Question 1

What is Syme's amputation?&#10;A)Excision of any part of one or more toes&#10;B)Ankle disarticulation with attachment of heel pad to distal end of tibia&#10;C)Resection of lower half of the pelvis&#10;D)Amputation at less than 20% tibial length

Accepted Answer

Ankle disarticulation with attachment of heel pad to distal end of tibia is called Syme's amputation.
Excision of any part of one or more toes is called as partial toe amputation.
Resection of the lower half of the pelvis is called hemipelvectomy.
Amputation at less than 20% tibial length is called a short transtibial amputation.

Question 2

What is the disadvantage of using elastic wrap for a patient's residual limb?&#10;A)Light weight&#10;B)Does not allow daily wound inspection&#10;C)Inexpensive&#10;D)Can slip and form a tourniquet

Accepted Answer

It can slip and form a tourniquet, which is a disadvantage of using an elastic wrap for a patient's residual limb.
The advantages of elastic wrap are that they are light weight and inexpensive.
A rigid dressing has the disadvantage of not allowing a daily wound inspection. In case of an elastic wrap, it should be reapplied frequently so that wound inspection is possible on a daily basis.

Question 3

When assessing a patient's gait with a trans-tibial prosthesis, what could be the fault in the prosthesis if the patient has excessive knee flexion in the early stance phase?&#10;A)Low shoe heel&#10;B)Excessive plantar flexion&#10;C)Stiff heel cushion&#10;D)Too far posterior socket

Accepted Answer

Stiff heel cushion could be the fault in the prosthesis if there is an excessive knee flexion in the early stance.
Low shoe heel, excessive plantar flexion, and too far posterior position of socket could result in insufficient knee flexion.

Question 4

Which internal modification is used in the shoe for a flexible flat foot?&#10;A)Viscoelastic plastics&#10;B)Concave relief&#10;C)Metatarsal pad&#10;D)University of California biomechanics laboratory inset(UCBL)

Accepted Answer

University of California biomechanics laboratory inset (UCBL) is used in the shoe for a flexible flat foot.
University of California biomechanics laboratory inset (UCBL) is a semi-rigid, plastic mold over a plaster model of the foot. It gives medial force to the calcaneus and lateral upward force to the medial portion of the midfoot.
Concave relief is used for painful heel.
Metatarsal pad is the convexity that glued to the inner sole so that its apex is under the metatarsal shaft. It helps to spread the transverse arch.
Viscoelatic materials are used to reduce the impact.

Question 5

Which movement is controlled by Knight spinal orthosis?&#10;A)Flexion&#10;B)Extension&#10;C)Lateral flexion&#10;D)All of the above

Accepted Answer

Knight spinal orthosis controls flexion extension and lateral flexion.
Knight spinal orthosis is a rigid trunk orthosis. It is used in the lumbosacral region.

Question 6

Which orthosis is most commonly prescribed for scoliosis?&#10;A)Milwaukee&#10;B)Taylor&#10;C)Minerva&#10;D)Knight

Accepted Answer

Milwaukee orthosis is most commonly prescribed for scoliosis.
Milwaukee has a pelvic girdle, superior ring, two posterior up and one anterior up.
Taylor orthosis is thoracolumbar flesioextension control rigid orthosis.
Minerva orthosis has a rigid plastic posterior section extending from the head to the mid neck. It is a non-invasive cervical orthosis.
Knight orthosis is a rigid lumbosacral flexion extension lateral orthosis.

Question 7

What degree of slope is preferred of a ramp for wheelchair use?&#10;A)11 - 12 degrees&#10;B)10 - 20 degrees&#10;C)5 - 8.3 degrees&#10;D)18.3 - 21.5 degrees

Accepted Answer

5 - 8.3 degrees of slope is preferred of a ramp for wheel chair use.
Usually 5 - 8.3 degrees slope, or even less, is preferable for propelling wheelchairs on a ramp. More than this value will prove difficult for the patient to propel the wheelchair.

Question 8

What is the recommended windowsill height in a wheelchair environment?&#10;A)20 inches - 30 inches&#10;B)10 inches - 20 inches&#10;C)30 inches - 40 inches&#10;D)28 inches - 32 inches

Accepted Answer

28 inches - 32 inches of windowsill height is recommended in using wheelchair environment.
Architectural barriers have to be modified to provide for the use of a wheelchair. Therefore, the windowsill should be high enough so as not to interrupt the propulsion.

