PCM OSCE Elbow, Wrist, Hand

Question 1

elbow carrying angle

Answer 1

male 5

female 10-15

Question 2

elbow cubitus varus

Answer 2

<5

Question 3

elbow cubitus valgus

Answer 3

> 15

Question 4

elbow landmarks

Answer 4

olecranon
medial/lateral epicondyles
radial head
flexor/pronator muscles
extensor/supinator muscles

Question 5

wrist and hand landmarks

Answer 5

palmar/dorsal wrist
thenar/hypothenar eminences
flexor tendons
anatomic snuffbox
distal radius and ulna
carpal bones
MCP/PIP/DIP

Question 6

elbow motions

Answer 6

flexion
extension
supination
pronation
ulnohumeral adduction
ulnohumeral abduction

Question 7

elbow flexion angle/muscles

Answer 7

140-150
biceps brachii
brachialis
brachioradialis

Question 8

elbow extension angle/muscles

Answer 8

0-(-5)
triceps brachii
anconeus

Question 9

elbow supination angle/muscles

Answer 9

90
supinator
biceps brachii

Question 10

elbow pronation angle/muscles

Answer 10

90
pronator teres
pronator quadratus

Question 11

elbow ulnohumeral adduction angle/muscles

Answer 11

5

no muscle!

Question 12

elbow ulnohumeral abduction angle/muscles

Answer 12

5

no muscle!

Question 13

wrist motions

Answer 13

flexion
extension
adduction
abduction

Question 14

wrist flexion angle/muscles

Answer 14

80-90
flexor carpi radialis
flexor carpi ulnaris
palmaris longus

Question 15

wrist flexion coupled movement

Answer 15

dorsal/posterior carpal glide

Question 16

wrist extension angle/muscles

Answer 16

70
extensor carpi radialis longus and brevis
extensor carpi ulnaris

Question 17

wrist extension coupled movement

Answer 17

ventral/anterior carpal glide

Question 18

wrist adduction (ulnar deviation) angle/muscles

Answer 18

30-40
flexor carpi ulnaris
extensor carpi ulnaris

Question 19

wrist adduction (ulnar deviation) coupled movement

Answer 19

ulnar abduction

Question 20

wrist abduction (radial deviation) angle/muscles

Answer 20

20-30
flexor carpi radialis
extensor carpi radialis longus and brevis

Question 21

wrist abduction (radial deviation) coupled movement

Answer 21

ulnar adduction

Question 22

elbow valgus stress test

Answer 22

positive: pain with palpation and valgus stress, increased laxity
indicates: sprained medial (ulnar) collateral ligament

Question 23

elbow varus stress test

Answer 23

positive: pain with palpation and varus stress, increased laxity
indicates: sprained lateral (radial) collateral ligament

Question 24

elbow tinel test

Answer 24

positive: tingling sensation down forearm within ulnar nerve distribution
indicates: ulnar nerve entrapment (cubital tunnel syndrome)

Question 25

medial epicondylitis test

Answer 25

positive: pain around medial epicondyle indicates: medial epicondylitis (Golfer's elbow)

Question 26

lateral epicondylitis test

Answer 26

positive: pain around lateral epicondyle indicates: lateral epicondylitis (Tennis elbow)

Question 27

wrist tinel test and Phalen's sign

Answer 27

positive: tingling sensation down hand within median nerve distribution indicates: median nerve entrapment (carpal tunnel syndrome)

Question 28

Finkelstein test

Answer 28

positive: pain in lateral wrist indicates: DeQuervain's tenosynovitis