CHT Evaluation 5

Question 1

The Patient-Rated Wrist and Hand Evaluation (PRWHE) measures which two domains?

Accepted Answer

Pain and function

Answer

The PRWHE is a 15-item patient-reported outcome measure assessing pain (5 items) and function (10 items) in patients with wrist disorders.

Question 2

During evaluation of a patient following radial nerve injury, which functional deficit would the CHT expect to find?

Accepted Answer

Wrist drop and inability to extend MCPs

Answer

Radial nerve injury causes wrist drop and loss of MCP extension due to denervation of the wrist and finger extensors.

Question 3

A therapist uses the moving two-point discrimination test. What is the normal threshold at the fingertip?

Accepted Answer

2–3 mm

Answer

Normal moving two-point discrimination at the fingertip is 2–3 mm, which is slightly better than static two-point discrimination thresholds.

Question 4

Which standardized outcome tool is specifically designed to measure upper extremity functional limitations in patients performing work-related tasks?

Accepted Answer

DASH (Disabilities of Arm, Shoulder, and Hand)

Answer

The DASH questionnaire, including its work module, is widely used to assess upper extremity disability and work-related functional limitations.

Question 5

A patient is evaluated for ulnar nerve compression at the elbow. Froment's sign is positive. What does this indicate?

Accepted Answer

Substitution of FPL for weak adductor pollicis during key pinch

Answer

Froment's sign occurs when the patient uses FPL (median nerve) to compensate for weak adductor pollicis (ulnar nerve) during key pinch.

(CHT) Certified Hand Therapist Practice Test