Test 1, Ch. 5 Flashcards

1
Q

All angles on hand, wrists, digits are:

A

zero degrees

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2
Q

How many phalanges are there in each hand?

A

14 ( in each hand )

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3
Q

The hand consists of _____ bones.
Which are subdivided into three groups, name the groups.

A

27

Phalanges (Bones of the digits)
Metacarpals (Bones of the palm)
Carpals (Bones of the wrist)

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4
Q

The thumb is always known as the:

A

first digit

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5
Q

The third metacarpal of the hand articulates with the:

A

Capitate ( largest & most centrally located carpal bone )

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6
Q

How many phalanges are in the thumb?

A

2

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7
Q

The first bone located on the proximal row of the lateral side of the wrist is the:

A

scaphoid

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8
Q

The wrist has _____ carpal bones, which are fitted closely together and arranged in two horizontal rows.

A

8

4 in the Proximal row (row nearest to the forearm)

4 in the Distal row

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9
Q

The palm of the hand is formed by ______ , which are cylindrical in shape and slightly concave anteriorly.

A

Five metacarpals

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10
Q

What is the largest carpal bone?

A

Capitate , and most centrally located

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11
Q

Tenderness in the snuff-box area is a clinical sign suggesting fracture of the _____ , which is the most commonly fractured carpal bone.

A

Scaphoid

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12
Q

The carpal bones articulates with this bone:

A

metacarpals (distally) or radius (proximal)

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13
Q

What joint is between the phalanges and the metacarpals?

A

MCP joints

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14
Q

The most commonly fractured carpal bone?

A

Scaphoid

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15
Q

How many degrees is the hand rotated for an AP oblique projection?

A

45 degrees

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16
Q

The most common projection for the 2nd through 5th digit is this type of projection; with this type of rotation.

A

PA with external rotation

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17
Q

What joint is seen only on an x ray of the first digit?

A

CMC joint
( the joint at the base of the thumb where the thumb bone meets the wrist bone )

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18
Q

For a PA of the 2nd digit, the central ray is directed to the ____ joint.

A

PIP Joint

19
Q

For a PA projection of the first digit the hand is positioned in which position:

A

Pronation

20
Q

What should be in contact with the table top for a PA of the wrist?

A

arm, axilla, and forearm

21
Q

The metacarpals articulate distally with these:

A

Proximal Phalanges

22
Q

For a PA wrist, where does the CR enter?

A

mid carpal area

23
Q

Flexing the fingers for a PA of the wrist; does what?

A

moves carpal bones closer to the IR

24
Q

For a PA of the hand, the central ray enters:

A

3rd MCP

25
Q

What’s the primary projection used to demonstrate anterior and posterior displacement?

A

True Lateral

26
Q

For all oblique hands, wrists, fingers; what is the degree?

A

45 degrees

27
Q

We use 45 degree wedges but we don’t use 45 degree _____

A

blocks

28
Q

For a lateral projection of the wrist, the elbow must be flexed _____

A

90 degrees

29
Q

A fracture at the base of the first metacarpal is called a _____ fracture.

A

Bennett

30
Q

A fracture of the metacarpal neck is called a _____ fracture.

A

Boxers

31
Q

The _____ articulations between phalanges are _____ type and only allow flexion and extension.

A
  • Interphalangeal
  • Synovial Hinge
32
Q

What anatomy is not well demonstrated when a PA oblique hand is performed?
( Fill in the blank, on Test)

A
  • All Digits
  • 3rd-5th Metacarpals
33
Q

There will be a picture and you will say what type of joint it is; Hinged, Synovial, Pivot

A

Synovial- the joint connecting the radius bone in the forearm to the carpal bones in the wrist

Hinged- between the individual phalange bones

Pivot- joint of the wrist that allows the palm of the hand to be turned up and down

34
Q

For a lateral projection of the hand, the central ray is directed?

A

Perpendicular to the second MCP joint

35
Q

Hinged Joint

A

A hinged joint is a type of synovial joint that allows movement in one plane, similar to a door hinge.

  • Hinge joints are found in many parts of the body, including the fingers, toes, knees, elbows, and ankles

Example: interphalangeal joints of the hand

36
Q

Synovial

A

Allow only flexion and extension

Example: Wrist Joint, Elbow Joint , Thumb Joint etc.

37
Q

Pivot Joint

A

a specific type of joint where a cylinder-shaped bone is joined to a ring-shaped bone, and the cylinder-shaped bone is able to rotate inside the ring-shaped bone in a single axis

  • Examples: Wrist Joint (allows the palm of the hand to move up and down)
  • A another prime example of a pivot joint in the human body is the joint between the first and second cervical vertebrae in the neck
38
Q

How much wrist rotation is required for the PA oblique projection, lateral rotation position of the wrist?

A

45 degrees

39
Q

Which digit of the hand does not have a PIP or a DIP?

A

Thumb ( First Digit )

40
Q

Which carpal bone must be included when taking a projection of the first digit?

A

Trapezium Carpal Bone

41
Q

The articulations between the lunate and scaphoid are a form of a ______ joint.

A

Gliding

42
Q

The articulations between the 2-5th metacarpals and the trapezoid, capitate, and hamate as well as the inter-carpal articulations form _____ joints.

A

synovial gliding

43
Q

For a lateral projection of the second through fifth digits, the central ray is directed:

A

0 degrees