Could You Pass This Extensor Treatment Repair Techniques Test?

17 Questions | Total Attempts: 46

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Treatment Quizzes & Trivia

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