Day 11 - Ms1 Quiz

Question 1

Classic sx carpal tunnel syndrome

Answer 1

Wrist pain tends to radiate up arm, worsen w/ hand flexion or grasping (may drop things), numbness in thumb/middle/index fingers, Tinel sign (tapping carpal bone elicits wrist tingling & pain), Phalen sign (dorsum of hands together for 30 s, reproduces sx); May have thenar atrophy if long-term

Question 2

Nerve injury in carpal tunnel syndrome

Answer 2

Median nerve

Question 3

Monteggia v. Galeazzi fractures

Answer 3

Proximal ulnar fracture w/ anterior disloation of radial head v. Radial fracture with dislocation of DRUJ (distal radial ulnar joint)

Question 4

Dx/Complications: fall on outstreched arm, snuffbox tenderness

Answer 4

Scaphoid fracture; Risk of AVN

Question 5

Dx/Complications: Anterior shoulder dislocation

Answer 5

Axillary nerve injury

Question 6

Dx/Complications: 5th metacarpal fracture

Answer 6

Boxer fracture; Commonly assoc w/ Bite wound, that may require irrigation & antibx

Question 7

Dx/Complications: Humerus fracture

Answer 7

(Mid-shaft) Radial nerve injury

Question 8

Dx/Complications: Hip fracture

Answer 8

DVT formation & AVN

Question 9

Dx/Complications: Femur fracture

Answer 9

Fat embolism & severe blood loss into leg compartment

Question 10

Dx/Complications: Tibia fracture

Answer 10

Compartment syndrome

Question 11

Dx/Complications: Pelvic fracture

Answer 11

Hypovolemic shock from blood loss

Question 12

Cause of back pain: pain increases w/ passive straight leg raise

Answer 12

Disc herniation

Question 13

Cause of back pain: pain lessens w/ flexion of hips, bending over shopping cart

Answer 13

Spinal stenosis

Question 14

Cause of back pain: Elderly, weight loss, pain constant but worse when supine

Answer 14

Spinal tumor

Question 15

Cause of back pain: Acute urinary retention

Answer 15

Cauda equina syndrome

Question 16

Cause of back pain: Pain made worse by walking and standing

Answer 16

Spinal stenosis

Question 17

Cause of back pain: Loss of foot dorsiflexion, pain on crossed straight leg raise

Answer 17

Disc herniation

Question 18

Cause of back pain: Pain limited to paraspinal region

Answer 18

Muscular strain

Question 19

Nerve injury: Humeral shaft

Answer 19

Radial nerve

Question 20

Nerve injury: Surgical neck of humerus

Answer 20

Axillary nerve

Question 21

Nerve injury: Supracondyle of humerus

Answer 21

Median nerve

Question 22

Nerve injury: Medial epicondyle of humerus

Answer 22

Ulnar nerve

Question 23

Nerve injury: Anterior shoulder dislocation

Answer 23

Axillary nerve

Question 24

Nerve injury: Injury to carpal tunnel

Answer 24

Median nerve

Question 25

Conditions favoring posterior shoulder dislocation

Answer 25

Seizures, electrocution (incl. lightning strikes),

Question 26

Tx compartment syndrome

Answer 26

Emergent fasciotomy of all fascial compartments of that extremity, not just compartment affected

Question 27

Unhappy triad of knee

Answer 27

ACL injury with MCL and medial meniscus tear