Amps & Burns

Question 1

Forequater Amp

Answer 1

Loss of clavicle, scap and entire UE

Question 2

Shoulder Disarticulation

Answer 2

Loss of entire UE

Question 3

Elbow Disarticulation

Answer 3

Amp of UE distal to elbow joint

Question 4

Wrist Disarticulation

Answer 4

Amp distal to wrist joint - loss og hand

Question 5

Hemipelvectomy

Answer 5

Amp of 1/2 pelvis and entire LE

Question 6

Transfemoral

Answer 6

Above-knee - at any level on thigh

Question 7

Transtibial

Answer 7

Amp below knee at any level on calf - most common

Question 8

Complete Tarsal

Answer 8

Ankle amp

Question 9

Partial Tarsal

Answer 9

Amp of metatarsals/phalanges

Question 10

Terminal Devices

Answer 10

Function to grasp; 2 main types are hook/hand. VO- Vol open means hook remains closed vs VC- Vol close means hook remains open

Question 11

Neuromas

Answer 11

Complications w amps; nerve endings adhered to scar tissue - can be painful/hypersensitive

Question 12

Pre-prosthetic Tx

Answer 12

Change of dominance acts if needed, ROM of uninvolved joints, prosthesis prep, desensitization, wrapping dist to prox to shape/shrink residual limb, ADL/skin care edu, counseling > phys/psych adjustment

Question 13

Prosthetic Tx

Answer 13

Fx’al training with prosthesis, donning/doffing, increase wearing AT, phys/psych adjustment

Question 14

Tx for LE Amp

Answer 14

Wrapping to shape/decrease swell of residual limb, desensitization, strengthening UE w triceps focus, transfer training>stand pivot, ADL training/LE dress, standing tolerance & w/c mobility

Question 15

Superficial (1st degree) burn

Answer 15

Involves only epi; min pain/edema w no blisters, healing= 3-7days

Question 16

Superficial Partial Thickness (2nd degree) Burn

Answer 16

Involves epi and upper portion of dermis (sunburn); appears red, blistering and wet; painful but heals on own in 7-21days

Question 17

Deep Partial Thickness (2nd degree) Burn

Answer 17

Involves epi and deep portion of dermis (hair follicles/sweat glands); appears red, white & elastic, sensation may be impaired; potential to become full thickness w infection; healing time 21-35days

Question 18

Full Thickness (3rd degree) Burn

Answer 18

Involves epi, dermis, hair follicles, sweat glands & nerve endings; appears white, waxy, leatherly & non-elastic; sensation absent/req skin graft; hypertrophic scar; healing can take months

Question 19

4th Degree Burn

Answer 19

Involves fat, muscle & bone; Electrical burn- destruction of nerve along pathway

Question 20

Method for assessing burn wound size

Answer 20

Rule of 9’s

Question 21

Superficial Partial Thickness (2nd degree) Burn Tx

Answer 21

Assess ROM 72hrs post-op & sensation/strength when wounds are healed. Wound care/sterile whirlpool, gentle AROM/PROM AT, edema control, splint if necessary, ADL/role acts

Question 22

Deep Partial Thickness (2nd degree) Burn Tx

Answer 22

Assess ROM 72hrs post-op & sensation/strength when wounds are healed. Wound care/sterile whirlpool, gentle AROM/PROM AT, edema control, splint if necessary, ADL/role acts &strengthening when wounds are healed

Question 23

Full Thickness (3rd degree) Burn

Answer 23

Assess ROM 5-7days post-op & sensation/strength when wounds are healed. 72hr= dress change/splint at all times; 5-7days= AROM, light ADL/occ & sterile whirlpool; Over 7days= PROM AT, ADL/occ; when wounds heal= massage, compression garments, otoform/elsatomer inserts & strengthening

Question 24

Ant neck burn anti-contracture positioning of neck flex

Answer 24

Remove pillows, half-mattress to extend neck, neck exten in splint or collar

Question 25

Axilla burn anti-contracture positioning of adduction

Answer 25

120 degrees aBduction w slight ex rot, axilla splint/positioning wedges, watch for signs of brachial plex strain

Question 26

Ant elbow burn anti-contracture positioning of flex

Answer 26

Elbow ex splint 5-10 degrees of flex

Question 27

Dorsal wrist burn anti-contracture positioning of wrist extension

Answer 27

Wrist support in neutral

Question 28

Volar wrist burn anti-contracture positioning of wrist flex

Answer 28

Wrist cock-up splint w 5-10 degrees of flex

Question 29

Dorsal hand burn anti-contracture positioning of claw hand deformity

Answer 29

Fx'al hand splint w MCP joints 70-90; IPs fully extended - 1st web open/thumb opposition

Question 30

Volar hand burn anti-contracture positioning of palmar contracture

Answer 30

Palm extension splint

Question 31

Volar hand burn anti-contracture positioning of cupping of hand

Answer 31

Myofascial pain syndrom in slight hyper extension

Question 32

Ant hip burn anti-contracture positioning of hip flex

Answer 32

Prone positioning; weights on thighs in supine; knee immoblizers

Question 33

Knee burn anti-contracture positioning of knee flex

Answer 33

Knee exten positioning and/or splints; prevent ex rot

Question 34

Foot burn anti-contracture positioning of foot drop

Answer 34

Ankle at 90 w foot board/splint - watch for heel ulcer

Question 35

Splint for burn to the hands

Answer 35

Wrist in 20-30 exten, MCP in 70 flex, IP in full exten & thumb abducted/extended

Question 36

Palmar exten splint

Answer 36

Used if burns to volar surface of hand develop flex contractures: Wrist in 0-30 exten, MCP in neutral to slight ex and abducted, IP in full exten, thumb abducted/extended

Question 37

Web-space burn

Answer 37

C-splint

Question 38

Hypertrophic Scar

Answer 38

Deposits of excessive amounts of collagen which gives rise to a raised scar - most common w 2/3 degree; Appears 6-8wks after wound closure > comp garment 24hrs for 1-2yrs