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The Treatment of the Pediatric Hand Patient: Part II "Congenital Conditions"

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1.  What distinguishes Type IIIA from Type III B thumb deficiency?
  1. Thumb index web space narrowing
  2. Unstable CMC joint
  3. Extrinsic tendon abnormalities
  4. Absent distal phalanx
2.  A primary functional limitation for a child with an absent thumb is:
  1. Inability to grasp large items
  2. Inability to grasp small items
  3. Inability to hold items
  4. Inability to release items
3.  One primary treatment objective following syndactyly release is:
  1. Increase digital extension for release of objects
  2. Increase grip strength to allow opening objects
  3. Desensitization
  4. Maintaining the web space
4.  A functional change following syndactyly release may include all with the exception of:
  1. Improved ability to perform spherical grasp
  2. Improved cosmesis
  3. Increased grip strength
  4. Increased span of grasp
5.  The most challenging age to keep a splint on a child is:
  1. 12-18 months
  2. 18 months-4 years
  3. 4-7 years
  4. 7-12 years
6.  A primary functional limitation of a child with a congenitally absent hand include all with the exception of:
  1. Grasping
  2. Manipulating
  3. Carrying
  4. Fastening
7.  What period of development is a critical time for children with congenital hand differences?
  1. Adolescence
  2. Toddler
  3. School Age
  4. All of the above
8.  What is not a primary concern following excision of a pre-axial polydactyly ?
  1. Limited digital motion
  2. MP joint stability
  3. Hypersensitivity
  4. Tight 1st Web space
9.  A child with an absent hand would not be able to do which activity?
  1. Play baseball
  2. Tie his/her shoes
  3. Open a bottle
  4. None
10.  Following a pollicization or opponensplasty, the thumb should be splinted in what position?
  1. Radial abduction
  2. Palmar abduction
  3. Full extension
  4. Full flexion

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