do_hand_therapy_practice_questions_with_me_-_wrist
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[00:00:00] If you're studying for the hand therapy exam, do practice questions with me. My name is Wong and um, we have my ultimate book of practice questions and we're gonna go over risk today. If you are not studying to become a CHD, then this shit's boring. I'm not gonna be offended if you just scroll past, but I will recommend subscribe to the channel and look for other videos that are much more interesting than this one.
So I wrote. Hand therapy success, um, hand therapy exam success for anyone studying to become a CHT. Now, I do create a program. It's called the Exam Prep on Demand Program, and in that program I'm sharing in that program, I follow a very particular curriculum and, um, strategy when it comes to setting. And one of the strategies.
Is, you know, instead of just using practice questions to kind of see where you are, use practice questions to help you as you're studying. [00:01:00] So one of the things that I do recommend is you can study, do some practice questions, study, and do some practice questions. So today we're gonna dive into risk. Let's find some questions on risks right now at the beginning of each chapter.
Oh my God. Hello. It already says right here. So one of the things we, we do at, um, in the book is because it's so big, at the very top left corner, we have the topic just in case, and we do questions and answers completely separate. So one of the reasons why it's so thick. Because she's thick. Okay. She's thick.
So at the beginning of the chapter, um, we have, I have, um, written out some tips for you, um, in terms of studying that particular topic. And then we have questions for the wrist, and then we have questions and answers. That way you can't cheat [00:02:00] and you're not going in and like learning about something before.
Getting to the next question because the answers that you are learning could help you with another question. So, um, that's one of the main reasons why we did it separately. So you're not having to like, try and not cheat, um, but also just allows you to do questions, questions to question to question, and then go back in and like, learn where, learn your areas of weakness, learn your areas of strength.
Both can help you. To be able to, uh, study better and faster and not waste a lot of time. Right. So let me share my screen and, uh, let's get started on some questions. I'm just gonna do about like four or five questions, and what we're gonna do is we're gonna do the questions first, and then we will do the answers after.
So, sorry, you gotta save the whole call. I'm kidding. All right. Let's dive [00:03:00] into the first question. Okay. Number one, you have a new evaluation of a distal radius fracture, a closed reduction, and cast for four weeks. What are you most concerned with during the evaluation? A past medical history, history of injury, history of therapy and work requirements.
B. Medical history, surgical history, ADLs and driving. History, past medical history, history of injury, patient goals, limited range of motion. D doctor's script for therapy, office notes and sending the evaluation to the doctor's office If you need to pause, pause and pick your answer. Alright. So write it down, jot it down, and then we're gonna come back to it.
Number two, you notice your patient with a distal radius fracture and close reduction is not making gains in wrist extension and also painful in wrist flexion. You request x-rays and notice a malunion that occurred during the healing. [00:04:00] What is the significant angulation that you're looking for? A dorsal tilt greater than 20 degrees or significant intraarticular.
Step off of x.
Uh, B vol voler tilt greater than 20 degrees or significant intraarticular. Step off. C. Reduced angulation of greater than 10 degrees or significant intraarticular. Step off
D, reduced angulation of less than 10 degrees or a significant intraarticular, um, step off.
All right, I got it. Pause if you need. Number three. A therapist is performing an evaluation on a patient status post A-D-R-U-J disruption. What is the best practice recommendation when examining the wrist? [00:05:00] A palpation and provocative tests are indicated at the end of the examination. See, what is the best practice recommendation when examining the risk?
Hmm. Okay, so a palpation, provocative testing are indicated at the end of the examination. B, the affected side should always be compared with the unaffected side. C. The the elbow must be examined to rule out intrinsic causes of her symptoms. D. Examination must include a thorough history and review of CT or MRI imaging results.
Here's a tip. There's usually two answers that you can rule out, and then you're left with the last two, and then you have to pick and choose. Sometimes you have to read the question aloud over and over, and pick your, you know, comes down to those last two choices. All right? Alright. Four. A 40-year-old [00:06:00] officer had an open TFCC repair six weeks ago and is frustrated with their limited grip strength.
They wanna know when they are expected to regain full strength. What do you tell them? A full grip strength typically returns within six to eight weeks after surgery. B, most patients regain 80 to 85% of grip strength post repair with improvement continuing for several months. C, their grip strength will return fully within two weeks after cast removal.
