Deck 24: Amputations and Prosthetics: Components, Training, and Treatment

Question 1

An individual who lost her upper extremity in a motor vehicle accident has been determined to be eligible for a myoelectric prosthetic. During the training phase after amputation, what will be the responsibility of the OT practitioner along with the prosthetist?

A) Make sure the client can pick up cups and utensils.
B) Evaluate functional activities with the prosthesis in all settings.
C) Educate the client on care for the prosthesis.
D) Train the client on how to activate the prosthesis.

Answer 1

Train the client on how to activate the prosthesis.

Question 2

A client has been determined eligible for target muscle reinnervation in preparation for a myoelectric prosthesis. How long is the recovery period before the OTA can begin prosthesis training?

A) 1 year
B) 4 months
C) 5 months
D) 3 months

Answer 2

3 months

Question 3

A client has undergone an amputation due to wound-healing issues secondary to a diagnosis of diabetes. What should the OTA focus on during treatment sessions with this client?

A) Utilization of a prosthesis
B) Changes in the client's diet
C) Skin care and skin inspection
D) Insulin management to avoid further amputation

Answer 3

Skin care and skin inspection

Question 4

An OTA is assisting a client in preparing for a lower extremity prosthesis. What should the OTA incorporate into the intervention to assist with the healing phase?

A) Education on lifestyle changes that may affect the speed of healing
B) Education on use of a Shrinker to shape the stump
C) Education on dressing changes
D) Education on stump wrapping

Question 5

An OTA is working with a client who is in the process of prosthetic training for a unilateral transhumeral amputation. As the client becomes proficient with the use of the device, how should the OTA instruct the client in positioning during functional activities?

A) Use the prosthesis in the way a regular limb would be used.
B) Use the prosthesis as the dominant extremity for most activities.
C) Use the prosthesis as an assist during fine motor activities.
D) Only use the prosthesis with adequate training.

Question 6

An OTA is working with a client who has a bilateral upper extremity amputation. Which piece of adaptive equipment may offer the client the most function in daily living activities?

A) Large-handled utensils
B) Universal cuff
C) Nonskid surfaces
D) Mobile arm support

Question 7

A client is going through training to utilize a body-powered upper extremity prosthesis. With which task will this client most likely experience difficulty?

A) Placing groceries on the top shelf of a pantry
B) Taking items out of the vegetable drawer in the refrigerator
C) Donning an overhead shirt
D) Reaching out in front of the body

Question 8

An OTA is working with a client who has received a long transtibial amputation due to a diagnosis of diabetes. What does this mean in relation to the type of amputation and eventual functional abilities?

A) The client has a longer residual limb for increased potential abilities.
B) The longer residual limb has no impact on function versus a shorter limb.
C) The client will be eligible for a prosthetic.
D) The client may avoid another amputation with a better-fitting prosthetic.

Question 9

A client is complaining of upper extremity phantom limb pain. Which intervention would be helpful in relieving this pain and promoting a better quality of life?

A) Bathing of the residual limb
B) Instructing the client in mirror therapy
C) Consulting with the physician for medication
D) Teaching strategies to ignore and integrate the pain

Question 10

A client is choosing to utilize a passive functional prosthesis on her nondominant arm after a transradial amputation. For which tasks can this prosthesis be utilized as a functional assist?

A) Holding utensils while eating
B) Bilateral carrying tasks
C) Picking up small items
D) Pulling up socks