Hand Therapy Flashcards
Which creases are part of the surface anatomy of the hand?
A) Wrist Creases, Distal Palmar Crease, Thenar Crease
B) Elbow Creases, Proximal Palmar Crease, Hypothenar Crease
C) Wrist Creases, Proximal Palmar Crease, Hypothenar Crease
D) Elbow Creases, Distal Palmar Crease, Thenar Crease
A) Wrist Creases, Distal Palmar Crease, Thenar Crease
How is intrinsic tightness tested?
A) Flexing the MCP joint and passively stretching the PIP joint into extension
B) Extending the MCP joint and passively stretching the PIP joint into flexion
C) Extending the MCP joint and actively stretching the PIP joint into extension
D) Flexing the MCP joint and actively stretching the PIP joint into flexion
B) Extending the MCP joint and passively stretching the PIP joint into flexion
What is an indication of ligamentous tightness?
A) PIP joint is tight when the MCP is in flexion
B) PIP joint is tight when the MCP is in extension
C) PIP joint is tight when the MCP is in either flexion or extension
D) PIP joint is tight when the MCP is in abduction
C) PIP joint is tight when the MCP is in either flexion or extension
Which condition is characterized by compression of the median nerve at the carpal tunnel?
A) Cubital Tunnel Syndrome
B) De Quervain’s Tenosynovitis
C) Carpal Tunnel Syndrome
D) Trigger Finger
C) Carpal Tunnel Syndrome
What are common symptoms of Carpal Tunnel Syndrome?
A) Numbness, tingling, and weakness of intrinsic muscles innervated by the median nerve
B) Pain at the proximal volar forearm and increased symptoms with repetitive pronation
C) Pain upon palpation of the A1 Pulley and decreased ROM of finger flexion or extension
D) Pain radial wrist and thumb and positive Finkelstein’s test
A) Numbness, tingling, and weakness of intrinsic muscles innervated by the median nerve
What is the primary cause of De Quervain’s Tenosynovitis?
A) Repetitive wrist movements with combined gripping/pinching
B) Compression of the median nerve at the carpal tunnel
C) Repetitive gripping and long periods of sustained grasp
D) Disease of the fascia of the palm and digits
A) Repetitive wrist movements with combined gripping/pinching
Which orthosis is recommended for De Quervain’s Tenosynovitis?
A) Wrist orthosis in neutral
B) Elbow orthosis at 30 degrees of elbow flexion
C) Forearm base thumb spica orthosis
D) Hand base finger extension orthosis
C) Forearm base thumb spica orthosis
What is the characteristic symptom of Trigger Finger?
A) Pain radial wrist and thumb
B) Numbness and tingling in the median nerve distribution
C) Pain upon palpation of the A1 Pulley and decreased ROM of finger flexion or extension
D) Weakness/atrophy of intrinsic muscles innervated by the median nerve
C) Pain upon palpation of the A1 Pulley and decreased ROM of finger flexion or extension
What is the most effective intervention for Dupuytren’s Contracture post-surgery?
A) Wrist orthosis in neutral
B) Forearm base thumb spica orthosis
C) Hand base finger extension orthosis
D) Elbow orthosis at 30 degrees of elbow flexion
C) Hand base finger extension orthosis
What causes Cubital Tunnel Syndrome?
A) Compression of the median nerve at the carpal tunnel
B) Compression of the ulnar nerve at the elbow
C) Stenosing tenosynovitis of the flexor tendon at A1 Pulley
D) Disease of the fascia of the palm and digits
B) Compression of the ulnar nerve at the elbow
Which test is used to diagnose De Quervain’s Tenosynovitis?
A) Tinel’s sign
B) Phalen’s sign
C) Finkelstein’s test
D) Berger’s test
C) Finkelstein’s test
What are the common conservative treatments for Carpal Tunnel Syndrome?
A) Wrist orthosis in neutral, median nerve glides, sensory education
B) Elbow orthosis at 30 degrees, elbow pad, ergonomics
C) Hand base finger extension orthosis, ROM, scar management
D) Ice massage, cross frictional massage, iontophoresis
A) Wrist orthosis in neutral, median nerve glides, sensory education
What is a symptom of Pronator Teres Syndrome that differentiates it from Carpal Tunnel Syndrome?
A) Pain at the proximal volar forearm
B) Numbness and tingling in the median nerve distribution
C) Weakness of the intrinsic muscles innervated by the median nerve
D) Positive Tinel’s sign
A) Pain at the proximal volar forearm
Which condition is characterized by stenosing tenosynovitis of the flexor tendon at A1 Pulley?
A) Carpal Tunnel Syndrome
B) De Quervain’s Tenosynovitis
C) Trigger Finger
D) Dupuytren’s Contracture
C) Trigger Finger
What intervention is recommended for Trigger Finger to avoid repetitive gripping activities?
A) Wrist orthosis in neutral
B) Trigger finger orthosis
C) Forearm base thumb spica orthosis
D) Hand base finger extension orthosis
B) Trigger finger orthosis
What is Dupuytren’s Contracture?
A) Compression of the ulnar nerve at the elbow
B) Stenosing tenosynovitis of the flexor tendon at A1 Pulley
C) Disease of the fascia of the palm and digits causing flexion contractures
D) Compression of the median nerve at the carpal tunnel
C) Disease of the fascia of the palm and digits causing flexion contractures
What is a positive sign for Carpal Tunnel Syndrome during the Phalen’s Test?
A) Increased pain with wrist flexion
B) Decreased sensation in the ulnar nerve distribution
C) Numbness and tingling in the median nerve distribution
D) Pain on radial side of the wrist
C) Numbness and tingling in the median nerve distribution
Which orthosis is used to manage Cubital Tunnel Syndrome?
A) Wrist orthosis in neutral
B) Elbow orthosis at 30 degrees of elbow flexion
C) Forearm base thumb spica orthosis
D) Hand base finger extension orthosis
B) Elbow orthosis at 30 degrees of elbow flexion
What is a common complication after Carpal Tunnel Syndrome surgery?
A) Cubital Tunnel Syndrome
B) Trigger Finger
C) Pillar Pain
D) Dupuytren’s Contracture
C) Pillar Pain
What activity modification is recommended for De Quervain’s Tenosynovitis?
A) Avoiding repetitive lifting with thumb abduction
B) Avoiding wrist orthosis in neutral
C) Avoiding elbow orthosis at 30 degrees of elbow flexion
D) Avoiding hand base finger extension orthosis
A) Avoiding repetitive lifting with thumb abduction
