Certified Hand Therapist EXAM
QUESTIONS AND VERIFIED ACCURATE
SOLUTION |GET IT 100% ACCURATE
Collagen - ANSWER-primary protein contributing to stiffness
collateral sprouting from adjacent normal nerves - ANSWER-s/p cutaneous nerve resection/transplant
common after crush injuries to have: - ANSWER-flexor / extensor adhesions
common benign soft tissue tumors: - ANSWER-ganglia, lipoma, Schwannoma
common complication s/p Moberg flap - ANSWER-flexion contracture of the thumb
common deformity s/p burn - ANSWER-webspace contracture, dorsal skin deficiency, nail deformities
(not swan-neck)
Common local flaps used in the hand - ANSWER-z-plasty, V-Y advancement, axial flag flap, Moberg
commonly affected s/p distal radius fx - ANSWER-TFCC, SL ligament, LT ligament
compartment syndrome - ANSWER-decreased tissue blood flow/oxygenation/function (and local venous
pressure increased)
compartment syndrome of the hand - ANSWER-can also present with symptoms of acute carpal tunnel
syndrome
Compartments - ANSWER-10 in the hand, 3 in the forearm
Complete distal biceps rupture - ANSWER-30% loss of elbow flexion and 40% loss of supination
,complications s/p fingertip amputation - ANSWER-cold intolerance, diminished sensation,
hypersensitivity
complications s/p open Dupuytren's release - ANSWER-tendon or nerve injury and soft tissue loss
compression dressing therapy (gentle) - ANSWER-for edema control and to reduce risk of hypertrophic
scarring s/p burn on hand
compression of radial nerve - ANSWER-fibrous bands anterior to radial head, recurrent radial vessels,
tendinous margin ECRB, arcade of Frohse
compression of ulnar nerve at elbow - ANSWER-aponeurotic arcade, deep flexor pronator aponeurosis,
epicondylar groove
compressive force at CMC Joint - ANSWER-12x force than thumb/index pinch (1# pinch = 12#
compressive force at CMC)
concave surface - ANSWER-should be glided in same direction as bone is moving
conduction = hot pack/paraffin - ANSWER-convention = fluidotherapy/whirlpool
congenital trigger digit - ANSWER-infant born with an IP contracture of the IP joint in flexion (not
triggering)
continued exposure to microtrauma in soft tissue with MSD's can lead to - ANSWER-persistent/chronic
inflammation, fibrosis, and collagen disorganization
continuous rate ultrasound - ANSWER-to increase tissue temperature for stretching scar adhesion
contracted volar DRUJ joint - ANSWER-capsule will limit end range forearm rotation (mostly supination)
,conversion disorders - ANSWER-somatoform - lack pathophysiologic evidence
convex surface - ANSWER-should be mobilized on a concave surface in opposite direction
coracobrachialis - ANSWER-intrinsic muscle that is a flexor and adductor of the shoulder/GH motion
Coracoclavicular ligament - ANSWER-major supporting structure of the clavicle
Coracohumeral ligament is: - ANSWER-tight in adduction (tightness if more ER in 90 abduction vs
adduction)
cortical ring sign - ANSWER-associated with SL injury - scaphoid gets a ring around it on X-ray
Cozen's test - ANSWER-resisted wrist extension (ECRB) for lateral epincondylitis
Cozen's test - ANSWER-resisted wrist extension test for lateral epicondylitis
CPM - ANSWER-can be initiated within 1 week of establishing joint stability s/p posterior dislocation of
elbow
Crank test - ANSWER-assess the first CMC joint
Crank Test - ANSWER-assesses integrity of the glenoid labrum
Crank test - ANSWER-used to diagnose labral tears
Crawford small parts - ANSWER-screwdrivers and tweezers
creep - ANSWER-skin undergoes plastic deformation; skin becomes tense and begins fatigue/breakdown
and unable to return to normal resting length
, CREST syndrome - ANSWER-variant of limited scleroderma (calcinosis, Raynaud's phenomenon,
Espohageal dysmotility, Sclerodactyly, Telangiectasia)
crossed intrinsic transfer - ANSWER-to prevent ulnar drift, intrinsics released from ulnar side of
IF/MF/RF and transferred to radial side
CRPS 1 and 2 can be sympathetically maintained or independent - ANSWER-and there is some evidence
that CRPS is hereditary
CRPS order - ANSWER-acute >> dystrophic >> atrophic
CRPS type I - without nerve involvement - ANSWER-CRPS type 2 - with nerve involvement
Cryotherapy tissue temperature - ANSWER-10-15C ( 50-59F)
Cubital fossa - ANSWER-brachioradialis lateral border and pronator teres medial border
Cubital tunnel - ANSWER-3-5cm distal to medial epicondyle
cubitus varus - ANSWER-more frequent s/p supracondylar humerus fx at epiphyseal plate
Cultural standard of personal space in USA - ANSWER-18 inches
Cyriax end feels - ANSWER-bone-bone (joint limit) // spasm/muscle guarding (fx, arthritis) // capsular-
hard/some give (arthritis) // spring back rebound (internal joint derangement) // tissue approximation -
soft arrest- no block // empty (pain far from limit - bursitis, acute calcific tendonitis, abscess)
dart thrower's motion - ANSWER-minimizes elongation of SLIL (scapho-lunate interosseous ligament)
