Which of the following is a common indication for amputation?
Chronic low back pain
Osteoarthritis of the knee
Peripheral vascular disease
Minor soft tissue injury
The Correct Answer is C
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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The primary goal of rehabilitation after amputation is to help the patient achieve the highest level of mobility and independence possible with the use of assistive devices and prosthetics. While rehabilitation can improve function and quality of life, it may not fully restore the limb to its pre-amputation function.
a. To restore the limb to its pre-amputation function: While rehabilitation aims to improve function, restoring the limb to its pre-amputation function is not always feasible. Amputation involves the permanent removal of a limb or body part, and some limitations may persist.
b. To minimize the use of assistive devices: While rehabilitation may help the patient adapt to using assistive devices, the goal is not necessarily to minimize their use. Assistive devices can greatly improve mobility and independence for amputees.
d. To eliminate all residual pain and discomfort: While rehabilitation can help manage pain and discomfort, eliminating all residual pain is not always achievable. The goal is to optimize the patient's function and well-being while addressing pain and discomfort as effectively as possible.
Correct Answer is B
Explanation
Encouraging the patient to perform active range of motion exercises is important to promote muscle strength and flexibility in the residual limb after a below-the-elbow amputation. Active exercises engage the muscles and joints, preventing stiffness and maintaining function.
a. Lifting heavy weights with the residual limb: Lifting heavy weights with the residual limb may be contraindicated, especially in the immediate post-operative period, as it can strain the healing tissues and lead to injury.
c. Keeping the residual limb immobile: Keeping the residual limb immobile can lead to stiffness, weakness, and contractures. Active range of motion exercises are essential to maintain mobility and function.
d. Applying cold packs to the residual limb: Cold packs may be used for pain relief or to reduce swelling in the immediate post-operative period, but they are not specifically aimed at promoting muscle strength and flexibility in the residual limb. Active exercises are more appropriate for this purpose.
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