NBCOT HAND AND UPPER EXTREMITY
INJURIES COMPREHENSIVE EXAM 2026
FULL QUESTIONS AND CORRECT ANSWERS
ALREADY PASSED
●● Radial head fractures
Answer: Fractures of the radius often occur in the part of the bone near
the elbow, called the radial "head."
Radial head fractures are common injuries, occurring in about 20% of all
acute elbow injuries. Many elbow dislocations also involve fractures of
the radial head.
Radial head fractures are more frequent in women than in men, and are
more likely to happen in people who are between 30 and 40 years of age.
●● flexor digitorum superficialis
Answer: flexes wrist and middle phalanges of fingers 2-5
●● thermoplastic splint
Answer: A thermoplastic splint is a device used to immobilize, protect
and support injuries such as fractures, sprains and strains. Thermoplastic
splints differ from traditional plaster casts in that they are lighter, easily
molded to fit the body of the individual patient and can be removed for
cleaning and patient bathing.
,●● neoprene wrap support
Answer:
●● Intrinsic plus splint
Answer: appropriate splint choice for client w/ 2nd-3rd degree burns on
the dorsal forearm and hand
●● Resting hand splint
Answer: Static wrist-hand orthosis used to immobilize the wrist, fingers
and thumb. Used b/c MCPs and IPs are kept stretched (minimizing
future joint contractures)
●● cone antispasticity splint
Answer: used for clients with cerebrovascular accident, traumatic brain
injury, or cerebral palsy.
●● dorsal flexor tendon repair splint
Answer: used for clients with flexor tendon repair
●● When fabricating a dynamic MCP flexion splint, what is the correct
angle of pull for a finger loop?
Answer: 90 degrees
,●● blocking splint
Answer: Used to isolate tendon and joint range of motion
●● A blocking splint fabricated to maintain the MCP joints in extension
can be useful to isolate which joint movements?
Answer: IP joint flexion and FDP excursion
●● flexor digitorum profundus excursion
Answer: is required to produce composite digit and wrist flexion
●● IP joint extension
Answer: IP is extended
●● MCP joint flexion
Answer: 0-90
●● For clients who have Arthritis, which aspect of the overall OT
intervention plan is the most crucial?
Answer: self-efficacy
●● Zone 2 flexor digitorum superficialis tendon laceration
Answer: this is where 2 tendons enter fibro-osseuous tunnel at mid-palm
level
, hences zone 2 lacerations will injure the FDP
the main complication of repair, is formation of adhesions to the flexor
tendon sheaths
●● A 10 year old child who sustained a zone 2 flexor digitorum
superficially tendon laceration and underwent primary repair. Which
flexor tendon repair protocol would represent best practice standards?
Answer: Immobilization approach
●● active/early mobilization approach
Answer: simple splinting of the hand and full-range passive movement
into flexion and extension, with active movement of the repaired tendon
commencing within 48 hours of surgery
●● passive mobilization approach
Answer: protocol for tendon repair rehabilitation that utilizes PROM for
healing, preventing adhesions, and joint stiffness
●● A high-level ulnar nerve injury may result in which characteristic
deformity?
Answer: hyperextension of the ring and small finger MCP joints because
of loss of the extension controlling forces of the 3rd and 4th lumbricals
INJURIES COMPREHENSIVE EXAM 2026
FULL QUESTIONS AND CORRECT ANSWERS
ALREADY PASSED
●● Radial head fractures
Answer: Fractures of the radius often occur in the part of the bone near
the elbow, called the radial "head."
Radial head fractures are common injuries, occurring in about 20% of all
acute elbow injuries. Many elbow dislocations also involve fractures of
the radial head.
Radial head fractures are more frequent in women than in men, and are
more likely to happen in people who are between 30 and 40 years of age.
●● flexor digitorum superficialis
Answer: flexes wrist and middle phalanges of fingers 2-5
●● thermoplastic splint
Answer: A thermoplastic splint is a device used to immobilize, protect
and support injuries such as fractures, sprains and strains. Thermoplastic
splints differ from traditional plaster casts in that they are lighter, easily
molded to fit the body of the individual patient and can be removed for
cleaning and patient bathing.
,●● neoprene wrap support
Answer:
●● Intrinsic plus splint
Answer: appropriate splint choice for client w/ 2nd-3rd degree burns on
the dorsal forearm and hand
●● Resting hand splint
Answer: Static wrist-hand orthosis used to immobilize the wrist, fingers
and thumb. Used b/c MCPs and IPs are kept stretched (minimizing
future joint contractures)
●● cone antispasticity splint
Answer: used for clients with cerebrovascular accident, traumatic brain
injury, or cerebral palsy.
●● dorsal flexor tendon repair splint
Answer: used for clients with flexor tendon repair
●● When fabricating a dynamic MCP flexion splint, what is the correct
angle of pull for a finger loop?
Answer: 90 degrees
,●● blocking splint
Answer: Used to isolate tendon and joint range of motion
●● A blocking splint fabricated to maintain the MCP joints in extension
can be useful to isolate which joint movements?
Answer: IP joint flexion and FDP excursion
●● flexor digitorum profundus excursion
Answer: is required to produce composite digit and wrist flexion
●● IP joint extension
Answer: IP is extended
●● MCP joint flexion
Answer: 0-90
●● For clients who have Arthritis, which aspect of the overall OT
intervention plan is the most crucial?
Answer: self-efficacy
●● Zone 2 flexor digitorum superficialis tendon laceration
Answer: this is where 2 tendons enter fibro-osseuous tunnel at mid-palm
level
, hences zone 2 lacerations will injure the FDP
the main complication of repair, is formation of adhesions to the flexor
tendon sheaths
●● A 10 year old child who sustained a zone 2 flexor digitorum
superficially tendon laceration and underwent primary repair. Which
flexor tendon repair protocol would represent best practice standards?
Answer: Immobilization approach
●● active/early mobilization approach
Answer: simple splinting of the hand and full-range passive movement
into flexion and extension, with active movement of the repaired tendon
commencing within 48 hours of surgery
●● passive mobilization approach
Answer: protocol for tendon repair rehabilitation that utilizes PROM for
healing, preventing adhesions, and joint stiffness
●● A high-level ulnar nerve injury may result in which characteristic
deformity?
Answer: hyperextension of the ring and small finger MCP joints because
of loss of the extension controlling forces of the 3rd and 4th lumbricals
