Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Orthopedics > 1- Wrist/Hand > Flashcards

1- Wrist/Hand Flashcards

1
Q

Bouchard nodes are what joints?

A

PIP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Heberden nodes are what joints?

A

DIP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Carpal tunnel syndrome is caused by compression of what nerve?

A

median nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The hallmark presentation of this syndrome is paresthesia in median nerve distribution.

A

carpal tunnel syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the 2 special tests to diagnose carpal tunnel syndrome?

A
  • Phalen’s test

- Tinel’s sign (tap over nerve)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

If surgical treatment for carpal tunnel syndrome is being considered what do you need to get first?

A

electrodiagnostic studies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which of the following is NOT a good non-surgical option for carpal tunnel syndrome?

a. wrist splint
b. corticosteroid injection
c. yoga
d. NSAIDs
e. oral steroids

A

d. NSAIDs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the most effective treatment option for carpal tunnel syndrome?

a. wrist splint
b. corticosteroid injection
c. yoga
d. NSAIDs
e. oral steroids
f. surgical decompression

A

f. surgical decompression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

De Quervain’s tenosynovitis involves inflammation of the tendon sheath that involves what 2 muscles?

A
  • extensor pollicis brevis (EPB)

- abductor pollicis longus (APL)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What special test is used to assess for De Quervain’s tenosynovitis?

A

Finklestein test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Pain over the radial side of the wrist exacerbated by thumb and wrist movement, and difficulty holding or gripping subjects is consistent with what diagnosis?

A

De Quervain’s tenosynovitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What splint is used for De Quervain’s tenosynovitis?

A

thumb spica splint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

This is defined as a slow, progressive fibrosis of the PALMAR FASCIA which results in a flexion contracture of fingers.

A

Dupuytren’s contracture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the treatment of choice for Dupuytren’s contracture?

A

open fasciotomy with transection of cords

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Stenosing flexor tenosynovitis (“trigger finger”) is caused by disparity in the size of the flexor tendons and the surrounding pulley system at which pulley?

A

first annular (A1) pulley

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Snapping, catching, locking of a finger during flexion should have you concerned for which diagnoses?

A

stenosing flexor tenosynovitis (“trigger finger”)

17
Q

Where is the most common site of a ganglion cyst on the wrist/hand?

A

dorsal wrist

18
Q

A painless, smooth, rubbery lump over the dorsal wrist is consistent with what diagnoses?

A

ganglion cyst of wrist and hand

19
Q

What is the most effective treatment for a ganglion cyst?

Observation
Needle aspiration
Corticosteroid injection
Surgical excision
Strike it with a book
A

Surgical excision

20
Q

What is the most likely organism in a human bite?

A

eikinella

21
Q

What is the most likely organism in a dog/cat bite?

A

pasteurella

22
Q

What is the most likely organism due to a cat scratch?

A

Bartonella

23
Q

which of the following is NOT a part of management of a human bite?

a. wound care
b. plain film
c. wound closure
d. tetanus
e. antibiotics
f. surgery for wash out

A

c. wound closure

24
Q

What antibiotic do you want to give for a human or dog bite?

A

augmentin PO

If they need IV = Unasyn

25
Q

What antibiotic do you want to give for a cat SCRATCH?

A

azithromycin

26
Q

what is a classic pathognomonic sign of rabies?

A

hydrophobia

27
Q

What is the most common bacteria causing paronychia?

A

staph aureus

28
Q

what is the recommended management for paronychia?

A
  1. topical antibiotics and warm water soaks
  2. oral antibiotics = keflex
    - if abscess is present = I/D
29
Q

what is the recommended antibiotic for paronychia if you are concerned for MRSA?

A
  • bactrim
30
Q

This is defined as an infection/abscess in the pad of the finger that is associated with severe, throbbing pain.

A

felon

31
Q

Which of the following is helpful for treating herpetic whitlow?

a. antibiotics
b. I&D
c. acyclovir

A

c. acyclovir

32
Q

This is defined as an infection within the flexor synovial sheath.

A

infectious flexor tenosynovitis

CANT MISS DIAGNOSIS

33
Q

What are the 4 “Kanavel Signs” for infectious flexor tenosynovitis?

A
  • tenderness along flexor tendon sheath
  • pain with passive extension of the digit
  • fusiform swelling of digit (sausage digit)
  • finger slightly flexed due to swelling
34
Q

What is the treatment for infectious flexor tenosynovitis?

A

IV antibiotics and often surgery (“wash out”)

35
Q

If a patient has infectious flexor tenosynovitis d/t IVDU what 2 antibiotics would you give IV?

A
  • Vancomycin + Ceftriaxone

Orthopedics (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions