KMTC/QP – 08/EPS

KENYA MEDICAL TRAINING COLLEGE

FACULTY OF REHABILITATIVE SCIENC

FINAL QUALIFYING EXAMINATION

FOR
DIPLOMA IN ORTHOPAEDIC TECHNOLOGY

PAPER: PROSTHETICS

DATE: ……………………. TIME: 3 HOURS ( )

INSTRUCTIONS

1. This paper consists of:

 Section 1 (40 Multiple Choice Questions)
 Section 2 (8 Short Answer Questions)
 Section 3 (1 Long Answer Question)

2. Attempt ALL Questions

3. Write the EXAMINATION NUMBER given on all the answer sheets provided and on the
question paper.

4. Ensure that all examination answer scripts are handed in at the end of the examination

5. Ensure you sign the examination register provided

EXAMINATION NUMBER ………………………………………………………………

SECTION B: Answer ALL the questions in this section.

MULTIPLE QUESTIONS (40mks)

1. Which of the following is not likely a prosthetic cause of delayed knee flexion in
someone with a transtibialprosthesis
a) Excessive posterior tilt of socket
b) Excessive anterior tilt of socket
c) Foot too far anterior
d) Excessive plantarflexion of prosthetic foot
2. Which of the following causes of vaulting?
a) Prosthesis too short
b) Heel cushion not soft enough
c) Extension aid too tight
d) Inadequate socket suspension/friction in knee
3. Frank presents with a circumducted gait on the Left prosthetic leg. Which of the
following is not attributed to the person?
a) Abduction contracture
b) Lack of confidence secondary to weakness
c) Habit poor balance
4. Which of the following is a likely cause of medial whip?
a) Excessive internal rotation of the knee
b) Socket too loose
c) Badly aligned toe break
d) Faulty walking habit
5. If the medial wall of transfemoral prosthesis was too high, what will the person do to
compensate?
a) Lean away from prosthetic side
b) Lean toward prosthetic side
c) Lean back
d) Lean forward
6. Jeremy is a young, active male who enjoys playing golf. He lives within 5 miles from
prosthetic facility. Being a transtibial amputee, which foot would you recommend?
a) Single axis foot
b) SACH foot
c) Multi-axis foot
d) Energy storing foot
7. Which of the following allows for varying cadences?
a) Hydraulic knee
b) Single axis constsnt friction
c) Variable friction
d) Polycentric axis
8. When measuring width of someone with transtibial amputation, you should begin
at------------ and measure every -------------cm.
a) Medial tibial plateau, 5-8 cm
b) Patella, 8-10 cm
c) Medial tibial plateau, 8-10cm
d) Fibula head, 5-8cm
9. What is the recommended sequence in the rehabilitation of new prosthesis user?
a) Orient to have device, use device for activities of daily livings, control training,
functional activities
b) Controls training, orient to device, use for activities of daily livings, functional
activities
c) Orient to device, controls training, use device for activities of daily livings, functional
activities
d) Whichever order patient feels most comfortable with.

10. What is most common cause of amputation in Kenya

a) Trauma
b) Vascular disease
c) Cancer
d) Congenital
11. ----------- prosthetic design has a hard outer cover made of lamination
a) Exoskeletal
b) Endoskeletal
c) Modular
d) Stubb
12. Which of the following is not a pressure tolerant area?
a) Lateral surface of fibula
b) Popliteal fossa
c) Anterior distal surface of lateral tibial condyle
d) Medial tibialcondlye
13. Total contact fit of the prosthestic socket allows:
a) Increased area of support
b) Increased proprioception
c) Better edema control
d) All of the above
14. Which of the following is a cause of lack of knee control at heel-strike?
a) Too much dorsiflexion at foot
b) Foot too anterior in relation to socket
c) Heel wedge too soft
d) Insufficient relief for the anterior distal tibia
15. What is a quadrilateral socket?
a) A socket that locks in the ischial tuberosity
b) A socket that has a flat posterior brim
c) A socket allowing full weight bearing through ischium
d) A socket maintaining adducted position of femur

16 A socket that locks in the ischial tuberosity

a) A socket that has a flat posterior brim
b) A socket allowing full weight bearing through ischial tuberosity
c) A socket maintaining abducted position of femur
17 ………………… suspension is frequently used form of suspension for the definitive
transfemoral prosthesis
a) Pelvic belt
b) Supracondylar
c) Suction
d) Waist belt
18 Myoplasty is the attachment of ………………..
a) Muscle to fascia
b) Muscle to ligament
c) Muscle to muscle
d) Muscle to periosteal bone
19 ………………. Are losses or abnormalities of anatomic,physiology, psychologic or
mental structure or function
a) Impairment
b) Disabilities
c) Functional limitations
d) Prognosis
20 Which of the following amputation is done at tarsometarsal joint
a) Syme
b) Chopart
 c) Linsfranc
d) Pirogoff
21 What is diagnosis
a) Is a determination of the level of optimal improvement?
b) Is the process and the end result of evaluation information obtained from the
examination?
c) Is a dynamic process to make a clinical judgement based on examination
d) Are expected results of patient management

