During a below-the-knee amputation, what is the primary focus of the surgical technique?
Preserving the ankle joint
Removing all muscles from the affected limb
Creating a cosmetic incision line
Resecting the tibia and fibula bones
The Correct Answer is A
During a below-the-knee amputation, the primary focus of the surgical technique is to preserve the ankle joint whenever possible. This allows for better functional outcomes and facilitates the use of a prosthetic device.
b. Removing all muscles from the affected limb: While some muscle tissue is removed during amputation, the goal is not to remove all muscles. Some muscles are retained to provide coverage over the bone stump and to facilitate prosthetic fitting.
c. Creating a cosmetic incision line: While cosmetic considerations may be taken into account, the primary focus of the surgical technique is not solely on creating a cosmetic incision line. The incision is made to ensure appropriate tissue healing and to prevent complications.
d. Resecting the tibia and fibula bones: In a below-the-knee amputation, the tibia and fibula bones are typically resected to the appropriate level to accommodate the prosthetic device, but the primary focus is on preserving the ankle joint when possible.
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Correct Answer is C
Explanation
A physical therapist plays a critical role in the post-operative rehabilitation process for a patient who has undergone amputation. They work closely with the patient to help improve strength, mobility, and function, and assist them in adapting to the use of assistive devices and prosthetics.
a. Surgeon: The surgeon performs the amputation surgery but is not directly involved in post-operative rehabilitation. Their role is to ensure a safe and successful surgical procedure.
b. Anesthesiologist: The anesthesiologist is responsible for administering anesthesia during the surgery and ensuring the patient's comfort and safety. They are not directly involved in post-operative rehabilitation.
d. Radiologic technologist: Radiologic technologists perform medical imaging procedures but are not involved in the rehabilitation process for patients who have undergone amputation.
Correct Answer is B
Explanation
Acute compartment syndrome is a medical emergency where increased pressure within a muscle compartment compromises blood flow and can lead to tissue damage and permanent disability. In severe cases, where the condition is not relieved promptly, emergency amputation may be necessary to prevent further tissue damage and save the patient's life.
a. Acute appendicitis: Acute appendicitis is a condition involving inflammation of the appendix and typically requires surgical removal of the appendix (appendectomy) but not amputation.
c. Urinary tract infection: A urinary tract infection is a common infection that is not an indication for amputation. It is usually treated with antibiotics.
d. Minor laceration: A minor laceration does not require amputation. It can typically be treated with wound care and, if needed, sutures or adhesive strips.
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