When transferring an individual from one moving surface to another moving surface,

Ensure that locks are engaged on both pieces of equipment.

Your patient’s orders indicate FWB. Their gait is severely antalgic. You should

Consult supervising PT, and discuss pt. status with MD.

Prior to performing any transfer, caregivers should

Blue + red + obtain informed consent.

A person with right side injury or weakness should be taught to transfer toward their

initially toward the left, then to the right also.

The law that extends civil rights to and removes barriers for those with disabilities is

The Americans with Disabilities Act

Which statement is false?

Verbal cues can be given with independent transfers.

Based solely on the length of the residual limb, who has the best rehabilitation prognosis?

A patient with long TT amputation.

While working with and educating a pt with a new total hip (post. dislocation), prevent

Flexion, addiction and internal rotation of the hip.

The best way to check for understanding before transferring a patient is to

Ask them to tell you the steps.

When performing bed mobility in preparation for transfers with a burn patient:

Use of a draw sheet can help to reduce shear forces.

After successfully transferring a patient, a caregiver should:

Ensure there is appropriate supervision & that area is safe.

ADA Modifications that are unduly costly, extensive, etc

Designs and fabricates artificial limbs.

A TT prosthesis socket in which weight bearing occurs over the patellar ligament is known as

A PTB (patellar tendon bearing) socket

An amputation in which the foot is removed & heel pad is preserved is known as a

Ankle dislocation or Syme's amputation

Even though a pt may not be comfortable, it is ok to employ certain positions w/amputee rehab.

True, positioning is important for tissue elongation.

While working with a pt with a TT amputation using an articulated foot, you hear squeaking...

you should suspect loose components & inspect the prosthesis

Following a gr. 2 ankle sprain, your patient is advised to WBAT. This means

They should bear weight as tolerated (75% - full).

The leading cause of amputation is

Peripheral Vascular Disease (including diabetes, smoking)

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Physical Therapy Assistant 1 - Exam 2 Prep

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Review questions for Exam 2.

