NBCOT Upper Extremity Practice Test

These questions are part of the practice quiz. Start practicing

• A COTA is working with a client who has decreased nerve function. The client has lost precision pinch, thenar opposition, and the ability to bend the index and long fingers at the proximal and distal interphalangeal joints. What deformity does the client most likely have?
• Which maneuver is used to evaluate thoracic outlet syndrome with sustained arm positions?
• Trigger finger is stenosing tenosynovitis of which pulley?
• Which muscle group is typically weakened first in carpal tunnel syndrome?
• In trigger finger, stenosing tenosynovitis most commonly affects which pulley?
• A COTA in an outpatient clinic is working with a client with bilateral primary adhesive capsulitis. The OTR's assessment revealed interrupted sleep patterns and decreased ability to perform ADLs because of pain. ROM is close to functional but painful throughout the arc. What is the PRIMARY functional focus of occupational therapy intervention?
• Froment's sign indicates weakness of which muscle and nerve?
• A clinician treating a patient in an outpatient clinic uses phonophoresis with hydrocortisone for radial wrist extensor pain and swelling. Which information is MOST important to be aware of for safe treatment?
• Zone II of the flexor tendon system is famously referred to as what?
• A COTA has been working with a client recently diagnosed with complex regional pain syndrome of the upper extremity secondary to an improperly casted distal radius fracture. Which modality is BEST to reach the treatment goal of pain control for this client?
• Smith fracture is a distal radius fracture with what deformity?
• What is a primary goal of edema management in hand therapy?
• What is the primary OT focus after carpal tunnel release?
• In rheumatoid arthritis, which can be seen at MCP joints?
• Which outcome measure is widely used to assess upper extremity function in OT, including hand injuries?
• A COTA treats a 77-year-old client who requires a resting hand splint. Which feature is NOT among the three best choices to address aging skin and adipose tissue?
• Which hand fracture is most commonly associated with punching a wall (Boxer's fracture)?
• Which tissue is affected by Dupuytren's contracture?
• For a distal radius fracture healing secondarily, when is controlled AROM typically initiated?
• An axillary nerve injury will primarily affect which shoulder movements?
• For median nerve compression affecting pinch, which thumb position best facilitates thumb-to-tip prehension?
• What is the PRIMARY functional focus of OT intervention for bilateral adhesive capsulitis when ROM is near functional but painful?
• In boutonniere management, which joint is immobilized in extension?
• For a CMC OA patient who needs some movement during tasks, which device best fits?
• What splint corrects boutonniere deformity?
• In an inpatient setting with upper-extremity amputations, which professional coordinates the socket fitting process?
• Which of the following is an occupation-based measure of improvement in hand therapy?
• Zone II in flexor tendon system is described as which term?
• For complex regional pain syndrome, which modality is BEST to reach pain control?
• Lateral epicondylitis is tested with which maneuver?
• During pinch assessment, which sign indicates ulnar nerve involvement when pinching?
• Which splint is commonly used to address radial nerve palsy by positioning the wrist in extension while allowing finger movement?
• During the remodeling phase of wound healing, which process is most characteristic?
• In discriminative sensory reeducation after median nerve repair, which method is BEST for reeducation of discriminative sensibility?
• Which orthotic design is appropriate to improve functional use of the hand in radial nerve palsy?
• Dupuytren's contracture most commonly affects which digits?
• Which statement best demonstrates functional progress after hand therapy by enabling grooming tasks without pain?
• Which nerve innervates the supraspinatus and infraspinatus and is at risk with injury to the suprascapular nerve?
• What splint is used for mallet finger?
• A nondisplaced shaft fracture of the right fifth metacarpal has a physician's order for full-time splinting. Which orthosis would the COTA most likely fabricate?
• Which condition is described as a stenosing tenosynovitis of the flexor tendon sheath at the A1 pulley?
• Which test assesses dexterity and assembly tasks commonly used in OT?
• What is the approximate ROM for wrist extension?
• Colles fracture presents with what deformity?
• Which symptom is not typical of Complex Regional Pain Syndrome?
• Which occupation-based statement would MOST likely document improvement for a client with cumulative trauma disorder?
• Which sensory reeducation option should be used first in a client with sensory loss after peripheral nerve injury?
• After rotator cuff repair, progression of range of motion typically begins with which type of movement?
• Ape hand deformity indicates injury to which nerve?
• Adson's test screens for which condition?
• What is the purpose of a cock-up splint?
• What is the final phase of wound healing?
• Which client is most likely to experience delayed wound healing?
• Two-point discrimination testing is used to assess which function?
• Swan neck deformity pattern options include which of the following?
