An occupational therapy (OT) practitioner is evaluating a 60-year-old female with rheumatoid arthritis. The OT practitioner observes that the patient is unable to extend her fourth and fifth digits

The patient has full passive range of motion (ROM) and no pain. She has good active flexion. The patient reports that she has difficulty opening her hand around an object such as a can or jar. The therapist should suspect that the patient has which of the following conditions?
A. Two trigger fingers
B. Weakness of the digit extensors
C. Rupture of the digit extensors
D. Finger joint subluxations


ANS: C
Rupture of the extensor tendons to the fourth and fifth digits can occur when the extensors rub on a rough, bony surface, often at the wrist because of synovial invasion.

Health Professions

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A 64-year-old female is alert and oriented, in moderate respiratory distress, and complaining of chest pain. She describes an acute onset of right-sided chest pain that radiates across her chest. Physical examination reveals cold, diaphoretic skin; lung sounds with crackles bilaterally; JVD; and peripheral edema. Medical history includes hypertension, prior myocardial infarction, and heart failure. HR = 128, BP = 86/56, RR = 26, SaO2 = 92%. Which of the following is appropriate in the prehospital treatment of this patient?

A) Dopamine B) Nitroglycerin C) Amiodarone D) Morphine

Health Professions

Which of the following is TRUE about Medicare or Medicaid?

Medicaid is state-administered health insurance for people and families of low income Medicare is state-administered health insurance for families of low income Medicare is state-funded health insurance for people of age 65 or older Medicaid is state-funded health insurance for children only

Health Professions

A value of ____ for the relative risk is referred to as the null value since it means that there is no relationship between exposure and outcome.

A. one B. two C. three D. four

Health Professions

Informed consent involves:

A) carefully explaining the potential ramifications of refusing emergency medical treatment. B) ensuring that a patient understands the potential risks involved in performing a particular procedure. C) a patient verbally expressing his or her wishes for you to proceed with emergency medical treatment. D) explaining the rationale for an invasive procedure to a patient after you have already performed it.

Health Professions