CHT clinical evaluation- Questions and Answers 100%
Solved
Where does intersection syndrome occur Correct Ans-in between extensor compartment 1
and 2
A pt is referred with lateral epi. No relief after 2 cortisone injections. pain throughout lateral
arm but most at mobile wad of Henry. Tenderness noted at lateral epicondylitis. Pt has pain
with resisted supination and middle finger ext. Which is a likely differential dx?
a. radial tunnel syndrome
b. dorsal wrist syndrome
c. Radiocapitellar joint pathology
d. ECRL tendonitis Correct Ans-A
- pain is worse 4 to 5cm distal to lateral epi
- racquet sports and manual labor
- can also be caused from wearing counterforce brace wrong
a pt is referred to therapy 6 weeks s/p intra-articular fracture of SF PIPJ. The patient was not
given orthosis after injury, and at the time of evaluation, the finger assumed a PIPJ flexion
posture. When the pt passively flexes the DIPJ joint with the PIPJ in extension and then
repeated with the PIP joint in flexion, you discover that a greater motion exists when the PIP
is flexed. What is the cause of decreased DIP motion?
a. ORL tightness
b. joint contracture at the DIPJ
c. triangular ligament tightness
, CHT clinical evaluation- Questions and Answers 100%
Solved
d. all of the above Correct Ans-a
A pt is referred after ORIF of distal radius and ulnar styloid after falling. The ROM
measurements show MCP hyperextension with IP flexion with AROM.
T/F: these numbers indicate a high ulnar nerve lesion is present Correct Ans-False
-low ulnar nerve lesion
Reflex testing is used to evaluate the integrity of nerve supply. the triceps reflex is commonly
assessed for radial nerve function. this reflex is largely a function of what neuro level?
a. C5
b. C6
c. C7
d. C8 Correct Ans-C
-C5 is biceps
-C6 Is brachioradialis
For optimal results during a discriminative sensory reeducation, certain requirements must be
met. Which semmes-weinstien must a patient be able to perceive in order to begin
discrimination retraining?
a. 6.65 monofilament
b. 5.07 monofilament
, CHT clinical evaluation- Questions and Answers 100%
Solved
c. 4.56 monofilament
d. 4.31 monofilament Correct Ans-D
You are MMT the biceps muscle and note that the patient can only move through about 50%
of motion in the gravity-eliminated plane. The biceps should be rated
a. poor minus
b. poor
c. poor plus
d. fair minus
e. fair Correct Ans-A
- poor (2/5) is full movement with no resistance in gravity eliminated; (-2/5) would be partial
- 3/5 is full movement against gravity no resistance
Which is most useful and widely known noninvasive test for evaluating the contribution of
the radial and ulnar arteries to the hand?
a. allen's test
b. plethysmography
c. arteriography
d. radionuclide studies Correct Ans-a.
- compression of arteries at the wrist with hand flexed, then extended with compression
released to note refill time
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