Question 1

In what position should the transfemoral knee bolt be located relative to a line extending from the trochanter to the ankle (TKA line)for maximal stability?

Accepted Answer

A) Exactly centered 
B) More anteriorly 
C) More posteriorly 
D) None of the above 
A) Exactly centered 
B) More anteriorly 
C) More posteriorly 
D) None of the above C

Question 2

Circumduction is a displacement exhibited in swing phase if

Accepted Answer

A) the prosthesis is too long. 
B) the patient is reluctant to bend the knee. 
C) the socket is loose. 
D) all of the above. 
A) the prosthesis is too long. 
B) the patient is reluctant to bend the knee. 
C) the socket is loose. 
D) all of the above. D

Question 3

A Syme prosthesis includes

Accepted Answer

A) a foot-ankle assembly. 
B) a shank. 
C) a suspension component. 
D) all of the above. 
A) a foot-ankle assembly. 
B) a shank. 
C) a suspension component. 
D) all of the above. A

Question 4

Standing a transtibial prosthesis on a table for examination,the anterior socket bulge and the posterior brim should be

Accepted Answer

A) at the same level. 
B) posterior brim higher. 
C) posterior brim lower. 
D) none of the above. 
A) at the same level. 
B) posterior brim higher. 
C) posterior brim lower. 
D) none of the above.

Question 5

Which of the following is not true regarding the fluid-filled friction mechanism of a prosthetic knee unit?

Accepted Answer

A) It decreases asymmetry between the sound and prosthetic limbs. 
B) Friction varies with velocity of knee movement. 
C) It assists the pendulum action to swing the limb. 
D) It has an internal extension aid. 
A) It decreases asymmetry between the sound and prosthetic limbs. 
B) Friction varies with velocity of knee movement. 
C) It assists the pendulum action to swing the limb. 
D) It has an internal extension aid.

Question 6

An SC/SP suspension has one motion advantage (SC feature):__________________ and one functional disadvantage (SP feature):________________________ but may be the only option for this level of transtibial amputation:___________________________.

Accepted Answer

A) Flexion-extension support; difficulty fully flexing; long tibial limb 
B) Flexion-extension support; difficulty fully extending; short tibial limb 
C) Medial-lateral support; difficulty kneeling; long tibial limb 
D) Medial-lateral support; difficulty kneeling; short tibial limb 
A) Flexion-extension support; difficulty fully flexing; long tibial limb 
B) Flexion-extension support; difficulty fully extending; short tibial limb 
C) Medial-lateral support; difficulty kneeling; long tibial limb 
D) Medial-lateral support; difficulty kneeling; short tibial limb

Question 7

Which two sides of the quadrilateral socket are higher to maintain proper support?

Accepted Answer

A) Anterior and medial 
B) Anterior and posterior 
C) Anterior and lateral 
D) Posterior and medial 
A) Anterior and medial 
B) Anterior and posterior 
C) Anterior and lateral 
D) Posterior and medial

Question 8

Which of the following imposes the greater energy requirement during gait?

Accepted Answer

A) Vascular transtibial short limb 
B) Traumatic unilateral transfemoral 
C) Vascular transtibial long limb 
D) Traumatic bilateral transtibial 
A) Vascular transtibial short limb 
B) Traumatic unilateral transfemoral 
C) Vascular transtibial long limb 
D) Traumatic bilateral transtibial

Question 9

The prosthetic knee unit has the following repair list to be done: tighten friction mechanism,replace extension bumper,tighten or replace the extension strap,and repair piston.What ambulation knee problems,in order,would be noted prior to the repairs?

Accepted Answer

A) Slowed extension,knee hyperextension,slow extension at end of swing,noise 
B) Abrupt extension,knee hyperextension,slow extension at end of swing,noise 
C) Slowed extension,excess knee flexion,abrupt extension,hydraulic fluid leak 
D) Abrupt extension,excess knee flexion,abrupt extension,hydraulic fluid leak 
A) Slowed extension,knee hyperextension,slow extension at end of swing,noise 
B) Abrupt extension,knee hyperextension,slow extension at end of swing,noise 
C) Slowed extension,excess knee flexion,abrupt extension,hydraulic fluid leak 
D) Abrupt extension,excess knee flexion,abrupt extension,hydraulic fluid leak

Question 10

Your client is an elderly woman,also receiving renal dialysis,but who is otherwise a candidate for a transfemoral prosthesis prescription.Which is the following would be the least likely to benefit this individual?

Accepted Answer

A) Total suction socket 
B) Temporary prosthesis 
C) Socket liners and socks 
D) Fluid-friction knee with braking mechanism 
A) Total suction socket 
B) Temporary prosthesis 
C) Socket liners and socks 
D) Fluid-friction knee with braking mechanism

Question 11

The prosthetic examination includes

Accepted Answer

A) examining the individual standing and during gait. 
B) examining the prosthesis itself (off the patient). 
C) A only. 
D) A and B. 
A) examining the individual standing and during gait. 
B) examining the prosthesis itself (off the patient). 
C) A only. 
D) A and B.

