A patient with spinal stenosis is referred to physical therapy. The patient reports pain in the
right knee, ankle, and foot. While walking, the patient exhibits a mild foot-drop with no
evidence of hypertonicity. When weight bearing, the foot and ankle are pronated. Which of
the following orthoses is MOST appropriate?
1.Molded ankle-foot orthosis (AFO)
2.AFO with a split stirrup
3.Custom insole with lateral arch supports
4.Metal AFO with the ankle set in 5° of dorsiflexion
ANSWER
1.Molded ankle-foot orthosis (AFO)
2: bulky and does not address pronation
4: heavy and does not address pronation
A patient with diabetes had a right transtibial amputation 5 days ago. An advantage of a rigid
removable dressing versus bandaging is that the rigid dressing:
1.allows for early weight bearing.
2.requires less monitoring.
3.allows applied pressure to be varied.
4.is less costly.
ANSWER
1.allows for early weight bearing.
2: requires more supervision bc no access available to incisions and the dressing is fabricated
by the surgeon or prosthetist. As the residual limb heals, sutures are removed, and the limb
changes shape, a new cast must be made. 3. Pressure cannot be varied when using a rigid
dressing, unlike bandaging with an elastic wrap or shrinker. 4. A rigid dressing requires
, careful application by a skilled individual and, therefore, may be more costly. An elastic
shrinker is a less expensive option.
A pt with an incomplete C8 spinal cord injury reports of burning in the buttocks when sitting
in a wc. Which of the following problems with the pt's wc would be most likely to contribute
to the burning?
1. Footplates are too high
2. Footplates are too low
3. Seat is too narrow
4. Seat is too deep
ANSWER
1. Footplates are too high [Shift pt's weight posteriorly onto buttocks]
2: shift pt weight forward, may cause problems on thigh
3: pressure on lateral pelvis and thighs
4: lead to posterior tilt and kyphotic posture
A home health patient who recently had a three-vessel coronary artery bypass graft
describes experiencing bilateral lower extremity swelling, leg pain, and shortness of breath,
especially when lying down. The patient MOST likely has which of the following diagnoses?
1.Deep vein thrombosis
2.Myocardial infarction
3.Pulmonary embolism
4.Heart failure
ANSWER
4.Heart failure
1: usually u/l
2: does not result in acute swelling
right knee, ankle, and foot. While walking, the patient exhibits a mild foot-drop with no
evidence of hypertonicity. When weight bearing, the foot and ankle are pronated. Which of
the following orthoses is MOST appropriate?
1.Molded ankle-foot orthosis (AFO)
2.AFO with a split stirrup
3.Custom insole with lateral arch supports
4.Metal AFO with the ankle set in 5° of dorsiflexion
ANSWER
1.Molded ankle-foot orthosis (AFO)
2: bulky and does not address pronation
4: heavy and does not address pronation
A patient with diabetes had a right transtibial amputation 5 days ago. An advantage of a rigid
removable dressing versus bandaging is that the rigid dressing:
1.allows for early weight bearing.
2.requires less monitoring.
3.allows applied pressure to be varied.
4.is less costly.
ANSWER
1.allows for early weight bearing.
2: requires more supervision bc no access available to incisions and the dressing is fabricated
by the surgeon or prosthetist. As the residual limb heals, sutures are removed, and the limb
changes shape, a new cast must be made. 3. Pressure cannot be varied when using a rigid
dressing, unlike bandaging with an elastic wrap or shrinker. 4. A rigid dressing requires
, careful application by a skilled individual and, therefore, may be more costly. An elastic
shrinker is a less expensive option.
A pt with an incomplete C8 spinal cord injury reports of burning in the buttocks when sitting
in a wc. Which of the following problems with the pt's wc would be most likely to contribute
to the burning?
1. Footplates are too high
2. Footplates are too low
3. Seat is too narrow
4. Seat is too deep
ANSWER
1. Footplates are too high [Shift pt's weight posteriorly onto buttocks]
2: shift pt weight forward, may cause problems on thigh
3: pressure on lateral pelvis and thighs
4: lead to posterior tilt and kyphotic posture
A home health patient who recently had a three-vessel coronary artery bypass graft
describes experiencing bilateral lower extremity swelling, leg pain, and shortness of breath,
especially when lying down. The patient MOST likely has which of the following diagnoses?
1.Deep vein thrombosis
2.Myocardial infarction
3.Pulmonary embolism
4.Heart failure
ANSWER
4.Heart failure
1: usually u/l
2: does not result in acute swelling
