Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

(1) MS: Orthopedic and Rheumatic Conditions 🩺 > S1_L2: Wrist and Hand Conditions > Flashcards

S1_L2: Wrist and Hand Conditions Flashcards

1
Q

TRUE OR FALSE: Structurally, fingernails are actually modified hairs. Nails stop growing after death

A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true

A

A. Both statements are true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The following statements are true about the Gamekeeper’s thumb, EXCEPT:

A. Also known as Skier’s thumb
B. Rupture of the collateral ligament on the radial side of the thumb at the metacarpophalangeal joint
C. Caused by a blow or fall on extended thumb or repeated abduction of thumb
D. Results to weak thumb-index pinch
E. None of the above

A

B. Rupture of the collateral ligament on the radial side of the thumb at the metacarpophalangeal joint

NOTE: Rupture happens on the ulnar side of the thumb

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Injuries to the TFCC typically occur following a fall on the (1)_______ outstretched wrist or as the result of chronic repetitive (2)_______ loading

A
  1. supinated
  2. rotational
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The following may cause claw hand deformity, EXCEPT:

A. Ulnar nerve palsy
B. Median nerve palsy
C. Charcot-Marie-Tooth disease
D. Compartment syndrome of the hand
E. None of the above

A

E. None of the above

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

The Claw Hand is an imbalance between strong (1)_______ and deficient (2)_______.

A
  1. extrinsics
  2. intrinsics
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

The following statements are true about the swan neck deformity, EXCEPT:

A. Characterized as hyperextension of PIP and flexion of DIP
B. Destruction of the oblique retinacular ligament of the extensor mechanism
C. Extended position of DIP stretches FDS and FDP tendon
D. Results to inability to bring tips of fingers into grasp
E. None of the above

A

C. Extended position of DIP stretches FDS and FDP tendon

NOTE: PIP is in extended position

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Trigger Finger grade II is also called the (1)_______, while grade III is also called (2)_______

A
  1. active
  2. passive
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Match the following trigger finger grade to its characteristics.

  1. PIP joint is stuck in flexion and cannot be extended
  2. Pain on A1 pulleys of involved finger
  3. Patient cannot flex finger

A. I (Pretrigger)
B. II (Active)
C. III (Passive)
D. IV (Rigid)

A
  1. D
  2. A
  3. C
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Match the following trigger finger grade to its characteristics.

  1. PIP can be extended only with help of an external force
  2. Triggering noted on physical examination
  3. Triggering on PE but patient can extend PIP actively

A. I (Pretrigger)
B. II (Active)
C. III (Passive)
D. IV (Rigid)

A
  1. C
  2. C
  3. B
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

TRUE OR FALSE: Ring finger and thumb are most often affected by trigger finger

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

TRUE OR FALSE: The Distal Radio-ulnar Joint (DRUJ) is a uniaxial pivot joint. Only the DRUJ is responsible for pronation and supination of forearm.

A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true

A

C. Only the 1st statement is true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

This is found in the dorsal, at center of radius, and forms a pulley around which the extensor pollicis longus tendon passes

A

Lister’s tubercle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

The term (1)_______ pertains to an injury to muscles while the term (2)_______ pertains to a ligamental injury

A
  1. strain
  2. sprain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Match the following fractures to its corresponding clinical details.

  1. complete fracture of the distal radius with palmar displacement of the distal fragment
  2. also known as Dinner Fork Deformity
  3. caused by a sudden pronation of the distal forearm on a fixed wrist
  4. causes the forearm to be angled posteriorly just proximal to the wrist
  5. an intra-articular fracture of the distal radius with associated dislocation of the radiocarpal joint

A. Colle’s Fracture
B. Smith’s Fracture
C. Barton Fracture

A
  1. B
  2. A
  3. C
  4. A
  5. C
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

TRUE OR FALSE: Barton Fracture may be can be described as volar or dorsal, depending on whether the volar or dorsal rim of the radius is involved. A dorsal Barton Fracture is more common.

A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true

A

C. Only the 1st statement is true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Where does inflammation occur in De Quervain’s Tenosynovitis?

A

1st dorsal compartment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Ulnar shift and ulnar deviation at the MCP is associated with _____________

A

Rheumatoid Arthritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

The following statements are true about the TFCC, EXCEPT:

A. Main stabilizer of distal radioulnar joint
B. Located between the medial proximal carpal row and distal ulna
C. Composed of a meniscus homologue to increase wrist movement
D. Supports the ulnar portion of the carpus
E. None of the above

A

C. Composed of a meniscus homologue to increase wrist movement

NOTE: It serves as a shock absorber

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Match the following boundaries of the carpal tunnel to its corresponding structure

  1. flexor retinaculum
  2. hook of hamate
  3. trapezium
  4. radiocarpal ligaments
  5. palmar ligament complex

A. Roof
B. Floor
C. Ulnar border
D. Radial Border

A
  1. A
  2. C
  3. D
  4. B
  5. B
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

The following statements are true, EXCEPT:

A. TFCC injury may be traumatic of degenerative
B. A TFCC tear is a common injury in golf, boxing, tennis, waterskiing, gymnastics, and hockey
C. Radiographs is usually positive
D. S/Sx include painful click during wrist motions
E. None of the above

A

C. Radiographs is usually positive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

TRUE OR FALSE: A s/sx of TFCC injury is a complain of medial wrist pain just distal to the ulna, which is increased with
end-range forearm pronation/supination and with repetitive gripping. Tenderness is also palpated anterior to the distal ulnar head.