Question 12

A transtibial socket is aligned on the shank to enhance loading on the patellar ligament,prevent genu recurvatum,and facilitate quadriceps contraction; it is also aligned to reduce loading on the fibular head.What angle accomplishes the former and what angle accomplishes the latter benefit?

Accepted Answer

A) Slight flexion; slight lateral tilt 
B) Slight flexion; slight medial tilt 
C) Slight lateral tilt; slight flexion 
D) Slight lateral tilt; slight extension 
A) Slight flexion; slight lateral tilt 
B) Slight flexion; slight medial tilt 
C) Slight lateral tilt; slight flexion 
D) Slight lateral tilt; slight extension

Question 13

Which of the following accurately depicts the most common cause of amputation and the age/gender affected?

Accepted Answer

A) Soft tissue tumor,elderly male 
B) Trauma,young adult male 
C) Trauma,young adult female 
D) Bone tumor,adult male 
A) Soft tissue tumor,elderly male 
B) Trauma,young adult male 
C) Trauma,young adult female 
D) Bone tumor,adult male

Question 14

A frail elderly person may be fitted with a single-axis articulated foot with a soft rear bumper for all of the following reasons EXCEPT

Accepted Answer

A) it is durable. 
B) it is less expensive than multiple-axis. 
C) it is lighter than multiple-axis. 
D) it will allow easier dorsiflexion with the soft bumper. 
A) it is durable. 
B) it is less expensive than multiple-axis. 
C) it is lighter than multiple-axis. 
D) it will allow easier dorsiflexion with the soft bumper.

Question 15

A client may be more functional on uneven terrain if the prosthetic foot is a SAFE foot rather than traditional SACH because of its

Accepted Answer

A) articulation. 
B) medial-lateral motion 
C) lightness. 
D) all of the above. 
A) articulation. 
B) medial-lateral motion 
C) lightness. 
D) all of the above.

Question 16

Explain why an endoskeletal prosthesis may require special care as well as occasional repair.
___________________________________________________________________

Accepted Answer

The endosk

Exam 32: Prosthetics

In what position should the transfemoral knee bolt be located relative to a line extending from the trochanter to the ankle (TKA line)for maximal stability?

Circumduction is a displacement exhibited in swing phase if

A Syme prosthesis includes

Standing a transtibial prosthesis on a table for examination,the anterior socket bulge and the posterior brim should be

Which of the following is not true regarding the fluid-filled friction mechanism of a prosthetic knee unit?

An SC/SP suspension has one motion advantage (SC feature):__________________ and one functional disadvantage (SP feature):________________________ but may be the only option for this level of transtibial amputation:___________________________.

Which two sides of the quadrilateral socket are higher to maintain proper support?

Which of the following imposes the greater energy requirement during gait?

The prosthetic knee unit has the following repair list to be done: tighten friction mechanism,replace extension bumper,tighten or replace the extension strap,and repair piston.What ambulation knee problems,in order,would be noted prior to the repairs?

Your client is an elderly woman,also receiving renal dialysis,but who is otherwise a candidate for a transfemoral prosthesis prescription.Which is the following would be the least likely to benefit this individual?

The prosthetic examination includes

A transtibial socket is aligned on the shank to enhance loading on the patellar ligament,prevent genu recurvatum,and facilitate quadriceps contraction; it is also aligned to reduce loading on the fibular head.What angle accomplishes the former and what angle accomplishes the latter benefit?

Which of the following accurately depicts the most common cause of amputation and the age/gender affected?

A frail elderly person may be fitted with a single-axis articulated foot with a soft rear bumper for all of the following reasons EXCEPT

A client may be more functional on uneven terrain if the prosthetic foot is a SAFE foot rather than traditional SACH because of its

Explain why an endoskeletal prosthesis may require special care as well as occasional repair. ___________________________________________________________________

Clinical Decision Making

Influence of Psychosocial Factors on Rehabilitation

Influence of Values on Patient Care: Foundation for Decision Making

Vital Signs

Examination of Sensory Function

Musculoskeletal Examination

Examination of Coordination

Examination of Motor Function: Motor Control and Motor Learning

Electromyography and Nerve Conduction Velocity Tests

Examination of Gait

Examination of Functional Status and Activity Level

Examination of the Environment

Strategies to Improve Motor Function

Locomotor Training

Chronic Pulmonary Dysfunction

Heart Disease

Vascular,lymphatic,and Integumentary Disorders

Stroke

Multiple Sclerosis

Amyotrophic Lateral Sclerosis

Parkinsons Disease

Traumatic Brain Injury

Traumatic Spinal Cord Injury

Vestibular Disorders

Amputation

Arthritis

Burns

Chronic Pain

Cognitive and Perceptual Dysfunction

Neurogenic Disorders of Speech and Language

Orthotics

The Prescriptive Wheelchair

Filters

An SC/SP suspension has one motion advantage (SC feature): and one functional disadvantage (SP feature): but may be the only option for this level of transtibial amputation:_________.