Chapter 30 - Pedatric Hand Therapy

Question 1

Which guiding principle of pediatric hand therapy suggests learning is improved when the child is performing a purposeful, functional activity ?

Answer 1

Use of purposeful, functional activities

Question 2

A child with congenital hand differences should have no difference in fine motor, bilateral coordination, and /or functional abilities as a typical developing child.

Answer 2

False

Question 3

What is the preferred method of measuring edema if it is more diffuse?

Answer 3

Volumeter

Question 4

Which assessment is not a patient-reported outcome measure?

Answer 4

Box and blocks

Question 5

Which strategy involves adapting an activity in order to increase independence ?

Answer 5

Activity modification

Question 6

True or False. A common protocol for treating children with flexor tendon repairs involves invitation AROM immediately?

Answer 6

False

Question 7

Which congenital anomaly classification occurs when an amniotic band wraps around the upper limb resulting in varying levels of limb abnormality distal to the level of the band?

Answer 7

Congenital construction band syndrome

Question 8

Which congenital anomaly classification manifests as macrodactlyl?

Answer 8

Overgrowth

Question 9

Which option described a Level 3 on the Manual Ability Classification System Levels?

Answer 9

Handles objects with difficulty

Question 10

During an active flare up of thematic condition, which type of activity is not appropriate

Answer 10

Stretching joints

Question 11

Which guiding principle of pediatric hand therapy encourages therapist to consider the child’s values and roles while creating a plan of care?

Answer 11

Motivation

Question 12

Which is not a potential limitation of passive ROM?

Answer 12

Muscle weakness

Question 13

Which superficial thermal agent modality delivers cold by applying ice in a continuous pattern of movement directly over a specific region of the upper extremity?

Answer 13

Ice Massage

Question 14

Which electrotherapeutic physical agent modality may increase strength of a specific muscle or muscle group?

Answer 14

Neuromuscular electrical stimulation (NMES)

Question 15

Which congenital anomaly classification is described by conditions in which defects of the upper extremity accompany multiple skeletal variations?

Answer 15

Generalizes skeletal abnormalities

Question 16

Which congenital anomaly classification manifest as brachydactyly?

Answer 16

Undergrowth

Question 17

Which option described a Level 1 on the Manual Ability Classification System Level?

Answer 17

Handles objects easily and successfully.

Question 18

What is the result of a shoulder traction injury at the time of injury ?

Answer 18

Brachial plexus birth palsy

Question 19

Which superficial thermal agent modality delivers a dry heat medium similar to a whirlpool?

Answer 19

Fluidotherapy

Question 20

Which strategy involves educating strain on a joint to prevent pain?

Answer 20

Joint protection strategies

Question 21

When measuring with a Semmes Weinstein grade of monofilament, when it is appropriate to begin sensory reeducation?

Answer 21

6.65

Question 22

Which congenital anomaly classification manifests as macrodactyly?

Answer 22

Overgrowth

Question 23

Which option describes a Level 5 on the Manual ability classification system levels?

Answer 23

Does not handle objects and has severely limited ability to perform even simple actions.

Question 24

What is a genetic condition characterized by a collagen deficiency causing increased soft tissue elasticity and global joint hyper mobility?

Answer 24

Ehlars Danlo Syndrom

Question 25

Which guiding principle of pediatric hand therapy provides feedback to support the child eventually engaging in self-evaluation?

Answer 25

Feedback to promote generalization

Question 26

What is the most likely diagnosis if a child describes sharp, shooting pain in an upper extremity during activity?

Answer 26

Tendinitis

Question 27

Which superficial thermal agent modality delivers heat through the application of hot packs and multiple layers of toweling placed on a specific region of the upper extremity?

Answer 27

Moist heat

Question 28

Which is considered the lightest form of a strengthening program?

Answer 28

Isometric exercises without resistance

Question 29

Which congenital anomaly classification is described as the specific upper limb anatomy does not develop entirely or is entirely absent?

Answer 29

Failure of formation

Question 30

Which congenital anomaly classification manifests as radial longitudinal deficiencies?

Answer 30

Failure of formation

Question 31

What is characterized by pain, specific alloy is and hyperalgesia?

Answer 31

Complex regional pain syndrome

Question 32

Which guiding principle of pediatric hand therapy involves selecting task and environment demands appropriate to the child’s developmental levels across domains?

Answer 32

Age-appropriate tasks.

Question 33

Which guiding principle of pediatric hand therapy encourages therapists to consider the contexts, activity demands, and performance patterns when making recommendations?

Answer 33

Compensatory and/or adaptive strategies considering person, environment, and occupation

Question 34

What is the simplest approach to effective scar management?

Answer 34

Pressure

Question 35

Which congenital anomaly classification occurs when there is an underdeveloped hand or absent digits?

Answer 35

Undergrowth

Question 36

Which is the most appropriate pain scale to use with a 3.5 year old?

Answer 36

Oucher

Question 37

Which congenital anomaly classification manifests as Marfan’s syndrome?

Answer 37

Generalized skeletal abnormalities

Question 38

What is the preferred method of measuring edema on the dorsum of a hand?

Answer 38

Figure-of-eight method

Question 39

Which option describes a Level 4 on the Manual Ability Classification System Levels?

Answer 39

Handles a limited selection of easily managed objects in adaptive situations.