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Prosthetics & Orthotics Final Review

Prosthetics & Orthotics Final Review
39問 • 1年前
  • Mia Bravo
    • 通報

    問題一覧

  • 1

    After obtaining a medical history and interviewing the patient, the first step in performing a preorthotic prescription examination is to _____.

    Observe and biomechanically analyze the function activities with which the patient is having difficulty

  • 2

    Stirrup ankle braces are designed to ______.

    Limit subtalar joint motion

  • 3

    Biomechanical methods to reduce pressure between an appliance and its wearer include which of the following?

    Increase contact area between wearer and device, Provides relief areas over pressure sensitive areas. Increases lever arm length of the applied force.

  • 4

    All of the below are reasons surgeons routinely perform myoplasty during surgery except:

    Enhance incisional healing

  • 5

    The soft residual limb dressing covered by an elastic wrap is one type of postoperative dressing. The purpose of bandaging included all of the following except:

    Prevents contractures of adjacent joints

  • 6

    Which of the following information is most important to obtain early during the first postoperative visit?

    Has the client ever walked with an assistive device

  • 7

    Which of the following activities would you need to include in the postsurgical program of an individual with bilateral transfemoral amputations that may not be included in the program of someone with an unilateral transfemoral amputation?

    Sitting balance activities with and without arm movements

  • 8

    The primary function of the counter of a shoe is to ____.

    Stabilize the calcaneus

  • 9

    Early in the postoperative period, you can best help an individual begin to adjust to the loss of a limb by doing which of the following?

    Schedule the person for treatment when individuals with prostheses are in the department and walking

  • 10

    The older adult who undergoes an amputation for vascular disease:

    Is likely to become a good prosthetic user if active before amputation

  • 11

    A child with an acquired lower extremity amputation should be fitted:

    When a child pulls up to stand so he/she had bilateral support

  • 12

    In adults, who are aging typically, gait speed decreases with increasing age. This reduction in gait speed is most often associated with _______.

    In reduction of step length, rather than an reduction in cadence

  • 13

    Mr. Z had a transtibial amputation yesterday for diabetic gangrene. He is alert and responsive. He has a soft gauze dressing around the residual limb and up to mid-thigh. All of the following would be appropriate activities to initiate today except:

    Resistive exercises to pain tolerance for the knee on the amputated side

  • 14

    The prosthesis of choice for someone with a transmetatarsal amputation is:

    A molded shoe insert with carbon filaments

  • 15

    A foot abduction splint or Denis Browne splint can be used to ______.

    Maintain correction of congenital talipes equinovarus that was achieved with manual manipulation and serial casting

  • 16

    Which of the following statements are true regarding intractable phantom pain

    There is no consistently effective treatment for intractable phantom pain.

  • 17

    Which of the following balance exercises would be most appropriate to teach a patient to shift his weight smoothly on and off the prosthesis in early prosthetic training?

    In the parallel bars, reaching for a cone hold at varying heights and positions

  • 18

    A functional goal for an orthosis should ______.

    all of the above

  • 19

    During amputation surgery, the surgeon will:

    Sever the fibula slightly shorter than the tibia

  • 20

    Ms. X is 3 weeks post right transtibial amputation and you are seeing her at home. The limb is healing well, and Ms. X is active and alert. She is independent in mobility with crutches and walks in and out of the house. All of the following could be considered essential parts of a home program except:

    Resistive exercises for the hip and knee musculature of the non amputated leg

  • 21

    Which of the following statements is correct concerning differences between the anterior toe-off ankle-foot orthoses (AFOs) and the posterior shell-AFOs?

    Anterior toe-off AFOs provide stance phase dorsiflexion resistance and plantar flexion assistance

  • 22

    During the gait cycle, double limb support occurs when ______.

    One limb is in preswing and other is in loading response

  • 23

    In general, vascular surgeons will use which of the following type of flap?In general, vascular surgeons will use which of the following type of flap?

    Long posterior flap

  • 24

    All of the following may be contributing factors to the failure of an amputation incision to heal except:

    Ligation and resection of major nerves

  • 25

    A patient has a gait impairment that includes a foot drop and excessive inversion at initial contact. These impairments cause an inefficient gait and falls. The patient will be fit with a conventional double-upright ankle-foot orthosis. Which of the following orthotic components will help to control the unwanted excessive inversion at initial contact?

