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CHT exam 2024- Questions and Answers 100% Solved
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CHT exam 2024- Questions and Answers 100% Solved
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CHT exam 2024- Questions and Answers 100% SolvedAcromion type that increases chance of RTC tear Correct Ans-Type III (hook); Type II
(curved) can also increase chance of RTC tear
Trigger point that mimics frozen shoulder Correct Ans-Subscap
TOS tests Correct Ans-Adson's, Wright, ROOS/EAST, Cyriax
-Adson's = VASCULAR; rotate head toward affected side & extend head, shoulder ext/ER, deep
breath & hold, check pulse
-Wright = hyperabduction test; 90 abd/90 ER (Pm stretched), full abd
-Cyriax = therapist stands behind & passively elevates scapulae, see if sx disappear
-Roos/EAST = shoulder abd 90/elbow flex 90; open/close hands x 3 min
Major supporting structure for clavicle Correct Ans-Coracoclavicular ligament
AC joint ligaments Correct Ans--AC ligament
-coracoclavicular ligament (trapezoid and conoid are parts of CC ligament)
Watershed area Correct Ans-Between longitudinal and vincular vessels at mid-P1 level;
avascular area of FDP
, CHT exam 2024- Questions and Answers 100% Solved
Medication and other tx for early HO Correct Ans-Indomethician low dose radiation
Salter-Harris fracture types that cross growth plate Correct Ans-III, IV, & V
Quadrigia vs. Lumbrical Plus finger Correct Ans-Quadregia effect = overtightening/scarring
of FDP tendon; decreased finger flexion in adjacent fingers s/p FDP repair
***weak grasp
Pathoanatomy
FDP tendons of long, ring, and little fingers share a common muscle belly
therefore excursion of the combined tendons is equal to the shortest tendon;
improper shortening of a tendon during repair results in inability to fully flex adjacent fingers
Lumbrical Plus finger = lax/disrupted FDP tendon which results in tension on lumbricals;
during finger flexion, the cut/lax FDP tendon retracts toward palm, placing increase tension
on lumbricals; they then extend the PIP
***one finger sticks out when attempting to hold an object
Finger commonly missing FDS Correct Ans-Pinky
Gout crystals Correct Ans-Mono sodium urate crystals
Pseudogout crystals Correct Ans-Calcium pyrophosfate dihydrate crystals
, CHT exam 2024- Questions and Answers 100% Solved
Tumor arising from Schwann cells Correct Ans-Neurofibroma; removal damages nerve
fibers
Vaughn-Jackson Syndrome Correct Ans-With RA, extensor tendon ruptures extensor
compartments 4 & 5
Bacteria associated with cellulitis Correct Ans-Streptococcus
Reverse Froment's secondary to Correct Ans-Combined ulnar and median nerve laceration
AC joint -primary restraint to posterior translation Correct Ans-AC ligament
AC joint - primary restraint to superior translation Correct Ans-Conoid (part of CC
ligament)
AC joint ligaments Correct Ans--AC ligament
-CC ligament (conoid, trapezoid)
Jersey finger - most frequent digit Correct Ans-Ring finger
, CHT exam 2024- Questions and Answers 100% Solved
Suture requirements for early active motion flexor tendon protocol Correct Ans-4 core
strands with epitendinous suture
Farthest FDP contracts with laceration Correct Ans-Into palm (Type I - Leddy)
% tendon divided that will need surgical repair Correct Ans-60% divided; less than 50%=no
surgical repair b/c repair will further weaken and increase rupture risk
Frayed tendon protocol authors and basic guidelines Correct Ans-Cannon & Strickland; s/p
tenolysis for Poor quality tendons; place and hold ex in full flexion, and active digit extension
% loss of whole person - entire UE loss (amputation at shoulder) Correct Ans-60%
% loss of whole person - hand amputation at MP's Correct Ans-54%
% loss of UE - hand amputation at MP's Correct Ans-90%
% loss of hand function - thumb amputation Correct Ans-50%
Ideal position for arthrodesis - PIP Correct Ans-20-40 deg flexion
Temp for frostbite to occur Correct Ans--2 to -4 deg C; 24 to 28 deg F
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