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
The Berg Balance Scale (BBS) is used in prosthetic assessment primarily to:
Answer: Quantify fall risk and balance performance
The Berg Balance Scale is a 14-item functional balance tool used to quantify static and dynamic balance, helping identify fall risk in prosthetic users.
A patient with a transfemoral amputation secondary to peripheral vascular disease has an ABI of 0.4 on the contralateral limb. This finding should prompt the clinical team to:
Answer: Monitor closely and coordinate vascular care to protect the remaining limb
An ABI of 0.4 indicates severe peripheral arterial disease in the remaining limb; close monitoring and vascular co-management are essential to prevent contralateral limb loss.
When documenting residual limb shape for socket design, a 'dog-eared' appearance refers to:
Answer: Redundant soft tissue folds at the distal end or corners of the closure
Dog-ears are redundant tissue folds often seen at surgical closure corners; they create fitting challenges and pressure concentration in the prosthetic socket.
The Two-Minute Walk Test (2MWT) in prosthetic rehabilitation is primarily used to assess:
Answer: Functional walking endurance and community ambulation capacity
The 2MWT measures the distance a patient walks in two minutes, reflecting walking endurance and correlating with community ambulation capability for prosthetic users.
A patient with a below-elbow amputation reports difficulty gripping objects with their body-powered prosthesis. During assessment, limited terminal device opening is observed. The FIRST step in clinical evaluation is:
Answer: Assess harness tension and excursion available
Insufficient terminal device opening in a body-powered prosthesis is most commonly caused by inadequate harness excursion or tension, which should be assessed before replacing components.
Which of the following is the MOST appropriate tool for measuring residual limb volume changes over time in a transtibial amputee?
Answer: Circumferential measurements at set intervals with a tape measure
Serial circumferential measurements at standardized intervals provide an objective, reproducible method to track volume changes that affect socket fit.
During the initial evaluation of a new upper limb amputee, the clinician notes myoelectric signal strength is weak bilaterally. The most likely contributing factor is:
Answer: Patient anxiety and muscle guarding reducing voluntary contraction
Anxiety, guarding, and unfamiliarity with voluntary muscle contraction can suppress myoelectric signal strength during initial evaluation; training typically resolves this.