USA Prosthetics Exam 3

Question 1 of 46

1

Following a transfemoral amputation, if the amputation site is in the Distal 1/4 to 1/3 of the femur (i.e. Femur Length), what is the percentage of strength reduction? Select only the most correct answer(s).

Select one or more of the following:

35% of all movements
25% of all movements
45% of all movements
55% of extensors and abductors
65% of flexors and adductors
75% of extensors and abductors
85% of flexors and adductors
65% of extensors and abductors
85% of extensors and abductors
75% of flexors and adductors

Explanation

Question 2 of 46

1

Following a transfemoral amputation, if the amputation site is in the Distal 1/3 to 1/2 of the femur (i.e. Femur Length), what is the percentage of strength reduction? Select only the most correct answer(s).

Select one or more of the following:

35% of all movements
25% of all movements
45% of all movements
55% of extensors and abductors
65% of extensors and abductors
75% of extensors and abductors
85% of extensors and abductors
65% of flexors and adductors
75% of flexors and adductors
85% of flexors and adductors

Explanation

Question 3 of 46

1

Following a transfemoral amputation, if the amputation site is in the Mid Femur Region (i.e. Femur Length), what is the percentage of strength reduction? Select only the most correct answer(s).

Select one or more of the following:

35% of all movements
45% of all movements
25% of all movements
55% of extensors and abductors
65% of extensors and abductors
75% of extensors and abductors
85% of extensors and abductors
65% of flexors and adductors
75% of flexors and adductors
85% of flexors and adductors

Explanation

Question 4 of 46

1

Following a transfemoral amputation, if the amputation site is in the Proximal 1/3 of the femur (i.e. Femur Length), what is the percentage of strength reduction? Select only the most correct answer(s).

Select one or more of the following:

35% of all movements
25% of all movements
45% of all movements
55% of extensors and abductors
65% of extensors and abductors
75% of extensors and abductors
85% of extensors and abductors
65% of flexors and adductors
75% of flexors and adductors
85% of flexors and adductors

Explanation

Question 5 of 46

1

Which of the following are the ADVANTAGES of a SOFT DRESSING?

Select one or more of the following:

Ability to inspect wound easily
Provide alternative wound environment, as needed
Good support to the surgical site, improved wound environment.
Amputees demonstrate greater confidence with movement with less chance of injury to healing tissue
Psychological benefits of ambulation
Shorter hospital stay
Reduced severity of phantom pain

Explanation

Question 6 of 46

1

Which of the following are the ADVANTAGES of a SEMI-RIGID DRESSING?

Select one or more of the following:

Ability to inspect wound easily
Provide alternative wound environment as needed
Good support to the surgical site, improved wound environment
Amputees demonstrate greater confidence with movement with less chance of injury to healing tissue
Psychological benefits of ambulation
Shorter hospital stay
Reduced severity of phantom pain

Explanation

Question 7 of 46

1

Which of the following are the ADVANTAGES of a RIGID DRESSING?

Select one or more of the following:

Ability to inspect wound easily
Provide alternative wound environment as needed
Good support to the surgical site, improved wound environment
Amputees demonstrate greater confidence with movement with less chance of injury to healing tissue
Psychological benefits of ambulation
Shorter hospital stay
Reduced severity of phantom pain

Explanation

Question 8 of 46

1

Which of the following are the ADVANTAGES of an IPOP DRESSING?

Select one or more of the following:

Ability to inspect wound easily
Provide alternative wound environment as needed
Good support to the surgical site, improved wound environment
Amputees demonstrate greater confidence with movement with less chance of injury to healing tissue
Psychological benefits of ambulation
Shorter hospital stay
Reduced severity of phantom pain

Explanation

Question 9 of 46

1

Which of the following are the DIS-ADVANTAGES of an IPOP DRESSING?

