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
When assessing hip flexion contracture in a transfemoral amputee, the Thomas Test is performed. A positive result of 20 degrees indicates:
Answer: A contracture that will require significant socket flexion to accommodate
A 20-degree hip flexion contracture detected by the Thomas Test must be accommodated by building initial flexion into the transfemoral socket to prevent lumbar lordosis and gait deviations.
The Houghton Scale is a validated outcome measure used specifically to assess:
Answer: Community integration and prosthesis use frequency in lower limb amputees
The Houghton Scale measures prosthesis use and community ambulation by asking about frequency, terrain management, and assistive device use.
A skin fold or wrinkle in the posterior proximal socket of a transtibial prosthesis during stance phase most commonly indicates:
Answer: Socket that is too large for the residual limb
Skin folds forming posteriorly during weight-bearing indicate excess socket volume, meaning the socket is too large and needs adjustment to restore intimate fit.
In clinical evaluation of a pediatric amputee, which growth-related factor must be regularly reassessed?
Answer: Residual limb length relative to the contralateral limb due to overgrowth or growth plate effects
Children experience differential limb growth; bony overgrowth at the residual limb tip and length discrepancies with the contralateral limb require frequent reassessment and prosthetic modification.
During assessment of a patient's prosthetic gait, you observe vaulting on the sound side. This compensatory motion most likely results from:
Answer: Prosthetic limb that is too long or insufficient knee flexion during swing
Vaulting (rising on tiptoe of the sound foot) is typically a compensatory strategy to clear a prosthetic limb that is functionally too long or lacks adequate swing-phase knee flexion.
Which of the following assessment findings would classify a patient as a K2 functional level (limited community ambulator)?
Answer: Ability to traverse low-level environmental barriers at a fixed cadence
K2 indicates the patient has the ability or potential to ambulate with low-level environmental barriers such as curbs, stairs, or uneven surfaces, but at a fixed cadence.
A transfemoral amputee complains of discomfort in the groin area and adductor roll when wearing the prosthesis. This MOST likely indicates:
Answer: Medial brim height is too low or medial wall is inadequate
Groin discomfort and adductor roll result from an inadequate medial brim that fails to capture and contain the adductor longus tendon, causing soft tissue to fold over the brim.