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TOTAL KNEE ARTHROPLASTY: CURRENT CONCEPTS IN PHYSICAL THERAPY MANAGEMENT Final Examination Questions Select the best answer for each question and complete your test online at EliteLearning.com/Book
149. The primary reason for total knee arthroplasty (TKA) revision surgery in patients under 70 is? a. Aseptic loosening. b. Infection. c. Peri-prosthetic fracture. d. Persistent pain. 150. The compartment of the knee most frequently involved with knee osteoarthritis is the: a. Anterior compartment. b. Lateral compartment. c. Medial compartment. d. Posterior compartment. 151. One of the primary indications for performing a total knee replacement is to: a. Regain range of motion. b. Relieve pain. c. Resolve deformity. d. Restore strength. 152. The volume of total knee replacement surgeries in the United States has dramatically increased due to the: a. Aging of the population. b. Broadening of the selection criteria to include younger patients. c. Growing skills of orthopedic surgeons. d. Various types of implants available for TKA. 153. In a 2010 study of patients with end-stage knee osteoarthritis by Zeni and colleagues, the main predictors for TKA were found to be increased: a. Age, weakness, functional impairment; decreased end- range knee extension. b. Body mass index, swelling, and joint contracture; decreased muscle strength. c. Joint deformity, disability, and Q-angle; decreased end- range knee flexion. d. Use of an assistive device, medication, and caregivers; decreased mobility. 154. Prior to surgery, patients who are obese are advised to lose weight because patients who are obese experience significantly higher rates of: a. Aseptic loosening.
155. The decision to proceed with a total knee arthroplasty instead of a unicondylar knee arthroplasty is more likely if: a. If a patient’s lifestyle will be primarily sedentary in nature. b. Painful symptoms at the patellofemoral joint of the knee are present. c. The patient is less than 65 years of age. d. The patient’s body mass index is less than 35 kg/m 2 . 156. Surgical complications and in-hospital mortality rates are greater for patients undergoing: a. Bilateral knee replacements staged 3 days apart. b. Bilateral knee replacements done simultaneously. c. Single knee replacements staged 3 months apart. d. Single knee replacements staged 6 months apart. 157. A specific component of prehabilitation that is especially important is? a. Balance exercises. b. Quadriceps strengthening. c. Transfer training. d. Weight reduction. 158. Which knee ligament is surgically removed during total knee arthroplasty surgery? a. Anterior cruciate ligament (ACL). b. Posterior cruciate ligament (PCL). c. Medial collateral ligament (MCL). d. Lateral collateral ligament (LCL). 159. The risk of postsurgical deep vein thrombosis is increased when: a. A leg tourniquet is used. b. A regional anesthesia is given. c. The patient avoids using medications containing aspirin. d. The patient has a prior history of venous thromboembolism. 160. Risk factors for painful limitation in range of motion following TKA include previous: a. Knee instability and postoperative blood clots. b. Knee surgeries and postoperative infection. c. Meniscal injury and postoperative osteoporosis. d. Obesity and postoperative patellar tendonitis.
b. Broken prosthetic implants. c. Deep prosthetic infections. d. Poor prosthetic alignment.
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