Deck 26: Amputation

Question 1

Ms. A, a 22-year-old elementary teacher, recently experienced an above-the-knee amputation of her leg as a result of an auto accident. At present she experiences phantom limb pain. This phenomenon:

A) refers to the sensation that the amputated extremity is still present
B) is a normal part of adjustment to amputation
C) refers to chronic, severe pain sensation in the amputated extremity
D) will disappear when the site of the amputation has healed

Answer 1

C

Question 2

Mr. L had his left leg amputated at the hip 20 years ago due to a farming accident. Although he was unable to maintain his work as a farmer, he was hired at the local grain elevator for assisting with record keeping. He has been functioning well at his job until he recently developed scoliosis. The scoliosis in his particular case is:

A) a progressive breakdown in the bone due to demineralization caused by a genetic disorder, which is often not diagnosed until middle age
B) most probably caused due to postural difficulties brought about by utilization of his prosthetic device
C) related to his lack of acceptance of his condition and refusal to comply with medical therapy
D) easily corrected with cutting of the opposing musculature of the spine

Answer 2

B

Question 3

An individual's ability to adapt to amputation depends on:

A) the type of job held before the amputation
B) circumstances surrounding the amputation, the usefulness of the prosthetic device, and the individual's perception of the disability
C) whether they are male or female
D) their educational level

Answer 3

B

Question 4

If a patient has a Syme's amputation, what would you expect to see?

A) The removal of the leg at the hip joint
B) The removal of a portion of the foot
C) The removal of the foot at the ankle
D) The removal of the entire lower limb and half of the pelvis

Question 5

Amputation is defined as:

A) The loss of all or a portion of a body part from a surgery
B) The loss of a body part
C) The loss of all or a portion of a body part from a trauma accident
D) The loss of all or a portion of a body part

Question 6

What is not a specific cause of amputation?

A) Peripheral vascular disease
B) Infections
C) Minor injury
D) Thermal injuries

Question 7

What is not a complication of amputation?

A) Edema
B) Ulcerations
C) Bed sores
D) Scoliosis

Question 8

What is a phantom sensation?

A) A sensation that the amputated extremity is still present
B) A sensation that they are reliving the incident that caused the amputation
C) A sensation that something is crawling on the skin
D) A pain sensation in the amputated extremity

Question 9

What is not a level of upper extremity amputation?

A) Shoulder disarticulation (S/D)
B) Wrist disarticulation (W/D)
C) Elbow disarticulation (E/D)
D) Hip disarticulation (H/D)

Question 10

What is a level of lower extremity amputation?

A) Knee disarticulation (K/D)
B) Ankle disarticulation (A/D)
C) Foot disarticulation (F/D)
D) Syme's amputation

Question 11

Mr. H has recently undergone a below-the-knee amputation. You have been working with Mr. H and the prosthesis during Mr. H's rehabilitation. Mr. H has been given a prosthetic device with an ankle-foot attachment and appears to be progressing well; however, you do want to review specific issues related to Mr. H's prosthesis and the workplace. List specific issues which should be considered.

Question 12

Describe levels of amputation for upper and lower extremities.

Question 13

What are the two types of prostheses?

Question 14

Explain what a traumatic amputation is.

Question 15

Discuss the ways amputation is managed

Question 16

Mr. C recently had his foot amputated due to a freezing injury while hiking. He asks you what complications can he expect from the amputation after he has received his prosthesis?

Question 17

How much of a change in activities can an amputee expect?

Question 18

Why would an individual choose to have an elective amputation?

Question 19

How come doctors usually perform an amputation as distal?

Question 20

Explain what a terminal device is.