Upper Extremity, CDB Flashcards

1
Q

Sweat vs sebaceous gland: The breast is a modified ___

A

Sweat

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2
Q

Sebaceous glands surrounding the breast

A

Montgomery tubercle

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3
Q

Axillary LN levels

A

Level I: Inferolateral to pectoralis minor Level II: Posterior to pectoralis minor Level III: Superomedial to pectoralis minor

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4
Q

Least vascular portion of breast

A

Inferior

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5
Q

Most common site of breast CA

A

Upper outer quadrant

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6
Q

Intraosseous vs intramembranous ossification: Clavicle

A

Intramembranous

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7
Q

Scapular landmarks (rib): Superior angle

A

2nd rib

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8
Q

Scapular landmarks (rib): Spine

A

3rd rib

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9
Q

Scapular landmarks (rib): Inferior angle

A

7th rib

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10
Q

Suprascapular notch transmits

A

Suprascapular nerve

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11
Q

Humerus: Shape of head

A

1/3 of sphere

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12
Q

Humerus: Anatomical vs surgical neck, more frequently fractured

A

Surgical

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13
Q

Vessel/s/Nerve/s related to the surgical neck of humerus

A

1) Posterior humeral circumflex artery 2) Axillary nerve

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14
Q

Radius and ulna, fracture-dislocation: Radial fracture, inferior dislocation

A

GRIMUS Galleazi

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15
Q

Radius and ulna, fracture-dislocation: Ulnar fracture, superior dislocation

A

GRIMUS Monteggia

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16
Q

Nursemaid elbow: Bone dislocated

A

Radial head

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17
Q

Nursemaid elbow: Ligament torn

A

Annular ligament

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18
Q

Most common fracture of metacarpals

A

Boxer fracture

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19
Q

Anterior vs posterior dislocation: Humeral head at subcoracoid position

A

Anterior

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20
Q

Anterior vs posterior dislocation: Humeral head at subglenoid position

A

Posterior

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21
Q

Acromioclavicular joint dislocation is due to a tear in what ligament

A

Coracoclavicular

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22
Q

Cubitus varus vs valgus: Gunstock deformity

A

Varus

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23
Q

Malunion of supracondylar fractures give rise to

A

Gunstock deformity

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24
Q

Most common dislocation in children

A

Elbow dislocation

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25
Q

Most common dislocation in adults

A

Shoulder dislocation

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26
Q

2nd most common dislocation in adults

A

Elbow dislocation

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27
Q

Partial dislocation

A

Subluxation

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28
Q

Most common cause of elbow dislocation

A

Fall on outstretched hand

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29
Q

Most common type of shoulder dislocation

A

Anterior dislocation

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30
Q

Injury to the brachial artery in elbow dislocation brings about

A

Volkmann ischemic contracture

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31
Q

Osteoarthritis, DIP vs PIP: Heberden node

A

DIP

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32
Q

Osteoarthritis, DIP vs PIP: Bouchard node

A

PIP

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33
Q

Brachial plexus: Trunk affected by downward displacement of arm

A

Upper

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34
Q

Brachial plexus: Trunk affected by forced abduction of arm

A

Lower

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35
Q

Causes of thoracic outlet syndrome (2)

A

1) Scalene spasm 2) Cervical rib

36
Q

Thoracic outlet syndrome: Structures compressed

A

1) Lower trunk of brachial plexus 2) Subclavian artery

37
Q

Canal in the wrist that transmits the ulnar artery and nerve into the hand

A

Guyon canal

38
Q

Channel which allows the ulnar nerve to travel over the elbow

A

Cubital tunnel

39
Q

Condition brought on by increased pressure on the ulnar nerve at the elbow.

