CHT Wound Care & Edema Management

Question 1

What is the primary goal of edema management during the acute phase following hand injury?

Accepted Answer

Reduce swelling to prevent fibrosis and joint stiffness

Answer

Reducing swelling in the acute phase prevents fibrosis and joint stiffness that can lead to long-term functional impairment.

Question 2

Which measurement technique is considered the gold standard for quantifying overall hand and wrist edema volume?

Accepted Answer

Volumetric water displacement

Answer

Volumetric water displacement provides the most accurate three-dimensional measurement of limb volume and is considered the gold standard for edema assessment.

Question 3

When performing retrograde massage for edema reduction, in which direction should strokes be applied?

Accepted Answer

Distal to proximal

Answer

Retrograde massage uses distal-to-proximal strokes to mechanically move interstitial fluid toward the lymphatic drainage system, reducing peripheral edema.

Question 4

String wrapping (Coban self-adherent wrap) for digit edema should begin at the:

Accepted Answer

Fingertip, wrapping proximally

Answer

Coban wrapping begins at the fingertip and progresses proximally to push fluid out of the digit toward the lymphatic system.

Question 5

Which clinical sign most strongly suggests wound infection requiring medical referral?

Accepted Answer

Increasing warmth, spreading erythema, and purulent drainage

Answer

The combination of increasing warmth, spreading erythema, and purulent drainage are classic signs of wound infection that require prompt medical attention.

(CHT) Certified Hand Therapist Practice Test

(CHT) Certified Hand Therapist Practice Test

CHT Wound Care & Edema Management