CPT Patient Assessment & Clinical Evaluation 4

Question 1

When assessing hip flexion contracture in a transfemoral amputee, the Thomas Test is performed. A positive result of 20 degrees indicates:

Accepted Answer

A contracture that will require significant socket flexion to accommodate

Answer

Normal hip mobility adequate for prosthetic ambulation

Answer

The need for immediate surgical intervention

Answer

No impact on prosthetic alignment

Question 2

The Houghton Scale is a validated outcome measure used specifically to assess:

Accepted Answer

Community integration and prosthesis use frequency in lower limb amputees

Answer

Socket pressure distribution

Answer

Upper extremity functional capacity

Answer

Pain intensity in phantom limb syndrome

Question 3

A skin fold or wrinkle in the posterior proximal socket of a transtibial prosthesis during stance phase most commonly indicates:

Accepted Answer

Socket that is too large for the residual limb

Answer

Correct socket volume

Answer

Excessive pylon length

Answer

A properly aligned prosthetic foot

Question 4

In clinical evaluation of a pediatric amputee, which growth-related factor must be regularly reassessed?

Accepted Answer

Residual limb length relative to the contralateral limb due to overgrowth or growth plate effects

Answer

Blood pressure and cardiac status

Answer

Cognitive development scores

Answer

Adult-pattern gait symmetry

Question 5

During assessment of a patient's prosthetic gait, you observe vaulting on the sound side. This compensatory motion most likely results from:

Accepted Answer

Prosthetic limb that is too long or insufficient knee flexion during swing

Answer

Sound limb weakness

Answer

Hip abductor tightness on the sound side

Answer

Improper foot alignment in inversion

Question 6

Which of the following assessment findings would classify a patient as a K2 functional level (limited community ambulator)?

Accepted Answer

Ability to traverse low-level environmental barriers at a fixed cadence

Answer

Unlimited community ambulation including stairs and uneven terrain

Answer

Household ambulation only with high fall risk

Answer

No functional ambulation potential

Question 7

A transfemoral amputee complains of discomfort in the groin area and adductor roll when wearing the prosthesis. This MOST likely indicates:

Accepted Answer

Medial brim height is too low or medial wall is inadequate

Answer

Excessive initial flexion in the socket

Answer

Prosthetic foot is set in excessive plantar flexion

Answer

The suspension sleeve has deteriorated