CHT Practice Exam #4 Review Questions and Answers
SHAFT syndrome Correct Ans-"sad, hostile, anxious, frustrating, and tenacious" Passive
form of munchausen. Seeks surgeries.
Bacteria count at what level would be considered infected? Correct Ans-10 to the 5th
power (100,000)
Subscapularis trigger point pattern Correct Ans-Concentrates in the posterior shoulder
region, with spillover into the shoulder blade region and down the back of the upper arm.
There may be a unique band around the wrist as well. Most if not all frozen shoulders do have
active trigger points in the subcapularis muscle.
Seddon Classification Correct Ans-Neurapraxia: temporary interruption of conduction due
to myelin damage, but without loss of axonal continuity.
Axonotmesis: loss of continuity of the axon and myelin, but epineurium and perineurium, are
preserved.
Neurotmesis: total severance or disruption of the entire nerve fiber.
Sunderland Classification Correct Ans-1st Degree - myelin damage, slows signals, no
wallerian degeneration
2nd Degree - disruption of axon, wallerian degeneration takes place
3rd Degree - disruption of axon and endoneurium
4th Degree - disruption of axon, endoneurium, and perneurium
, CHT Practice Exam #4 Review Questions and Answers
5th Degree - disruption of axon, endoneurium, perneurium, and epineurium; complete
severance of nerve
Neer Impingement Stages Correct Ans-Type I: <25 years old, Reversible, Swelling,
Tendonitis, No Tears, Conservative Treatment.
Type II: 25-40 years old, Permanent Scarring, Tendonitis, No Tears, Subacromial Decomp
Type III: >40 years old, Small Rotator Cuff Tear, Subacromial Decomp with
Debridement/Repair
Type IV: >40 years old, Large Rotator Cuff Tear, Sub Acromial Decomp with Repair
Acromion types Correct Ans-- type I: flat, type II: curved, type III: hooked, and type IV:
convex.
-Type III = greatest chance of rotator cuff tear
Nifedipine AKA Procardia Correct Ans-Nifedipine is in a group of drugs called calcium
channel blockers. It works by relaxing the muscles of your heart and blood vessels. Nifedipine
is used to treat hypertension (high blood pressure) and angina (chest pain). In hand therapy,
can be used to treat Raynaud's phenomenon following cold injury.
Which vincula are located in zone II? Correct Ans-Vincula longus and brevis to the FDS, and
Vincula longus to the FDP.
- Note: The FDP vincula brevis is near the insertion in zone I
SHAFT syndrome Correct Ans-"sad, hostile, anxious, frustrating, and tenacious" Passive
form of munchausen. Seeks surgeries.
Bacteria count at what level would be considered infected? Correct Ans-10 to the 5th
power (100,000)
Subscapularis trigger point pattern Correct Ans-Concentrates in the posterior shoulder
region, with spillover into the shoulder blade region and down the back of the upper arm.
There may be a unique band around the wrist as well. Most if not all frozen shoulders do have
active trigger points in the subcapularis muscle.
Seddon Classification Correct Ans-Neurapraxia: temporary interruption of conduction due
to myelin damage, but without loss of axonal continuity.
Axonotmesis: loss of continuity of the axon and myelin, but epineurium and perineurium, are
preserved.
Neurotmesis: total severance or disruption of the entire nerve fiber.
Sunderland Classification Correct Ans-1st Degree - myelin damage, slows signals, no
wallerian degeneration
2nd Degree - disruption of axon, wallerian degeneration takes place
3rd Degree - disruption of axon and endoneurium
4th Degree - disruption of axon, endoneurium, and perneurium
, CHT Practice Exam #4 Review Questions and Answers
5th Degree - disruption of axon, endoneurium, perneurium, and epineurium; complete
severance of nerve
Neer Impingement Stages Correct Ans-Type I: <25 years old, Reversible, Swelling,
Tendonitis, No Tears, Conservative Treatment.
Type II: 25-40 years old, Permanent Scarring, Tendonitis, No Tears, Subacromial Decomp
Type III: >40 years old, Small Rotator Cuff Tear, Subacromial Decomp with
Debridement/Repair
Type IV: >40 years old, Large Rotator Cuff Tear, Sub Acromial Decomp with Repair
Acromion types Correct Ans-- type I: flat, type II: curved, type III: hooked, and type IV:
convex.
-Type III = greatest chance of rotator cuff tear
Nifedipine AKA Procardia Correct Ans-Nifedipine is in a group of drugs called calcium
channel blockers. It works by relaxing the muscles of your heart and blood vessels. Nifedipine
is used to treat hypertension (high blood pressure) and angina (chest pain). In hand therapy,
can be used to treat Raynaud's phenomenon following cold injury.
Which vincula are located in zone II? Correct Ans-Vincula longus and brevis to the FDS, and
Vincula longus to the FDP.
- Note: The FDP vincula brevis is near the insertion in zone I
