Patient Assessment & Clinical Evaluation Flashcards
7 cards from real CPT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Assessment & Clinical Evaluation flashcards as text
During residual limb assessment, a prosthetist notes a positive Tinel's sign at the distal end. This finding most likely indicates:
Answer: Neuroma formation requiring further evaluation
A positive Tinel's sign (tingling elicited by percussion) at the residual limb tip indicates neuroma formation, which can cause pain with prosthetic use.
When assessing a transtibial amputee's residual limb, you observe that the fibular head is prominent and unpadded. The primary concern for prosthetic fitting is:
Answer: Pressure ulcer risk over the bony prominence
A prominent fibular head is a bony prominence that receives direct pressure inside the socket, significantly increasing ulceration risk.
A patient's K-level is determined primarily by:
Answer: Rehabilitation potential and functional ability
K-levels (0–4) classify Medicare Functional Classification Levels based on the patient's rehabilitation potential and expected ambulation ability.
Which clinical finding in a residual limb would CONTRAINDICATE immediate prosthetic fitting?
Answer: Open wound or active infection
An open wound or active infection is a direct contraindication to prosthetic fitting because the socket would impede healing and risk spreading infection.
When measuring a patient for a transfemoral socket, the most critical measurement to ensure proper ischial containment is the:
Answer: Ischial tuberosity width and A-P dimension
The ischial tuberosity width and anterior-posterior dimension are critical for designing an ischial containment socket that properly seats and supports the pelvis.
A patient reports phantom limb pain that is burning and constant in nature. The clinician should document this as:
Answer: Neuropathic phantom pain
Burning, constant pain perceived in the absent limb segment is classified as neuropathic phantom limb pain, distinct from phantom sensation (non-painful awareness) or residual limb pain.
During gait assessment of a transtibial prosthetic user, you observe lateral trunk bending toward the prosthetic side during stance. This deviation is MOST commonly caused by:
Answer: Insufficient socket support or painful residual limb
Lateral trunk lean toward the prosthetic side during stance often results from an uncomfortable or poorly fitting socket causing the patient to unload the limb by shifting body weight over it.