Select one or more of the following:

Difficult to monitor moisture, temperature, sterility of wound surface under the dressing.
Application of the dressing may create tourniquet effect or varied pressure to the limb.
Slippage of the dressing frequently occurs.
Movement of the dressing over underlying wound and soft tissue can create pain and apprehension.
Frequently the elderly and more pain sensitive amputees will restrict movement and activity to avoid further discomfort.
Improper application of the dressing fails to promote adequate circulation.
Limited access to the wound to monitor healing.
Ambulation could be permitted too soon.
The ability to access the wound to monitor healing is a little more difficult.

Explanation

Question 10 of 46

1

Which of the following are the DIS-ADVANTAGES of a RIGID DRESSING?

Select one or more of the following:

Difficult to monitor moisture, temperature, sterility of wound surface under the dressing.
Application of the dressing may create tourniquet effect or varied pressure to the limb.
Slippage of the dressing frequently occurs.
Movement of the dressing over underlying wound and soft tissue can create pain and apprehension.
Frequently the elderly and more pain sensitive amputees will restrict movement and activity to avoid further discomfort.
Improper application of the dressing fails to promote adequate circulation.
Limited access to the wound to monitor healing.
Ambulation could be permitted too soon.
The ability to access the wound to monitor healing is a little more difficult.

Explanation

Question 11 of 46

1

Which of the following are the DIS-ADVANTAGES of a SEMI-RIGID DRESSING?

Select one or more of the following:

Difficult to monitor moisture, temperature, sterility of wound surface under the dressing.
Application of the dressing may create tourniquet effect or varied pressure to the limb.
Slippage of the dressing frequently occurs.
Movement of the dressing over underlying wound and soft tissue can create pain and apprehension.
Frequently the elderly and more pain sensitive amputees will restrict movement and activity to avoid further discomfort.
Improper application of the dressing fails to promote adequate circulation.
Limited access to the wound to monitor healing.
Ambulation could be permitted too soon.
The ability to access the wound to monitor healing is a little more difficult.

Explanation

Question 12 of 46

1

Which of the following are the DIS-ADVANTAGES of a SOFT DRESSING?

Select one or more of the following:

Difficult to monitor moisture, temperature, sterility of wound surface under the dressing.
Application of the dressing may create tourniquet effect or varied pressure to the limb.
Slippage of the dressing frequently occurs.
Movement of the dressing over underlying wound and soft tissue can create pain and apprehension.
Frequently the elderly and more pain sensitive amputees will restrict movement and activity to avoid further discomfort.
Improper application of the dressing fails to promote adequate circulation.
Limited access to the wound to monitor healing.
Ambulation could be permitted too soon.
The ability to access the wound to monitor healing is a little more difficult.

Explanation

Question 13 of 46

1

There are some basic similarities between the goals of post-operative treatment and those of pre-prosthetic treatment.
Which of the following are unique to Post-Operative Treatment?

Select one or more of the following:

Reduce edema
Prevent loss of motion
Assist with the limb loss adjustment
Increase cardiac, pulmonary and other organ system function
Increase activity
Improve balance
Stimulate proprioception

Explanation

Question 14 of 46

1

Which of the following activities are appropriate for Post-Op Day 1?

Select one or more of the following:

Bed mobility
Positioning
A/PROM to uninvolved joints
Non-amputated limb exercises
Transfer skills
Sitting to tolerance (15-20 min)
PROM and AROM to involved joint
Gluteal and quad sets

Explanation

Question 15 of 46

1

Which of the following activities are appropriate for Post-Op Day 2?

Select one or more of the following:

Transfer skills
Sitting to tolerance (15-20 min)
AROM to uninvolved joints
Gluteal and quad sets
Non-amputated limb exercises
Pre-prosthetic ambulation with walker
PROM and AROM to involved joint
Dressing education
Contracture and precaution exercises

Explanation

Question 16 of 46

1

Which of the following activities are appropriate for Post-Op Day 3?

Select one or more of the following:

Pre-prosthetic ambulation with walker
Sitting endurance
PROM and AROM to involved joint
Gluteal and quad sets
Non-amputated limb exercises
Dressing education
Sound side exercises
Contracture and precaution exercises
HEP

Explanation

Question 17 of 46

1

Which of the following activities are appropriate for Post-Op Day 4?

