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Certified Hand Therapist Exam Questions and Answers
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Certified Hand Therapist Exam Questions and Answers
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Certified Hand Therapist Exam Questions and AnswersMiddle finger sagittal band Correct Ans-more injured than other fingers
Maximum differential tendon gliding Correct Ans-hook fist for FDS/FDP; straight fist for
FDS; composite flexion for FDP
Passive protected extension Correct Ans-allows for most distal tendon excursion (3-8mm)
Most ideal time to start early active mobilization protocol Correct Ans-3-5 days post-op to
let inflammation decrease, but adhesions can start limiting at 1 week post-op
Zone 3 flexor tendon repair = distal end of carpal tunnel to the A1 pulley Correct Ans-
scarring to intrinsics can occur & tightness, so MPs in splint at 30-40 degrees flexion
Swan-neck deformity Correct Ans-can occur with absent FDS
Normal finger active flexion Correct Ans-PIP joint flexes first
Extensor tendons proximal to juncturae tendinum Correct Ans-ruptures of these can be
missed due to extension through adjacent tendons
, Certified Hand Therapist Exam Questions and Answers
Evans' Short Arc Motion extensor tendons Correct Ans-Wrist placed in 30 degrees flexion,
then templates for 30 degrees flexion PIP and 25 degrees flexion DIP, then advance as no
extensor lag present
Extensor tendon repair proximal to JT Correct Ans-all fingers placed in orthosis in
extension
Extensor tendon repair distal to JT Correct Ans-affected digit in full extension, adjacent
digits in 30 degrees MP flexion
Yoke splint Correct Ans-for RF {RF+MF}; for MF {MF}; for SF {SF+IF}; for IF {IF+SF}
Boutonniere deformity Correct Ans-lateral bands sublux volarly due to attenuation of
Triangular Ligament (and tightening of Transverse Retinacular Ligaments) - ORL gets tight with
a Boutonniere
Address PIP extension lags with reverse blocking Correct Ans-MP in hyper flexion and work
on PIP extension
Central slip initiates extension at PIP joint Correct Ans-Elson's test assesses central slip
integrity at edge of table
, Certified Hand Therapist Exam Questions and Answers
Pseudo-boutonniere Correct Ans-dorsal dislocation/hyperextension/volar plate
injury/contracture - no DIP hyperextension or ORL tightness
CID Correct Ans-carpal instability dissociative - same row
CIND Correct Ans-carpal instability non-dissociative - between rows
CIC (carpal instability combined) Correct Ans-combination of CID and CIND
adaptive carpus Correct Ans-instability d/t extrinsic cause like a malunited distal radius fx
DISI Correct Ans-SL injury - scaphoid flexes and lunate/triquetrum extend
VISI Correct Ans-LT injury - scaphoid/lunate flex and triquetrum extends
Palmar midcarpal instability (MCI) Correct Ans-CIND - presents volar sag at ulnar side of
wrist w/ clunk when moving into ulnar deviation and decreased grip strength
ECU and FCU and hypothenars Correct Ans-start strengthening these in supination for MCI
SL friendly muscles Correct Ans-FCU, APL, ECRL (dart thrower's motion)
, Certified Hand Therapist Exam Questions and Answers
proximal row carpectomy Correct Ans-procedure for SLAC wrist, Kienbock's, Prieser's (not
for capitolunate arthritis)
Proximal Row Carpectomy Correct Ans-painfree motion is goal for this procedure
Dorsal wrist is less supported by ligaments Correct Ans-volar wrist has more ligamentous
stability
Proximal carpal row flexes (and UD) with radial deviation Correct Ans-Proximal carpal row
extends (and RD) with ulnar deviation
with progressive perilunate instability Correct Ans-lunate dislocates into carpal tunnel
Space of Poirier Correct Ans-ligament free area at Capitolunate space
TFCC Correct Ans-primary soft tissue stabilizer for DRUJ and ulnocarpal joints
Ulnocarpal stress test Correct Ans-axial load on the wrist in UD then passively perform
pronation/supination
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