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
A patient presents with inability to fully extend the DIP joint with the PIP held in extension. Which evaluation finding most suggests mallet finger?
Answer: Passive DIP extension is full but active extension is lost
In mallet finger, the terminal extensor tendon is disrupted, so passive DIP extension is preserved but active DIP extension is lost.
When using the total active motion (TAM) formula, which joints are included in the calculation?
Answer: MCP, PIP, and DIP joints
TAM sums active flexion at the MCP, PIP, and DIP joints minus any extension deficits at those same joints.
A patient with rheumatoid arthritis presents for hand evaluation. What deformity is characterized by PIP hyperextension and DIP flexion?
Answer: Swan-neck deformity
Swan-neck deformity is characterized by PIP hyperextension combined with DIP flexion, commonly seen in rheumatoid arthritis.
Which standardized dexterity test requires the patient to turn over small cards and sort them into categories, assessing hand speed and coordination?
Answer: Jebsen-Taylor Hand Function Test
The Jebsen-Taylor Hand Function Test includes a card-turning subtest among its seven timed tasks assessing functional hand activities.
During sensory re-education evaluation, which finding would indicate the patient is in the early phase of sensory recovery?
Answer: Perception of 30 Hz vibration (tuning fork) but not 256 Hz
Recovery of 30 Hz vibration perception before 256 Hz indicates early-phase sensory return, as larger fibers recover first.
A CHT administers grip strength testing to detect sincerity of effort. Which pattern is most consistent with a genuine maximum voluntary contraction?
Answer: A bell-shaped curve peaking at position 2 or 3
Genuine maximum effort produces a bell-shaped curve with peak grip at handle position 2 or 3 due to biomechanical advantages.
In wound evaluation, which tissue color indicates healthy granulation tissue during wound bed assessment?
Answer: Red/pink (beefy red)
Healthy granulation tissue appears beefy red or pink, indicating good vascularity and active wound healing.