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PCM Exam 1 > Elbow , Wrist Hand Exam > Flashcards

Elbow , Wrist Hand Exam Flashcards

1
Q

What is classical presentation for lateral epicondylitis?

A
  1. Aggravated by resisted wrist extension (pt feels pain with wrist extension)
  2. Pain over lateral epicondyle
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2
Q

Tennis elbow is overuse of ….?

A

Extensor tendons

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3
Q

Golfers elbow is overuse of …?

A

Common flexor tendons

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4
Q

Classic presentation of medial epicondylitis?

A
  1. Pain with resisted wrist FLEXION

2. With or without grip weakness

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5
Q

Medial epicondylitis could affect what nerve?

A

Ulnar nerve

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6
Q

This commonly results after trauma from leaning on elbow ….

A

Olecranon bursitis

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7
Q

Tinel sign can be used to test for 3 things. What are they?

A

Medial epicondylitis
Olecranon bursitis
Carpal tunnel

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8
Q

What is the most common compression neuropathy ? What nerve is involved?

A

Carpal tunnel

Median N.

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9
Q

Flick sign would be associated with?

A

Carpal tunnel

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10
Q

DeQuervains Tenosynovitis is inflammation of?

A

Tendon and synovial sheath covering:
Extensor pollicis brevis
Abductor pollicis longus

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11
Q

Positive Finkelstein test is indicative of ?

A

De quervains tenosynovitis

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12
Q

What joints are involved in RA?

A

Wrists, MCP, PIP joints

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13
Q

Which condition presents with symmetric joint pain, swelling or stiffness?

A

Rheumatoid arthritis

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14
Q

Osteoarthtritis involves which joint?

A

DIP

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15
Q

Felty syndrome manifestations (3)?

A

Neutropenia
splenomegaly
Severe RA

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16
Q

Swan neck deformity and boutonnie deformity is observed in pts with?

A

RA

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17
Q

Most common arthritis in adults?

A

Osteoarthritis

18
Q

Assymetric joint pain is associated with?

A

Osteoarthritis

19
Q

Heberdeb nodes on exam indicate?

A

Ostroarthritis

20
Q

What is the cause of ganglion cyst?

A

Herniation of connective tissue from tendon sheaths, ligaments or bursa

21
Q

Avascular necrosis can be a result of ?

A

Scaphoid fracture

22
Q

Pain of the floor of the anatomic snuffbox could indicate?

A

Scaphoid fx

23
Q

What artery could be damaged in scaphoid fx?

A

Palmar carpal branch of radial artery

24
Q

elbow joint exam first three steps?

A

inspection, palpation, range of motion

25
Q

ranges of motion to look for in the elbow joint exam?

A

flexion, extension, supination, pronation

26
Q

common causes of elbow pain?

A

gout, osteoarthritis, lateral epicondylitis, carpal tunnel syndrome, medial epicondylitis, olecranon bursitis

27
Q

what two types of olecranon bursitis can you have?

A

septic or aseptic

28
Q

ulnar nerve entrapment/cubital tunnel syndrome occurs often w/ which epicondyle?

A

medial humeral epicondyle

29
Q

what elbow movement constricts the ulnar nerve?

A

flexion of elbow

30
Q

what carpal bone is in the anatomic snuffbox?

A

scaphoid

31
Q

wrist and hand exam first three steps?

A

inspection, palpation, range of motion

32
Q

what ranges of motion do you test in the wrist?

A

flexion, extension, radial/ulnar flexion

33
Q

what ranges of motion do you test in the hand?

A

flexion, extension, abduction, adduction

34
Q

wrist and hand joint exam?

A

speciality exam: phalen’s signs, tinel’s sign, finkelstein test, checking trigger finger

35
Q

common causes of wrist pain?

A
  • palmar ulnar neuropathy (Guyon’s canal syndrome)

- distal radial fracture (Colle’s)

36
Q

common causes of hand pain?

A

carpal tunnel syndrome, benign bone tumor, infection (paronychia, cellulitis or abscess, herpetic whitlow, mallet finger)

37
Q

pregnancy increases the chance of what syndrome?

A

carpal tunnel syndrome

38
Q

what is phalen sign? what is it used to diagnose?

A

??

39
Q

what is tinel sign? what is it used to diagnose?

A

tap on proximal to middle of anterior wrist, carpal tunnel syndrome

40
Q

de quervain’s tenosynovitis uses which special test to diagnose?

A

finkelstein test

41
Q

key features of rheumatoid arthritis

A
  • symmetric joint pain

PCM Exam 1 (8 decks)

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