CPT Patient Assessment & Clinical Evaluation 2

Question 1

During residual limb assessment, a prosthetist notes a positive Tinel's sign at the distal end. This finding most likely indicates:

Accepted Answer

Neuroma formation requiring further evaluation

Answer

Adequate skin integrity for prosthetic fitting

Answer

Normal scar tissue maturation

Answer

Optimal bony contouring

Question 2

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:

Accepted Answer

Pressure ulcer risk over the bony prominence

Answer

Difficulty achieving suspension

Answer

Cosmetic appearance of the prosthesis

Answer

Reduced ankle range of motion

Question 3

A patient's K-level is determined primarily by:

Accepted Answer

Rehabilitation potential and functional ability

Answer

Age and weight alone

Answer

Type of amputation and limb length

Answer

Insurance coverage criteria

Question 4

Which clinical finding in a residual limb would CONTRAINDICATE immediate prosthetic fitting?

Accepted Answer

Open wound or active infection

Answer

Well-healed cylindrical residual limb

Answer

Mild residual limb edema

Answer

Flexible knee contracture under 10 degrees

Question 5

When measuring a patient for a transfemoral socket, the most critical measurement to ensure proper ischial containment is the:

Accepted Answer

Ischial tuberosity width and A-P dimension

Answer

Thigh circumference at 3-inch intervals

Answer

Total residual limb length

Answer

Hip abductor muscle bulk

Question 6

A patient reports phantom limb pain that is burning and constant in nature. The clinician should document this as:

Accepted Answer

Neuropathic phantom pain

Answer

Residual limb pain

Answer

Phantom sensation

Answer

Referred musculoskeletal pain

Question 7

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:

Accepted Answer

Insufficient socket support or painful residual limb

Answer

Prosthetic foot set too far medially

Answer

Socket that is too long

Answer

Excessive dorsiflexion in the prosthetic foot