CPT Patient Assessment & Clinical Evaluation 3

Question 1

The Berg Balance Scale (BBS) is used in prosthetic assessment primarily to:

Accepted Answer

Quantify fall risk and balance performance

Answer

Measure residual limb volume changes

Answer

Determine socket fit adequacy

Answer

Classify ambulatory K-level

Question 2

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:

Accepted Answer

Monitor closely and coordinate vascular care to protect the remaining limb

Answer

Proceed with standard prosthetic fitting without modification

Answer

Defer all prosthetic intervention indefinitely

Answer

Increase the weight-bearing on the prosthetic side

Question 3

When documenting residual limb shape for socket design, a 'dog-eared' appearance refers to:

Accepted Answer

Redundant soft tissue folds at the distal end or corners of the closure

Answer

Excessive bony prominence at the fibular head

Answer

Scar contracture pulling skin toward the bone

Answer

Adequate conical shaping of the residual limb

Question 4

The Two-Minute Walk Test (2MWT) in prosthetic rehabilitation is primarily used to assess:

Accepted Answer

Functional walking endurance and community ambulation capacity

Answer

Socket volume stability over time

Answer

Hip and knee range of motion

Answer

Upper extremity strength for crutch use

Question 5

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:

Accepted Answer

Assess harness tension and excursion available

Answer

Replace the terminal device immediately

Answer

Adjust the wrist unit flexion angle

Answer

Refer directly to occupational therapy

Question 6

Which of the following is the MOST appropriate tool for measuring residual limb volume changes over time in a transtibial amputee?

Accepted Answer

Circumferential measurements at set intervals with a tape measure

Answer

Visual inspection and tactile feedback

Answer

Patient-reported socket comfort only

Answer

Radiographic imaging of the limb

Question 7

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:

Accepted Answer

Patient anxiety and muscle guarding reducing voluntary contraction

Answer

Improper electrode placement during testing

Answer

A need for immediate surgical revision

Answer

Normal finding requiring no clinical action