Deck 11: Hand, Fingers, and Thumb

Question 1

A recreational basketball player suffers an extensor digitorum tendon rupture of the third finger. The physician recommends bracing of the finger. The distal interphalangeal joint of the involved finger should be placed in:

A) slight flexion.
B) full flexion.
C) slight extension.
D) neutral to slight hyperextension.

Answer 1

neutral to slight hyperextension.

Question 2

All of the following techniques can be used to provide support to the collateral ligaments of the fingers EXCEPT:

A) finger sleeve.
B) buddy tape.
C) elastic material.
D) "X" tape.

Answer 2

elastic material.

Question 3

To avoid unraveling of tape caused by contact with athletic equipment, anchor finger and thumb techniques on the:

A) palmar aspect.
B) dorsal aspect.
C) medial aspect.
D) lateral aspect.

Answer 3

dorsal aspect.

Question 4

When properly applied, the thumb spica taping technique should position the thumb in:

A) adduction and extension.
B) abduction and extension.
C) adduction and flexion.
D) abduction and flexion.

Question 5

Provide additional compression to the dorsal hand during the application of the boxer's wrap compression technique with:

A) ¼ inch or ½ inch open-cell foam.
B) additional figures-of-eight.
C) viscoelastic polymers.
D) moleskin.

Question 6

Which of the following is not an effective technique for the treatment of finger contusions and blisters?

A) Adhesive gauze
B) Foam sleeves
C) Elastic tape spiral pattern
D) Elastic material

Question 7

Which of the following statements about the thumb bracing technique is false?

A) It is used to treat and prevent sprains.
B) It is used only during athletic and work activities.
C) It can be applied over sports-specific gloves.
D) It is used to lessen the metacarpophalangeal joint range of motion.

Question 8

Which technique can provide additional support to the basic thumb spica?

A) Thermoplastic material
B) Horizontal anchor strips
C) Tear drop shape tape core
D) All of the above

Question 9

Gloves are mandatory in which NCAA and NFHS sport?

A) Baseball
B) Football
C) Lacrosse
D) Soccer

Question 10

A mallet finger injury involves what soft tissue structure?

A) Ulnar collateral ligament of thumb
B) Collateral ligament of the distal interphalangeal joint
C) Extensor digitorum tendon
D) Flexor digitorum tendon

Question 11

Sprains to the collateral ligaments of the fingers are commonly the result of:

A) hyperflexion and varus/valgus forces.
B) hyperextension and varus/valgus forces.
C) compressive or rotational forces.
D) shear and compressive forces.

Question 12

Edema is more commonly seen in which area of the hand following injury?

A) Palmar
B) Dorsal
C) Radial
D) Ulnar

Question 13

PIP is the acronym for the:

A) Proximal interphalangeal joint.
B) Phalanx interphalangeal joint.
C) Proximal interphalanx joint.
D) Post-interphalangeal joint.

Question 14

The lock-in strip applied within the buddy tape technique is used to:

A) provide support to the collateral ligaments.
B) limit excessive flexion and extension at the distal interphalangeal and proximal interphalangeal joints.
C) prevent the foam or felt between the fingers from dislodging.
D) retain anatomical alignment of the injured finger.

Question 15

During application of the thumb spica taping technique, the tape should remain proximal to which joint of the thumb?

A) Metacarpophalangeal
B) Proximal interphalangeal
C) Interphalangeal
D) Distal interphalangeal

Question 16

Finger braces can be used to treat all of the following injuries EXCEPT:

A) sprains.
B) blisters.
C) fractures.
D) tendon ruptures.

Question 17

To remove the thumb spica semirigid cast, you should cut along which aspect of the cast?

A) Radial
B) Dorsal
C) Palmar
D) Ulnar

Question 18

All of the following techniques can be used to anchor padding to the hand EXCEPT:

A) figure-of-eight wrap.
B) elastic material.
C) "X" tape.
D) boxer's wrap.

Question 19

Prevent constricting and abrading the web spaces while encircling the fingers during the application of the boxer's wrap by having the patient:

A) actively extend the MCP, PIP, and DIP joints of the fingers.
B) maintain full flexion at the MCP, PIP, and DIP joints of the fingers.
C) maintain a pain-free or neutral position of the fingers.
D) actively flex the MCP, PIP, and DIP joints of the fingers and make a fist.

Question 20

If possible, rotate off-the-shelf and custom-made braces from the dorsal to the palmar aspect of the finger to:

A) increase range of motion.
B) prevent maceration of the skin.
C) provide additional support.
D) lessen shock absorption.

Question 21

What ligament is injured if your patient has gamekeeper's thumb?

A) Ulnar collateral of the first finger
B) Radial collateral of the fifth finger
C) Radial collateral of the first finger
D) Ulnar collateral of the fifth finger

Question 22

Research examining the effectiveness of taping, wrapping, and bracing techniques for the conservative management of boxer's fractures has demonstrated:

A) evidence for the effectiveness of taping.
B) evidence for the effectiveness of wrapping.
C) evidence for the effectiveness of bracing.
D) limited evidence for the effectiveness of more than one technique.

Question 23

Based on the available evidence, off-the-shelf and custom-made finger braces used for the conservative management of uncomplicated mallet finger injuries:

A) do not effectively immobilize the distal interphalangeal joint.
B) effectively immobilize the distal interphalangeal joint.
C) are not recommended for athletes.
D) are expensive and uncomfortable.

Question 24

What is the benefit of using finger sleeves as opposed to other wrapping techniques?

A) The sleeve can be applied without assistance.
B) The sleeve provides more support.
C) Sleeves can treat tendon ruptures.
D) Sleeves can apply variable pressure.

Question 25

Fingertip bandages are sometimes too large, which results in excess bandage material. What can be used in place of the bandage?

A) Buddy tape
B) Lightweight elastic tape
C) Finger compression wrap
D) "X" tape