A

Cubital tunnel syndrome

40
Q

The funny bone is related to what nerve

A

Ulnar nerve

41
Q

A thin aponeurotic band extending from medial head of triceps to the medial intermuscular septum which could be a site of ulnar nerve entrapment after arm surgery

A

Arcade of Struthers

42
Q

Fracture of this bone causes compression of ulnar nerve at the Guyon canal

A

Hook of hamate

43
Q

Nerve paralysis: (+) Froment sign

A

Ulnar nerve

44
Q

(+) Froment sign

A

Flexion of PIP of thumb with paper between fingers

45
Q

Nerve paralysis: Pronator teres syndrome

A

Median nerve

46
Q

Nerve paralysis: Saturday night palsy

A

Radial nerve

47
Q

A fibrous band extending from the supracondylar process to the median epicondyle in which the median nerve may be compressed

A

Ligament of Struthers

48
Q

Nerve paralysis: Honeymooner’s palsy

A

Radial nerve

49
Q

Nerve paralysis: Anterior interosseous syndrome

A

Ulnar nerve

50
Q

Nerve paralysis: Crutch palsy

A

Radial nerve

51
Q

Nerve paralysis: Weak supination

A

Radial nerve

52
Q

Nerve paralysis: Simian hand

A

Median nerve

53
Q

Nerve paralysis: Posterior interosseous syndrom

A

Radial nerve

54
Q

T/F Compression of the radial nerve at the cubital fossa (arcade of Frohse) results in wrist drop and sensory loss

A

F

55
Q

Radial vs ulnar artery: Deep palmar arch

A

Radial

56
Q

Radial vs ulnar artery: Common interosseous artery

A

Ulnar

57
Q

Radial vs ulnar artery: Superficial palmar arch

A

Ulnar

58
Q

Test: The hand is elevated and the patient/person is asked to make a fist for about 30 seconds. Pressure is applied over the ulnar and the radial arteries so as to occlude both of them. Still elevated, the hand is then opened. It should appear blanched. Ulnar pressure is released.

A

Allen Test

59
Q

Allen test: Positive result

A

Color does not return within 7 seconds

60
Q

Allen test: Done prior to

A

Heart bypass surgery

61
Q

Allen test: Determines

A

Patency of ulnar artery prior to radial artery cannulation

62
Q

Tendon ruptured with inability to initiate abduction of arm

A

Supraspinatus

63
Q

Reflex-roots: Ankle

A

S1,2

64
Q

Reflex-roots: Knee

A

L3,4

65
Q

Extensor tendon compartments: Compartment 1

A

1) Abpolo 2) Expobre

66
Q

Extensor tendon compartments: Compartment 2

A

1) Extensor carpi radialis brevis 2) Extensor carpi radialis longus

67
Q

Extensor tendon compartments: Compartment 3

A

Extensor pollicis longus

68
Q

Extensor tendon compartments: Compartment 4

A

1) Extensor digitorum 2) Extensor indicis

69
Q

Extensor tendon compartments: Compartment 5

A

Extensor digiti minimi

70
Q

Extensor tendon compartments: Compartment 6

A

Extensor carpi ulnaris

71
Q

Extensor compartment affected in De Quervain’s tenosynovitis

A

Compartment 1

72
Q

Maneuver to test for De Quervain’s tenosynovitis

A

Finkelstein test

73
Q

(+) Finkelstein test

A
74
Q

Most frequently fractured carpal bone

A

Scaphoid

75
Q

Tests for carpal tunnel syndrome (3)

A

1) Phalen 2) Tinel 3) Carpal compression test

76
Q

Phalen test

A
77
Q

Tinel test

A
78
Q

Positive Phalen, Tinel, and carpal compression test

A

Tingling (pins and needles) sensation at the median nerve distribution

79
Q

Carpal compression test

A
80
Q

No man’s land

A

Zone 2: Poor prognosis

81
Q

Laceration of extensor tendon over DIP joint

A

Mallet finger

82
Q

Laceration of extensor tendon over PIP joint

A

Boutonniere deformity

83
Q

Injury to ulnar collateral ligament of thumb

A

Gamekeeper’s thumb

84
Q

Reverse Phalen

A
85
Q

(+) Froment sign: Muscle paralyzed

A

Adductor pollicis