Could You Pass This Extensor Treatment Repair Techniques Test?

17 Questions | By Mrs Timbo | Last updated: Jun 23, 2019 | Total Attempts: 91

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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!

Questions and Answers

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