    A single axis ankle joint and a T- strap attached to the lateral side of the shoe

  • 26

    A patient has an osseous or structural hindfoot varus deformity that is contributing to a painful foot condition caused by compensatory movements. A shoe modification that may be helpful in minimizing the foot pain is _____.

    A lateral heel wedge

  • 27

    When a pelvic band is present, it should be located _____.

    Just inferior to the iliac crest

  • 28

    An individual learning to walk with a patellar tendon-bearing (PTB) prosthesis must learn to:

    Allow the knee to flex from heel to strike to midstance

  • 29

    In the preprosthetic period, crutch walking is better than walker ambulation for an individual with a unilateral lower limb amputation because:

    Crutch walking helps the patient regain balance and coordination

  • 30

    To help reduce an individual's sense of depression and fear of the future, it is advisable to:

    Answer the patients questions clearly and honestly

  • 31

    A temporary prosthesis is valuable in the rehabilitation of the elderly individual with a transtibial because it:

    Promotes continued ambulation

  • 32

    A child's adjustment to the loss of a limb is mostly influenced by:

    The parents reaction to the disability

  • 33

    A therapist examines a patient's right foot and reports his or her findings. Select the finding below that does not suggest the need for an accommodative orthosis for the right foot.

    Structural forefoot varus with compensatory excessive pronation

  • 34

    Scott-Craig knee-ankle-foot orthoses (KAFOs) provide hip stabilization to the paraplegic patient by _______.

    Positioning the knee to produce an extension movement at the hip.

  • 35

    Functional or biomechanical foot orthoses are typically _____.

    Made from semirigid or rigid materials and are three-quarter length.

  • 36

    A mirror box has been found helpful in reducing phantom pain, especially among upper extremity amputees. All of the following are true about the mirror box except:

    The mirror box can only be used for people with amputations

  • 37

    Ms. K is wearing an ischial containment suction socket, hydraulic swing and stance control knee, and moderate response foot. You are teaching her to go down steps, step over step. What is the correct placement of the prosthetic foot on each step to facilitate this activity?

    Place the prosthetic heel on the step

  • 38

    An individual learning to walk with a patellar tendon-bearing (PTB) prosthesis must learn to:

    Allow the knee to flex from heel to midstance

  • 39

    An individual using a microprocessor knee mechanism must be taught to:

    Allow the prosthetic knee to flex slightly through stance simulating normal gait.

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    問題一覧

  • 1

    After obtaining a medical history and interviewing the patient, the first step in performing a preorthotic prescription examination is to _____.

    Observe and biomechanically analyze the function activities with which the patient is having difficulty

  • 2

    Stirrup ankle braces are designed to ______.

    Limit subtalar joint motion

  • 3

    Biomechanical methods to reduce pressure between an appliance and its wearer include which of the following?

    Increase contact area between wearer and device, Provides relief areas over pressure sensitive areas. Increases lever arm length of the applied force.

  • 4

    All of the below are reasons surgeons routinely perform myoplasty during surgery except:

    Enhance incisional healing

  • 5

    The soft residual limb dressing covered by an elastic wrap is one type of postoperative dressing. The purpose of bandaging included all of the following except:

    Prevents contractures of adjacent joints

  • 6

    Which of the following information is most important to obtain early during the first postoperative visit?

    Has the client ever walked with an assistive device

  • 7

    Which of the following activities would you need to include in the postsurgical program of an individual with bilateral transfemoral amputations that may not be included in the program of someone with an unilateral transfemoral amputation?

    Sitting balance activities with and without arm movements

  • 8

    The primary function of the counter of a shoe is to ____.

    Stabilize the calcaneus

  • 9

    Early in the postoperative period, you can best help an individual begin to adjust to the loss of a limb by doing which of the following?

    Schedule the person for treatment when individuals with prostheses are in the department and walking

  • 10

    The older adult who undergoes an amputation for vascular disease:

    Is likely to become a good prosthetic user if active before amputation

  • 11

    A child with an acquired lower extremity amputation should be fitted:

    When a child pulls up to stand so he/she had bilateral support

  • 12

    In adults, who are aging typically, gait speed decreases with increasing age. This reduction in gait speed is most often associated with _______.

    In reduction of step length, rather than an reduction in cadence

  • 13

    Mr. Z had a transtibial amputation yesterday for diabetic gangrene. He is alert and responsive. He has a soft gauze dressing around the residual limb and up to mid-thigh. All of the following would be appropriate activities to initiate today except:

    Resistive exercises to pain tolerance for the knee on the amputated side

  • 14

    The prosthesis of choice for someone with a transmetatarsal amputation is:

    A molded shoe insert with carbon filaments

  • 15

    A foot abduction splint or Denis Browne splint can be used to ______.

