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T2 - CP II > wrist and hand > Flashcards

wrist and hand Flashcards

finish the last three slides

1
Q

MCP, PIP, and DIP should be in ______ when at rest

A

slight flexion

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2
Q

There is 2 transverse arches at the _____&____ levels

A

carpel & MCP level

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3
Q

There is 1 longitudinal center line created by the tone of the _______

A

intrinsic M

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4
Q

Palmar creases occur where_____ attaches to _____

A

skin attaches to fascia

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5
Q

Wrist crease @:

A

base of hand

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6
Q

Prox. palmar crease @:

A

anterior to neck of metacarpels

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7
Q

Distal palmar crease @

A

anterior to the MCP joint

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8
Q

Thenar crease @

A

outlines the thenar eminance

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9
Q

Median crease @

A

center of the palm

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10
Q

Palmar digital crease @

A

base of fingers

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11
Q

PIP crease @

A

anterior to PIPs

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12
Q

DIP crease @

A

anterior to DIPs

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13
Q

Obliteration of the creases could indicate _____

A

swelling

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14
Q

_____MCP is the most prominant when looking at a fist

A

3rd

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15
Q

What should the normal appearance of the finger nails look like

A

pink & smooth with a white lunula

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16
Q

Whitish nail beds indicate ____ c.c.

A

anemia

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17
Q

Spoon shaped nailed (concave) indicate ______ c.c.

A

fungal infection

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18
Q

clubbed nails (domed) with hypertrohy underlying tissue indicate _____ or ____ c.c.

A

respitory issues

congenital heart problems

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19
Q

The anatomical snuff box is distal of the _____

A

radial styloid process

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20
Q

Contents of the anatomical snuff box

A

radial art

superficial radial N

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21
Q

Floor of the anatomical snuff box

A

scaphoid

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22
Q

Proximal border of the anatomical snuff box

A

styloid of the radius

23
Q

Distal border of the anatomical snuff box

A

Base of the 1st metacarpel

trapezium

24
Q

Posterior border of the anatomical snuff box

A

Extensor pollicus longus tendon

25
Q

Anterior border of the anatomical snuff box

A

abd. pollucis longus

ext. pollucis brevis

26
Q

Where would ishemic necrosis occur on the scaphoid

A

on the proximal end

bc blood vessels go through the distal end

27
Q

Where do blood vessels go through on the scaphoid

A

distal end

  • injury will cause necrosis on the prox end)
28
Q

Boxer’s fracture is a _____ fracture

A

spiral

29
Q

boxers fracture is spiral facture on the _____

A

5th metacarpel

30
Q

_______ is the most common carpel bone fractures

A

scaphoid

31
Q

definition of volar:

A

relating to the palm of the hand

32
Q

c.c_____ a small, non tender, swelling with jellylike consistency on the dorsal or valar wrist

A

ganglion cyst

  • usually causes no prob’s , just cosmetic
33
Q

Possible causes of carpel tunnel syndrome

A
  1. ant dislocation of the lunate
  2. swelling following trauma
  3. synovitis secondary to rheumatoid arthritis
  4. thickening of the tunnel structures due to repetitive stress
34
Q

Anterior dislocation of the lunate can cause _____c.c.

A

carpel tunnel

35
Q

synovitis secondary to rheumatoid arthritis can cause _____c.c

A

carpel tunnel

36
Q

______ is a secondary condition to rheumatoid arthritis that causes carpel tunnel

A

synovitis

37
Q

thickening of the carpel tunnel can be caused by ____

A

repetitive stress

38
Q

Nodules in the palmar fascia is usually on the ______ side

A

ulnar side

39
Q

c.c. _______: nodules on the ulnar side that may cause flexion deformity in the 4th & 5th digits

A

dupuytren’s contracture

40
Q

Dupuytren’s contracture is usually on which digists?

A

4th and 5th

41
Q

nodules in flexor tendons is usually on which digits?

A

2nd & 3rd

42
Q

c.c. _____: Finger has more flexion than normal when at rest

A

nodules in the flexor tendon ( usually 2nd or 3rd)

43
Q

nodules in the flexor tendons can cause an audible snap. This c.c. is called______

A

trigger finger

44
Q

c.c ______ : is a autoimmune dx that results in swelling, inflammation, pain and deformity

A

rheumatoid arthritis

45
Q

swan-neck deformity is aka ______

A

rheumatoid arthritis

46
Q

c.c. _____: hyperextension of the PIP’s & flexion of the DIPs

A

swan neck deformity

47
Q

swan neck deformaty is hyperextension of the ____ & flexion of the ____

A

hyperextension of : PIPs

flexion of : DIPs

48
Q

____ deviation at the MCP caused by rheumatoid arthritis

A

ulnar deviation

49
Q

ulnar deviation caused by rheumatoid arthritis is at the _______ joint

A

MCP

50
Q

c.c._____ : UNILATERAL swelling & tenderness at a joint; may cause the formation of nodules if at the DIPs

A

osteoarthritis

51
Q

______ nodules are caused by osteoarthritis

A

heberden’s nodes

52
Q

bouchard’s nodules form on the ____

A

PIPs

53
Q

C.c.___________: ruputre/ avulsion of the extensor digitorum at the PIP. causes hyperflexion of the PIP & extension of the DIP

A

boutonniere deformity

T2 - CP II (5 decks)

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