Evaluation Flashcards
7 cards from real CHT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Evaluation flashcards as text
Which outcome measure is most appropriate for assessing upper extremity disability and symptom severity in patients with carpal tunnel syndrome?
Answer: Boston Carpal Tunnel Questionnaire (BCTQ)
The Boston Carpal Tunnel Questionnaire (BCTQ) is the most widely used and validated disease-specific outcome measure for carpal tunnel syndrome.
A CHT evaluates wrist flexion active ROM and finds 60°. The normal value is 80°. What percentage of normal does the patient retain?
Answer: 75%
60/80 = 0.75, so the patient retains 75% of normal wrist flexion range of motion.
The Tinel's sign is positive during nerve evaluation. What does a positive Tinel's sign indicate?
Answer: Nerve regeneration or irritation at the percussion site
A positive Tinel's sign (tingling with percussion over a nerve) indicates nerve regeneration or irritation at that point along the nerve.
During evaluation of a patient 6 weeks post flexor tendon repair, the therapist notes a positive Finochietto-Brunner sign. What does this indicate?
Answer: Tendon adhesions limiting excursion
The Finochietto-Brunner sign (increased passive DIP flexion when MCP is flexed) suggests tendon adhesions limiting differential glide.
A therapist administers the Purdue Pegboard Test. What domain does this test primarily assess?
Answer: Fine motor dexterity and coordination
The Purdue Pegboard Test assesses fine motor dexterity, bimanual coordination, and fingertip dexterity relevant to work tasks.
Which goniometric measurement position is used as the zero starting point (neutral) for wrist radial-ulnar deviation assessment?
Answer: Wrist in neutral (0°) with hand in anatomical position
The wrist is positioned at neutral (0°) with the hand in anatomical position before measuring radial and ulnar deviation.
In evaluating a patient with suspected triangular fibrocartilage complex (TFCC) tear, which clinical test applies a compressive load and rotation to the distal radioulnar joint?
Answer: TFCC compression/ulnar grind test
The TFCC compression (ulnar grind) test loads the TFCC by compressing and rotating the wrist in ulnar deviation to reproduce TFCC pain.