A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true

A

B. Both statements are false

NOTE: Pain is aggravated with forceful gripping and tenderness is palpated posteriorly.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

TRUE OR FALSE: The Radiocarpal joint is between the distal radius and the scaphoid and lunate and TFCC. It is a condyloid joint

A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true

A

A. Both statements are true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Match the following condition to its signs and symptoms.

  1. TFCC tear
  2. Ulnar styloid fracture
  3. Ulnar nerve entrapment at
    Guyon’s

A. Pain over ulnar styloid
B. Paresthesia or weakness
C. Ulnar deviation of wrist
McMurray’s

A
  1. C
  2. A
  3. B
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

The (1)_______ is a carp[al bone also known as the navicular bone of the hand. It is part of the (2)_______ row.

A
  1. scaphoid
  2. proximal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

TRUE OR FALSE: Colle’s fracture has a high incidence in men over 60.

A

False.

NOTE: This condition has a high incidence in menopausic women 50.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

If 50+ yr old woman had a fracture, there is an (1)______ likelihood of fractures in other areas because of (2)_______

A
  1. increased
  2. osteoporosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

The following statements are true the s/sx seen in colle’s fracture, EXCEPT:

A. dorsal wrist pain
B. bruising
C. numbness
D. decreased angulation of distal radius
E. None of the above

A

D. decreased angulation of distal radius

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

TRUE OR FALSE: The best way to diagnose Colle’s fracture is through an X-ray.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

TRUE OR FALSE: In Colle’s fracture, >5mm radial shortening is an indication for a surgical fixation. A dorsal angulation >10° or >30° of contralateral distal radius also calls for this.

A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true

A

C. Only the 1st statement is true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

TRUE OR FALSE: Smith’s Fracture is also called reverse Colle’s fracture. The usual mechanism is fall on the back of a
flexed hand.

A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true

A

A. Both statements are true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

The following statements are true about the Barton Fracture, EXCEPT:

A. an intra-articular fracture of the distal radius
B. common in young men
C. cannot be seen initially
D. close reduction cast will have the wrist in full supination, mid extension and ulnar deviation
E. None of the above

A

C. cannot be seen initially

32
Q

TRUE OR FALSE: Madelung’s deformity happens when ulnar growth is slower than that
of the radial growth

A

True

33
Q

Gender wise, Madelung’s deformity is common in (1)_______. In terms, of laterality, it is usually (2)_______.

A
  1. females
  2. bilateral
34
Q

Avascular necrosis of scaphoid is called?

A

Preiser’s disease

35
Q

Spontaneous osteonecrosis of the lunate is called?

A

Kienbock’s disease

36
Q

A 50 year-old carpenter came in pain on the wrist. Pain is noted when he tries to move the wrist. What will be the best special test to use in this case?

A

Finkelstein’s Test

37
Q

The vein on your ring finger is called (1)______. It has a direct line with the human heart and is known as the (2)_____. That’s why we wear an engagement ring on the (3)_____’s hand finger

A

1.Vena Amoris
2. vein of love
3. left

38
Q

A 40 year old left handed female, known diabetic for 1 year, non-hypertensive, complained of pain on the left hand. Pain is described as dull, aching pain on the left palm and fingers with associated numbness on the fingers. Patient usually wakes up early morning because of the numbness and stiffness. What is the most plausible diagnosis?

A

Ulnar nerve neuropathy in canal of Guyon

39
Q

A 50 year-old carpenter came in pain on the wrist. Pain is noted when he tries to move the wrist. What is the most plausible diagnosis?

A

De Quervain’s Tenosynovitis

40
Q

A 50 year old mother, complained of pain on the 2nd digit of thev R hand especially when closing and opening the fingers Complains of a locking sensation prominent in the morning. What is the most plausible diagnosis?

A

Trigger finger

41
Q

A 38 year old diabetic bank teller complained of pain on the left hand described as tingling sensation especially at night for the past 3 months. She reports that shaking hands relieves her pain. What is the most plausible diagnosis?

A

Carpal Tunnel Syndrome

42
Q

This condition is characterized by MCP flexion and IP extension

A

Intrinsic plus hand

43
Q

When the swan-neck deformity occurs in the thumb, it is known as what?

A

zigzag deformity

44
Q

This is most commonly dislocated carpal bone

A

Lunate

45
Q

This is the most commonly fractured carpal bone

A

Scaphoid

46
Q

This serves to prevent tendons from bow string when the tendons turn a corner at the wrist

A

Extensor Retinaculum

47
Q

What makes up the lateral border of the anatomic snuffbox?

