Carpometacarpal Osteoarthritis (CMC OA)

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Carpometacarpal Osteoarthritis

Question 1:

The following interventions have been soundly supported in the literature as having effective results to address thumb CMC instability except for ___________ .

A) Orthosis use

B) Dynamic stability strengthening

C) Kinesiotaping

D) Manual approaches to reducing the thumb column

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Carpometacarpal Osteoarthritis

Question 2:

Thumb CMC OA affects functional use by causing changes directly or indirectly to primarily which structures:

A) Ulnar collateral ligament

B) Anterior (Volar) Beak Ligament

C) Trapezium

D) Adductor Pollicis

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Carpometacarpal Osteoarthritis

Question 3:

The Grind Test is used to assist with diagnosis of thumb CMC and includes pain with what?

A) Active or passive ulnar deviation of the wrist with the thumb in flexion within a closed fist

B) Passive motion of only the wrist in all planes

C) Pain with palpation over the first dorsal compartment

D) Pain with axial loading and circumduction of the thumb column

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Carpometacarpal Osteoarthritis

Question 4:

The therapist should consider which of the following when creating a treatment plan?

A) Collaboration with the patient in developing goals

B) Using a variety of assessments to create a comprehensive plan

C) Linking documentation to the International Classification of Functioning

D) All of the above

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Carpometacarpal Osteoarthritis

Question 5:

The Numeric Pain Rating Scale and the Visual Analog Scale are examples of:

A) Valid and reliable tools

B) Levels of patient participation

C) Assessments that are therapist rated

D) Functional measures

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Carpometacarpal Osteoarthritis

Question 6:

One concern with using an orthotic device to treat thumb CMC is:

A) Attempts at functional use of the hand with the orthotic device donned may cause dependency and limit strength and motion

B) The interphalangeal joint of the thumb is not immobilized and allowed to move

C) Use of the orthosis for resting the area and thus decreasing inflammation through immobilization

D) Places the thumb in proper alignment which may reduce pain and improve stability

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Carpometacarpal Osteoarthritis

Question 7:

One of the most important muscles to strengthen with a patient who has thumb CMC OA is:

A) Adductor Pollicis

B) Abductor Pollicis Longus

C) First Dorsal Interosseous

D) Palmaris Longus

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Carpometacarpal Osteoarthritis

Question 8:

It has been noted that there may be a contraction of which muscle with thumb CMC OA:

A) Adductor Pollicis

B) Abductor Pollicis Longus

C) First Dorsal Interosseous

D) Palmaris Longus

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Carpometacarpal Osteoarthritis

Question 9:

When assessing the client with thumb CMC OA, which of the following is an immediate concern for intervention?

A) Work habit modification

B) Activities of daily living and use of adaptive equipment

C) Strength

D) Balancing the soft tissues and controlling pain

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Carpometacarpal Osteoarthritis

Question 10:

A “Shoulder Sign” indicates all of the following except:

A) Trapezuim position change

B) Adductor Pollicis tightness

C) Hyperextended metacarpal phalangeal joint

D) Base of the metacarpal position change

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Carpometacarpal Osteoarthritis

Question 11:

All are contributing factors to thumb CMC OA except:

A) Overuse of the thumb during daily tasks

B) Overworked Opponens Pollicis

C) Hypermobile ligaments

D) Decreased proprioception

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Carpometacarpal Osteoarthritis

Question 12:

Which of the following can be said about thumb CMC OA:

A) Increased prevalence with menopausal women

B) Is the most frequently seen form of arthritis in the hand

C) Later stages may benefit from intervention

D) All of the above

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Carpometacarpal Osteoarthritis

Question 13:

Which of the following are self-reported measures:

A) Dynamometer

B) DASH

C) 9 Hole Peg Test

D) Pinch Gauge

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Carpometacarpal Osteoarthritis

Question 14:

One of the most important measurements to be taken of the thumb is:

A) Motion of the wrist

B) Strength of the Adductor Pollicis

C) Opposition

D) Lateral pinch strength

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Carpometacarpal Osteoarthritis

Question 15:

The purpose of manual therapy includes all except:

A) Strengthening the first Dorsal Interosseous muscle

B) Realign the thumb column

C) Decrease pain

D) Increase soft tissue balance

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Carpometacarpal Osteoarthritis

Question 16:

A sequential approach to intervention is suggested, this should be one of the first to occur:

A) Strengthening

B) Neuromuscular re-education

C) Using a rubber band during “C” positioning of the thumb

D) Workstation analysis

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Carpometacarpal Osteoarthritis

Question 17:

The execution of motion is largely due to:

A) Intact sensation throughout the radial nerve distribution

B) Mechanoreceptors sending signals up to central cortices

C) Intact opposition position

D) Proprioception deficits

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Carpometacarpal Osteoarthritis

Question 18:

Evidence suggests that using an orthosis can improve symptoms of pain but not necessarily function.

A) True

B) False

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Carpometacarpal Osteoarthritis

Question 19:

Protecting the joints through strategies is thought to do which of the following:

A) Decrease pain and prevent further deformity

B) Address weakness of the first Dorsal Interosseous

C) Decrease Adductor Pollicis contracture

D) Improve overall grip and pinch strength of the hand

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Carpometacarpal Osteoarthritis

Question 20:

Neuromuscular re-education should happen prior to strengthening.

A) True

B) False

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