ORTHOTICS AND PROSTHETICS COMBINED WRITTEN
BOARDS EXAM 2024 ACTUAL EXAM COMPLETE
TESTBANK 500 QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT ANSWERS) / ALREADY
GRADED A+
The primary responsibility of the occupational therapist in the rehabilitation program
consists of - ANSWER: formulation and execution of the preprosthetic program and
prosthetic training.
Preprosthetic phase - ANSWER: the treatment plan involves preparing the limb for a
prosthesis
prosthetic phase - ANSWER: treatment involves increasing tolerance and function
with the prosthesis.
The rehabilitation program involves - ANSWER: an individualized intervention plan
that helps the client with physical and psychological adjustments to function as
independently as possible.
Most amputations may result from - ANSWER: 1.trauma; 2.peripheral vascular
disease (PVD);3. peripheral vasospastic disease; 4.chronic infection; 5.chemical,
6.thermal, or 7.electrical injury; or 8.malignant tumor.
The major cause of lower limb amputation is - ANSWER: PVD, often associated with
smoking and diabetes.
Approximately 75% of upper limb amputations in adults are caused by - ANSWER:
trauma.
The surgeon attempts to preserve as much - ANSWER: length as possible and to
provide a residual limb that has good soft tissue coverage and vascularization.
Preservation of limb length directly affects - ANSWER: the type of prosthesis that the
limb can support
During and after surgery the primary goal is to - ANSWER: form a residual limb that
maintains maximal function of the remaining tissue and allows maximal use of the
prosthesis.
The open method allows - ANSWER: drainage as the surgical site heals and minimizes
the possibility of infection.
The closed method - ANSWER: reduces the period of hospitalization but also reduces
free drainage and increases the risk of infection.
,When the surgeon reconstructs a residual limb (sometimes referred to as a stump)
this is done to - ANSWER: achieve optimal prosthetic fitting and function.
Several factors and potential problems can affect the outcome of rehabilitation: -
ANSWER: 1. Length of the residual limb, 2. skin integrity, 3.edema, 4.sensation,
5.pain, 6.time for healing, 7.infection, and 8.allergic reaction to the prosthesis.
account for most postsurgical problem - ANSWER: skin
o Complications of Preprosthetic phase- - ANSWER: 1.Delay healing (earliest
preprosthetic complication) results in postponed prosthetic fitting, and development
of necrotic areas.
Extensive skin grafting- if skin graft adheres to the bone - ANSWER: the area may
ulcerate. Daily massage decreases skin graft adherence to bone.
o Complications of prosthetic phase- - ANSWER: 1.Skin breakdown (ill fitting socket
or wrinkles in the prosthetic sock), 2.ulcers, 3.infected sebaceous cysts (torque
forces between socket and residual limb), and 4. allergic reactions.
o Complications of both phases- - ANSWER: 1.Residual limb edema. Immediately
after surgery, the residual limb is normally edematous as a result of fluid that collects
within the soft tissues, especially in its distal portion.
Compression wrap- - ANSWER: ping, that is, wearing a prosthetic sock or a rigid
dressing, helps decrease the edema.
Sensation- - ANSWER: Residual limb hyperesthesia, neuroma, and phantom
sensations are problems that interfere with functional use of the limb with or
without the prosthesis
Residual limb hyperesthesia - ANSWER: - overly sensitive limb. Desensitization
consists of texture stimulation, tapping, and massage.
o Neuroma- - ANSWER: small ball of nerve tissue that develops when growing axons
attempt to reach the distal end of the residual limb. Most neuromas occur 1 to 2
inches (2.5 to 5 cm) proximal to the end of the residual limb and are not
troublesome.
o phantom limb - ANSWER: . sensation of the limb that is no longer there. The
phantom usually occurs initially immediately after surgery.
o Phantom sensations are different from phantom limb in that they are - ANSWER:
detailed sensations of the limb. Individuals may describe these as cramping,
squeezing, relaxed, numb, tingling, painful, moving, stuck, shooting, burning, cold,
hot, or achy. Phantom sensations are described as constant or intermittent.
