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Question 1 of 14
1. Question
Name the structures numbered in the diagram. (4 marks)
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Question 2 of 14
2. Question
Case 1: Mrs Aye, a 36 year old woman, works as a lawyer, does daily yoga and is suffering from Carpal Tunnel Syndrome.
Describe the signs and symptoms of Carpal Tunnel Syndrome. (3 marks)
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Question 3 of 14
3. Question
Case 1: Mrs Aye, a 36 year old woman, works as a lawyer, does daily yoga and is suffering from Carpal Tunnel Syndrome.
Discuss the conservative management options for THIS woman and JUSTIFY your choices. (6 marks)
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Question 4 of 14
4. Question
Name TWO other possible differential diagnoses that might cause signs and symptoms similar to Carpal Tunnel Syndrome. (2 marks)
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Question 5 of 14
5. Question
Case 1: Mrs Aye, a 36 year old woman, works as a lawyer, does daily yoga and is suffering from Carpal Tunnel Syndrome.
She has had a carpal tunnel decompression 6 weeks ago and has been referred to hand therapy.
LIST SIX possible complications following a carpal tunnel decompression. (3 marks)
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Question 6 of 14
6. Question
Case 1: Mrs Aye, a 36 year old woman, works as a lawyer, does daily yoga and is suffering from Carpal Tunnel Syndrome.
She has had a carpal tunnel decompression 6 weeks ago and has been referred to hand therapy.
For ONE of THESE complications discuss your treatment with justification for THIS lady at THIS stage. (4 marks)
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Question 7 of 14
7. Question
Case 2: Mrs See, a 68 year old woman, has osteoarthritis at 1st CMCJ and has undergone a trapezectomy 2 weeks ago/ She plays tennis, knits and looks after her grandchildren.
LIST 4 treatment modalities you may prioritise for THIS patient at THIS stage. (2 marks)
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Question 8 of 14
8. Question
Case 2: Mrs See, a 68 year old woman, has osteoarthritis at 1st CMCJ and has undergone a trapezectomy 2 weeks ago/ She plays tennis, knits and looks after her grandchildren.
Choose ONE of these modalities and JUSTIFY your choices with THIS woman. (4 marks)
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Question 9 of 14
9. Question
Case 2: Mrs See, a 68 year old woman, has osteoarthritis at 1st CMCJ and has undergone a trapezectomy 2 weeks ago. She plays tennis, knits and looks after her grandchildren.
She returns to hand therapy, out of splinting, at 6 weeks post-op and is struggling with dextrous tasks such as doing up buttons and knitting.
LIST TWO grips you would prioritise to improve this. (1 mark)
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Question 10 of 14
10. Question
Case 2: Mrs See, a 68 year old woman, has osteoarthritis at 1st CMCJ and has undergone a trapezectomy 2 weeks ago/ She plays tennis, knits and looks after her grandchildren.
She returns to hand therapy, out of splinting, at 6 weeks post-op and is struggling with dextrous tasks such as doing up buttons and knitting.
Discuss THREE modalities you would use at THIS stage to improve her dexterity and JUSTIFY your choices. (6 marks)
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Question 11 of 14
11. Question
Case 3: Mr Lee presents with a proximal phalanx shaft fracture after being hit with a hockey stick. He has undergone open reduction internal fixation (ORIF) with a plate and screws. You see him at 3 days post-op.
Fluoroscan of right thumb lateral and PA views
Discuss the impact that ORIF and primary healing may have on your clinical reasoning for management of THIS fracture. (4 marks)
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Question 12 of 14
12. Question
Case 3: Mr Lee presents with a proximal phalanx shaft fracture after being hit with a hockey stick. He has undergone open reduction internal fixation (ORIF) with a plate and screws. You see him at 3 days post-op.
LIST SIX treatment modalities you might use for THIS injury post-op at 3 days in your first session. (3 marks)
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Question 13 of 14
13. Question
Case 3: Mr Lee presents with a proximal phalanx shaft fracture after being hit with a hockey stick. He has undergone open reduction internal fixation (ORIF) with a plate and screws. You see him at 3 days post-op.
For TWO of your chosen treatment modalities JUSTIFY your choice of each for THIS injury and THIS patient. (8 marks)
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Question 14 of 14
14. Question
Case 3: Mr Lee presents with a proximal phalanx shaft fracture after being hit with a hockey stick. He has undergone open reduction internal fixation (ORIF) with a plate and screws. You see him at 3 days post-op.
He returns 6 weeks post op with an extensor lag at the IPJ.
Active range of motion IPJ 30 (lag) /45 degrees
Passive range of motion IPJ 0/45 degrees
Discuss and justify 2 modalities you would use to improve the extensor lag. (4 marks)
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