CHT Therapeutic Interventions 3

Question 1

When using retrograde massage to manage hand edema, strokes should be performed:

Accepted Answer

From distal to proximal beginning at the fingertips

Answer

Retrograde massage moves from distal to proximal to mechanically assist fluid movement toward the lymphatic system.

Question 2

A patient with complex regional pain syndrome (CRPS) type I of the hand is most likely to benefit FIRST from which therapeutic approach?

Accepted Answer

Stress loading program including scrubbing and carrying activities

Answer

Stress loading (scrubbing and carrying) provides compressive and traction forces that normalize sympathetic nervous system activity without directly moving the painful joints.

Question 3

Which splint design best protects a repaired ulnar collateral ligament of the thumb (gamekeeper's thumb) while permitting IP joint motion for tendon gliding?

Accepted Answer

Short opponens splint immobilizing the thumb CMC and MP joints with the IP free

Answer

A short opponens splint immobilizes the CMC and MP joints to protect the UCL repair while leaving the IP joint free to maintain FPL glide.

Question 4

During sensory re-education for a patient after median nerve repair, moving touch re-education should begin when the patient can reliably detect:

Accepted Answer

30 cps vibration and moving touch

Answer

Moving touch re-education begins when the patient can perceive 30 cps vibration and moving touch, indicating early receptor recovery.

Question 5

A patient presents with dorsal wrist ganglion causing pain with wrist extension. Conservative management should include:

Accepted Answer

Wrist splint in neutral to limit extension and reduce ganglion pressure

Answer

A neutral wrist splint limits the extension movement that compresses the dorsal ganglion and reduces symptoms.

(CHT) Certified Hand Therapist Practice Test

(CHT) Certified Hand Therapist Practice Test

CHT Therapeutic Interventions 3