Could You Pass This Extensor Treatment Repair Techniques Test?
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This quiz is designed for learners and medical students to test their basic knowledge of extensor tendon repair techniques. This quiz is intended as a study aid for students and learners to be well aware of the topic. Let's try out this quiz. Attempt all the questions. All the best!
- 1.Identify the Zone: disruption of terminal tendon appears as mallet of drop-tip deformity May or not be associated with distal phalanx fracture
- A.
Zone II
- B.
Zone IV
- C.
Zone I
- D.
Both A & C
- E.
Zone VII
- 2.Identify the Zone: injury to extensor tendons over MP joint with an inability to extend proximal phalanx
- A.
Zone IV
- B.
Zone V
- C.
Zone VII
- D.
Zone VI
- E.
Both Zone V & VI
- 3.Identify the zone: Treatment by a therapist with MD order 1. P/AA/Arom 2. Dynamic splinting to decrease tendon adherence
- A.
Zone II
- B.
Zone VII
- C.
Zone III
- D.
Both A & B
- E.
Zone IV
- 4.Identify the zone: injuries that occur over PIP joint or proximal phalanx
- A.
Zone VII
- B.
Zone V
- C.
Both Zone III & IV
- D.
Zone VI
- E.
Both Zone I & II
- 5.Identify the zone: injury to extensor tendons over the dorsum of hand usually associated with crush injury
- A.
Zone VI
- B.
Zone V
- C.
Zone III
- 6.Associated w/ fracture requiring Fixation internally of DIP in neutral or mild Hyper-extension by K-wire. Wire removed 4-6 weeks Padded dorsal splint that allows PIP Joint Flexion (1-2 Diamond aluminium)
- A.
Are indications of an Open injury
- B.
Are indications of an Closed injury
- C.
Is a possible MD treatment for injuries in either zone I or II
- D.
A & C
- E.
None of the above
- 7.Immobilization in neutral or mild hyper-extension 4-6 weeks
- A.
Are indications of an Closed injury
- B.
Is a possible MD treatment for injuries in either zone III or IV
- C.
None of the above
- D.
All of the above
- 8.Which Zone is typical for the following treatment by therapist with MD order: Nail bed injury-nail bed split to encourage smooth growth Open or closed injury AROM throughout unaffected joints ROM to affected joints with MD order (10-20 reps per hour) Extensor lag at DIP- increased time in extension splint Hyper-extension of PIP- splint PIP in slight flexion Blocking activities Prehension activities Night splints: DIP in detention continue for 2-4 weeks additional � Discontinue with absence of extensor lag assured Wrist strength program
- A.
Both zone III & IV
- B.
Both Zone I & II
- C.
Zone V
- D.
Zone VI
- E.
Zone VII
- 9.Which Zone is typical for the following treatment by therapist with MD order: ROM at 10-14 days if surgical repair has not interfered with lateral bands ROM of DIP with PIP joint stabilized in extension AROM begins at 4-6 weeks at PIP full extension to follow flexion Splint PIP in extension if lag noted AAROM at 5-6 weeks for flexion Six weeks for resistive flexion
- A.
Both zone III & IV
- B.
Both Zone I & II
- C.
Zone V
- D.
Zone VI
- E.
Zone VII
- 10.Which Zone is typical for the following treatment by a therapist with MD order: ROM to wrist radial/ulnar and flexion/extension planes Perform above in pronation/supination.
- A.
Zone VII
- B.
Zone V
- C.
Zone VI
- D.
Both Zone I & II
- E.
Zone III
- 11.Which Zone is typical for the following treatment by therapist with MD order: AROM begins 4 weeks post-injury Wrist immobilized in extension for MP/PIP flexion Intrinsic stretch with proximal joints in extension and distal joints in flexion Wrist in extension for MP motion Re-education of extensor digitorum communis Light resistance at 5-6 weeks Full AROM flexion/extension of MP at 8 weeks
- A.
Zone V
- B.
Zone VI
- C.
Both Zone I & II
- D.
Zone VI
- E.
None of the above
- 12.General Treatment goals for Extensor Repair: (Pick 3)
- A.
Prevent infection
- B.
Realignment of scar tissue
- C.
Reduce edema
- D.
Maintain and/or increase ROM
- E.
Full tendon gliding
- 13.Specific treatment goals That Prevent Boutonni�re Deformity and Prevent secondary contractures are for zone/s_________
- A.
I & II
- B.
III & IV
- C.
V
- D.
VI
- 14.Possible treatments by MD for Zones III & IV Include: ORIF Surgical repair
- A.
Immobilized approximately 4 weeks with PIP/DIP in extension.
- B.
Wrist immobilized in extension with MP�s in Slight flexion
- C.
Wrist immobilized in extension with MP�s in Slight flexion for 4 weeks
- 15.Possible treatments by MD for Zone V Include: Surgical repair
- A.
Wrist immobilized in extension with MP�s in Slight flexion for 4 weeks
- B.
Immobilized approximately 4 weeks with PIP/DIP in extension.
- C.
Wrist immobilized in extension with MP�s in Slight flexion
- 16.Possible treatments by MD for Zone VI Include: Surgical repair
- A.
Wrist immobilized in extension with MP�s in Slight flexion
- B.
Wrist immobilized in extension with MP�s in Slight flexion for 4 weeks
- C.
Immobilized approximately 4 weeks with PIP/DIP in extension.
- 17.All of the following are Contraindications of Extensor Tendon Repair except________:
- A.
Tendon rupture
- B.
Infection
- C.
Edema
- D.
Uncomplicated wound closure
- E.
Adhesions
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