• Which test involves the patient holding the arms abducted and externally rotated with repeated hand openings to provoke symptoms in thoracic outlet syndrome?
• Semmes-Weinstein monofilament test assesses which type of sensation?
• A therapy group of clients with rheumatoid arthritis is meeting weekly. Which technique is most appropriate for education in this group?
• Boutonniere deformity results from injury to which structure?
• Adson's test is primarily used to screen for which condition?
• Which training strategy should the COTA use to prevent recurrence of cumulative trauma disorder symptoms upon return to work?
• Injury to which structure causes DRUJ instability and ulnar-sided wrist pain in a TFCC tear?
• Which of the following medications is most commonly used with iontophoresis to treat wrist tendinitis?
• Adhesive capsulitis is characterized by which of the following?
• For second- and third-degree burns on the dorsal forearm and hand, which intervention would be appropriate?
• On the first visit for a client with a mild brachial plexus stretch injury, which instruction would be most appropriate?
• Which splint immobilizes the thumb while allowing IP joint movement?
• Which outcome is most likely achieved by RA education focusing on joint protection strategies in a group setting?
• Osteoarthritis commonly affects which joint at the base of the thumb?
• What is the approximate ROM for elbow flexion?
• Which client would take the longest to heal with delayed wound healing?
• Froment's sign tests weakness of which muscle due to ulnar nerve compromise?
• What is a common postoperative protocol after rotator cuff repair?
• Which statement regarding rheumatoid arthritis hand deformities is true?
• In block splinting terminology, which is an example of a dorsal blocking splint?
• Which statement best supports using joint protection strategies in rheumatoid arthritis education?
• Which splint is commonly used for Boxer's fracture?
• Ape hand deformity and Benediction sign both indicate injury to the same nerve. Which nerve is it?
• Lateral pinch gauge measures which type of pinch?
• Forearm pronation ROM is approximately 0 to what degrees?
• Claw hand and injury in Guyon's canal involve which nerve?
• When fabricating a dynamic MCP flexion splint, what is the correct angle of pull for a finger loop?
• Which symptom is most characteristic of Complex Regional Pain Syndrome as described in a hand injury patient?
• Which preparatory method would be used to increase tissue extensibility before engaging in therapy for a hand with decreased digital ROM and minimal edema?
• Which protocol uses a dorsal block to limit extension during early motion after tendon injury?
• A COTA working in an inpatient setting with veterans who have upper-extremity amputations attends a daily progress meeting with a rehabilitation team. What type of team is this?
• Wrist drop results from injury to which nerve?
• Which outpatient treatment is contraindicated for decreasing arm edema and stiffness associated with complex regional pain syndrome of the upper extremity?
• Which protocol emphasizes controlled motion using rubber bands in flexor tendon rehabilitation?
• During arm elevation, what is the typical scapulohumeral rhythm ratio of scapular upward rotation to glenohumeral elevation?
• For a client with decreased digital range of motion and minimal subacute edema, which preparatory method before therapy is BEST?
• Which imaging modality is most sensitive for detecting a rotator cuff tear?
• In flexor tendon repair rehabilitation, Zone II is known as what?
• Name two provocative tests for shoulder impingement.
• Which condition is correctly identified with median nerve compression at the wrist?
• Trigger finger is caused by stenosis at which pulley?
• Smith's fracture involves fracture of the distal radius with what displacement?
• First CMC joint osteoarthritis is commonly managed with which splint?
• Which test is used to assess supraspinatus function by resisted abduction?
• Which nerve is compressed in Guyon canal syndrome?
• A thumb spica splint immobilizes which area?
• Which splint is used for mallet finger?
• Which nerve is compressed in Guyon's canal?
• Which instrument is used to collect occupational profile data in hand therapy?
• Flexor digitorum profundus tendon injuries are categorized into how many finger zones (I–V)?
• A1 pulley is part of which anatomical structure?
• The distal interphalangeal (DIP) joints flexion ROM typically reaches up to?
• What is the purpose of scar desensitization in hand therapy?
• The Jamar dynamometer is used to measure which parameter?
• Adhesive capsulitis is also known as which condition?
• What is the primary purpose of supervision for a newly licensed OTA as defined by AOTA?
• Which recommendation BEST fits a chef with diminished protective sensation?
• Which assessment finding is most consistent with complex regional pain syndrome in the hand?
• For mallet finger management, how long is the DIP typically immobilized in extension?
• The Purdue Pegboard Test is used to assess what?
• Mallet finger injury involves injury to which structure?
• Colles fracture is a distal radius fracture with what angular deformity?
