Title: Quiz 5: Ambulation aids, patterns, and activities
Course: PHT 1200C Basic Patient Care > Section: Module 5

Q: Name the 2 phases of gait and the total  percentage of the gait cycle for each: ________ and ____________?
A: Swing Phase: 40% / Stance Phase: 60%
If right: Good job!
If wrong: Sorry that is not correct

Q: A patient has been sent to PT for ambulation training with assistive device S/P right ankle fracture. The prescribed weight bearing status is NWB RLE. Which of the following best describes the instruction that this patient will receive:
- 2 point gait using crutches
- 3 point gait using crutches
- 4 point gait using crutches
- 4 point gait using canes
A: 3 point gait using crutches

Q: If a walker is too tall for a patient, which of the following may occur:
- Extreme elbow flexion
- Inefficient push up with arms
- Increased knee flexion
- A and B
- A and C
A: A and B

Q: Improper fit of any assistive device may cause all of the following except:
- Decreased stability
- Increased stability
- Increased energy expenditure
- Decreased function
- Decreased patient safety
A: Increased stability

Q: It is appropriate to leave a patient standing alone with an assistive device while trying to locate a chair for them to sit down and rest:
- true
- false
A: false

Q: The PTA is fitting a standard walker to a patient. Which of the following landmarks is used to assess the fit:
- The wrist crease
- The greater trochanter
- Either could be used
- Neither
A: Either could be used

Q: The PTA is instructing a patient and family members on proper ambulation on stairs with axillary crutches. As the patient ascends the steps, where should the PTA advise the family member to stand:
- Behind the patient with both feet on the lower step
- Behind the patient with one foot on the step with the patient and the other foot on the step below
- In front of the patient with both feet on the step above the patient
- In front of the patient with one foot on the step with the patient and the other foot on the step above the patient
A: Behind the patient with one foot on the step with the patient and the other foot on the step below

Q: The PTA is teaching a patient to descend the stairs using axillary crutches. The patient is NWB on the RLE. Which of the following describes the appropriate sequence:
- LLE, one crutch, RLE, the other crutch
- LLE with crutches, RLE
- RLE, LLE, crutches
- RLE with crutches, LLE
A: RLE with crutches, LLE

Q: The PTA is working with a 90 year old patient that just had a total hip replacement. The patient is TDWB on the LLE. Which device is most appropriate for ambulation with this patient:
- Bilateral canes
- Bilateral crutches
- Single large base quad cane
- Standard walker
A: Standard walker

Q: The PTA is working with a patient that underwent right total knee replacement 8 weeks ago. The patient is now allowed to discontinue the use of a walker and progress to a standard cane.  Which side of the body should the patient place the cane for safe ambulation: _________?
A: Left
If right: Good job!
If wrong: Sorry wrong answer

Q: The PTA is working with an elderly patient to improve endurance and safety with ambulation. The patient has a long history of falls, however, she has no history of fracture and is FWB on BLE. She is currently ambulating with a standard walker for balance and safety. The patient complains that she has a lot of difficulty picking up the walker and that it causes her to have pain in her back that she rates as 10/10 on a scale of 0 to 10. How should the PTA address these issues:
- Tell the patient that she must use the standard walker as she is not safe with any other assistive device. She can take Tylenol for her pain
- Instruct the patient in the use of a large base quad cane and tell her to limit her walking so she is at less risk of falling
- Add wheels to the front of the walker so the patient will not have to pick it up to advance the walker
- Put the patient in a wheelchair and teach her how to use it to be mobile at home
A: Add wheels to the front of the walker so the patient will not have to pick it up to advance the walker

Q: What is the recommended angle of elbow flexion when confirming fit of a patient with an assistive device:
- 15 to 2
- 0 degrees
- 20 to 25 degrees
- 25 to 30 degrees
- 0 to 10 degrees
A: 20 to 25 degrees

Q: When confirming proper fit of axillary crutches, all of the following should be assessed except:
- Overall height by checking the distance between the axilla and the crutch
- The height of the hand piece at the wrist crease
- The angle of elbow flexion
- All of the above should be assessed to confirm fit
A: All of the above should be assessed to confirm fit

Q: Which of the following correctly describes the ambulation sequence with a patient that is PWB on the LLE with a walker:
- Walker, RLE, LLE
- Walker, LLE, RLE
- LLE, walker, RLE
- RLE, walker, LLE
A: Walker, LLE, RLE

Q: Which of the following provides maximal security, stability, and safety but limits mobility:
- Wheelchairs
- Standard walkers
- Parallel bars
- Wheeled walkers
A: Parallel bars