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

A positive Tinel's sign (tingling elicited by percussion) at the residual limb tip indicates neuroma formation, which can cause pain with prosthetic use.

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

A prominent fibular head is a bony prominence that receives direct pressure inside the socket, significantly increasing ulceration risk.

Question 3

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

Accepted Answer

Rehabilitation potential and functional ability

Answer

K-levels (0–4) classify Medicare Functional Classification Levels based on the patient's rehabilitation potential and expected ambulation ability.

Question 4

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

Accepted Answer

Open wound or active infection

Answer

An open wound or active infection is a direct contraindication to prosthetic fitting because the socket would impede healing and risk spreading infection.

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

The ischial tuberosity width and anterior-posterior dimension are critical for designing an ischial containment socket that properly seats and supports the pelvis.

(CPT) Certified Prosthetic Technician Practice Test

(CPT) Certified Prosthetic Technician Practice Test

CPT Patient Assessment & Clinical Evaluation 2