The Ertl procedure is known as an osteomyoplastic amputation reconstruction that performs a bone bridge between what:
A) Tibia bridged with the
... [Show More] fibula
B) Distal end of the radius and ulna
C) Distal end of femur bridged with the tibia
D) Humerus bridged with the ulna
A) Tibia bridged with the fibula
A below knee amputee is seen in your clinic for a follow up appointment and states he feels anterior/distal discomfort in his prosthetic socket. Choose all correct answer(s) to address this problem:
A) Extend the prosthetic socket
B) Flex the prosthetic socket
C) Add pretibial pads to the prosthetic socket
D) Lower the posterior socket brim
A) Extend the prosthetic socket
C) Add pretibial pads to the prosthetic socket
A below knee amputee is seen in your clinic for a follow up appointment and states he has posterior knee or hamstring discomfort. Choose all correct answer(s) to address this problem:
A) Lower the posterior medial brim on the prosthetic socket
B) Extend the prosthetic socket
C) Flex the prosthetic socket
D) Align prosthetic foot more posterior in relation to the prosthetic socket
A) Lower the posterior medial brim on the prosthetic socket
C) Flex the prosthetic socket
D) Align prosthetic foot more posterior in relation to the prosthetic socket
Which level(s) of amputation may lead to an equinus gait deformity:
A) Lisfranc amputation
B) Chopart amputation
C) Symes amputation
D) Transmetatarsal amputation
A) Lisfranc amputation
B) Chopart amputation
D) Transmetatarsal amputation
A below knee amputee presents in clinic wearing a PTB style endoskeletal prosthesis with general knee pain and distal end pressure. The patient doffs her prosthesis and liner, upon
examination of her residual limb you note redness on the distal tibia and inferior aspect of the patella bone. What would be the most logical clinical action(s) you could take at this point in addressing this problem:
A) Recommend the patient be evaluated for a new liner that will provide better cushioning to her residual limb
B) Flex the prosthetic socket while concurrently plantar flexing the prosthetic foot
C) Add a gastroc pad to prosthetic socket
D) Add a 1 ply prosthetic sock over liner
C) Add a gastroc pad to prosthetic socket
D) Add a 1 ply prosthetic sock over liner
Myodesis can be described as:
A) A condition associated with calcification of muscle fibers
B) The suturing and permanent attachment of a muscle to a bone
C) The suturing or permanent attachment of a muscle to another muscle
D) A muscle going through atrophy
B) The suturing and permanent attachment of a muscle to a bone
Which of the following is not part of a Symes amputation procedure:
A) Removal of the malleoli "distal aspect"
B) Placement of thick heel pad
C) Amputation through the articulation of the ankle
D) Transmetatarsal amputation
D) Transmetatarsal amputation
Myoplasty can be described as:
A) A condition associated with the loss of sarcomeres
B) The suturing and permanent attachment of a muscle to a bone
C) The suturing or permanent attachment of a muscle to another muscle
D) A muscle experiencing hypertrophy
C) The suturing or permanent attachment of a muscle to another muscle
What are two advantages in the list below of myodesis over myoplasty with regards to
amputations:
A) Decreased rate of infection related revisions
B) Decreased rate of muscular atrophy
C) Decreased rate of antagonistic muscular imbalances
D) Provides a bulbous distal residual limb for self suspending applications in TT and TF cases
B) Decreased rate of muscular atrophy
C) Decreased rate of antagonistic muscular imbalances
During normal heel strike, the forward hip is how flexed:
A) neutral
B) 10 deg flexed
C) 25 deg flexed
D) 40 deg flexed
C) 25 deg flexed
Which style of muscular tissue management in an TH amputation would be of greatest advantage to a myoelectric prosthesis candidate:
A) Myodesis
B) Myoplasty
A) Myodesis
A TF patient is seen in clinic that exhibits lateral/proximal loss of contact in stance. Upon
prosthetic fit examination it is noted the lateral wall is superior to the greater trochanter, the
anterior wall contours to the adductor longus tendon, the posterior socket does not
encompass the ischial tuberosity, the medial wall is located 65mm inferior to the perineum.
