Deck 22: Amputation

Question 1

Which of the following postsurgical dressings is NOT indicated after amputation if the sutures remain intact?

A)Elastic wrap
B)Immediate postoperative prosthesis
C)Shrinker
D)Unna's dressing

Answer 1

C

Question 2

Which of the following is the MOST important advantage of the long posterior flap in transtibial amputation surgery due to vascular disease?

A)There is better collateral circulation in the posterior flap.
B)It places the incision away from any bony prominences.
C)It provides a better weightbearing surface for the residual limb.
D)There is a lower probability of neuroma development.

Answer 2

A

Question 3

What is the optimal supine position of the residual limb for bedridden patients after transtibial amputation?

A)Elevated for drainage and slightly adducted
B)Flat on the bed with the knee extended
C)Elevated on a pillow and knee slightly flexed
D)Flat on the bed with the hip slightly abducted

Answer 3

B

Question 4

During the examination of a patient with a transtibial amputation,the patient describes painful sensations that are frequently disabling.Which of the following describes this type of pain?

A)Psychogenic sensation
B)Peripheral pain
C)Phantom sensation
D)Phantom pain

Question 5

A 75-year-old patient with type 1 diabetes received a right transfemoral amputation secondary to gangrene.Prior to the gangrene,the patient was ambulatory in the community.As the lower extremity declined,the patient was able to ambulate with a use of a standard walker.What is the MOST important factor in deciding whether this patient is a good candidate for a prosthesis?

A)Ability to heal adequately
B)Ambulation prior to amputation
C)Age of the patient
D)Number of comorbidities

Question 6

Which of the following is the MOST effective intervention for helping patients who underwent amputation to cope with the loss of a limb?

A)Provide some sample types of prostheses for the patient to see and handle.
B)Provide detailed written and oral information about the prosthesis and the rehabilitation program.
C)Explain to the patient that the care of the other limb is critical for maximizing ambulation potential.
D)Arrange an opportunity for peer counseling.Chapter 22: Amputation