• Following distal radius fracture, which complication is commonly anticipated?
• Claw hand is associated with injury to which nerve?
• Which statement about wound healing is true?
• A patient with a recent dorsum hand skin graft 5–7 days ago is seen by an occupational therapist. What is MOST appropriate at this stage?
• Which nerve is most commonly injured with a midshaft humeral fracture?
• Tinel's sign at the wrist is positive for compression of which nerve?
• Which condition is treated with collagenase injections?
• Which flexor tendon repair protocol would represent best practice standards for a Zone 2 flexor digitorum superficialis laceration in a 10-year-old?
• Which nerve injury results in wrist drop after a midshaft humeral fracture?
• Name the three true joints of the shoulder girdle.
• Which deformity results from loss of the extension-controlling forces of the third and fourth lumbricals, leading to hyperextension at certain MCP joints?
• Boxer's fracture involves fracture of which bone?
• Mallet finger involves injury to which joint?
• Which patient-reported outcome measure is widely used to assess upper-extremity function?
• Which ligament is injured in Gamekeeper's thumb?
• In the radial nerve palsy scenario, which orthosis best directly maintains the wrist in extension to facilitate finger function?
• A COTA is treating a client who sustained second- and third-degree burns on the dorsal forearm and hand. Which splint would be appropriate for this client?
• Forearm supination ROM is approximately 0 to how many degrees?
• Which radiographic view is specialized for scaphoid fractures?
• Empty can (Jobe) test assesses which muscle?
• What is the purpose of the Occupation Therapy Practice Framework (OTPF) in practice?
• Which nerve provides motor innervation to the deltoid and teres minor?
• Which fracture is a fracture at the neck of the fifth metacarpal?
• A COTA is teaching discriminative sensory reeducation techniques to a client who has a median nerve surgical repair. Which method is appropriate for discriminative sensibility reeducation? The BEST choice.
• Which test is used to provoke shoulder impingement by elevating the arm to 90 degrees with internal rotation?
• How old was the child described in the Zone 2 flexor digitorum superficialis tendon laceration case?
• What is the MOST accurate description of supervision for COTAs working in a large outpatient hand clinic?
• During the intensive care unit phase for dorsal hand burns, which ROM technique is safest?
• In clients with arthritis, which aspect of the overall occupational therapy intervention plan is the MOST crucial?
• Froment's sign indicates weakness of which muscle?
• A positive Roos test indicates involvement of which syndrome?
• Which practice is most consistent with designing a resting hand splint for an older adult to address aging skin and tissue?
• Phalen's test assesses which condition?
• What is the first phase of wound healing?
• The proximal interphalangeal (PIP) joints have a maximum flexion ROM of approximately?
• A blocking splint that keeps the MCP joints in extension isolates which movements?
• In mallet finger management, the DIP is immobilized in what position?
• Which statement best describes the goal of an intrinsic plus splint in burn care?
• What is the approximate ROM for PIP flexion?
• A client with diminished protective sensation works as a chef and must protect the hand during kitchen tasks. Which intervention is MOST essential?
• What does the acronym DASH stand for?
• Mallet finger involves extensor mechanism at which joint?
• Which statement about distal radius fractures is true?
• In carpal tunnel syndrome, which motor function is typically weakened first?
• Boutonniere deformity results from injury to which structure?
• Colles fracture is a distal radius fracture with what deformity?
• A clinician has a distal radius fracture and the OT requests focusing on pain-free motion within functional ROM. How should the COTA assist in determining functional ROM?
• Protective sensory reeducation is used because the client is at risk for injuring the insensate hand.
• A client with chronic median nerve compression at the carpal tunnel has severely diminished functional pinch. In what position should the thumb be splinted to facilitate thumb-to-tip prehension?
• What is the approximate ROM for MCP joint flexion?
• A COTA treats a client with a proximal interphalangeal (PIP) flexion contracture to improve extension. Which option uses limited therapy time most effectively?
• A COTA is educating a client with boutonniere deformity about the use of a circumferential proximal interphalangeal (PIP) joint orthosis. Which statement is correct regarding its use?
• A resting hand splint is discussed for a 77-year-old client. Which splint characteristics are MOST important in addressing aging skin and adipose tissue?
• Which approach to functional outcome measurement best reflects client-centered care in distal radius fracture management?
• Which client education topic should the COTA focus on first for a client with bilateral osteoarthritis of the first carpometacarpal joints (thumbs)?
• A client with diminished protective sensation performing kitchen tasks: which option is NOT recommended?
• Which deformity is most characteristic of rheumatoid arthritis at the metacarpophalangeal joints?