A

tendons of the abductor pollicis longus and extensor pollicis brevis

48
Q

TRUE OR FALSE: De Quervain’s is most commonly in the dominant
wrist. It typically occurs between ages 40-60.

A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true

A

C. Only the 1st statement is true

49
Q

TRUE OR FALSE: It is possible to palpate a hard tender nodule over styloid process of the
radius in De Quervain’s Tenosynovitis.

A

True

50
Q

This is also known as Transverse carpal ligament

A

Flexor Retinaculum

51
Q

The following are structures that pass deep to the flexor
retinaculum, EXCEPT:

A. Flexor digitorum superficialis tendons
B. Flexor pollicis longus tendon
C. Ulnar nerve
D. Median nerve
E. Flexor carpi radialis tendon

A

C. Ulnar nerve

52
Q

The carpal tunnel serves as a conduit for how many flexor tendons?

A

9

53
Q

What nerve supplies the carpal tunnel?

A

Median nerve

54
Q

The following may cause carpal tunnel syndrome, EXCEPT:

A. gout
B. colle’s fracure
C. pregnancy
D. thyroid disease
E. none

A

E. none

55
Q

The following are signs and symptoms of carpal tunnel syndrome, EXCEPT:

A. Tingling in the hand (thumb, and index)
B. Aggravated during volleyball
C. Problems with grip and pinch
D. Worse at night
E. None

A

B. Aggravated during volleyball

56
Q

SCENARIO: The patient is positioned in sitting and is asked to vigorously shake his or
her hands. The patient reports of a resolution of the paresthesia symptoms during or following administration of the motion.

Yes or no, is the test considered positive?

A

Yes

57
Q

SCENARIO: The patient is positioned in sitting and is asked to vigorously shake his or
her hands. The patient reports of a resolution of the paresthesia symptoms during or following administration of the motion.

What special test was done?

A

Flick’s maneuver

58
Q

This is a depression superficial to the flexor retinaculum located between the hook of the hamate and pisiform bone

A

Tunnel of Guyon

59
Q

TRUE OR FALSE: The floor of the Tunnel of Guyon is bounded by the pisohamate ligament and pisometacarpal ligament

A

True

60
Q

This is referred to as the nerve of fine movements of the hand

A

Ulnar nevrve

61
Q

Enumerate the 2 special tests done for confirming a canal of Guyon syndrome

A
  1. Froment’s test
  2. Wartenberg’s sign
62
Q

This is the most important joint of the thumb

A

Carpometacarpal joint of the
thumb

63
Q

This is a fibrotic condition of the palmar aponeurosis that results in nodule formation or scarring of the aponeurosis

A

Dupuytren’s Contracture

64
Q

The following are true about Dupuytren’s Contracture, EXCEPT:

A. Commonly affects the ring and 5th finger or both
B. Commonly bilateral but if unilateral mostly affects R hand
C. Chronic inflammation of the palmar fascia with progressive fibrosis and contracture
D. May cause finger flexion contracture
E. None

A

E. None

65
Q

The central bone is located at which zone?

A

3

66
Q

This band rejoin over the middle phalanx in to the terminal tendon the inserts at the base of distal phalanx

A

Lateral bands

67
Q

When the lateral bands are ruptured, what deformity will occur?

A

Mallet finger

68
Q

Determine the flexor zones of the hand.

  1. No Man’s Zone
  2. Lumbrical Zone
  3. under the carpal ligament and carpal tunnel

A. Zone I
B. Zone II
C. Zone III
D. Zone IV
E. Zone V

A
  1. B
  2. C
  3. D
69
Q

Determine the flexor tendon injuries affects which zones of the hand.

  1. Flexor digitorum superficialis
  2. Flexor pollicis longus
  3. Median nerve

A. Zone I
B. Zone II
C. Zone III
D. Zone IV
E. Zone V

A
  1. B or D
  2. D
  3. D
70
Q

Determine the extensor tendon zones of the hand.

  1. DIP
  2. PIP
  3. MCP

A. Zone I
B. Zone II
C. Zone III
D. Zone IV
E. Zone V
F. Zone VI
G. Zone VII
H. Zone VIII

A
  1. A
  2. C
  3. E
71
Q

Determine the extensor tendon injuries affects which zones of the hand.

  1. buttonhole deformity
  2. mallet finger
  3. fight bite

A. Zone I
B. Zone II
C. Zone III
D. Zone IV
E. Zone V
F. Zone VI
G. Zone VII
H. Zone VIII

A
  1. C
  2. A
  3. E
72
Q

What is the most commonly injured extensor zone

A

Zone 6

73
Q

The 2nd cruciate pulley of the hand is between which annular ligaments?

A

A3 and A4

74
Q

A5 is at the level of the?

A

DIPs

75
Q

A2 is at the level of the?

A

proximal phalanx

76
Q

Which fingers are most commonly affected by the trigger finger?

A
  1. ring finger
  2. thumb

(1) MS: Orthopedic and Rheumatic Conditions 🩺 (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions