CHT Therapeutic Interventions 2

Question 1

A patient with Dupuytren's contracture post-fasciectomy develops a flexion contracture at the PIP joint. Which orthotic intervention is most appropriate during the early postoperative phase?

Accepted Answer

Serial static extension splint worn continuously except during exercise

Answer

Serial static extension splints worn continuously (except during exercise) provide sustained stretch to correct PIP flexion contractures following fasciectomy.

Question 2

When applying kinesiotaping to reduce dorsal hand edema, the tape should be applied with the elastic property oriented in which direction?

Accepted Answer

Distal to proximal with light tension on the base only

Answer

Kinesiotape for edema reduction is applied distal to proximal with tension only on the anchor to create lymphatic lift and direct fluid toward proximal lymph nodes.

Question 3

A therapist is using iontophoresis with dexamethasone for a patient with trigger finger. Which polarity should the dexamethasone be placed under?

Accepted Answer

Negative (cathode)

Answer

Dexamethasone is negatively charged, so it is driven into tissue from the negative electrode (cathode) during iontophoresis.

Question 4

Which technique is MOST appropriate for treating hypersensitivity in a patient with a healed fingertip amputation?

Accepted Answer

Graded desensitization using textures progressing from soft to coarse

Answer

Graded desensitization with progressively coarser textures systematically reduces hypersensitivity by habituating the nervous system.

Question 5

A patient 4 weeks post-flexor tendon repair (zone II) is in a place-and-hold program. The BEST description of this exercise is:

Accepted Answer

Passive placement of the finger into flexion followed by active hold without active flexion

Answer

Place-and-hold involves passively positioning the finger in flexion and then having the patient actively maintain (hold) that position, generating low tendon tension without full excursion.

(CHT) Certified Hand Therapist Practice Test

(CHT) Certified Hand Therapist Practice Test

CHT Therapeutic Interventions 2