Test Your Hand Therapy Knowledge

The following questions have been prepared by the Examination Committee to familiarize you with the content and types of questions that may appear on the examination; however, their overall difficulty is not necessarily representative of the overall difficulty of the actual examination, and they do not provide a complete overview of the content of the entire examination.

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1. Which provocative clinical test is used to assess scapholunate ligament integrity?

A. Linscheid test
B. Shear test
C. Ballottement test
D. Watson test

2. According to David Butler, shoulder depression, elbow extension, whole arm internal rotation and wrist flexion is the Upper Limb Tension Test for which of the following nerves:

A. median
B. musculocutaneous
C. radial
D. ulnar

3. A 52-year-old female is currently receiving hand therapy for a distal radius fracture she sustained in a motor vehicle accident four weeks ago. She complains of progressive shoulder stiffness with diffuse pain and diminished external rotation, forward flexion and abduction. You suspect:

A. rotator cuff tear
B. adhesive capsulitis
C. biceps tendinitis
D. impingement syndrom

4. A patient undergoing therapy following a promimal phalanx fracture of the ring finger now complains of a tender subcutaneous nodule with pitting at the level of the distal palmar crease of the ring finger. The most probable condition is:

A. stenosing tenosynovitis
B. peritendonous scar adhesions
C. early Dupuytren's disease
D. neuroma

5. A 58-year-old computer operatior has been referred for conservative management of suspected carpal tunnel syndrome. During your screening evaluation, you note lateral forearm pain, decreased sensation in the lateral forearm and radial side of the hand, as well as slight weakness in the radial wrist extensors. You suspect:

A. C5 nerve root compression
B. C6 nerve root compression
C. pronator syndrome
D. posterior interosseous nerve syndrome

6. What would you recommend for the patient described in #5?

A. further medical workup
B. nerve gliding exercises
C. muscle strengthening program
D. sensory re-education

7. The rapid exhange grip (REG) test maybe used to determine consistency of voluntary effort. In a normal population, approximately what difference would be expected between peak REG and the highest static grip strength?

A. 25% or greater
B. 15% or greater
C. less than 25%
D. less than 15%