Principles of Amputations MCQ Quiz | Amputation & Limb Salvage

Welcome to this comprehensive multiple-choice quiz on the Principles of Amputations, designed specifically for MBBS students. This quiz covers crucial concepts in amputation surgery, from indications and level selection to surgical techniques and post-operative management. You will be tested on your understanding of myoplasty, myodesis, nerve handling to prevent neuromas, and the management of complications like phantom limb pain. Each of the 25 questions is crafted to reflect the knowledge expected at your level. After submitting your answers, you will receive your score, and the correct answers will be highlighted for your review.

For your convenience, a button will appear after submission allowing you to download all questions and their correct answers in a PDF format for future study and revision.

1. The classic indications for amputation are often summarized as the “three D’s”. Which of the following is NOT one of them?

2. What is the primary advantage of performing a myodesis over a myoplasty during a trans-femoral amputation?

3. To prevent the formation of a painful neuroma, how should a major nerve be handled during an amputation?

4. Which factor is most critical in determining the level of amputation in a patient with peripheral vascular disease?

5. The primary advantage of a below-knee amputation (BKA) compared to an above-knee amputation (AKA) is:

6. A guillotine or open amputation is primarily indicated in which clinical scenario?

7. Which statement accurately describes phantom limb sensation?

8. The ideal shape for a residual limb (stump) for prosthetic fitting is:

9. In a transtibial (below-knee) amputation, which joint contracture is most common and must be actively prevented?

10. A Syme’s amputation is a disarticulation at which joint?

11. What is the main purpose of stump wrapping or using a rigid dressing in the immediate post-operative period?

12. Which of the following is an advantage of a joint disarticulation over a transosseous (through bone) amputation?

13. The use of a long posterior myocutaneous flap is the standard technique for which type of amputation?

14. What is the most significant determinant of increased energy expenditure for ambulation following a lower limb amputation?

15. During a transtibial amputation, the tibia is typically beveled anteriorly to:

16. The most common cause of non-traumatic lower extremity amputations in developed countries is:

17. Osseointegration in the context of amputation refers to:

18. Pre-operative patient education is crucial. Which of the following is a key component?

19. Terminal bony overgrowth is a specific complication primarily seen in which patient population?

20. An Ertl procedure is a surgical technique that creates a:

21. The ideal skin flaps for an amputation stump should be:

22. Which of the following is a contraindication for immediate post-operative prosthetic fitting (IPOP)?

23. In a transfemoral amputation, which muscle group is most prone to developing a contracture?

24. What does the term “myoplasty” refer to in amputation surgery?

25. The most important post-operative instruction to prevent flexion contractures in a patient with a transtibial amputation is: