MSK- conditions of hand and elbow

Question 1

de quervain’s tenosynovitis affects

Answer 1

APL and EPB

Question 2

de quervain’s tenosynovitis pain-

Answer 2

over the radial styloid process at the wrist/base of thumb

Question 3

test for de quervain’s tenosynovitis

Answer 3

finklesteins test

Question 4

Finklestein’s test

Answer 4

patient makes a fist over the thumb and the hand is ulnar deviated to reproduce pain

Question 5

trigger finger level

Answer 5

A1 pulley

Question 6

Dupuytren’s diathesis

Answer 6

severe form of Dupuytren’s involving little and ring fingers, Lederhosen’s (superficial fibromatosis of the foot) and Peyronie’s (superficial fibromatosis of the penis)

Question 7

Tinel’s test

Answer 7

gently tapping or percussing (tapping) over a nerve that may be compressed or irritated.

Question 8

Froment’s test

Answer 8

thumb flexes at the IPJ joint while pinching a piece of paper to compensate for a weak adductor pollicis muscle

Question 9

in duputrens contracture, pathological collagen is of which type

Answer 9

type III

Question 10

environmental factors of duputrens contracture

Answer 10

diabetes
alcohol/cirrhosis
smoking
epilepsy/epilepsy medications
trauma

Question 11

fingers most commonly involved in duputrens contracture

Answer 11

4th and 5th

Question 12

cubital tunnel syndrome fingers

Answer 12

ulnar 1 1/2 fingers

Question 13

carpal tunnel syndrome fingers

Answer 13

thumb and radial 3 1/2 fingers

Question 14

first line management for carpal tunnel syndrome

Answer 14

wrist splint (especially at night)

Question 15

carpal tunnel can occur secondary to many conditions such as

Answer 15

RA
diabetes
pregnancy
hypothyroidism
renal failure

Question 16

de quervains tenosynovitis associated with

Answer 16

pregnancy
rheumatoid arthritis

Question 17

de quervains tenosynovitis pain radiates

Answer 17

proximally into the forearm

Question 18

initial management of de quervains tenosynovitis

Answer 18

splint