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Prosthetic and Orthotic Written Questions with solutions
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Prosthetic and Orthotic Written
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Prosthetic and Orthotic WrittenT/F A patient that can ambulate using a walker on even surfaces at a constant cadence
rate is referred to as a K1 level of activity. - answerT
A person whose primary daily activities are in a wheelchair and they use the prosthesis
primarily for transfers from bed to chair and chair to toilet. The patient's activity level is
considered to be; - answerK1
In the operative suite, the area below the table is considered;
A) Septic
B) Non-Sterile
C) Non-Septic
D) For equipment only
E) Both B and D are correct - answerB) Non-Sterile
A post-operative in-patient is referred to your practice for an interim prosthesis fitting.
Upon PE, you find that the surgeon closed the surgical incision using staples. What are
some concerns about this method of surgical closure?
A) As long as they are used in conjunction with a with a penrose drain it is acceptable
B) It is an acceptable practice when used in conjunction with a Hemovac drain
C) It is not an acceptable procedure when the surgical incision is closed with rigid
sutures such as staples
D) It is acceptable when used in conjunction with a pre fabricated socket - answerC) It is
not an acceptable procedure when the surgical incision is closed with rigid sutures such
as staples
The Trans-Tibial wearer comes into the office for a f/u appointment. Upon PE, you find a
reddened dark Red / Purple condition to the skin of the distal end of the residuum.
Possible causes for this problem could be;
A) Allergic reaction to the interface
B) Lack of Total Contact
C) Prosthetic foot too short in the shoe
D) Short Socket
E) B and D are correct - answerE) B and D are correct
Can a post-operative interim prosthesis be used when a patient has a Hemovac drain in
place during surgery?
A) Yes, the vacuum line should be placed over the soft tissue area (if possible)
proceeding proximally exiting the socket edge
, B) Yes, you should drill a hole in the pre-fab socket and thread the line through it to the
outside C) No, it is too involved to fit the socket on the residuum
D) No, it is contraindicated when used with a temporary limb - answerA) Yes, the
vacuum line should be placed over the soft tissue area (if possible) proceeding
proximally exiting the socket edge
The Tricep musculature receives its innervation at level;
A) C4
B) T2
C) T5
D) C7
E) T4 - answerD) C7
A 70 y.o. Female Trans-Femoral prosthetic wearer wearing a Narrow M/L designed
hard socket and a Silesian belt for primary suspension, suction valve. The patient is c/o
the prosthesis feels too long and that her back hurts after wearing the prosthesis even
for a short time and that the socket pinches her in the groin. Possible cause (s) could
be;
A) The patient has gained weight since being fitted
B) The patient is wearing too many ply's of socks
C) Osteoporosis
D) The patient is not using a donning sleeve to donn the prosthesis
E) A and D are correct
F) A, B and D are correct - answerE) A and D are correct
During knee flexion in the cycle of gait, the Ilio Psoas muscle fires concentrically A) True
B) False - answerA) True
When a patient with a Trans-Tibial prosthesis during ambulation, the patient complains
of pressure on the Anterior Distal end of the residuum. PE reveals a reddened area to
their residual limb. A possible cause of the pain could be;
A) The prosthetic socket is in excessive extension
B) The prosthetic foot is too far inset
C) The prosthetic socket should be flexed in the Saggital plane
D) The prosthetic foot heel could be too soft
E) Both A and C are correct - answerA) The prosthetic socket is in excessive extension
When bench aligning a wrist unit within the forearm portion of a BE prosthesis, the wrist
unit should be set in 3-5 degrees of flexion.
A) TRUE B) FALSE - answerA) TRUE
When designing / recommending an interim Trans-Femoral prosthetic design for a
motivated 32 year old previously active male patient, presenting with full ROM, a long to
mid-shaft healed residuum, what type (s) of suspension is best suited for this type of
patient.
A) Hip Joint / pelvic band for HD use and Lateral Stability
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