12/22/2014 Amputee Rehabilitation | Flex Therapist CEUs

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Amputee Rehabilitation
1. Which of the following categories has the highest percentage of amputations in the United
States?

A. Trauma

B. Disease

C. War

D. None of the above

2. The most common disease that causes ulcers and gangrene that can lead to an amputation is?

A. Vascular disease with poor circulation

B. Tumors of the skin

C. Muscle tumors

D. Leprosy

3. The most frequent level of amputation is transfemoral amputation.

A. True

B. False

4. To help prevent disease related amputations, all of the following apply, EXCEPT:

A. Frequently check circulation in the extremities

B. Education on the best diet and how to regulate blood sugar for diabetes patients

C. Check for loss of sensation

D. Walking barefoot to build up calluses on feet

5. Which of the following signs are indications of an infection or warning signs of ulcer
development and should be checked by a doctor?

A. Heat

B. Redness

C. Thick callus buildup on bottom of the foot

D. All of the above

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6. The use of tobacco is a major contributor to amputation among people who have diabetes and
blood vessel disease because tobacco:

A. Decreases nerve sensitivity

B. Increases blood flow

C. Causes narrowing of the blood vessels

D. Interferes with lymph drainage

7. Once healing has occurred, avoiding scar tissue adhesions is an important goal of
rehabilitation.

A. True

B. False

8. Which level of amputation will heal in most instances because of increased available blood
supply, but results in increased energy consumption during ambulation?

A. Partial foot

B. Symes

C. Above knee

D. Below knee

9. The highest level of functional recovery in upper limb amputations is a?

A. Transradial amputation

B. Above elbow amputation

C. Shoulder disarticulation

D. None of the above

10. Common areas of pain caused by a prosthesis in a below knee amputation include all of the
following, EXCEPT?

A. Tibial tubercle

B. Adductor tendon

C. Fibular side of knee

D. Hamstring tendons

11. The purpose of dressings after amputation surgery include:

A. Protecting the surgical wound

B. Maintaining a clean wound

C. Shaping the amputated limb

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D. All of the above

12. All of the following are things to remember when wrapping an amputated limb, EXCEPT:

A. Wrapping fabric snuggly to prevent wrinkles or loosening of material

B. Wrapping in a diagonal pattern, not in circles

C. Make wrap tighter on the top and looser on the bottom

D. Spread the layers out evenly

13. Advantages of using a rigid dressing include all of the following, EXCEPT?

A. Protects the stump from trauma

B. Reduces stump pain

C. Allows for early weight bearing

D. Can be used with an infected incision

14. New rigid casts should be replaced or removed:

A. Every 10-14 days

B. If the cast begins to slide up and down due to limb shrinking

C. If phantom sensations occur

D. All of the above

15. Goals of skincare following amputation include?

A. Increase sensitivity of the skin on the amputated limb

B. Prevent infection and other skin irritations through proper hygiene and daily inspection

C. Maintain skin mobility

D. B and C

E. All of the above

16. A person with an amputation improves greatly if he is taught some of the basic goals of
exercising, which are:

A. Improve and maintain range of motion for all the limbs

B. Improve strength of limbs

C. Improve endurance for daily activities

D. All of the above

17. Which of the following is the proper positioning for a below knee amputation?
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A. Seated with the residual limb supported and knee straight

B. Seated with the residual limb unsupported and knee bent

C. Lying flat with the limb propped up on pillows

D. Resting limb on a crutch

18. Stretching techniques for people with amputations and caregivers should include:

A. Stretching to be performed no more than once a day

B. Stretch to be held for 30 seconds without bouncing, repeated 10 times

C. A and B

D. The body part is moved until an uncomfortable amount of tension occurs

19. How soon should exercises to improve strength and active range of motion begin after
amputation in order to maximize the person's function and mobility?

A. Postoperative day 4 or 5

B. Postoperative day 8 or 9

C. Postoperative day 2 or 3

D. Postoperative day 6 or 7

20. One of the most important transfers that all people with leg amputations must learn is a
transfer to and from the floor.

A. True

B. False

21. For older and weaker people, which assistive device is more supportive and stable when one
leg is amputated?

A. Forearm crutches

B. Axillary crutches

C. Walking frame or walker

D. Sturdy wooden branch

22. For a bilateral lower extremity amputation, which of the following is the safest method to
transfer?

A. Side on and off transfer

B. Front on and off transfer

C. Floor transfer to and from a seated surface

D. Stand pivot transfer

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23. When fitting a prosthesis, the parts of the limb that are bony are considered pressure tolerant.

A. True

B. False

24. A good fit for a quadrilateral socket includes which of the following?

A. The buttocks bone should sit within the back wall of the socket

B. The socket should enclose the inner thigh tissue

C. Needs to be in contact with the skin

D. There should be a relief for the adductor tendon

25. When training to use a lower limb prosthesis which of the following exercises should a person
start out with?

A. Shifting bodyweight from side to side supported by one hand

B. Shifting bodyweight from side to side with eyes closed

C. Weight shifting taking a step forward with the prosthetic foot

D. Balancing the intact leg on a ball with both arms supported

26. Which of the following are signs that the amount of socks used in the prosthesis is incorrect?

A. When standing the prosthesis feels loose or very tight

B. For the above knee amputation, there is pain in the groin and buttock or end of the thigh bone

C. There is discoloration that lasts longer than 30 minutes after the prosthesis is removed.

D. All of the above

27. A red mark in what area of the residual limb of a below knee amputation can help the person
know that they are wearing the correct amount of socks:

A. On the knee cap

B. On the patellar tendon

C. On the shin bone

D. There should be no red marks

28. The main cause of limb amputations in children is a congenital limb deficiency.

A. True

B. False

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