Select one or more of the following:

Pre-prosthetic ambulation with walker
Sitting endurance
AROM to all joints (involve family)
Gluteal and Quad sets (Home Exercise Program - HEP)
Sound side exercises
Contracture and precaution exercises
Bed mobility
Transfer skills
Patient education and reinforcement

Explanation

Question 18 of 46

1

Which of the following activities are appropriate for Post-Op Day 5?

Select one or more of the following:

Pre-prosthetic ambulation with walker
Sitting endurance
HEP
Patient education and reinforcement
Discharge
Bed mobility
Positioning
Transfer skills

Explanation

Question 19 of 46

1

Prosthetic Gait Training occurs during a follow-up visit.
Which of the following is the EARLIEST week in which we should consider it?

Select one of the following:

Week 3
Week 4
Week 6
Week 7
Week 8
Week 9
Week 10
Week 11
Week 12
Week 2

Explanation

Question 20 of 46

1

When preparing a HEP, you recall from your Prosthetics Lessons that you should include no more than # exercises, in order to maximize patient compliance.

Select one of the following:

2
3
4
5

Explanation

Question 21 of 46

1

If possible – lower extremity amputees should lie (position)_ with a small towel roll promoting slight (motion) for (##) minutes per day.

Select one or more of the following:

position = PRONE
position = SUPINE
position = IN SIDELYING
motion = HIP EXTENSION
motion = HIP FLEXION
## = 30
## = 45

Explanation

Question 22 of 46

1

Which of the following are part of the Essential Home Exercise Program (Basic Four)?

Select one or more of the following:

Supine AROM alternating hip and knee flexion
Supine AROM hip abduction and adduction
Sidelying AROM hip flexion and extension
Sitting AROM knee flexion and extension
Quad Setting
Prone AROM Hip extension
Manual resistance exercise to hip
PROM and AROM to all joints of the lower extremity

Explanation

Question 23 of 46

1

What is the proper order for a prosthetic fitting process?
❌ prosthesis
❌ prosthesis
❌ prosthesis

Drag and drop to complete the text.

Diagnostic

Temporary

Definitive

Final

Trial

Loaner

Explanation

Question 24 of 46

1

Which prosthesis is worn only for evaluation?

Select one of the following:

Diagnostic prosthesis
Temporary prosthesis
Definitive prosthesis
Evaluation prosthesis

Explanation

Question 25 of 46

1

Which prosthesis is worn during prosthetic training?

Select one of the following:

Diagnostic prosthesis
Temporary prosthesis
Definitive prosthesis
Training prosthesis

Explanation

Question 26 of 46

1

Which of the following BEST describes the differences between the Home-Wearing Schedule for a Transtibial (TTA) prosthesis in weeks 2-3 versus that for a Transfemoral (TFA)?

Select one of the following:

With TTA, the prosthesis is worn for SHORTER periods of time, MORE times per day than a TFA prosthesis.
With TTA, the prosthesis is worn for LONGER periods of time, MORE times per day than a TFA prosthesis.
With TTA, the prosthesis is worn for SHORTER periods of time, LESS times per day than a TFA prosthesis.
With TTA, the prosthesis is worn for LONGER periods of time, LESS times per day than a TFA prosthesis.
There is no difference between the Home-Wearing Schedules for TTA and TFA.

Explanation

Question 27 of 46

1

When donning socks, which of the following is correct?

Select one of the following:

The sock seam (if it has one) should be PARALLEL to the suture line
The sock seam (if it has one) should be PERPENDICULAR to the suture line

Explanation

Question 28 of 46

1

socks are commonly made out of which of the following materials (as listed in our course notes).

Select one or more of the following:

Wool
Cotton
Lycra
Angora
Mineral oil gel
Silicone
Urethane

Explanation

Question 29 of 46

1

If a patient notices a small wound on their stump, it is okay for them to apply a small bandage/dressing and then apply their sock as normal.

Select one of the following:

True
False

Explanation

Question 30 of 46

1

While instructing your patient in proper skin care, the presence of which of the following on the residual limb would be considered a warning sign?