• Which statement best describes the primary goal of joint protection principles in osteoarthritis management?
• Which two tests are commonly used to screen for carpal tunnel syndrome?
• A midshaft humeral fracture commonly injures which nerve, resulting in wrist drop?
• Which option best describes selecting a splint when time is limited for a PIP extension deficiency after injury?
• No man's land refers to which flexor tendon zone?
• The QuickDASH is used to assess function of which body region?
• After distal radius fracture, which symptom may indicate CRPS?
• Which nerve provides motor innervation to the deltoid muscle?
• Froment's sign suggests weakness of which muscle and nerve?
• A corporate client hires an OTR-COTA team as injury prevention consultants. How is their role best described?
• Which splint is typically used for Gamekeeper's thumb?
• What are the phases of wound healing in the correct order?
• Which is the BEST course of occupational therapy for a nondisplaced humeral neck fracture?
• Which instrument is used to quantify grip strength?
• Boxer's fracture involves fracture of which bone?
• In median nerve compression at the wrist, which sensory area is affected earliest?
• Which intervention is most appropriate immediately after skin grafting of the dorsum of the hand?
• Boutonniere deformity describes flexion at which joint?
• Osteoarthritis commonly affects which joint at the base of the thumb?
• What is the maximum flexion ROM for the metacarpophalangeal (MCP) joints?
• What splint is commonly used to rest the wrist in CTS?
• The carpal tunnel contains which structures?
• Which statement correctly describes who may supervise a COTA in typical practice?
• Dupuytren's contracture affects which tissue?
• A COTA® is fabricating a splint for a patient who had a palmar contracture release. What is the PRIMARY purpose of the splint?
• For a kitchen worker with sensory loss, which action most improves functional ability while allowing use of the hand?
• The Drop Arm test assesses dysfunction of which rotator cuff muscle?
• What is the approximate ROM for shoulder abduction measured with a goniometer?
• Injury to which nerve results in loss of shoulder abduction beyond 15 degrees and flattening of the deltoid contour?
• Gamekeeper's thumb injury involves damage to which ligament?
• Finkelstein's test is used to diagnose which condition?
• Which sensory distribution is affected early in median nerve compression at the wrist?
• Which occupation-based statement best demonstrates improvement in a client with a cumulative trauma disorder of the right upper extremity when documenting progress?
• Which option is NOT one of the three best phases of wound healing after surgery?
• Phalen's test is used to assess compression of which nerve?
• A COTA is working with a client who punched a wall after an argument. The client presents with inflammation and pain in the right fourth and fifth metacarpals. What type of fracture does this client most likely have?
• Which injury is associated with dinner fork deformity?
• Which team model emphasizes integrated planning across disciplines with shared goals in rehabilitation?
• Which joint typically shows the largest ROM in abduction when measured?
• Which structure is not a true joint of the shoulder girdle?
• De Quervain's tenosynovitis involves which two tendons?
• Which rehab protocol emphasizes early active and passive ROM without traction and uses a dorsal block to limit extension?
• Which statement best explains immobilization after Zone 2 flexor tendon repair in children?
• In a nondisplaced radial head fracture, which position BEST tolerates early elbow flexion and extension?
• Which protocol for flexor tendon repair emphasizes controlled motion with rubber bands?
• Benediction sign is associated with injury to which nerve?
• In the OT Practice Framework, how should PAMs be described when explaining scope to clients or colleagues?
• Forearm supination ROM is approximately 0 to how many degrees?
• Which test specifically provokes shoulder impingement with forward flexion and internal rotation?
• In boutonniere deformity management, which statement about the proximal interphalangeal (PIP) joint orthosis is correct?
• In boutonniere management, which PIP position is maintained?
• Which symptom describes trigger finger?
• Which of the following is NOT contained within the carpal tunnel?
• In workplace injury prevention, which description most accurately reflects the scope of the OTR-COTA team?
• What injectable therapy is used nonoperatively for Dupuytren's contracture?
• What is the approximate ROM for wrist flexion?
• A Colles fracture at the distal radius may limit which of the following motions most notably?
• Peripheral nerve regeneration rate in adults is approximately what?
• After distal radius fracture, which complication is commonly expected?
• In the acute phase after a stroke with a hemiplegic hand, which area should be prioritized to enable the patient to overcome barriers to ADL performance?
• What is the approximate ROM for DIP flexion?
• A high-level nerve injury may result in which characteristic deformity?
• Which nerve provides motor innervation to the thenar muscles and sensation to the palmar surface of digits 1-3 and half of digit 4, commonly compressed in carpal tunnel syndrome?
• Semmes-Weinstein monofilament test assesses which type of sensation?