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CHT EXAM PREP 2026 – 200+ Q&AS WITH RATIONALES (CERTIFIED HAND THERAPY PRACTICE TEST)

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Pass the Certified Hand Therapy (CHT) exam on your first attempt with this comprehensive practice question bank. Covers upper extremity anatomy (median, ulnar, radial nerves, flexor/extensor systems, TFCC, DRUJ), clinical evaluation (special tests: Phalen’s, Tinel’s, Finkelstein’s, Froment’s, Watson’s, Bunnel-Littler), pathology (fractures: Colles’, Smith’s, Bennett’s, Rolando’s; tendon injuries: mallet finger, jersey finger, boutonnière; nerve compressions: CTS, cubital tunnel, radial tunnel; arthritis, Dupuytren’s, CRPS), rehabilitation protocols (flexor/extensor tendon repair: Kleinert, Duran, Indiana; orthotics: resting hand, dynamic splints, thumb spica, silver ring splints), prosthetics (body-powered, myoelectric), and clinical scenario-based reasoning. Every question includes a correct answer and detailed rationale. Updated for 2026 – perfect for occupational and physical therapists. Instant download – study smart and earn your CHT credential.

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CHT

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Page 1 of 114



CHT EXAM PREP 2026|ACTUAL EXAM

TESTBANK WITH 700+Qs&As |ALREADY

GRADED A+|CHT EXAM PREP

Q1. Which nerve is most commonly compressed in carpal

tunnel syndrome?

A) Ulnar nerve

B) Radial nerve

C) Median nerve

D) Musculocutaneous nerve

Answer: C

Rationale: The carpal tunnel houses the median nerve, making it

vulnerable to compression between the flexor tendons and the

transverse carpal ligament.

Q2. The primary muscle responsible for thumb opposition is:

A) Adductor pollicis

,Page 2 of 114


B) Opponens pollicis

C) Flexor pollicis longus

D) Abductor pollicis longus

Answer: B

Rationale: Opponens pollicis enables thumb opposition by rotating

the first metacarpal, allowing the thumb to touch the fingertips.

Q3. Which structure provides primary stability to the distal

radioulnar joint (DRUJ)?

A) Volar plate

B) Annular ligament

C) Triangular fibrocartilage complex (TFCC)

D) Interosseous membrane

Answer: C

Rationale: The TFCC stabilizes the DRUJ during forearm rotation

and absorbs axial load across the ulna.

,Page 3 of 114


Q4. A boutonnière deformity results from injury to which

structure?

A) Volar plate

B) Central slip of the extensor tendon

C) Lateral bands

D) Flexor digitorum profundus

Answer: B

Rationale: Central slip disruption causes PIP flexion with DIP

hyperextension — the classic “buttonhole” deformity.

Q5. The lumbrical muscles originate from which structure?

A) Flexor digitorum profundus (FDP)

B) Flexor digitorum superficialis (FDS)

C) Interosseous muscles

D) Extensor digitorum communis (EDC)

Answer: A

, Page 4 of 114


Rationale: The lumbricals arise from the FDP tendons and insert into

the extensor expansion, flexing MCPs and extending IPs.

Q6. What is the normal oxygen saturation (SpO₂) for a patient

receiving hyperbaric oxygen therapy at 2.0 ATA?

A) 95%

B) 98%

C) >99%

D) 90%

Answer: C

Rationale: At 2.0 ATA breathing 100% oxygen, arterial oxygen

tension rises to approximately 1,000–1,500 mmHg, resulting in

SpO₂ >99%.

Q7. Which of the following is a requirement for an

occupational or physical therapist to be eligible to take the

CHT exam?

A) Two years of experience and 2,000 hours

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Uploaded on
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