Select one or more of the following:

Swelling
Erythema lasting longer than 15 minutes
Blisters
Callusses
Dry cracks
Sweat
Heat
Pale skin (pallor)
Signs of inflammation

Explanation

Question 31 of 46

1

Select the Principles of Compression

Select one or more of the following:

Diagonal turns, when possible
Pressure should be decreased distal to proximal
Pressure should be evenly distributed
Residual limb should be totally enclosed
No folds or wrinkles in wrap
90-degree turns, when possible
Pressure should be increased distal to proximal
Pressure should be increased medial to lateral

Explanation

Question 32 of 46

1

A guiding principle in the management of pain is that prevention is more effective than reduction.

Select one of the following:

True
False

Explanation

Question 33 of 46

1

What percentage of amputees experience phantom sensations or pain?

Select one of the following:

50%
20%
85%
95%

Explanation

Question 34 of 46

1

The duration of phantom limb sensation is a significant predictor of phantom pain intensity.

Select one of the following:

True
False

Explanation

Question 35 of 46

1

According to our lesson notes, which of the following are true regarding phantom pain/sensation?

Select one or more of the following:

85% of all amputees experience phantom sensations and pain
33% of employed amputees reported phantom pain interferes with work
82% stated that phantom pain interfered with sleep
Typically, back pain is more bothersome than phantom pain
Synonymous with residual limb pain
Phantom pain is more likely to interfere with work than with sleep.
Phantom sensation can take the form of a feeling of the limb moving, without willful control.
50% stated that phantom pain interferes with sleep
25% of all amputees experience phantom sensations and pain
Phantom pain, if present, always interferes with work.

Explanation

Question 36 of 46

1

Which of the following are examples of Kinesthetic Sensation (Phantom Sensation)?

Select one or more of the following:

Posture
Length
Volume
Willed movements
Spontaneous Movements
Associated Movements
Touch
Pressure
Temperature

Explanation

Question 37 of 46

1

Which of the following are examples of Kinetic Sensation (Phantom Sensation)?

Select one or more of the following:

Willed movements
Spontaneous Movements
Associated Movements
Posture
Length
Volume
Touch
Temperature
Pressure

Explanation

Question 38 of 46

1

Which of the following are examples of Extroceptive Sensation (Phantom Sensation)?

Select one or more of the following:

Pressure
Temperature
Touch
Posture
Length
Volume
Willed movements
Spontaneous Movements
Associated Movements

Explanation

Question 39 of 46

1

Which of the following stimuli are likely to PROVOKE pain?

Select one or more of the following:

Emotional stress
Exposure to cold
Local irritants to the stump
Auriculotherapy
prosthetic ambulation
Stroking the stump
Heat
Distraction

Explanation

Question 40 of 46

1

Which of the following stimuli are likely to RELIEVE pain?

Select one or more of the following:

prosthetic ambulation
Stroking the stump
Heat
Distraction
Auriculotherapy
Emotional stress
Exposure to cold
Local irritants to the stump

Explanation

Question 41 of 46

1

According to a study by Jensen, Krebs, and Nielson (1985), stump pain is rather common shortly after amputation, but generally disappears over the course of the next two-years.

Select one of the following:

True
False

Explanation

Question 42 of 46

1

According to a study by Jensen, Krebs, and Nielson (1985), stump pain is rather common shortly after amputation, but generally disappears within one year.

Select one of the following:

True
False

Explanation

Question 43 of 46

1

Phantom Sensation may take the form of a feeling that insects are crawling all over the skin of the missing limb.

Select one of the following:

True
False

Explanation

Question 44 of 46

1

A feeling of coldness in the missing limb is a type of phantom sensation, but a feeling of burning in the missing limb is a type of phantom pain.

Select one of the following:

True
False

Explanation

Question 45 of 46

1

According to some study vaguely cited in our lesson notes, what percentage of amputees benefit from pain management treatment?

Select one of the following:

7%
27%
57%
77%
97%

Explanation

Question 46 of 46

1

Analgesics may be effective in the treatment of residual limb pain, but, as the limb doesn't actually exist, they are not effective for treating phantom pain.