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Questions 50

Answers

1
When transferring an individual from one moving surface to another moving surface,
Ensure that locks are engaged on both pieces of equipment.
Lock the piece of equipment they are moving toward.
Don’t lock anything - the paperwork will be a blast!!
Lock the piece of equipment they are moving out of.
2
ADA doorway width requirements indicate the width should be
Not less than 36 inches.
Exactly 48 inches.
Between 36 and 48 inches.
Not less than 32 inches.
3
A below knee amputation is now known as
a transfemoral amputation
a lower leg amputation
a transtibial amputation
a transfibular amputation
4
An individual who designs/fabricates a device that supports/facilitates function of a body part
orthotist
ice cream man
prosthetist
podiatrist
5
Your patient’s orders indicate FWB. Their gait is severely antalgic. You should
Consult supervising PT, and discuss pt. status with MD.
Tell them to call their doctor and straighten things out.
Tell them to cut it out & FWB like their MD said.
Let them use crutches and instruct them to WBAT.
6
Prior to performing any transfer, caregivers should
Review the physician’s orders and the patient’s chart.
Utilize implied consent to proceed.
Assess the current health status of the patient.
Blue + red + obtain informed consent.
7
While treating a patient with an amputation who is known to have influenza, observe
droplet precautions
airborne precautions
contact precautions
standard precautions
8
With bed mobility and transfers for pt’s with spinal cord injuries:
Use caution: De-ossification of bone may be present.
Be prepared for syncope due to orthostatic hypotension.
All of the above.
Prevent moments that cause distraction/rotation
9
With proper planning and training, avoidable complications of transfers include:
Accidental dislodging of catheters, IV’s, feeding tubes, etc
Falls due to obstacles such as front riggings on WC.
Injuries related to poor body mechanics.
All of the above.
10
A person with right side injury or weakness should be taught to transfer toward their
initially toward the left, then to the right also.
left side.
right side.
initially toward the right, then to the left also.
11
A pt with an acute LE fracture has orders for NWB. This means
They may place up to 25% of weight through their LE.
0% (no weight at all) should be placed through the LE.
They will require the use of an assistive device.
Blue & Yellow.
12
The law that extends civil rights to and removes barriers for those with disabilities is
The Family Medical Leave Act
FERPA
The Civil Rights Act
The Americans with Disabilities Act
13
Which statement is false?
Contact guard is the first level of hands on assistance.
Verbal instruction is used with supervision assistance.
When it is likely that protection will be needed, use CG.
Verbal cues can be given with independent transfers.
14
Based solely on the length of the residual limb, who has the best rehabilitation prognosis?
A patient with short TT amputation.
A patient with short TF amputation.
A patient with long TF amputation.
A patient with long TT amputation.
15
Components of a TT prosthesis include:
all of the above
endo/exoskeleton shank/pylon
foot/ankle assembly
socket and suspension
16
Title III of the ADA: public accommodation
Gives tax credit to businesses that comply.
Requires all new facilities to comply.
All of the above.
Applies to public places/businesses regardless of size.
17
While working with and educating a pt with a new total hip (post. dislocation), prevent
Internal rotation of the hip.
Flexion, addiction and internal rotation of the hip.
Addiction of the hip past neutral.
Hip flexion of greater than 90 degrees.
18
The best way to check for understanding before transferring a patient is to
Ask them to tell you the steps.
Ask them if they understand. A simple yes/no will do.
Just see how they do.
Don’t worry about it - it doesn’t matter if the understand.
19
Other acts and agencies interact with ADA - FMLA, OSHA, and EEOC.
True
False
20
A pt who is able to perform greater than 75% of a transfer requires what level of assistance?
Contact guard assistance
Minimal assistance
Moderate assistance
Maximal assistance
21
For a patient with TF amputation, prolonged positioning in which position should be avoided?
Hip abduction
All of the above
Hip external rotation
Hip flexion
22
An amputation through the femur is known as a
transfemoral amputation
hemipelvectomy amputation
hemicorpectomy amputation
hip dislocation amputation
23
ADA compliant stairs
Must have a 12” rise.
Must be no more than 11” deep.
Must have a uniform height.
Red and yellow.
24
In order to be accessible, the ADA recommends counter heights to be
No greater than 36” high.
At eye level.
Adjustable.
No less than 24” high.
25
For a TT/TF amputee, which position can elongate hip flexors and decrease risk on contracture?
Side-laying
Supine
Prone
Sitting
26
When performing bed mobility in preparation for transfers with a burn patient:
You only need to be aware of the burn site.
Graft sites are visible & don’t need to be considered.
Sliding the burn across the sheets will debride it nicely.
Use of a draw sheet can help to reduce shear forces.
27
For accessibility, hallway widths must be
No less than 36 inches wide.
No less than 48 inches wide.
Less than 48 inches.
Width requirements only apply when there is a WC user.
28
At different stages of healing, elastic wraps and elastic shrinkers help shape residual limbs
True
False
29
An amputation in which the femur is left intact, but the lower leg and foot are removed:
Knee Disarticulation
Transfemoral amputation
Lower leg amputation
Transtibial amputation
30
A therapist who provides assistance for a transfer and completes 60% of the transfer is giving
Contact guard
Moderate assistance
Minimal assistance
Maximal assistance
31
Resection of the 3rd, 4th, and 5th metatarsals and digits is known as:
A partial foot amputation
A transmetatarsal amputation
A forefoot amputation
A transtibial amputation
32
After successfully transferring a patient, a caregiver should:
Turn on the TV so that the patient doesn’t have to.
Perform a celebratory end-zone like dance and walk away.
Ensure there is appropriate supervision & that area is safe.
Leave objects that can readily fall on the patient nearby.
33
Undue hardship is
ADA Modifications that are unduly costly, extensive, etc
Modifying practices to avoid discrimination of disabled.
A condition that makes it difficult to complete ADL’s
When your mom makes you eat broccoli even though you’re big.
34
A prosthetist
Makes specialized custom shoes.
Make braces to support joints.
Designs and fabricates artificial limbs.
Adjusts braces when they do not fit well.
35
Physical, cognitive and emotional status impact safety with transfers & must be assessed daily.
True
False
36
In order to comply with ADA regs, a ramp to a 8” elevation must be how long?
8 feet
Doesn’t matter as long as it has speed bumps on the way down
4 feet
6 feet
37
A TT prosthesis socket in which weight bearing occurs over the patellar ligament is known as
A supracondylar suspension socket
A Total Surface Bearing socket
A CAD-CAM manufactured socket
A PTB (patellar tendon bearing) socket
38
Suspecting a patient with a new LE amputation is with orthostatic hypotension. What BP?
110/40 mmHg
138/96 mmHg
120/80 mmHg
124/86 mmHg
39
An amputation through the metatarsals is known as
A partial foot amputation
An ankle dislocation amputation
A transmetatarsal amputation
A Syme's amputation
40
Title I of the ADA
All of the above.
Ensures employers make accommodations.
Applies to employers with more than 15 employees.
Prevents discrimination based on disability.
41
While reading a physician’s order, you note that it indicates TTWB. This means
The patient can bear up to 25% weight on the LE.
Blue and Red
The patient will not need an assistive device.
The patient can use their toes as a point of balance.
42
An amputation in which the foot is removed & heel pad is preserved is known as a
Syme's amputation
Transmetatarsal amputation
Ankle dislocation amputation
Ankle dislocation or Syme's amputation
43
Important components of pre-prosthetic rehab include:
Contracture prevention.
Residual limb shaping.
All of the above.
Wound care and pain management.
44
Even though a pt may not be comfortable, it is ok to employ certain positions w/amputee rehab.
False, never make a patient uncomfortable.
True, positioning is important for tissue elongation.
45
Title II of ADA addresses accessibility to public places.
False, employment.
True
False, transportation.
False, tele-communications.
46
While working with a pt with a TT amputation using an articulated foot, you hear squeaking...
you should suspect loose components
you should inspect the prosthesis carefully
you should suspect loose components & inspect the prosthesis
you should ask the patient if he has a pet chipmunk
47
Shaping a residual limb can be accomplished by using
Elevation of the residual limb.
A rigid dressing
All of the above
A semi-rigid dressing
48
Following a gr. 2 ankle sprain, your patient is advised to WBAT. This means
They should Wear a Brace and Attend Therapy.
They should bear weight as tolerated (75% - full).
They should walk long distances without an assistive device.
They can return to high impact sports.
49
The leading cause of amputation is
Trauma/combat injuries
Congenital Deformity
Osteogenic Sarcoma
Peripheral Vascular Disease (including diabetes, smoking)
50
A person with transtibial amputation is susceptible to contractures of which muscle groups?
Hip and knee flexors
Hip abductors
Knee flexors
Hip flexors

Physical Therapy Assistant 1 - Exam 2 Prep Flashcards | StudBud