Hand exam

Question 1

Inspection of hand

Answer 1

trauma, lesions, color, swelling, Herberden’s or Bouchard’s nodes, asymmetry in muscles

Question 2

ROM for hand

Answer 2

wrist: flex, ext, ulnar and radial deviation
thumb: flex, ext, abd, add, opposition
fingers: DIP and PIP flex and ext

Question 3

Strength for hand

Answer 3

grip strength

Question 4

Palpation

Answer 4

pulses
skin temp, masses, thickening
joints: swelling, tenderness, laxity of collateral ligaments
tendons: crepitus

Question 5

Special tests

Answer 5

Flexor/Extensor tendon exam 
Phalen's
Tinel's 
Finkelstein maneuver
Thumb CMC grind test
Allen's tests
2 point discrimination test

Question 6

Flexor/Extensor tendon exam

Answer 6

Individually evaluate each tendon for intergrity

Flexor digitalis superficialis and profundus, flexor pollicis longus

Question 7

Phalen’s test

Answer 7

touch dorsum of hands together for 60 seconds, parasthesias should occur
+ carpal tunnel syndrome

Question 8

Tinel’s test

Answer 8

tap on the median carpal ligament to send a tingling sensation into hand
+ carpal tunnel syndrome

Question 9

Finkelstein’s Maneuver

Answer 9

thumb in palm and ulnar deviation

+ DeQuervain’s tenosynovitis

Question 10

Thumb CMC grind test

Answer 10

axial pressure and move in circle

+ pain indicates CMC joint arthritis

Question 11

Allen’s test

Answer 11

asymmetry indicating isolated radial or ulnar artery lesion

Question 12

2 point discrimination

Answer 12

trauma assessment