Select one of the following:

True
False

	Created by Ben Williams over 6 years ago

USA - Prosthetics Quiz on USA Prosthetics Exam 3, created by Ben Williams on 13/11/2017.

USA Prosthetics Exam 3

Question 1 of 46

Following a transfemoral amputation, if the amputation site is in the Distal 1/4 to 1/3 of the femur (i.e. Femur Length), what is the percentage of strength reduction? Select only the most correct answer(s).

Select one or more of the following:

Explanation

Question 2 of 46

Following a transfemoral amputation, if the amputation site is in the Distal 1/3 to 1/2 of the femur (i.e. Femur Length), what is the percentage of strength reduction? Select only the most correct answer(s).

Select one or more of the following:

Explanation

Question 3 of 46

Following a transfemoral amputation, if the amputation site is in the Mid Femur Region (i.e. Femur Length), what is the percentage of strength reduction? Select only the most correct answer(s).

Select one or more of the following:

Explanation

Question 4 of 46

Following a transfemoral amputation, if the amputation site is in the Proximal 1/3 of the femur (i.e. Femur Length), what is the percentage of strength reduction? Select only the most correct answer(s).

Select one or more of the following:

Explanation

Question 5 of 46

Which of the following are the ADVANTAGES of a SOFT DRESSING?

Select one or more of the following:

Explanation

Question 6 of 46

Which of the following are the ADVANTAGES of a SEMI-RIGID DRESSING?

Select one or more of the following:

Explanation

Question 7 of 46

Which of the following are the ADVANTAGES of a RIGID DRESSING?

Select one or more of the following:

Explanation

Question 8 of 46

Which of the following are the ADVANTAGES of an IPOP DRESSING?

Select one or more of the following:

Explanation

Question 9 of 46

Which of the following are the DIS-ADVANTAGES of an IPOP DRESSING?

Select one or more of the following:

Explanation

Question 10 of 46

Which of the following are the DIS-ADVANTAGES of a RIGID DRESSING?

Select one or more of the following:

Explanation

Question 11 of 46

Which of the following are the DIS-ADVANTAGES of a SEMI-RIGID DRESSING?

Select one or more of the following:

Explanation

Question 12 of 46

Which of the following are the DIS-ADVANTAGES of a SOFT DRESSING?

Select one or more of the following:

Explanation

Question 13 of 46

There are some basic similarities between the goals of post-operative treatment and those of pre-prosthetic treatment. Which of the following are unique to Post-Operative Treatment?

Select one or more of the following:

Explanation

Question 14 of 46

Which of the following activities are appropriate for Post-Op Day 1?

Select one or more of the following:

Explanation

Question 15 of 46

Which of the following activities are appropriate for Post-Op Day 2?

Select one or more of the following:

Explanation

Question 16 of 46

Which of the following activities are appropriate for Post-Op Day 3?

Select one or more of the following:

Explanation

Question 17 of 46

Which of the following activities are appropriate for Post-Op Day 4?

Select one or more of the following:

Explanation

Question 18 of 46

Which of the following activities are appropriate for Post-Op Day 5?

Select one or more of the following:

Explanation

Question 19 of 46

Prosthetic Gait Training occurs during a follow-up visit. Which of the following is the EARLIEST week in which we should consider it?

Select one of the following:

Explanation

Question 20 of 46

When preparing a HEP, you recall from your Prosthetics Lessons that you should include no more than __#__ exercises, in order to maximize patient compliance.

There are some basic similarities between the goals of post-operative treatment and those of pre-prosthetic treatment.
Which of the following are unique to Post-Operative Treatment?

Prosthetic Gait Training occurs during a follow-up visit.
Which of the following is the EARLIEST week in which we should consider it?

When preparing a HEP, you recall from your Prosthetics Lessons that you should include no more than # exercises, in order to maximize patient compliance.

If possible – lower extremity amputees should lie (position)_ with a small towel roll promoting slight (motion) for (##) minutes per day.

What is the proper order for a prosthetic fitting process?
❌ prosthesis
❌ prosthesis
❌ prosthesis