What do you attribute to the cause of this deviation:
A) The posterior wall does not have ischial containment
B) The lateral wall is located too proximal for an ischial containment socket
C) The patient is causing the deviation from antalgic gait secondary to adductor longus
tendon socket pressure
D) The medial wall is located too far inferior to the perineum
D) The medial wall is located too far inferior to the perineum
With a Krukenberg procedure what muscle is the driver of the pincer grip:
A) Supinator
B) Pronator teres
C) Brachioradialis
D) Flexor carpi radialis
B) Pronator teres
What would be a good quality(s) to look for in a prosthetic foot for a TT amputee who is a
K2 designated household ambulator that utilizes his prosthesis efficiently during the day but fatigues in the evening and buckles at the knee secondary to quadriceps weakness:
A) Foot that progresses rapidly into plantar flexion during loading response
B) Foot that progresses slowly into plantar flexion during loading response
C) Heel should have a relatively firm durometer
D) Heel should have a relatively soft durometer
A) Foot that progresses rapidly into plantar flexion during loading response
D) Heel should have a relatively soft durometer
Today in clinic a TT patient is seen presenting with a traditional exoskeletal PTB
prosthesis with a SACH foot. Patient states that she feels like the prosthesis is throwing her
knee forward as soon as the heel firmly contacts the ground. She has worn this prosthesis comfortably for two years until one month ago. What should be the first clinical action you should take at this time in the appointment:
A) Plantar flex the prosthetic foot
B) Dorsiflex the prosthetic foot
C) Check to see if the patient switched to a shoe with a higher heel height compared to
what she used to wear
D) Check to see if the patient switched to a shoe with a lower heel height compared to
what she used to wear
C) Check to see if the patient switched to a shoe with a higher heel height compared to
what she used to wear
The Krukenburg procedure is used at times in developing countries where expensive
prosthesis are not attainable. What other patient population(s) would this be potentially used for:
A) Blind patients with bilateral below elbow amputations
B) Unilateral above elbow amputee
C) A patient concerned with the cosmetic appearance
D) Failed prosthetic use for bilateral below elbow amputations
A) Blind patients with bilateral below elbow amputations
D) Failed prosthetic use for bilateral below elbow amputations
A TR patient is seen in your clinic. The patient is inquiring as to which terminal device would be best for picking up a small coin from a table. Which device would you recommend:
A) 555
B) #7
C) 5XA
D) A mechanical prosthetic hand
C) 5XA
What are simple option(s) for increasing the ease of pre-positioning the prosthetic elbow
in flexion, for a TH amputee utilizing a body powered prosthesis who lacks glenohumeral
flexion strength and biscapular abduction strength but can operate a elbow lock:
A) Have the forearm lift tab located distally/anterior
B) Have forearm lift tab moved proximal/anterior
C) Move proximal base plate and retainer on humeral section posterior
D) Check the level of resistance in the cable housing
A) Have the forearm lift tab located distally/anterior
D) Check the level of resistance in the cable housing
What bony landmark is utilized for a weight bearing prosthesis in a hip disarticulation:
A) Pubic rami
B) Greater trochanter
C) Ischial tuberosity
D) Iliac crest
C) Ischial tuberosity
What is an option for pre positioning the prosthetic elbow in flexion, for a TH amputee
utilizing a triple control body powered prosthesis who lacks glenohumeral flexion strength and biscapular abduction strength but can operate an elbow lock:
A) Have the forearm lift tab located posterior/ proximal
B) Have forearm lift tab moved proximal
C) Change triple control to dual control, switch split housing to single housing, utilize
ballistic motion for forearm lift
D) Move NW ring laterally towards the prosthetic side
C) Change triple control to dual control, switch split housing to single housing, utilize
ballistic motion for forearm lift
Why is choosing a SACH foot with a firm heel durometer not advised for TT patients with
poor prosthetic side knee stability:
A) It will increase knee stability
B) It will decrease knee stability
C) It will increase shock absorption at heel strike
