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(3) PT in Special Conditions > S2L2: Amputation - Medical & Surgical Background > Flashcards

S2L2: Amputation - Medical & Surgical Background Flashcards

1
Q

PVD happens when there is not enough blood supply in the proximal limbs. Tissues become not viable, die, to prevent spread of infection

A. First statement is true, second statement is false
B. Second statement is true, first statement is false
C. Both statements are true
D. Both statements are false

A

B

PVD happens when there is not enough blood supply in the distal limbs.

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2
Q

Identify: The highest amputation for LE

A

hemicorporectomy

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3
Q

Identify: Amputation when part of the pelvis down is removed

A

Hemipelvectomy

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4
Q

Identify: Hip joint level amputation

A

Hip disarticulation

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5
Q

Identify: level of the femur amputation

A

AKA

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6
Q

Identify: 3-4 inches left for AKA

A

Short

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7
Q

Identify: 10-12 inches left for AKA

A

Middle

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8
Q

Identify: Supracondylar amputation, lower thigh

A

Long

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9
Q

Identify: complete knee amputation

A

Knee disarticulation

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10
Q

Identify: BKA less than 2 in

A

Very Short

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11
Q

Identify: 2-4 in left in BKA

A

Short

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12
Q

Identify: 5-8 in left in BKA

A

Medium

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13
Q

Identify: 8+ inches below the knee

A

Long BK

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14
Q

Identify: Amputation that is just above the ankle, but in other references, it’s like ankle disarticulation (they leave the calcaneus or heel)

A

Syme Amputation

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15
Q

Identify: Heel pad remains so you can bear weight

A

Syme Amputation

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16
Q

Identify: Equivalent to ankle disarticulation in physiopedia but means that the calcaneus is removed

A

Syme Amputation

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17
Q

Identify: Talonavicular amputation

A

Chopart

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18
Q

Identify the 2 kinds of amputation that involves the removal of the metatarsals

A

Lisfranc & Transmetatarsal

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19
Q

Identify: They remove the toes

A

Toe amputation

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20
Q

T or F: The longer the residual limb is, the more functional for the patient

A

True

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21
Q

Identify: UE Amputation from the scapula down

A

Forequarter Amputation

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22
Q

Identify: Amputation at the shoulder joint

A

Shoulder disarticulation

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23
Q

Identify: Amputation at the humerus

A

Above elbow Amputation

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24
Q

Above elbow Amputation Standard: _%

A

90

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25
Q

Identify: Some part of the radius and ulna may or may not be removed

A

Wrist disarticulation

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26
Q

Identify: Amputation at level of carpal bones

A

Carpal disarticulation

27
Q

Identify: Amputation at the level of metacarpals

A

Transmetacarpal

28
Q

T or F: The procedure of amputation can be determined by the PT

A

False (Determined by surgeon)

29
Q

Consideration for length of residual limb is what should be _

A

removed

30
Q

Identify: If there is enough blood supply in the area to be viable enough to support the limb and musculature left behind

A

Vascularization

31
Q

Identify the 3 things to consider in the procedure for amputation

A
  1. Length of residual limb
  2. Vascularization
  3. Prosthetic fitting
32
Q

Identify: Removed everything at the level of amputation (skin bones)

A

Open

33
Q

Identify: Cuts off the bone but there’s a remaining skin flap left behind to cover the parts that were left

A

Closed

34
Q

Enumerate the 4 types of skin flaps

A
  1. Sagittal
  2. Posterior
  3. Skewed
  4. Fishmouth
35
Q

Identify: Suture on the frontal plane

A

Fishmouth

36
Q

Identify: Diagonal, Anterior and posterior flap sutured

A

Skewed

37
Q

Identify: There is skin left on the posterior side and it is pulled to cover the remaining parts.

A

Posterior

38
Q

If distal part is amputated, it will be free. It may protract then the muscle will not be usable anymore

A. First statement is true, second statement is false
B. Second statement is true, first statement is false
C. Both statements are true
D. Both statements are false

A

A

it may retract

39
Q

Identify: muscle to muscle

A

Myoplasty

40
Q

Identify: muscle to fascia

A

Myofascial

41
Q

Identify: muscle to bone (residual part of limb)

A

Myodesis

42
Q

Identify: tendon is attached to the bone if may residual part pa ng same muscle

A

Tenodesis

43
Q

Once healed, you can see the preserved movement/function of the muscles. When considering the healing of amputations it is not just the healing of the soft tissues but also will have the bone

A. First statement is true, second statement is false
B. Second statement is true, first statement is false
C. Both statements are true
D. Both statements are false

A

C

44
Q

Resistance exercises will not be hard and painful for the patient when the bone is healed. Muscle may still produce their movement but can do different function/action compared to the previous one.

A. First statement is true, second statement is false
B. Second statement is true, first statement is false
C. Both statements are true
D. Both statements are false

A

B

Resistance exercises will be hard and painful

45
Q

If attached in a different angle = expect a different angle of pull, hence different movement. Since the muscles have different orientations and if it is attached to a muscle with an orientation different from its own then it will pull in a different way

A. First statement is true, second statement is false
B. Second statement is true, first statement is false
C. Both statements are true
D. Both statements are false

A

C

46
Q

Surgeons determine the shape of the stump. We educate the family to maintain the shape of the stump

A. First statement is true, second statement is false
B. Second statement is true, first statement is false
C. Both statements are true
D. Both statements are false

A

B

PTs determine the shape of the stump

47
Q

Important for the prosthesis to have a proper fit with the stump to avoid poor fit and irritation. Dog ears may get compressed

A. First statement is true, second statement is false
B. Second statement is true, first statement is false
C. Both statements are true
D. Both statements are false

A

C

48
Q

In a new amputee, they can heal in the same position so it can maintain the shape. Use compression stockings and bandages to shape the stump

A. First statement is true, second statement is false
B. Second statement is true, first statement is false
C. Both statements are true
D. Both statements are false

A

B

they can heal in a different position so it can change the shape

49
Q

Identify the 2 interventions that can be used to shape the stump

A

compression stockings and bandages

50
Q

Identify the shape of stump: Usually seen in above knee amputees and is thigh level

A

Conical

51
Q

Identify the shape of stump: Length of proximal and distal part are equal and is usually seen in BKA

A

Cylindrical

52
Q

Identify the shape of stump: Distal segment of residual limb is wider than proximal segment

A

Bulbous

53
Q

Identify: Below elbow amputation; ulna and radius are separated

A

Krukenberg amputation

54
Q

A below elbow amputation is known as a Krukenberg amputation. This is when the ulna and humerus are separated

A. First statement is true, second statement is false
B. Second statement is true, first statement is false
C. Both statements are true
D. Both statements are false

A

A

ulna and radius are separated

55
Q

Identify the type of reduction: Whole limb is not present

A

Amelia

56
Q

Identify the type of reduction: Middle segment is absent

A

Phocomelia

57
Q

Identify the type of reduction: There is development but only to a certain level.

A

Meromelia

58
Q

Identify the type of reduction: Segment distal to one point is absent

A

Meromelia

59
Q

Identify the type of reduction:
Developed but not the whole limb

A

Meromelia

60
Q

Identify the type of reduction: No phalanges/ fingers

A

Aphalangia

61
Q

Identify the type of reduction: One part or segment of the bone did not develop (half developed)

A

Hemimelia

62
Q

Identify the type of reduction: Absence of metacarpal or metatarsal

A

Adactyly

63
Q

Identify the type of reduction: Congenital total absence of the hand and wrist with no bony elements distal to the radius, hands gone

A

Acheira

(3) PT in Special Conditions (40 decks)

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