SAT question In this technological age, students are faced with online educational opportunities at both the high school and post-high school levels. Many educators wonder how effective such online courses really are. Imagine you are designing an online course. Before beginning, you decide to conduct a study about the effectiveness of on-line courses. What would be an appropriate research question to guide your investigation? A) Which courses do students prefer, online or traditional? B) What are the strengths and weaknesses of online courses? C) Which courses have higher enrollment numbers, online or traditional? D) Which courses have better exam scores, online or traditional?

Answer D is correct You are investigating the effectiveness of on-line courses compare to traditional course. You are not interested in what students prefer. The most appropriate research question in this case would be: Which courses have better exam scores, online or traditional? Exam scores are a quantitative way, or numerical proof, to determine effectiveness.

Vocab. Fx GI HA HI H&P HR Hx (L)

Lower Quarter Screen

Hand and Wrist Evaluation

Anatomy Review

Anatomy Review Articulations: Metacarpophalangeal joints Carpometacarpal joints Intermetacarpal joints Intercarpal joints Radiocarpal joints Distal Radioulnar joint

Anatomy Review Intrinsic Muscles Extrinsic Muscles

Anatomy Review Nerves of the hand: Radial Median Ulnar

History Location of Pain MOI Sounds and Sensations (Rice Crispies) Duration of Symptoms Description of Symptoms/Pain aching, throbbing, sharp, dull, burning, numbness, tingling Previous history General medical health arthritis, vascularization issues

Inspection Posture Deformity Edema Cuts or scars Alignment Cysts Skin and fingernails

Palpation Bones Radius Radial Styloid Process Ulna Ulnar Styloid Process Carpal Bones Metacarpals Phalanges Soft Tissue Thenar eminence Central compartment Hypothenar eminence Webspace Collateral IP ligaments

ROM Tests Wrist Flexion Extension Ulnar Deviation Radial Deviation Finger Flexion Extension Abduction Adduction Thumb also has opposition.

Ligamentous Tests Valgus/Varus Stress Test of Radiocarpal joint Glide testing of the wrist Valgus/Varus Stress Test of the IP joints Ulnar Colleral Ligament of the thumb

Neurological Tests Radial Nerve Median Nerve Ulnar Nerve Upper Quarter Screen (will learn with shoulder)

Special Tests Phalen’s Test Finkelstein Test Tap Test Compression Test Tinel’s Sign Murphy’s Sign

Critical Thinking A young at. Falls off the parallel bars onto his outstretched (L) hand, forcing the wrist into hyperextension. There is a visiable deformity to the wrists. Describe the deformity presented and the actions that should be taken.

Critical Thinking A basketball player stumbles and falls on an outstretched hand. She complains of pain at the base of the thumb at the wrist. She is very point tender. What specific injury might be causing her pain and what should be done.