D. If TFCC repairs do not improve grip strength, then they would need, uh, permanent modifications.
All right. Let's go to question number five. A therapist is evaluating a client with a symptomatic right wrist. What assessments would be appropriate to perform during? Um, last, during the evaluation, [00:07:00] a quick dash b visual inspection of range of motion of left versus right c. The press presses on the right wrist and DMMT of right elbow flexors and extensors.
Got your answers.
All right, let me see if it updated. Yep, it updated for questions and answers. Alright, so let's dive into the answers now. Right. So number one, you're doing an evaluation. So it's asking, you have a new evaluation for distal radius close reduction. What are you most concerned with? The answer is C. Oh, I don't know if I can highlight it.
C. Past medical history, history of injury, patient goals, and limited range of [00:08:00] motion. So then you go into, um, the explanation now here. Um. You might be tempted to say like, oh, you know, a, you need work requirements and stuff like that. But that's only if you have a worker's comp, you know, case. And so if you tend to, you know, treat people who have work injuries, then your brain automatically will, you know, run to the things you know.
But remember, this is. An exam that tests everybody and not everyone works with worker's comp, so it is just about what are you concerned with most during the evaluation? All right. Number two, you notice that your patient with diss fracture is not making gains. Alright, so this question is asking, so angulation is really key when you're working with dis radius fracture, knowing like how it's healed.
Because [00:09:00] if you don't get results, then it might be something wrong with, uh, the angulation of what they are putting back. So the answer is a. Dorsal tilt greater than 20 degrees or significant intraarticular, um, is what sometimes will, which is what will cause, um, that limited in risk range motion. So the explanation is dis so radius fractures can heal with a mal alignment leading to functional deficits and pain.
So when you're evaluating the malunion, dorsal seal is a critical factor. And, uh, dorsal toe of greater than 20 degrees often leads to functional impairments in surgical intervention, such as an osteotomy or a corrective fixation in order to be able to restore some of that risk range of motion. Right. Um, number three, therapist is performing an evaluation on a patient status posted.
DRUJ. What is the best recommendation on [00:10:00] examining. The answer is B, the effective side should always be compared with the unaffected side. That's right. Or the wrist. So it's not that, oh, that's the only answer. It's just based off of the choices here. Right. So, you know, keep that in mind if you're like, oh, it should be something else.
Right. Number four, um, a 4-year-old has an open TFCC. Right. So the answer for this one is B, most patients regain 80 to 85% of group strength post repair with improvement continuing for a month.
So, I mean, it's just on that page. That's what it says. Alright, number five, therapist evaluating a client with a symptomatic right wrist. What assessments would be appropriate to perform last during the evaluation? Um, and the answer there is the press test on the right wrist. And it's [00:11:00] because provocative tests should be done last.
So you don't want to put someone in pain and then do other tests or do other things because then you won't know like, was it from the testing or were they just like this? All right, and that was the five questions from the wrist. There are a total. It's like a hundred questions, I think. So there's more
when it comes to risk. So there are. How many questions? 104 questions. So there's a lot of questions inside the ultimate book of practice questions, and it dives into, I mean, like we could be talking about wrists all day. Um, there's fractures, there's a ligament injuries, there's different types of surgeries.
Um, there's treatment. Treatments include, uh, splinting and so, so yeah, this is the ultimate book [00:12:00] of, um, practice questions. So if you're studying and you're looking for a resource that can help you just do practice questions, um, that doesn't tell you the answer. It's chunked out in a particular way that follows my format.
'cause I do believe, um, you can mix it up, but I do believe that, um. Organizing yourself in a particular way is going to allow you to make sure that you're covering all the topics that, that you need, but in a, in a way that allows you to go through all of the topics and study so you, you don't run outta time, right?
Yes, there's a lot, but you're capable of doing hard things. And believe it or not, I really believe in knowledge stacking, and once you understand certain concepts, you can stack it on. Other topics and then it just makes more sense, right? So if you want my help, definitely grab this new book, the Ultimate Book of Practice questions.
There's like [00:13:00] 800 questions in here. She's thick, man. She got a lot of questions for you. Um, so yeah, grab it if you need and let me know if this type of video is helpful. We might do what's next. Tendons might do. Tendons next. All.
