Occupational Therapist Test Hand Therapy and Upper Extremity Flashcards
6 cards from real Occupational Therapist Test practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Occupational Therapist Test Hand Therapy and Upper Extremity flashcards as text
First-line OT treatment for lateral epicondylitis (tennis elbow) includes:
Answer: Counterforce bracing and activity modification to reduce wrist extension loading
A counterforce brace worn just distal to the elbow redistributes stress away from the lateral epicondyle, while activity modification reduces repetitive wrist extension loading.
Ulnar nerve injury at the wrist primarily results in impaired:
Answer: Ring and little finger abduction/adduction via interossei
The ulnar nerve innervates all interossei and hypothenar muscles; injury at the wrist causes loss of finger abduction/adduction and ulnar two lumbrical function.
Dupuytren's contracture most commonly causes progressive flexion contractures of which fingers?
Answer: Ring and little fingers
Dupuytren's contracture involves fibroproliferative thickening of the palmar fascia, most frequently affecting the ring and little finger rays.
When fabricating a wrist cock-up splint for carpal tunnel syndrome, the optimal wrist position is:
Answer: Neutral (0°) to slight extension (0-10°)
Neutral to slight wrist extension minimizes pressure within the carpal tunnel while maintaining functional wrist positioning, especially during sleep.
Complex Regional Pain Syndrome (CRPS) of the upper extremity is best characterized by:
Answer: Disproportionate pain, autonomic dysfunction, and trophic skin changes
CRPS presents with burning pain, allodynia, edema, temperature and color changes, and trophic alterations that are disproportionate to the original injury.
An extensor tendon injury at Zone III (over the PIP joint) typically results in which deformity if left untreated?
Answer: Boutonniere deformity
Zone III central slip disruption allows the lateral bands to migrate palmarly, creating boutonniere deformity: PIP flexion and DIP hyperextension.
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