CHT Evaluation 2 — Questions and Answers
Question 1: Which instrument is the gold standard for measuring grip strength in hand therapy evaluations?
- Pinch gauge
- Dynamometer (Jamar) (Correct answer)
- Goniometer
- Volumeter
Correct answer: Dynamometer (Jamar)
The Jamar hydraulic dynamometer is the gold standard for measuring grip strength and provides reliable, reproducible results.
Question 2: When evaluating two-point discrimination in the hand, what is considered a normal value for the fingertip?
- 1–2 mm
- 6–10 mm
- 2–5 mm (Correct answer)
- 11–15 mm
Correct answer: 2–5 mm
Normal static two-point discrimination at the fingertip is 2–5 mm, reflecting high tactile acuity in this region.
Question 3: A therapist performs the Semmes-Weinstein monofilament test. What does a 2.83 monofilament indicate?
- Loss of protective sensation
- Normal light touch (Correct answer)
- Deep pressure only
- Diminished light touch
Correct answer: Normal light touch
The 2.83 (0.07 g) monofilament corresponds to normal light touch sensation in the hand.
Question 4: During edema assessment, which method is most reliable for measuring hand and finger volumetric change over time?
- Circumferential tape measurement
- Visual inspection
- Water displacement volumetry (Correct answer)
- Skin fold calipers
Correct answer: Water displacement volumetry
Water displacement volumetry is the most reliable and sensitive method for tracking changes in hand and finger edema.
Question 5: What does the Kapandji opposition score assess?
- Grip strength
- Thumb opposition range of motion (Correct answer)
- Pinch force
- Sensory threshold
Correct answer: Thumb opposition range of motion
The Kapandji score (0–10) quantifies thumb opposition by rating the ability of the thumb tip to reach successive finger landmarks.
Question 6: A patient with median nerve injury is evaluated. Which test best assesses intrinsic muscle innervation loss?
- Froment's sign
- Card test (Correct answer)
- Semmes-Weinstein monofilament
- Moving two-point discrimination
Correct answer: Card test
The card test assesses the ability to pinch a card between extended fingers, detecting intrinsic muscle weakness from median or ulnar nerve dysfunction.
Question 7: When documenting active range of motion with a goniometer at the PIP joint, where is the axis of the goniometer placed?
- Over the MCP joint
- Over the lateral aspect of the PIP joint (Correct answer)
- At the base of the distal phalanx
- Over the DIP joint
Correct answer: Over the lateral aspect of the PIP joint
The goniometer axis is placed over the lateral aspect of the PIP joint, aligning the arms with the proximal and middle phalanges.
CHT Evaluation 2
Which instrument is the gold standard for measuring grip strength in hand therapy evaluations?