, · - ANSWER:
Bone - - ANSWER: formation of bone spurs
· Wound Healing factors affecting would healing - ANSWER: -smoking, failure of limb
revascularization, severity of vascular problem, diabetes, renal disease, cardiac
disease.
Body-Powered Prostheses factors? - ANSWER: The client's age, medical status,
amputation level, skin coverage, skin condition, cognitive status, and desire for a
prosthesis are important factors in making the decision.
Levels of amputation and functional losses in the upper limb - ANSWER: The higher
the level of amputation, the greater is the functional loss of the limb. TABLE 43.1
page 1157
Component Parts of Upper Limb Body powered prosthesis - ANSWER: first five
prosthetic components described in the following sections are common to all body-
powered pros- theses prescribed for wrist disarticulation and higher levels.
1. Prosthetic Sock - ANSWER: A prosthetic sock of knit wool, cotton, or Orlon Lycra is
worn between the prosthesis and the limb, minimizes hypertrophic scaring, absorbs
perpiration, protects irritation
2. Socket - ANSWER: The socket is the fundamental component to which the
remaining components are attached.
3. Harness and Control System - ANSWER: The prosthetic control system functions
through the interaction of a Dacron harness and stainless-steel cable. The figure-of-
eight harness is commonly used, although others are available. The harness is worn
across the back and shoulders or around the chest and fastens to the socket to
secure the prosthesis.
4. Terminal Device most distal component - ANSWER: functions to stabilize or hold
an object. Consider age and roles. Two styles: Hook and hand.
5. Wrist Unit connects - ANSWER: the TD to the forearm socket and serves as the
unit for interchange and to pronate and supinate the TD for prepositioning purposes.
The wearer rotates the TD by turning it with the sound hand, by pushing the TD
against an object or surface, or by stabilizing the TD between the knees and using
the arm to rotate it.
Remaining body-powered prosthetic components maximize function at - ANSWER:
specific levels of amputation. These components are the elbow hinges for trans-
radial prostheses, elbow units for trans-humeral prostheses, and shoulder units
designed for shoulder prostheses
BOARDS EXAM 2024 ACTUAL EXAM COMPLETE
TESTBANK 500 QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT ANSWERS) / ALREADY
GRADED A+
The primary responsibility of the occupational therapist in the rehabilitation program
consists of - ANSWER: formulation and execution of the preprosthetic program and
prosthetic training.
Preprosthetic phase - ANSWER: the treatment plan involves preparing the limb for a
prosthesis
prosthetic phase - ANSWER: treatment involves increasing tolerance and function
with the prosthesis.
The rehabilitation program involves - ANSWER: an individualized intervention plan
that helps the client with physical and psychological adjustments to function as
independently as possible.
Most amputations may result from - ANSWER: 1.trauma; 2.peripheral vascular
disease (PVD);3. peripheral vasospastic disease; 4.chronic infection; 5.chemical,
6.thermal, or 7.electrical injury; or 8.malignant tumor.
The major cause of lower limb amputation is - ANSWER: PVD, often associated with
smoking and diabetes.
Approximately 75% of upper limb amputations in adults are caused by - ANSWER:
trauma.
The surgeon attempts to preserve as much - ANSWER: length as possible and to
provide a residual limb that has good soft tissue coverage and vascularization.
Preservation of limb length directly affects - ANSWER: the type of prosthesis that the
limb can support
During and after surgery the primary goal is to - ANSWER: form a residual limb that
maintains maximal function of the remaining tissue and allows maximal use of the
prosthesis.
The open method allows - ANSWER: drainage as the surgical site heals and minimizes
the possibility of infection.
The closed method - ANSWER: reduces the period of hospitalization but also reduces
free drainage and increases the risk of infection.
,When the surgeon reconstructs a residual limb (sometimes referred to as a stump)
this is done to - ANSWER: achieve optimal prosthetic fitting and function.