D) It will not provide enough keel resistance
B) It will decrease knee stability
You are doing a gait assessment with your patient that has a below knee prosthesis. You
notice that there is lateral trunk bending at mid stance to the prosthetic side. Choose the choice that would NOT be a potential cause of this gait deviation:
A) Prosthesis too short
B) Residual limb pain
C) Prosthesis too long
D) Weak quadriceps
D) Weak quadriceps
A TF patient is seen in your clinic. It is noted that as he ambulates with a circumducted
gait. Select ALL possible causes:
A) Prosthesis height is longer than his sound side ischial tuberosity to floor
measurement
B) Prosthetic suspension is not adequate
C) The user does not have adequate hip flexor strength
D) Prosthetic foot is plantar flexed excessively
A) Prosthesis height is longer than his sound side ischial tuberosity to floor measurement
B) Prosthetic suspension is not adequate
C) The user does not have adequate hip flexor strength
D) Prosthetic foot is plantar flexed excessively
A TF patient is seen in your clinic. In stance, the prosthetic foot "smears" externally as she
simultaneously abducts her prosthesis whereby advancing forward in the sagittal plane. She
complains of low back pain as well. What is a prosthetic cause:
A) Prosthetic keel too short
B) Prosthetic knee has too little resistance to flexion
C) Not enough flexion is built into the socket
D) Prosthetic socket is excessively flexed
C) Not enough flexion is built into the socket
A patient with an above knee amputation has a prosthesis. During gait analysis you find
that she has knee instability while standing and you see knee buckling with any weight shift.
You suspect the cause of the instability is:
A) Prosthetic knee set too far posterior to the TKA line
B) Tight extension aid
C) Prosthetic knee set too far anterior to the TKA line
D) Weak hip flexors
C) Prosthetic knee set too far anterior to the TKA line
TT prosthetic sockets that are excessively extended cause excessive pressure in what areas:
A) anterior/proximal
B) anterior/distal
C) posterior/distal
D) posterior/proximal
A) anterior/proximal
C) posterior/distal
T/F, Outsetting the prosthetic foot on a TT prosthesis increases socket pressure medial/distal and lateral/proximal:
A) True
B) False
A) True
A forequarter amputation removes what structures:
A) Femur and half of pelvis
B) Femur and acetabulum
C) Arm, clavicle, and scapula
D) Arm and scapula
C) Arm, clavicle, and scapula
A TT patient is seen in clinic. Upon examining gait you notice a mild extension moment at
the knee in stance phase. What could be the cause? Note: alignment is proper:
A) Prosthetic keel too short
B) Prosthetic heel is too firm
C) Prosthetic Keel is too soft
D) Prosthetic heel is too soft
D) Prosthetic heel is too soft
When choosing if a prosthetic patient is a gel liner candidate, which of the following
option(s) would assist you in this decision:
A) General hygiene
B) Hand dexterity
C) K-level
D) allergies
A) General hygiene
B) Hand dexterity
C) K-level
D) allergies
In a transmetatarsal amputation you would expect to see what gait deviation:
A) Absent push off
B) Absent heel strike
C) Foot drop due to loss of dorsiflexion
D) Loss of supination during gait
A) Absent push off
Dorsiflexing the prosthetic foot is synonymous with __________________:
A) Flexing the prosthetic socket
B) Extending the prosthetic socket
C) Switching to a shoe with a lower heel height
D) Switching to a shoe with a wider heel
A) Flexing the prosthetic socket
Why is it necessary to utilize a Berkeley alignable componentry prior to final fabrication of an exoskeletal prosthesis:
A) This will allow alignment changes in the final prosthesis
B) This will allow you to align the prosthesis properly as exoskeletal prostheses cannot
be re-aligned
C) This will make the prosthesis more cosmetic
D) None of the above
B) This will allow you to align the prosthesis properly as exoskeletal prostheses cannot
be re-aligned
What muscle group would you expect to be the weakest in an above knee amputee:
A) Hip flexors
B) Hip abductors
C) Hip extensors
D) Hip adductors
D) Hip adductors
When flexing an AK socket to accommodate a flexion contracture what concurrent
alignment adjustment should also be made:
A) Dorsiflex the prosthetic foot
B) Plantarflex the prosthetic foot
C) Move the prosthetic knee anterior
D) Move the prosthetic knee posterior
D) Move the prosthetic knee posterior [Show Less]