Question 9

In which type of mobility aid is the forearm used for most of the weight bearing?&#10;A)Standard walking frame&#10;B)Gutter frame&#10;C)Reciprocal walking frame&#10;D)Rollators

Accepted Answer

Gutter frame requires the forearm to be used for most of the weight bearing.
Gutter frames are used for patients with rheumatoid arthritis who cannot bear weight through their hands or wrists because of pain and deformity. It has specialized gutters to rest the forearm.
The other mobility aids mentioned in the options have hand grips and the weight bearing is through the hands and wrists.

Question 10

How is the wheelchair seat depth measured?&#10;A)2 inches longer than the distance from popliteal fossa to back of the buttocks&#10;B)2 inches higher than bottom of heel to popliteal space&#10;C)1 inch wide than width of the widest part of the buttocks&#10;D)Measured from bottom of buttocks to elbow

Accepted Answer

2 inches longer than the distance from the popliteal fossa is the measurement for wheelchair seat depth.
2 inches higher than the bottom of heel to the popliteal space is the measurement for the wheelchair seat height.
1 inch wider than the width of the widest part of the buttocks is the measurement for the seat width.
Arm rest height is measured from the bottom of the buttocks to the elbow.

Question 11

Cock-up splint is used for which of the following nerve injuries?&#10;A)Radial nerve injury&#10;B)Brachial plexus injury&#10;C)Common peroneal nerve injury&#10;D)Axillary nerve injury

Accepted Answer

The answer of Cock-up splint is used for which of...

Question 12

What is the use of a knuckle bender splint?&#10;A)Stabilizes wrist in dorsiflexion&#10;B)Maintains metacarpophalangeal joint at 90 degree of flexion and interphalangeal joints in extension&#10;C)Maintains the thumb in abduction and partial rotation&#10;D)Maintains the shoulder in abduction and external rotation

Accepted Answer

The answer of What is the use of a knuckle...

Question 13

For which surgical method is the muscle artificially inserted into a bone and covered with periosteum and some layer of fat?&#10;A)Osteomyodesis&#10;B)Myodesis&#10;C)Myoplasty

Accepted Answer

The answer of For which surgical method is the muscle...

Question 14

What is the name of the amputation through the tarsometatarsal junction?&#10;A)Lisfranc&#10;B)Chopart's&#10;C)Syme's&#10;D)Krukenberg

Accepted Answer

The answer of What is the name of the amputation...

Question 15

Which is NOT a desirable position after an amputation surgery?&#10;A)Keeping the knee in extension while on bed&#10;B)Keeping the above-knee amputation residual limb in abduction&#10;C)Placing a pillow under the knee while on a bed&#10;D)Keeping the knee in extension when sitting

Accepted Answer

The answer of Which is NOT a desirable position after...

Question 16

How is the measurement taken for elbow crutches?&#10;A)From the ulnar styloid process of slightly flexed elbow to a point 20 cm lateral to the heel of the shoe&#10;B)5 cm down from the apex of axilla to 20 cm lateral to the heel of the shoe&#10;C)Point of the flexed elbow to 20 cm lateral to the heel of the shoe

Accepted Answer

The answer of How is the measurement taken for elbow...

Question 17

Where should the calf band of lower limb orthosis terminate?&#10;A)Over the knee&#10;B)Over the fibular head&#10;C)Below the fibular head

Accepted Answer

The answer of Where should the calf band of lower...

Question 18

Which statement is NOT true about swing - through gait?&#10;A)Requires balance, strength, coordination of upper limb&#10;B)Requires extensive preliminary training&#10;C)Gait is very slow&#10;D)Requires more floor space than other gait pattern

Accepted Answer

The answer of Which statement is NOT true about swing...

Question 19

What is the method used to widen the wheelchair seat?&#10;A)Use of the removable arm&#10;B)Increase the seat width&#10;C)Changing the cross breaches&#10;D)A and C&#10;E)A and B

Accepted Answer

The answer of What is the method used to widen...

Question 20

Which is NOT an advantage of using anterior knee block as a wheelchair support?&#10;A)Maintains lower extremity alignment&#10;B)Provides broader base of support&#10;C)Increases stability&#10;D)Increases extensor tone

Accepted Answer

The answer of Which is NOT an advantage of using...

Deck 3: Equipment and Devices