QUESTIONS AND VERIFIED ACCURATE
SOLUTION |GET IT 100% ACCURATE
Collagen - ANSWER-primary protein contributing to stiffness
collateral sprouting from adjacent normal nerves - ANSWER-s/p cutaneous nerve resection/transplant
common after crush injuries to have: - ANSWER-flexor / extensor adhesions
common benign soft tissue tumors: - ANSWER-ganglia, lipoma, Schwannoma
common complication s/p Moberg flap - ANSWER-flexion contracture of the thumb
common deformity s/p burn - ANSWER-webspace contracture, dorsal skin deficiency, nail deformities
(not swan-neck)
Common local flaps used in the hand - ANSWER-z-plasty, V-Y advancement, axial flag flap, Moberg
commonly affected s/p distal radius fx - ANSWER-TFCC, SL ligament, LT ligament
compartment syndrome - ANSWER-decreased tissue blood flow/oxygenation/function (and local venous
pressure increased)
compartment syndrome of the hand - ANSWER-can also present with symptoms of acute carpal tunnel
syndrome
Compartments - ANSWER-10 in the hand, 3 in the forearm
Complete distal biceps rupture - ANSWER-30% loss of elbow flexion and 40% loss of supination
,complications s/p fingertip amputation - ANSWER-cold intolerance, diminished sensation,
hypersensitivity
complications s/p open Dupuytren's release - ANSWER-tendon or nerve injury and soft tissue loss
compression dressing therapy (gentle) - ANSWER-for edema control and to reduce risk of hypertrophic
scarring s/p burn on hand
compression of radial nerve - ANSWER-fibrous bands anterior to radial head, recurrent radial vessels,
tendinous margin ECRB, arcade of Frohse
compression of ulnar nerve at elbow - ANSWER-aponeurotic arcade, deep flexor pronator aponeurosis,
epicondylar groove
compressive force at CMC Joint - ANSWER-12x force than thumb/index pinch (1# pinch = 12#
compressive force at CMC)
concave surface - ANSWER-should be glided in same direction as bone is moving
conduction = hot pack/paraffin - ANSWER-convention = fluidotherapy/whirlpool
congenital trigger digit - ANSWER-infant born with an IP contracture of the IP joint in flexion (not
triggering)
continued exposure to microtrauma in soft tissue with MSD's can lead to - ANSWER-persistent/chronic
inflammation, fibrosis, and collagen disorganization
continuous rate ultrasound - ANSWER-to increase tissue temperature for stretching scar adhesion
contracted volar DRUJ joint - ANSWER-capsule will limit end range forearm rotation (mostly supination)
,conversion disorders - ANSWER-somatoform - lack pathophysiologic evidence
convex surface - ANSWER-should be mobilized on a concave surface in opposite direction
coracobrachialis - ANSWER-intrinsic muscle that is a flexor and adductor of the shoulder/GH motion
Coracoclavicular ligament - ANSWER-major supporting structure of the clavicle
Coracohumeral ligament is: - ANSWER-tight in adduction (tightness if more ER in 90 abduction vs
adduction)
cortical ring sign - ANSWER-associated with SL injury - scaphoid gets a ring around it on X-ray
Cozen's test - ANSWER-resisted wrist extension (ECRB) for lateral epincondylitis
Cozen's test - ANSWER-resisted wrist extension test for lateral epicondylitis
CPM - ANSWER-can be initiated within 1 week of establishing joint stability s/p posterior dislocation of
elbow
Crank test - ANSWER-assess the first CMC joint
Crank Test - ANSWER-assesses integrity of the glenoid labrum
Crank test - ANSWER-used to diagnose labral tears
Crawford small parts - ANSWER-screwdrivers and tweezers
creep - ANSWER-skin undergoes plastic deformation; skin becomes tense and begins fatigue/breakdown
and unable to return to normal resting length
, CREST syndrome - ANSWER-variant of limited scleroderma (calcinosis, Raynaud's phenomenon,
Espohageal dysmotility, Sclerodactyly, Telangiectasia)
crossed intrinsic transfer - ANSWER-to prevent ulnar drift, intrinsics released from ulnar side of
IF/MF/RF and transferred to radial side
CRPS 1 and 2 can be sympathetically maintained or independent - ANSWER-and there is some evidence
that CRPS is hereditary
CRPS order - ANSWER-acute >> dystrophic >> atrophic
CRPS type I - without nerve involvement - ANSWER-CRPS type 2 - with nerve involvement
Cryotherapy tissue temperature - ANSWER-10-15C ( 50-59F)
Cubital fossa - ANSWER-brachioradialis lateral border and pronator teres medial border
Cubital tunnel - ANSWER-3-5cm distal to medial epicondyle
cubitus varus - ANSWER-more frequent s/p supracondylar humerus fx at epiphyseal plate
Cultural standard of personal space in USA - ANSWER-18 inches
Cyriax end feels - ANSWER-bone-bone (joint limit) // spasm/muscle guarding (fx, arthritis) // capsular-
hard/some give (arthritis) // spring back rebound (internal joint derangement) // tissue approximation -
soft arrest- no block // empty (pain far from limit - bursitis, acute calcific tendonitis, abscess)
dart thrower's motion - ANSWER-minimizes elongation of SLIL (scapho-lunate interosseous ligament)
