CHT Clinical Reasoning 4

Question 1

A patient's intrinsic tightness test is positive. This means PIP flexion is more restricted when the MP joint is:

Accepted Answer

Extended

Answer

Intrinsic tightness causes greater restriction of PIP flexion when the MP is extended because the tight intrinsics are placed on maximum stretch.

Question 2

A CHT treating a patient with Dupuytren's contracture post-fasciectomy should FIRST address which goal in early rehabilitation?

Accepted Answer

Edema management and wound healing to allow early motion

Answer

Early post-fasciectomy rehabilitation prioritizes edema control and wound healing before aggressive motion to prevent wound dehiscence.

Question 3

When performing clinical reasoning for a patient with lateral epicondylalgia, which neural tissue provocation would implicate cervical radiculopathy as a contributing factor?

Accepted Answer

Upper Limb Tension Test (ULTT) positive for radial nerve bias

Answer

A positive ULTT with radial nerve bias implicates neural tension from the cervical spine contributing to lateral elbow symptoms.

Question 4

A patient with a scaphoid nonunion presents with persistent wrist pain after cast treatment. The CHT's clinical reasoning should MOST prioritize:

Accepted Answer

Fabricating a wrist immobilization splint and referring back to physician

Answer

Scaphoid nonunion requires surgical evaluation, and the CHT should immobilize the wrist and refer the patient back to the physician.

Question 5

Which factor is MOST important when selecting a functional outcome measure for a CHT research study on tendon repair?

Accepted Answer

The measure's responsiveness to change in the target population

Answer

Responsiveness (sensitivity to change) is the most critical psychometric property when selecting an outcome measure for a clinical research study.

(CHT) Certified Hand Therapist Practice Test

(CHT) Certified Hand Therapist Practice Test

CHT Clinical Reasoning 4