Deck 22: Comprehensive Hand Management

Question 1

An OTA is working with a male client after surgery on a deformity in his ring and small fingers who also has a history of smoking. Which condition is this client most likely diagnosed with?

A) A ganglion cyst
B) de Quervain's tendinopathy
C) Trigger finger
D) Dupuytren's contracture

Answer 1

Dupuytren's contracture

Question 2

A client is complaining of discomfort in her hand related to osteoarthritis. Which carpometacarpal (CMC) joint is most likely contributing to this pain?

A) CMC joint 1
B) CMC joint 2
C) CMC joint 3
D) CMC joint 4

Answer 2

CMC joint 1

Question 3

A client is complaining of pain and numbness on the back of the hand. Which hand nerve is most likely contributing to this issue?

A) Medial
B) Radial
C) Ulnar
D) Median

Answer 3

Radial

Question 4

A client who is an office worker would like to return to his position after surgery for bilateral carpal tunnel release. What would be the first step in providing education on ergonomic techniques for this client?

A) Discuss components of the job that may lead to elbow extension.
B) Maintain upright posture in the workstation design.
C) Obtain a job description, and explore the demands of the job to suggest modifications.
D) Raise the computer monitor to eye level.

Question 5

An OTA is working on sensory reeducation with a client who has experienced loss of sensation in her hand due to a nerve compression injury. Which intervention will most likely assist the client with this process?

A) Utilization of mirror visual feedback
B) Touching a variety of textures in a rice bin
C) Incorporating extreme temperatures into therapy
D) AROM

Question 6

An OT practitioner is working with a client after surgery for a flexor tendon repair. What would the OTA do first as a part of the intervention program for this client?

A) AROM
B) Early protected motion
C) Strengthening
D) Scar massage

Question 7

An OTA is working with a client who has sustained a distal radial fracture. As a part of the treatment program, the OTA is emphasizing pain-free motion. Which condition is the OTA helping the client to prevent?

A) Scaphoid fracture
B) Flexor tendon injury
C) Complex regional pain syndrome
D) Fibromyalgia

Question 8

An OT practitioner is evaluating the ROM in a client with complaints about difficulty moving his upper extremity. Upon assessment, the OT practitioner documents that PROM is greater than AROM. What would most likely be causing this?

A) Weakness
B) Pain
C) Deformities
D) Neuropathy

Question 9

A client is presenting with a thick, raised scar after a surgical repair of carpal tunnel syndrome. What should the OTA instruct the client to do as a part of his treatment?

A) Perform scar massage several times a day.
B) Perform AROM exercises several times per day.
C) Fabricate an orthotic to protect the scar during healing.
D) Measure for a compression garment.

Question 10

An OTA is assessing sensory function in a client's hand. The OTA is assessing to see if the client can discriminate pressure and recording the smallest-diameter touch that the client can report sensing while her vision is occluded. Which assessment is the OTA performing on this client?

A) Semmes Weinstein monofilament test
B) Two-point test
C) Moberg pickup Test
D) Sharp-dull discrimination test