Download CHT Exam - Evaluation Questions And Answers Latest Update 2024 and more Exams Nursing in PDF only on Docsity!
CHT Exam - Evaluation Questions And
Answers Latest Update 2024
Components of evaluation process - correct answers 1. demographic information
- History of injury
- Observations
- Edema
- ROM
- Strength
- Sensation
- Coordination
- Provocative testing Components of clinical observations - correct answers 1. inspection
- wounds/scar
- trophic changes
- vasomotor status Aspects of clinical inspection - correct answers atrophy, edema, congruency of bony landmarks, nodules/wrinkles/calluses/contractures/deformities, cascade of metacarpals, redness, skin changes
Possible observable trophic changes - correct answers Nail growth, shape, colour Components of a vasomotor exam - correct answers Cap refill and pulses Reasons for poor circulation - correct answers smoking, diabetes, autoimmune disorders, cardiac disease, occupational factors Types of edema - correct answers -Pitting - acute -Brawny - chronic Ways to measure edema - correct answers Volumeter Circumference Figure of 8 Truncated measure AROM - correct answers Muscular ability to move a joint Limitation due to edema, contracture, denervation, adhesions, subluxations, fractures PROM - correct answers Ability of a joint to move through its normal arc of movement
Tests innervation of median, ulnar, and radial nerves Test is repeated three times for 1.65-4.08 and once for 4.31-6. Semmes Weinstein Monofilament Test norms - correct answers 1.65-2.83 normal 3.22-3.61 diminished light touch 3.84-4.31 diminished protective sensation 4.56-6.65 loss of protective sensation 6.65 undetectable Two point discrimination - correct answers - tests ability to distinguish between 2 stimuli
- Testing starts at 5 mm distance between tips and ends at 15mm Vibration testing - correct answers - uses tuning fork
- subjective and difficult to reproduce O'Riain wrinkle test - correct answers Lack or wrinkling correlating with denervated hand Good for use with children
Ninhydrin Test - correct answers Assessing for fingerprints on bond paper If fingertips don't sweat and leave prints, indicates denervated hand Moberg pick up test - correct answers timed test involving picking up, holding, manipulating, and identifying small objects - used with children and cognitively impaired adults Purdue Pegboard - correct answers Timed, standardized test with validity and reliability Fine coordination Placing metal pins into a pegboard followed by a washer and collar Minnesota Rate of Manipulation Test - correct answers Gross motor coordination test that addresses bilateral turning and placing Phalen's test - correct answers passive wrist flexion for 15-60 seconds, positive reproduces numbness and tingling in median nerve distribution Reverse Phalen's Test - correct answers passive wrist extension for 15-60 seconds, positive test produces numbness and tingling in median nerve distribution
Ulnar Fovea Sign - correct answers detects foveal disruptions and or ulnotriqutral ligament injuries Positive = pressure in interval between ulnar styloid process and FCU tendon, pain reproduced Piano key test - correct answers stabilize radius with one hand- with 2nd hand press volarly on ulna and then dorsally- test in BOTH pronation and supination, compare to other side
- = "spring back" reaction of the ulna
- = DRUJ instability Ballottment sign - correct answers tests for stability between lunate and triquetrum Positive = pain, clicking, or laxity when lunate is stabilized and examiner displaces triquetrum dorsally Shear test - correct answers test for LT instability Positive = click or pain reproduced when examiner loads and shift pisotriquetral complex dorsally and into radial deviation while lunate is stabilized
Midcarpal Shift Test - correct answers place a direct load over the capitate while and ulnar and palmarly deviating the wrist, while also applying an axial pressure Positive = painful click Watson Test - correct answers test for scaphoid instability Positive = painful clunk Allen test - correct answers determining the patency of the radial and ulnar arteries by compressing one artery site and observing return of skin color as evidence of patency of the other artery Oblique retinacular ligament test - correct answers testing for DIP joint stiffness or ligament tension Stabilize PIP in extension, flex DIP. Then re-test with PIP in slight flexion Positive if DIP has greater PROM with PIP flexed If PROM limited in both positions, more likely capsular tightness Intrinsic tightness test - correct answers test PIP flexion AROM with MCP in hyperextension or flexion Positive = less PROM in hyperextension
Place elbow in flexion, apply pressure to ulnar nerve proximal to cubital tunnel Positive = presence or worsening or paraesthesia in ulnar nerve distribution 60 and 30 sec versions Neer's Test - correct answers testing for supraspinatus impingement Examiner flexes the GH joint while in internal rotation Positive = pain in subacromial region Hawkin's Sign - correct answers test for impingement Passive IR of GH at 90 degrees of GH flexion Positive = pain production Lift off test - correct answers subscap pathology Place hand on back and lift off Positive = pt cannot remove hand from back or can only do so partially Must have pain free motion to be valid Active Compression Test of O'Brien - correct answers test for SLAP lesion Place pt's arm in 10º H Add with thumb down, pt resists downward force from examiner
Positive = painful click Yergason's Test - correct answers LHB tendinopathy Examiner resists supination at forearm which elbow is flexed to 90 and forearm is neutral, GH in ER Positive = pain in LHB
