S2L2: Amputation - Medical & Surgical Background

Question 1

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

Answer 1

B

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

Question 2

Identify: The highest amputation for LE

Answer 2

hemicorporectomy

Question 3

Identify: Amputation when part of the pelvis down is removed

Answer 3

Hemipelvectomy

Question 4

Identify: Hip joint level amputation

Answer 4

Hip disarticulation

Question 5

Identify: level of the femur amputation

Answer 5

AKA

Question 6

Identify: 3-4 inches left for AKA

Answer 6

Short

Question 7

Identify: 10-12 inches left for AKA

Answer 7

Middle

Question 8

Identify: Supracondylar amputation, lower thigh

Answer 8

Long

Question 9

Identify: complete knee amputation

Answer 9

Knee disarticulation

Question 10

Identify: BKA less than 2 in

Answer 10

Very Short

Question 11

Identify: 2-4 in left in BKA

Answer 11

Short

Question 12

Identify: 5-8 in left in BKA

Answer 12

Medium

Question 13

Identify: 8+ inches below the knee

Answer 13

Long BK

Question 14

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

Answer 14

Syme Amputation

Question 15

Identify: Heel pad remains so you can bear weight

Answer 15

Syme Amputation

Question 16

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

Answer 16

Syme Amputation

Question 17

Identify: Talonavicular amputation

Answer 17

Chopart

Question 18

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

Answer 18

Lisfranc & Transmetatarsal

Question 19

Identify: They remove the toes

Answer 19

Toe amputation

Question 20

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

Answer 20

True

Question 21

Identify: UE Amputation from the scapula down

Answer 21

Forequarter Amputation

Question 22

Identify: Amputation at the shoulder joint

Answer 22

Shoulder disarticulation

Question 23

Identify: Amputation at the humerus

Answer 23

Above elbow Amputation

Question 24

Above elbow Amputation Standard: _%

Answer 24

90

Question 25

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

Answer 25

Wrist disarticulation

Question 26

Identify: Amputation at level of carpal bones

Answer 26

Carpal disarticulation

Question 27

Identify: Amputation at the level of metacarpals

Answer 27

Transmetacarpal

Question 28

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

Answer 28

False (Determined by surgeon)

Question 29

Consideration for length of residual limb is what should be _

Answer 29

removed

Question 30

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

Answer 30

Vascularization

Question 31

Identify the 3 things to consider in the procedure for amputation

Answer 31

1. Length of residual limb 2. Vascularization 3. Prosthetic fitting

Question 32

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

Answer 32

Open

Question 33

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

Answer 33

Closed

Question 34

Enumerate the 4 types of skin flaps

Answer 34

1. Sagittal 2. Posterior 3. Skewed 4. Fishmouth

Question 35

Identify: Suture on the frontal plane

Answer 35

Fishmouth

Question 36

Identify: Diagonal, Anterior and posterior flap sutured

Answer 36

Skewed

Question 37

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

Answer 37

Posterior

Question 38

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

Answer 38

A it may retract

Question 39

Identify: muscle to muscle

Answer 39

Myoplasty

Question 40

Identify: muscle to fascia

Answer 40

Myofascial

Question 41

Identify: muscle to bone (residual part of limb)

Answer 41

Myodesis

Question 42

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

Answer 42

Tenodesis

Question 43

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

Answer 43

C

Question 44

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

Answer 44

B Resistance exercises will be hard and painful

Question 45

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

Answer 45

C

Question 46

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

Answer 46

B PTs determine the shape of the stump

Question 47

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

Answer 47

C

Question 48

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

Answer 48

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

Question 49

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

Answer 49

compression stockings and bandages

Question 50

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

Answer 50

Conical

Question 51

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

Answer 51

Cylindrical

Question 52

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

Answer 52

Bulbous

Question 53

Identify: Below elbow amputation; ulna and radius are separated

Answer 53

Krukenberg amputation

Question 54

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

Answer 54

A ulna and radius are separated

Question 55

Identify the type of reduction: Whole limb is not present

Answer 55

Amelia

Question 56

Identify the type of reduction: Middle segment is absent

Answer 56

Phocomelia

Question 57

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

Answer 57

Meromelia

Question 58

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

Answer 58

Meromelia

Question 59

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

Answer 59

Meromelia

Question 60

Identify the type of reduction: No phalanges/ fingers

Answer 60

Aphalangia

Question 61

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

Answer 61

Hemimelia

Question 62

Identify the type of reduction: Absence of metacarpal or metatarsal

Answer 62

Adactyly

Question 63

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

Answer 63

Acheira