Week 5 (2)

Question 1

What is an outpouching of synovial fluid from DIP joints in OA?

Answer 1

Mucous cyst

Question 2

What might a mucous cyst deform?

Answer 2

A nail and cause ridging

Question 3

What hand condition is an outpouching of a synovial cavity, usually painless and usually resolves with time?

Answer 3

Ganglions

Question 4

In trigger finger where do tendons run within?

Answer 4

Flexor tendon sheath

Question 5

In trigger finger what does the tendon get caught up on?

Answer 5

A1 pulley

Question 6

What common hand condition is spontaneous, painful, swollen and can be looked for with Finklestein’s test?

Answer 6

DeQuervains

Question 7

How is DeQuervains managed?

Answer 7

NSAIDs
Splint
Rest

Steroid injection + surgery

Question 8

What does dupuytrens contracture start as?

Answer 8

Palmar pit/nodule

Question 9

What test can be used to examine Dupuytrens contracture?

Answer 9

Table-top test

Question 10

What is paronychia?

Answer 10

Infection within nail fold often in children

Question 11

Name a hand condition which is a surgical emergency?

Answer 11

Flexor tendon sheath infection

Question 12

Give three clinical features of flexor tendon sheath infection?

Answer 12

1. Extremely painful
2. Limited extension
3. May have tracking lymphangitis

Question 13

Name a finger tip injury?

Answer 13

Subungual haematoma

Question 14

What hand fracture is mimimal displacement, no rotation, more distal and is treated with early mobilisation and a buddy strap?

Answer 14

Boxers fracture

Question 15

In burns - what is eschar?

Answer 15

Thick, leathery, inelastic skin that forms after burns

Question 16

What is the term for chronic tendon injury with damage to a tendon at cellular level?

Answer 16

Tendonosis

Question 17

WHat is tenosynovitis?

Answer 17

Inflammation of the tendon sheath

Question 18

What is 90% of a tendon?

Answer 18

Collagen

Question 19

With what two tendon injuries would you use steroid injections for treatment?

Answer 19

Rotator cuff and tennis elbow

Question 20

What tendon injury would splinting be used on?

Answer 20

Achilles tendon

Question 21

What might athletes (throwing events) and painters suffer from?

Answer 21

Rotator cuff pathology

Question 22

What is the gold standard imaging of the rotator cuff?

Answer 22

Ultrasound

Question 23

What does a popeye sign and extensive bruising of the arm suggest?

Answer 23

Biceps rupture

Question 24

What is another term for lateral epicondylitis?

Answer 24

Tennis elbow

Question 25

What test is positive in tennis elbow?

Answer 25

Mills test

Question 26

What is another term for medial epicpndylitis/

Answer 26

Golfers elbow

Question 27

What originates at the lateral epicondyle?

Answer 27

forearm extensors

Question 28

What originates at the medial epicondyle?

Answer 28

Forearm flexors

Question 29

What does De Quervain’s tenosynovitis affect?

Answer 29

First compartment of thumb - APL and EPB

Question 30

hOW IS dE qUERVAINS TENOSYNOVITIS diagnosed and investigated?

Answer 30

Finklestein’s test

USS and x-ray

Question 31

What is another name for traction apophysitis?

Answer 31

Osgood schlatter’s

Question 32

Where does osgood schaltter’s disease occur and in who?

Answer 32

Insertion of patellar tendon into anterior tibial tuberosity, adolescent active boys

Question 33

What test is positive for calcaneal tendon rupture?

Answer 33

Simmonds