    Maintain correction of congenital talipes equinovarus that was achieved with manual manipulation and serial casting

  • 16

    Which of the following statements are true regarding intractable phantom pain

    There is no consistently effective treatment for intractable phantom pain.

  • 17

    Which of the following balance exercises would be most appropriate to teach a patient to shift his weight smoothly on and off the prosthesis in early prosthetic training?

    In the parallel bars, reaching for a cone hold at varying heights and positions

  • 18

    A functional goal for an orthosis should ______.

    all of the above

  • 19

    During amputation surgery, the surgeon will:

    Sever the fibula slightly shorter than the tibia

  • 20

    Ms. X is 3 weeks post right transtibial amputation and you are seeing her at home. The limb is healing well, and Ms. X is active and alert. She is independent in mobility with crutches and walks in and out of the house. All of the following could be considered essential parts of a home program except:

    Resistive exercises for the hip and knee musculature of the non amputated leg

  • 21

    Which of the following statements is correct concerning differences between the anterior toe-off ankle-foot orthoses (AFOs) and the posterior shell-AFOs?

    Anterior toe-off AFOs provide stance phase dorsiflexion resistance and plantar flexion assistance

  • 22

    During the gait cycle, double limb support occurs when ______.

    One limb is in preswing and other is in loading response

  • 23

    In general, vascular surgeons will use which of the following type of flap?In general, vascular surgeons will use which of the following type of flap?

    Long posterior flap

  • 24

    All of the following may be contributing factors to the failure of an amputation incision to heal except:

    Ligation and resection of major nerves

  • 25

    A patient has a gait impairment that includes a foot drop and excessive inversion at initial contact. These impairments cause an inefficient gait and falls. The patient will be fit with a conventional double-upright ankle-foot orthosis. Which of the following orthotic components will help to control the unwanted excessive inversion at initial contact?

    A single axis ankle joint and a T- strap attached to the lateral side of the shoe

  • 26

    A patient has an osseous or structural hindfoot varus deformity that is contributing to a painful foot condition caused by compensatory movements. A shoe modification that may be helpful in minimizing the foot pain is _____.

    A lateral heel wedge

  • 27

    When a pelvic band is present, it should be located _____.

    Just inferior to the iliac crest

  • 28

    An individual learning to walk with a patellar tendon-bearing (PTB) prosthesis must learn to:

    Allow the knee to flex from heel to strike to midstance

  • 29

    In the preprosthetic period, crutch walking is better than walker ambulation for an individual with a unilateral lower limb amputation because:

    Crutch walking helps the patient regain balance and coordination

  • 30

    To help reduce an individual's sense of depression and fear of the future, it is advisable to:

    Answer the patients questions clearly and honestly

  • 31

    A temporary prosthesis is valuable in the rehabilitation of the elderly individual with a transtibial because it:

    Promotes continued ambulation

  • 32

    A child's adjustment to the loss of a limb is mostly influenced by:

    The parents reaction to the disability

  • 33

    A therapist examines a patient's right foot and reports his or her findings. Select the finding below that does not suggest the need for an accommodative orthosis for the right foot.

    Structural forefoot varus with compensatory excessive pronation

  • 34

    Scott-Craig knee-ankle-foot orthoses (KAFOs) provide hip stabilization to the paraplegic patient by _______.

    Positioning the knee to produce an extension movement at the hip.

  • 35

    Functional or biomechanical foot orthoses are typically _____.

    Made from semirigid or rigid materials and are three-quarter length.

  • 36

    A mirror box has been found helpful in reducing phantom pain, especially among upper extremity amputees. All of the following are true about the mirror box except:

    The mirror box can only be used for people with amputations

  • 37

    Ms. K is wearing an ischial containment suction socket, hydraulic swing and stance control knee, and moderate response foot. You are teaching her to go down steps, step over step. What is the correct placement of the prosthetic foot on each step to facilitate this activity?

    Place the prosthetic heel on the step

  • 38

    An individual learning to walk with a patellar tendon-bearing (PTB) prosthesis must learn to:

    Allow the knee to flex from heel to midstance

  • 39

    An individual using a microprocessor knee mechanism must be taught to:

    Allow the prosthetic knee to flex slightly through stance simulating normal gait.