OT Physical Rehabilitation & Musculoskeletal OT 3

Question 1

Which splint is MOST appropriate for a patient diagnosed with de Quervain's tenosynovitis?

Accepted Answer

Thumb spica splint immobilizing the CMC and MCP joints of the thumb

Answer

Ulnar gutter splint

Answer

Wrist cock-up splint

Answer

Finger extension splint

Question 2

In trigger finger (stenosing tenosynovitis), which structure is primarily involved?

Accepted Answer

Flexor digitorum superficialis or profundus tendon catching at the A1 pulley

Answer

Extensor digitorum communis

Answer

Interosseous muscles

Answer

Lumbrical muscles

Question 3

In sensory re-education following peripheral nerve injury, what is the RECOMMENDED sequence?

Accepted Answer

Begin with protective sensation, then progress to discriminative sensation

Answer

Begin with moving touch stimuli before static touch

Answer

Begin with fine two-point discrimination before protective sensation

Answer

Focus exclusively on pain sensitivity throughout rehab

Question 4

Which approach is MOST appropriate for treating complex regional pain syndrome (CRPS) in occupational therapy?

Accepted Answer

Desensitization, stress loading, and graded active movement

Answer

Splinting the extremity in maximum extension to maintain length

Answer

Aggressive passive range of motion to break down adhesions

Answer

Complete rest and immobilization to reduce sympathetic activity

Question 5

What is the normal range of MCP joint flexion measured with a goniometer?

Accepted Answer

85–90°

Answer

60–70°

Answer

100–110°

Answer

45–50°

Question 6

Which splint is the STANDARD treatment for an acute mallet finger injury in OT?

Accepted Answer

DIP extension splint worn continuously for 6–8 weeks

Answer

Buddy taping to the adjacent finger

Answer

Wrist immobilization splint to reduce extensor tension

Answer

Dynamic traction splint

Question 7

A patient with a C6 spinal cord injury is expected to achieve which hand function?

Accepted Answer

Tenodesis grasp using active wrist extension to passively flex the fingers

Answer

No functional hand use due to complete paralysis below the injury

Answer

Full manual dexterity with intrinsic and extrinsic muscle control

Answer

Active intrinsic hand function with fine lateral pinch