Occupational Therapist Test Occupational Therapist Test Hand Therapy and Upper Extremity

Question 1

The intrinsic plus (safe position) for hand splinting includes which joint positions to prevent collateral ligament contractures?

Accepted Answer

MCP flexion 70-90°, IP full extension, thumb abduction

Answer

The intrinsic plus position (MCPs 70-90° flexion, IPs fully extended, thumb abducted) keeps collateral ligaments at maximum length, preventing shortening during immobilization.

Question 2

Allen's Test is performed in hand therapy to assess:

Accepted Answer

Patency of the radial and ulnar arteries supplying the hand

Answer

Allen's Test evaluates vascular patency by occluding both arteries simultaneously, then releasing each individually to observe palmar blood return.

Question 3

A client presents with inability to actively extend the DIP joint after the fingertip was struck by a ball. This presentation is most consistent with:

Accepted Answer

Mallet finger

Answer

Mallet finger results from disruption of the terminal extensor tendon at or near the DIP joint, preventing active DIP extension.

Question 4

Carpal tunnel syndrome results from compression of which nerve?

Accepted Answer

Median nerve

Answer

Carpal tunnel syndrome is caused by compression of the median nerve within the carpal tunnel, producing numbness and tingling in the thumb, index, middle, and radial ring finger.

Question 5

Which combination of interventions is most effective for managing acute hand and wrist edema in OT?

Accepted Answer

Retrograde massage, limb elevation, and compressive wrapping

Answer

Retrograde massage (distal to proximal), elevation above heart level, and compressive wrapping work together to mechanically move fluid out of the hand.

Occupational Therapist Test Practice Test

Occupational Therapist Test Practice Test

Occupational Therapist Test Occupational Therapist Test Hand Therapy and Upper Extremity