Objective 31 - Clinical features of the hand

Question 1

Hard swellings on the distal interphalangeal joints

Answer 1

Heberden’s nodes

Question 2

What are Heberden nodes a sign of?

Answer 2

Osteoarthritis

Question 3

Hard swellings on the proximal interphalangeal joints

Answer 3

Bouchard’s nodes

Question 4

What are Bouchard’s nodes a sign of?

Answer 4

RA

Question 5

Tenosynovitis in the abductor pollicis longus indicates what disease?

Answer 5

DeQuervain’s

Question 6

How is DeQuervain’s tested?

Answer 6

Finkelstein

Question 7

Flexion contracture of the MCP and PIP indicate what type of contracture?

Answer 7

Dupuytren’s contracture

Question 8

Which digits are affected in Dupuytran’s contracture?

Answer 8

last 2 digits

Question 9

What present in 1* syphilis?

Answer 9

painless chancre

Question 10

What presents in 2* syphilis?

Answer 10

• maculopapular rash including palms and soles

- Condylomata lata

Question 11

What presents in 3* syphilis?

Answer 11

gummas
Argyll Robertson pupil (accommodates but does not react)
Broad based ataxia

Question 12

What presents in congenital syphilis?

Answer 12

facial abnormalities
saddle nose
Hutchinson teeth
Mulberry molars