Several factors and potential problems can affect the outcome of rehabilitation: -
ANSWER: 1. Length of the residual limb, 2. skin integrity, 3.edema, 4.sensation,
5.pain, 6.time for healing, 7.infection, and 8.allergic reaction to the prosthesis.
account for most postsurgical problem - ANSWER: skin
o Complications of Preprosthetic phase- - ANSWER: 1.Delay healing (earliest
preprosthetic complication) results in postponed prosthetic fitting, and development
of necrotic areas.
Extensive skin grafting- if skin graft adheres to the bone - ANSWER: the area may
ulcerate. Daily massage decreases skin graft adherence to bone.
o Complications of prosthetic phase- - ANSWER: 1.Skin breakdown (ill fitting socket
or wrinkles in the prosthetic sock), 2.ulcers, 3.infected sebaceous cysts (torque
forces between socket and residual limb), and 4. allergic reactions.
o Complications of both phases- - ANSWER: 1.Residual limb edema. Immediately
after surgery, the residual limb is normally edematous as a result of fluid that collects
within the soft tissues, especially in its distal portion.
Compression wrap- - ANSWER: ping, that is, wearing a prosthetic sock or a rigid
dressing, helps decrease the edema.
Sensation- - ANSWER: Residual limb hyperesthesia, neuroma, and phantom
sensations are problems that interfere with functional use of the limb with or
without the prosthesis
Residual limb hyperesthesia - ANSWER: - overly sensitive limb. Desensitization
consists of texture stimulation, tapping, and massage.
o Neuroma- - ANSWER: small ball of nerve tissue that develops when growing axons
attempt to reach the distal end of the residual limb. Most neuromas occur 1 to 2
inches (2.5 to 5 cm) proximal to the end of the residual limb and are not
troublesome.
o phantom limb - ANSWER: . sensation of the limb that is no longer there. The
phantom usually occurs initially immediately after surgery.
o Phantom sensations are different from phantom limb in that they are - ANSWER:
detailed sensations of the limb. Individuals may describe these as cramping,
squeezing, relaxed, numb, tingling, painful, moving, stuck, shooting, burning, cold,
hot, or achy. Phantom sensations are described as constant or intermittent.
, · - ANSWER:
Bone - - ANSWER: formation of bone spurs
· Wound Healing factors affecting would healing - ANSWER: -smoking, failure of limb
revascularization, severity of vascular problem, diabetes, renal disease, cardiac
disease.
Body-Powered Prostheses factors? - ANSWER: The client's age, medical status,
amputation level, skin coverage, skin condition, cognitive status, and desire for a
prosthesis are important factors in making the decision.
Levels of amputation and functional losses in the upper limb - ANSWER: The higher
the level of amputation, the greater is the functional loss of the limb. TABLE 43.1
page 1157
Component Parts of Upper Limb Body powered prosthesis - ANSWER: first five
prosthetic components described in the following sections are common to all body-
powered pros- theses prescribed for wrist disarticulation and higher levels.
1. Prosthetic Sock - ANSWER: A prosthetic sock of knit wool, cotton, or Orlon Lycra is
worn between the prosthesis and the limb, minimizes hypertrophic scaring, absorbs
perpiration, protects irritation
2. Socket - ANSWER: The socket is the fundamental component to which the
remaining components are attached.
3. Harness and Control System - ANSWER: The prosthetic control system functions
through the interaction of a Dacron harness and stainless-steel cable. The figure-of-
eight harness is commonly used, although others are available. The harness is worn
across the back and shoulders or around the chest and fastens to the socket to
secure the prosthesis.
4. Terminal Device most distal component - ANSWER: functions to stabilize or hold
an object. Consider age and roles. Two styles: Hook and hand.
5. Wrist Unit connects - ANSWER: the TD to the forearm socket and serves as the
unit for interchange and to pronate and supinate the TD for prepositioning purposes.
The wearer rotates the TD by turning it with the sound hand, by pushing the TD
against an object or surface, or by stabilizing the TD between the knees and using
the arm to rotate it.
Remaining body-powered prosthetic components maximize function at - ANSWER:
specific levels of amputation. These components are the elbow hinges for trans-
radial prostheses, elbow units for trans-humeral prostheses, and shoulder units
designed for shoulder prostheses
