New York Physical Therapy Ebook Continuing Education

16. A common diagnosis of the wrist joint is the: a. SLUSH Wrist. b. SLAC Wrist. c. SLAG Wrist. d. SLIP Wrist.

10. For a client who, on rising in the morning, experiences pain and stiffness of the CMC joint but has no acute inflammation, the occupational therapist is most likely to suggest that the client: a. Receive functional electrical stimulation. b. Take two aspirin. c. Dip his or her hands in therapeutic paraffin. d. Apply an ice pack for 20 minutes. 11. If a client were experiencing significant pain in the thumb during activity, the therapist might issue an orthosis that places the thumb in a more functional position (opposition) for ease of use, and immobilizes the: a. Interphalangeal and metacarpal phalangeal joints in neutral. b. Wrist, carpometacarpal, metacarpal phalangeal, and interphalangeal of the thumb. c. Carpometacarpal joint only. d. Wrist only. 12. An occupational therapist is most likely to fabricate or provide a synthetic rubber orthosis for a client with carpometacarpal OA because: a. The material is inexpensive and fully reimbursed by insurance. b. The client prefers a less restrictive orthosis. c. It assists in maintaining the thumb in abduction. d. The client is in pain and needs total immobilization during activities. 13. OA of the carpometacarpal joint at the trapezio- metacarpal (TM) joint is surgically corrected by using the: a. Ligament reconstruction tendon interposition procedure. b. Ligament arthrodesis tendon procedure. c. Bone and ligament arthroplasty procedure. d. Extensor pollicis longus tendon transfer procedure. 14. An important exercise from the dynamic stability program for conservative management for thumb CMC OA includes: a. Passive stretching of the thumb into radial abduction. b. Isometric strengthening of the extensor pollicis longus (EPL). c. Graded resistive exercises of the first dorsal interosseous. d. Repetitive tip pinch strengthening with therapy putty. 15. Although therapy is typically not initiated until at least 4 to 6 weeks following surgery, how does a client benefit from wearing a thermoplastic orthosis at week 4 post-CMC arthroplasty? a. The wound will heal more quickly. b. Motion can be initiated sooner to facilitate healing. c. The orthosis is lightweight and more comfortable for the client. d. No benefit is derived from wearing a thermoplastic orthosis.

17. Following analysis of occupation during which a client reports significant pain during cooking activities, the OT practitioner might decide to educate the client about: a. Methods to ice the hands after the activity. b. Local health clubs that offer tai chi exercise groups. c. Over-the-counter medications that reduce pain during activity. d. Work simplification and joint protection techniques. 18. How many weeks after a proximal row carpectomy should active range of motion exercises of the wrist begin? a. 1 week. b. 2 weeks. c. 4 weeks. d. 5 weeks. 19. The ultimate salvage for any motion-preserving procedure is: a. Total wrist arthrodesis. b. Wrist arthroplasty. c. SLAC wrist. d. Wrist orthosis 20. What is the primary reason no resistance to supination and pronation should be applied at 8 weeks after total wrist arthrodesis? a. The radial head may become dislocated. b. Torsional load could affect healing of the fusion negatively. c. The extensor digitorum could become attenuated. d. The motion is difficult and creates awkward positioning.

Course Code: PTNY02SM

Page 25

Book Code: PTNY1024

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