22) Extra depth in shoes. A requirement for; -

a. Prosthetheses
b. Orthoses
c. Fracture reduction
d. Long hour standing

23) Lateral gaping of below knee prosthesis is solved by; -

a. Out setting
b. Changing the foot size
c. Weight loss
d. Inserting
24) Extra depth in shoes. Is a requirement for; -
a. Prosthetheses
b. Orthoses
c. Fracture reduction
d. Long hour standing
25) Rheumatoid arthritis is an inflammatory disease affecting; -
a. Joints
b. Bones
c. Muscles
d. Patients
26) A fixed and restricted joint motions on a lower limb fracture, walking is facilitated by;
a. A toe spring
b. Muscles
c. Plaster boot
d. Rocker bar
27) A very ugly leg with good function, is amputated for the reason of; -
 a. Weight bearing
b. Cosmetic
c. Shortening
d. Vaulting
28) On descending stairs, mark-timing, the beginner of AK amputee should; -
a. Shift weight to the prosthesis and lower the sound limb
b. Keep weight to the sound limb
c. Keep weight supported by crutches
d. Use long leg supports
29) For AK socket fabrication, stump perimeters are measured.
a. Horizontally at the ischial level
b. Oblique at the ischial level
c. Vertically at the ischial level
d. Transversally at the ischial level
30) On sagittal-plane gait analysis, those at mid-stance point are better observed at
a. Rear
b. Behind
c. Front
d. Top
31) Interface is the; -
a. Joint facets
b. Muscle insertion
c. Socket wall – stump surface contact
d. Socket contours
32) The rigid dressing in early prosthetic management, the purpose is to; -
a. Stop bleeding
b. To add weight on residual limb
c. To protect infections
d. Control edema
33) A model of weight bearing
a. Custom shoe last
b. An out-flare shoe last
c. A regular shoe last
d. An in-flare shoe last
34) Endo-skeletal prosthesis is
a. Crustacean
b. Exo-sketch
c. Pegleg
 d. Modular
35) During AK amputees gait analysis, the weight acceptance phase is best observed at; -
a. Front
b. Rear
c. Side
d. Behind

36) An outward curve taken by an AK amputee’s prosthesis during gait analysis is as a result
of; -
a. Dorsiflexion
b. Inversion
c. Eversion
d. Plantar – flexion
37) The reverse Thomas heel is an indication of; -
a. A lateral longitudinal drop of an arch-support
b. Medial arch support
c. Transverse arch-support
d. Subtalar – eversion
38) Collection of fluid into the soft tissue
a. Sinus
b. Edema
c. Boil
d. Viscous
39) Knee flexion is delayed by; -
a. Posterior tilted socket (extended socket)
b. Flexed socket
c. Foot –ankle assembly placed posteriorly
d. Toe – break posteriorly
40) The rocker bar facilitates walking mostly on; -
a. Polio boot
b. Prosthesis
c. Plaster cast
d. Compensated orthotics

PART B (40 MARKS)

Q1) list five parts of a prosthetic shoe ;-

 a) ………………………..
b) ………………………..
c) …………………………….
d) ……………………………….
e) ……………………………..

Q2) three components of swing phase are;-

a) ………………………………..
b) ………………………………..
c) ………………………………….

Q3) list five types of prosthetic feet ;-

a) ……………………………………………
b) …………………………………………….
c) ………………………………………….....
d) ……………………………………………..
e) ……………………………………………..

Q4) list the three types of prosthetic alignment ;-

a) ………………………………………………..
b) ………………………………………………..
c) ………………………………………………..

Q5) six pathological gaits are ;-

a) ……………………………………………………
b) ……………………………………………………
c) ……………………………………………………
d) ……………………………………………………..
e) …………………………………………………….
f) ……………………………………………………..

Q5) four BK alignment discrepancies cause ;-

a) ……………………………………………………….
b) ……………………………………………………….
c) …………………………………………………………
d) ………………………………………………………..

Q6) two types of muscle contractions ;-

a) …………………………………………………………
b) …………………………………………………………
Q7) list four characteristics for normal human locomotion ;-
a) …………………………………………………………
b) ………………………………………………………….
c) ……………………………………………………………
d) ……………………………………………………………

Q8) two types of knee axis ;-

a) ……………………………………………………………
b) ……………………………………………………………

Q9) mention the two support phases in stance phase ;-

a) ……………………………………………………………………
b) ……………………………………………………………………

Q10) weight-acceptance, push-off respectively are ;-

a) ……………………………………………………………………
b) ……………………………………………………………………..
c) ……………………………………………………………………
d) …………………………………………………………………….

PART C

LONG ESSAY (20 MARKS)

ATTEMPT ONLY ONE QUESTION FROM THIS SECTION, EITHER NUMBER ONE OR TWO.

I. A well labeled diagrams on A-P and M-L alignments of both AK and BK

prostheses. Showing clearly the prosthetic components being arranged
geometrically and weight line/ground reaction passing through with the required
dimensions.
a. Draw BK and AK prostheses.
b. Indicate A-P and M-L lines passing through required dimensions
c. Indicate weight lines and ground reaction force
d. Show prosthetic components parts
THANK YOU