During an amputation procedure, which structure is typically left intact to facilitate prosthetic fitting?
Muscles
Nerves
Tendons
Bone stump
The Correct Answer is D
During an amputation procedure, the bone stump is typically left intact to provide a stable base for prosthetic fitting. The muscles, nerves, and tendons are carefully dissected and secured to prevent complications and facilitate healing.
a. Muscles: While muscles are involved in the surgical procedure, they are typically resected to the appropriate level to accommodate the prosthetic device.
b. Nerves: Nerves are carefully dissected and secured during the amputation procedure to prevent neuromas and phantom limb pain but are not left intact for prosthetic fitting.
c. Tendons: Tendons are typically resected during the amputation procedure, and their positioning and attachment are crucial for proper wound closure and healing, but they are not left intact for prosthetic fitting.
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Related Questions
Correct Answer is A
Explanation
Meticulous monitoring of wound drainage is important in the post-operative care of a patient who underwent amputation to assess for signs of infection. Excessive drainage, changes in color or odor, or the presence of pus may indicate an infection at the surgical site, and prompt intervention is essential to prevent complications.
b. To determine the need for wound irrigation: While wound irrigation may be part of wound care, monitoring wound drainage is primarily to assess for signs of infection, not to determine the need for wound irrigation.
c. To prevent pressure ulcers and skin breakdown: Monitoring wound drainage is not directly related to preventing pressure ulcers and skin breakdown. Preventing pressure ulcers involves measures such as repositioning and proper support surfaces.
d. To evaluate the effectiveness of pain management: Monitoring wound drainage does not directly evaluate the effectiveness of pain management. Pain management is assessed separately through communication with the patient and observation of their pain levels and response to interventions.
Correct Answer is C
Explanation
Peripheral vascular disease, which involves decreased blood flow to the extremities, is a common indication for amputation. In severe cases, where blood flow cannot be restored, amputation may be necessary to prevent further complications. It is important to address the underlying vascular issues to avoid the risk of gangrene and potential spread of infection.
a. Chronic low back pain: Chronic low back pain is not an indication for amputation. It is usually managed through conservative treatments such as physical therapy, medications, or injections.
b. Osteoarthritis of the knee: Osteoarthritis of the knee may cause pain and mobility issues, but it does not typically lead to amputation. Treatment for osteoarthritis includes pain management, physical therapy, and, in some cases, joint replacement surgery.
d. Minor soft tissue injury: Minor soft tissue injuries do not require amputation. They are usually treated with wound care, rest, and possibly antibiotics if there is an infection.
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