CHT Evaluation 3

Question 1

Which outcome measure is most appropriate for assessing upper extremity disability and symptom severity in patients with carpal tunnel syndrome?

Accepted Answer

Boston Carpal Tunnel Questionnaire (BCTQ)

Answer

The Boston Carpal Tunnel Questionnaire (BCTQ) is the most widely used and validated disease-specific outcome measure for carpal tunnel syndrome.

Question 2

A CHT evaluates wrist flexion active ROM and finds 60°. The normal value is 80°. What percentage of normal does the patient retain?

Accepted Answer

75%

Answer

60/80 = 0.75, so the patient retains 75% of normal wrist flexion range of motion.

Question 3

The Tinel's sign is positive during nerve evaluation. What does a positive Tinel's sign indicate?

Accepted Answer

Nerve regeneration or irritation at the percussion site

Answer

A positive Tinel's sign (tingling with percussion over a nerve) indicates nerve regeneration or irritation at that point along the nerve.

Question 4

During evaluation of a patient 6 weeks post flexor tendon repair, the therapist notes a positive Finochietto-Brunner sign. What does this indicate?

Accepted Answer

Tendon adhesions limiting excursion

Answer

The Finochietto-Brunner sign (increased passive DIP flexion when MCP is flexed) suggests tendon adhesions limiting differential glide.

Question 5

A therapist administers the Purdue Pegboard Test. What domain does this test primarily assess?

Accepted Answer

Fine motor dexterity and coordination

Answer

The Purdue Pegboard Test assesses fine motor dexterity, bimanual coordination, and fingertip dexterity relevant to work tasks.

(CHT) Certified Hand Therapist Practice Test