Score Guide

Factors that affect rehab success (Ans- - Most Important = activity level prior/at the time of amputation - age - health - cognitive status - concurrent disease - LE: preservation of knee = key determination for ambulation success - appropriated length of the residual limb *prior level of activity ex: If patient was not a marathon runner before amputation, but desires to become one after, it is going to be significantly harder. If they had been a marathon runner before, there is much better likelihood of returning to their prior state of functioning Prosthetic Use impact on rehab success (Ans- - age and concurrent disease associated with non-use - 70% use their prosthesis full time (traumatic-LE) - reasons for non-use: physical or psychological discomfort Diabetic foot appearance (Ans- - dry, cool, pale skin - thick and brittle nails - loss of hair - thick calluses - infection - ulcers Risk Factors associated with diabetic foot (Ans- - sensory loss - abnormal mechanical stresses (deformity) - poor circulation A sensory loss assessment should include... (Ans- - Nerve conduction velocity/EMG testing - Semmes-Weinstein Monofilament testing (reliable, inexpensive, quick and easy) Semmes-Weinstein Monofilaments Purpose/Description (Ans- Purpose: To determine if a patient can feel light touch pressure, especially at points prone to ulceration.