Questions 10

Question 1

An inability to adduct the small finger is an indiction of _____ and is called ____?

Answer 1

Ulnar nerve dysfunction, wartenburgs sign

Question 2

Forceful lateral pinch which results in hyperflexion of the thumb IP joint is called?

Answer 2

Froment’s sign

Question 3

Every patient who receives surgery for a CT release needs therapy to address wound care, pain management, splinting, AROM and stretching.

Answer 3

False

Question 4

A positive result on which of the following tests would indicate a likely diagnosis of carpal tunnel syndrome?

Answer 4

• Durkans carpal compression test
• Phalen’s test
• Tinnels sign

Question 5

Double crush syndrome refers to?

Answer 5

Nerve dysfunction resulting from compression at 2 or more sites

Question 6

Nerve laceration always requires surgical repair for any recovery of nerve fuction?

Answer 6

True

Question 7

Classic carpal tunnel syndrome (CTS) symptoms may include all but which of the following?

Answer 7

Parasthesia in the ulnar three digits

Question 8

Following a nerve laceration and repair, axons regenerate at a rate of?

Answer 8

1-3 mm/day after an initial 3-4 week latency period

Question 9

What causes carpal tunnel syndrome?

Answer 9

Pressure in the carpal tunnel

Question 10

You have a client who sustained a median nerve laceration at the elbow 2 weeks ago. The median nerve has been repaired and an orthosis has been ordered to prevent contracture. What type of orthosis would be best to maintain PROM?

Answer 10

Thenar web spacer

Question 11

T/F

Sweating (sudomotor function) in the area of innervation after a nerve injury indicative of incomplete nerve damage?

Answer 11

True

Question 12

A patient had a minimally displaced humeral shaft fracture 2 weeks ago and now wears a humeral fracture brace. The patient presents to OT complaining that their hand does not move well. Given what you know about this type of fracture, your best first step in the eval process would be?

Answer 12

Assess AROM of the wrist

Question 13

The clinical picture of radial tunnel syndrome is?

Answer 13

Dull ache or burn at the lateral forearm

Question 14

When a median nerve is damaged at the level of the proximal forearm or elbow, it may result in which of the following hand disorders

Answer 14

ape hand

Question 15

How is posterior interosseous nerve syndrome different from humeral-level radial nerve palsy?

Answer 15

In PINs, active wrist ext is present, while it is lost in humeral level radial nerve palsy

Question 16

T/F

Radial tunnel syndrome may be differtiated from lateral epicondloysis by the location of the pain?

Answer 16

True

Question 17

Which of the following muscles would not be affected by an elbow-level ulnar nerve lesion?

Answer 17

Flexor digitorum profundus of the index and middle fingers

Question 18

How does a humeral-level radial nerve palsy present itself?

Answer 18

Paralysis of wrist and finger mcp joint ext

Question 19

Causes of peripheral nerve injuries include?

Answer 19

Stretching or traction
Radiation therapy
Compression or entrapment
Laceration or avulsion

Question 20

A discriminative sensory reeducation is?

Answer 20

Training the brain to tell the difference between textures, shapes and objects

Question 21

What is protective sensory reeducation?

Answer 21

Teaching client to prevent injury to insensate tissue by using visual tech and task changes

Question 22

What is desensitization?

Answer 22

Training the nervous system to increase the sensory stimulus threshold to non-noxious stimuli

Question 23

What causes Saturday night Palsy?

Answer 23

• Results in paralysis of the wrist and finger ext
• Also called drunkards palsy
• Results in sensory loss along the dorsal lateral aspect of the forearm and hand
• Results from external compression of the radial nerve against the humeral shaft

Question 24

The guiding principle behind nerve gliding exercise is to?

Answer 24

To place tension on on end and relieve tension on the other end