National Physical Therapy Examination (NPTE) Practice Exam

What represents the highest anticipated level of function for a patient with a transfemoral amputation assigned a K-level of 1?

1. Propelling a manual wheelchair

2. Walking short distances in the home

3. Negotiating six stairs

4. Walking down a sloped driveway to a mailbox

The correct answer is: Walking short distances in the home

The highest anticipated level of function for a patient with a transfemoral amputation assigned a K-level of 1 is walking short distances in the home. This classification, often used in prosthetics, indicates that the individual has the potential to walk, but primarily in limited, controlled environments and typically with the aid of a prosthetic device. At K-level 1, the patient is capable of basic mobility, which generally includes standing and walking short distances on level surfaces. This aligns with the functional patterns expected at this level, as activities like walking short distances in the home reflect the limitations associated with K-level 1, where outdoor mobility and transitions over uneven surfaces or obstacles are less feasible. In contrast, propelling a manual wheelchair may be consistent with some K-level 1 patients, but it doesn’t represent the highest anticipated function, as it suggests a reliance on another form of mobility rather than an ambition to achieve walking. Negotiating stairs or walking down sloped surfaces signifies a higher degree of mobility and balance than what K-level 1 suggests, as those tasks typically require greater stability, strength, and overall capability to maneuver in diverse environments.