Hand Therapy Practice Exam Questions 11-15



11.   A rugby player is referred to you by a local primary care doctor two days after "jamming" his ring finger in a scrum. The prescription reads "Dx: RF sprain, eval and tx." His RF ROM is as follows: 

  MP 0/90  PIP 20/85  DIP +5/40.  
 You want to test the integrity of the central slip.  Which method(s) will you use?
    
       A.  Have the patient rest his hand on the table keeping the MCP in full extension and the PIP flexed over the edge of the table. Apply light resistance and ask the patient to extend the PIP.
      B.  Have the patient place injured and uninjured ring fingers knuckle to knuckle with the  PIP joints in 90 degrees of flexion.  Note the symmetry of the DIPs.
     C.  Ask the patient to extend the digit from a fully flexed position and check for a lag in MCP extension.
     D.  Both A. and B.
     
     12.  A patient with carpal tunnel syndrome has tried a neutral wrist cock up orthosis with only slight improvement in symptoms.   Wrist pain and digit paresthesia continue to wake her up at night. Which of the following orthoses would be most appropriate to try next?

     A.   Resting Hand / safe position
     B.   Radial gutter
     C.   Neutral wrist-hand-finger orthosis with MCP block
     D.   None of the above; continue using the neutral wrist cock up 
13.  The distal phalanx is the most commonly fractured bone of the hand.  What are common complications associated with this fracture?

A. Pain, hypersensitivity 
B. Amputation
C. Soft tissue necrosis
D. Infection



14. What muscle  arises from a flexor tendon and inserts  onto an extensor tendon?

A. Lumbricals
B. Palmar interrosi 
C. Dorsal interossi
D. Extensor Carpi Radialis Brevis (ECRB)

15.   Your patient is 2 days post extensor zone III repair of her right index finger. In addition to the central slip, the lateral bands were also repaired. What is the optimal splint position?

A. PIP in 0 extension 
B. PIP in slight hyperextension 
C. Both PIP and DIP in 0 extension 
D. MCP, PIP and DIP in 0 extension 


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