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CHT Neuroanatomy 2025/2026 | 120+ Solved Questions on Nerve Injury, Brachial Plexus, Sensory Re-education, Entrapments & Clinical Diagnosis

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This complete exam prep document includes 120+ fully solved multiple-choice questions specifically designed for the Certified Hand Therapist (CHT) Exam with a dedicated focus on neuroanatomy, nerve injury, and sensory re-education. The questions are clinically grounded and aligned with the 2025/2026 exam blueprint, offering in-depth insights into both central and peripheral nervous system disorders impacting upper extremity function. Core areas covered: Types and classifications of nerve injury (Seddon and Sunderland) Brachial plexus anatomy and associated syndromes (Erb’s, Klumpke’s, Horner’s) Clinical signs of nerve damage: Froment’s, Jeanne’s, Masse, Duchenne’s, Wartenberg’s, Egawa, Andre-Thomas Nerve regeneration timelines and prognosis after trauma and repair Sensory testing and recovery using PSSD, monofilaments, tuning forks, and vibration thresholds Treatment of neuropathies and entrapment syndromes, including pronator syndrome, carpal tunnel, radial tunnel, cubital tunnel, and thoracic outlet syndrome Neurosensory management: orthotic use, early vs late sensory re-education, desensitization strategies CNS vs PNS anatomy, reflex arcs, and synaptic organization Electrodiagnostic markers, such as rheobase, chronaxie, and motor recovery stages This resource is highly recommended for: Occupational and physical therapy students preparing for the CHT exam Therapists working in neuromuscular rehab, orthopedics, and hand therapy Students in neuroanatomy, kinesiology, or peripheral nerve pathology courses Practitioners preparing for recertification, clinical evaluation, or in-depth case studies Combining anatomical depth with clinical practicality, this document strengthens both exam preparation and real-world diagnostic skills for healthcare professionals focused on upper extremity neurorehabilitation. Keywords: CHT exam neuroanatomy, peripheral nerve injuries, sensory reeducation, Sunderland classification, Seddon nerve injury, Froment sign, nerve compression syndromes, brachial plexus injury, PSSD testing, two-point discrimination, monofilament testing, nerve regeneration, provocative nerve signs, Horner syndrome, radial tunnel syndrome

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CHT Neuroanatomy/Nerve Injury &
Sensory Reeducation 2025/2026 Exam
Questions and Answers | 100% Solved



An order for hand therapy states "neuropraxic injury right median nerve".

What information can the therapist provide the patient regarding the injury

and prognosis? - 🧠 ANSWER ✔✔the prognosis is good and the patient

should see recovery within one month with treatment

A patient complains of parasthesia over the dorsal thumb 2 weeks after

undergoing a thumb CMC ligament reconstruction tendinous interpostion

(LRTI) surgery. No other symptoms are present. What is most likely

causing this parasthesia? - 🧠 ANSWER ✔✔traction injury to the superficial

branch of the radial nerve when the nerve was retracted during surgery

,True/False: proximal nerve injuries have a better prognosis for successful

regeneration than distal injuries - 🧠 ANSWER ✔✔false


A patient is evaluated for complaints of numbness in the thumb and IF 6

months after a carpal tunnel decompression. The patient's job requires

forearm rotation. The therapist is now considering another nerve might be

compressed causing the numbness. Of the choices below, what would be

the most likely compression site? - 🧠 ANSWER ✔✔Fascia between the

brachioradialis and ECRL

A 45 year old hand therapist complains of numbness in the SF/RF in both

of her hands both dorsally and volarly. On physical examination, her pinch

and grip strength are normal as is her cervical screening. She has a

cutaneous pressure threshold for static two-point discrimination at 3mm.

What is most appropriate treatment? - 🧠 ANSWER ✔✔night orthosis with

the elbow between 10 and 30 degrees of flexion

A 45 year old hand therapist reports numbness dorsally and volarly in the

SF/RF in both of her hands. On physical examination her pinch and grip

strength are abnormal. She also has increased cutaneous pressure

threshold for static two-point discrimination at 8mm. What is the most

, appropriate treatment? - 🧠 ANSWER ✔✔submuscular ulnar nerve

transposition

Which sensory receptor is responsible for detecting a sensation of a gentle

breeze blowing against the skin? - 🧠 ANSWER ✔✔pacinian corpuscle


30-hertz vibration is perceived by which of the following?




-slowly adapting Ruffini end organs

-quickly adapting Meissner corpuscles

-quickly adapting Pacinian corpuscles


-slowly adapting Merkel cells - 🧠 ANSWER ✔✔quickly adapting Meissner

corpuscles


Constant-touch pressure is perceived by what? - 🧠 ANSWER ✔✔large

myelinated A-b fibers slowly adapting

A 48 y/o man complains that his hands have become weak, and as an auto

mechanic he has burned and sometimes cut his fingertips without knowing

it until he looked at his finger. On physical examination, he has intrinsic

muscle weakness and some wasting of the first dorsal interosseous, with


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