CONSERVATIVE AND SURGICAL MANAGEMENT OF THE OSTEOARTHRITIC HAND AND WRIST, 3RD EDITION Final Examination Questions Select the best answer for each question and complete your test online at EliteLearning.com/Book 238. A major contributing factor to development of
245. A common surgical method to correct a severe distal interphalangeal joint deformity is known as: a. Total wrist arthroplasty. b. MCP arthroplasty. c. Tenodesis. d. Arthrodesis. 246. An x-ray of a thumb carpometacarpal joint with osteoarthritis will typically show: a. A thick area of blackness between the bones, indicating a large joint space. b. The ends of bones being white, indicating bone loss. c. Narrowing of the joint with sclerotic changes including osteophyte production. d. A large void where the scaphoid bone once existed but wore away. 247. 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. 248. 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. 249. 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. 250. 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.
osteoarthritis in the hand and wrist is: a. A small and slender body frame b. Being an elderly female c. Overuse of a joint at the hand or wrist. d. The presence of severe dry skin. 239. Osteoarthritis of the proximal interphalangeal joint can result in the formation of: a. Heberden’s nodes. b. Ganglion cysts. c. Osteopenic granulocytes. d. Bouchard’s nodes. 240. Osteoarthritis is diagnosed by medical professionals largely by: a. X-rays, because osteoarthritis is always seen clearly on an x-ray. b. Laboratory blood tests, designed specifically to detect OA. c. Clinical presentation, using American College of Rheumatology criteria. d. Cartilage imaging, using standard radiographic imaging. 241. A client with osteoarthritis of the hand who is seeing a physician for the first time will likely be provided with: a. A joint replacement procedure. b. A 2-month regimen of NSAIDs c. Occupational therapy for orthoses. d. Education and exercise. 242. Rehabilitation therapists best serve clients with OA by: a. Helping them attain a successful lifestyle even in the presence of OA. b. Educating them about adjunct therapies such as acupuncture. c. Teaching them about pharmacological interventions. d. Helping them evaluate their social lives. 243. One provocative test used by the occupational therapist to confirm a clinical diagnosis of carpometacarpal osteoarthritis is: a. Finkelstein’s test. b. The Grind test. c. The Jebson Hand Function Test d. The goniometric measurement of the IP joint of the thumb. 244. Conservative therapeutic management of osteoarthritis of the DIP joint includes a: a. Dynamic mobilization orthosis, applying force into DIP flexion. b. Static orthosis, holding the DIP joint into hyperextension. c. Radial gutter orthosis, extending from wrist to the tip of the finger. d. Clam-shell static orthosis for the distal interphalangeal joint only.
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