Hand And Upper Extremity

84 Questions | By HeatherI725 | Last updated: Mar 21, 2022 | Total Attempts: 276

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Hand and upper extremity

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1.

When performing a clinical examination, you should observe and inspect for the following (choose all that apply)
- A.
  
  Atrophy
- B.
  
  Edema
- C.
  
  Redness
- D.
  
  Skin integrity
- E.
  
  Physical defects/anomolies
2.

A volumeter is used to test for
- A.
  
  Contractures
- B.
  
  Ulnar nerve injury
- C.
  
  Edema
- D.
  
  Sensory deficits
- E.
  
  Discoloration
3.

Clinical examination includes
- A.
  
  Observation
- B.
  
  Palpation
- C.
  
  AROM
- D.
  
  Muscle testing
- E.
  
  All of the above
4.

Intrinsic muscles consist of
- A.
  
  Interossei
- B.
  
  Lumbricals
- C.
  
  Superficialis
- D.
  
  A&B only
- E.
  
  A, B & C
5.

The device used to measure grip strength is a
- A.
  
  Goniometer
- B.
  
  Dynamometer
- C.
  
  Sphagmometer
- D.
  
  Volumeter
- E.
  
  Kilometer
6.

The following are standardized tools for functional assessment of the hand except:
- A.
  
  Jebsen's Test of Hand Function
- B.
  
  Minnesota Rate of Manipulation Test
- C.
  
  Purdue Pegboard Test
- D.
  
  Bay Area Functional Performance Test
7.

The sensibility test that consists of using a monofilament applied to the patient's skin with increasing pressure until the patient feels the touch
- A.
  
  Semmes-Weinstein
- B.
  
  Jebsen's Test of Hand Function
- C.
  
  Minnessota Rate of Manipulation Test
- D.
  
  Disabilities of the Arm, Shoulder, and Hand
- E.
  
  BAFPE
8.

Using the Semmes Weinstein Monofilament Test, a therapist may test up to ______ times in the same area, except for monofilaments of 4.08 or higher.
- A.
  
  1
- B.
  
  2
- C.
  
  3
- D.
  
  4
- E.
  
  5
9.

Carpal Tunnel Syndrome is a neuropathy of the radial nerve
- A.
  
  True
- B.
  
  False
10.

Evaluation for carpal tunnel syndrome may include (choose all that apply)
- A.
  
  Finkelstein's Test
- B.
  
  Tinel's Sign
- C.
  
  Mill's Test
- D.
  
  Phalen's Test
- E.
  
  Drop Arm Test
11.

When splinting for carpal tunnel syndrom, the wrist should be at 90 degrees of flexion
- A.
  
  True
- B.
  
  False
12.

A carpal tunnel splint should be worn
- A.
  
  23 hours on, 1 hour off
- B.
  
  1 hour per day
- C.
  
  While sleeping
- D.
  
  Every other day
- E.
  
  Never remove
13.

To avoid adhesions in carpal tunnel, a patient should be instructed to perform
- A.
  
  Nerve gliding exercises
- B.
  
  Tendon gliding exercises
- C.
  
  PROM exercises
- D.
  
  A&B only
- E.
  
  All of the above
14.

Tendon gliding exercises for carpal tunnel include the following positions:Straight, hook, table top, partial fist, and full fist
- A.
  
  True
- B.
  
  False
15.

Hand conditioning treatment for carpal tunnel syndrome includes (choose all that apply)
- A.
  
  Gripping exercises
- B.
  
  Avoid gripping exercises
- C.
  
  Avoid external pressure
- D.
  
  Functional intrinsic acts
- E.
  
  Functional in hand manipulation acts
16.

Pain management for carpal tunnel syndrome includes icing, fluidotherapy, and rest
- A.
  
  True
- B.
  
  False
17.

Post operative treatment of carpal tunnel syndrome includes
- A.
  
  Scar management
- B.
  
  Edema Management
- C.
  
  Hand conditioning
- D.
  
  Return to work discharge plans
- E.
  
  None of the above
18.

Guyon's Tunnel Syndrome is a neuropathy of the ______ nerve
- A.
  
  Ulnar nerve
- B.
  
  Radial nerve
- C.
  
  Median nerve
- D.
  
  All of the above
- E.
  
  None of the above
19.

Symptoms of Guyon's tunnel syndrome include all of the following except:
- A.
  
  Pins and needles in the 4th and 5th digit
- B.
  
  Pins and needles in the 2nd and 3rd digit
- C.
  
  Burning pain in wrist and hand
- D.
  
  Decreased sensation
- E.
  
  Intrinsic weakness
20.

Treatment for guyon's tunnel syndrome includes the following:
- A.
  
  Avoiding repetitive hand motions, heavy grasping, and working with wrist flexed
- B.
  
  Splinting
- C.
  
  Work ergonomics
- D.
  
  Fine motor skills training
- E.
  
  Repetitive hand motion exercises
21.

De-Quervain's Tendonitis involves the abductor pollicis longus (APL) and extensor pollicis brevis (EPB)
- A.
  
  True
- B.
  
  False
22.

De-Quervain's tendonitis is diagnosed using this test
- A.
  
  Tinel's sign
- B.
  
  Phalen's test
- C.
  
  Empty can test
- D.
  
  Finkelstein's Test
- E.
  
  Semmes Weinstein
23.

Therapist management of De-Quervain's tendonitis includes
- A.
  
  Pain control
- B.
  
  Retrograde massage
- C.
  
  Edema control
- D.
  
  Splinting
- E.
  
  Cross friction massage
24.

Trigger finger is caused by a nodule at the A2 pulley that causes the the pulley to "catch" during MCP and IP flexion due to inflammation.
- A.
  
  True
- B.
  
  False
25.

Ice is used to treat chronic trigger finger
- A.
  
  True
- B.
  
  False