Wrist/Hand / Test 3

Question 1

Pain over radial styloid process with gripping activities

Answer 1

dequervain’s syndrome

Question 2

Insidious onset numbness and tingling in 1st three fingers worse at night

Answer 2

carpal tunnel

Question 3

Paresthesia over dorsal aspect of ulnar border of hand and digit 4-5

Answer 3

ulnar compression at guyon tunnel

Question 4

Inability to extend MCP or PIP joint

Answer 4

Dupuytren’s contracture

Question 5

Pain with loading of wrist, fall on hyper extended wrist

Answer 5

scaphoid fracture instability

Question 6

two ways to measure edema of hand

Answer 6

figure 8 tape measure, volumetric (water)

Question 7

protective shield of nail

Answer 7

nail plate

Question 8

root of nail, produces keratin that makes nail plate

Answer 8

matrix

Question 9

protect the matrix, there are proximal and lateral

Answer 9

nail folds

Question 10

part of nail that acts as a barrier seal to bacteria

Answer 10

eponychium

Question 11

true cuticle of nail that is dead skin cells attached to nail plate from the nail fold

Answer 11

ptygerium

Question 12

part of nail that is the front end of the matrix. keratin cells have not yet flattened

Answer 12

lunula

Question 13

pulmonary disease characterized by a convex nail

Answer 13

club nail

Question 14

loosening of nail plate that can be from graves disease, psoriasis, reactive arthritis

Answer 14

onycholysis

Question 15

aka spoon nail, characterized by concave nail from psoriasis, syphilis, thyroid dysfunction, rheumatic fever

Answer 15

koilonychia

Question 16

acute systemic illness, can be from local trauma or result from chemotherapy that shows lines on nails

Answer 16

beau’s lines

Question 17

heart attack, endocarditis, vasculitis, and renal failure can cause tiny bloody cracks in nails called blank

Answer 17

splinter hemorrhages

Question 18

white nail syndrome from arsenal poisining, renal failure, malnutrition

Answer 18

leukonychia

Question 19

normal wrist extension

Answer 19

20 to 35

Question 20

normal ulnar deviation

Answer 20

10-15

Question 21

radioulnar joint
resting position:
close pack position:
capsular pattern:

Answer 21

10 supination
5 supination
pain at extreme of rotation

Question 22

radiocarpal joint
resting position:
close pack position:
capsular pattern:

Answer 22

neutral w/ slight ulnar dev
extension
flex/ext equally limited

Question 23

intercarpal joint
resting position:
close pack position:
capsular pattern:

Answer 23

neutral/slight flexion
extension
none

Question 24

midcarpal joint
resting position:
close pack position:
capsular pattern:

Answer 24

neutral/slight flexion
extension/ulnar deviation
limited flex/ext

Question 25

stable segment of hand

Answer 25

distal carpal row and 2/3 metacarpals

Question 26

mobile segment of hand

Answer 26

five phalanges and 1,4,5 metacarpals

Question 27

there is flexion of mcp/dip and extension of pip in this finger deformity

Answer 27

swan neck

Question 28

extension of mcp and dip, flexion of pip in this finger deformity

Answer 28

boutonniere

Question 29

thickening of flexor tendon sheath

Answer 29

trigger finger

Question 30

finger deformity that is a loss of intrinsic mm action and over dominance of extrinsic extensors acting on proximal phalanx. only median or ulnar nerve

Answer 30

claw fingers

Question 31

finger deformity that is wasting of hypothenar muscle, interossei, two medial lumbricals (ulnar nerve paralysis)

Answer 31

bishops/benediction hand

Question 32

wasting of thenar eminance from median nerve paralysis where thumb falls back in line with fingers due to pull of extensor muscles in this deformity

Answer 32

ape hand

Question 33

finger deformity that is distal phalanx resting in flexion

Answer 33

mallet finger

Question 34

contracture of palmar fascia that causes fixed 4th/5th digit mostly in older men

Answer 34

duputren's contracture

Question 35

paralysis of extensor muscle from radial nerve paralysis

Answer 35

drop wrist

Question 36

thumb flexed at mcp and extended at ip (ra or heredity)

Answer 36

z deformity

Question 37

osteoarthritic enlargement of PIP

Answer 37

bouchard's nodes

Question 38

osteoarthritic enlargement of DIP

Answer 38

heberden's nodes

Question 39

movements of wrist that should be harder end feel rather than firm

Answer 39

pronation, radial deviation

Question 40

A passive loss of motion in a ratio that occurs when the capsular ligament of a joint loses its elasticity uniformly throughout its full extent. The ratio is specific for each different joint.

Answer 40

capsular pattern

Question 41

capsular pattern is full rom with pain at extreme of supination/pronation

Answer 41

distal radioulnar joint

Question 42

capsular pattern is equal limitation of flexion/extension

Answer 42

wrist

Question 43

capsular pattern is flexion more limited than extension

Answer 43

mcp/ip joints

Question 44

capsular pattern is abduction more limited than extension

Answer 44

trapeziometacarpal joint of thumb

Question 45

loss of hand accounts for what percent loss of function

Answer 45

90

Question 46

aka preparatory nerve that positions wrist and controls tension in digital flexors

Answer 46

radial

Question 47

aka power nerve that innervates abductor digiti minimi, flexor digiti minimi.....

Answer 47

ulnar nerve

Question 48

nerve that provides ability for precision manipulation.

Answer 48

median nerve

Question 49

two grip strength tests

Answer 49

dynamometer, pinch meter

Question 50

↓capsulolig extensibility ↓muscle flexibility ↓ capsulolig restraint indicate blank

Answer 50

passive inadedquacy

Question 51

Tissue reactivity ↓ muscular contractility ↓ motor control indicate blank

Answer 51

active inadequacy

Question 52

two pulleys of the fingers

Answer 52

annular, cruciate

Question 53

annular pulley of fingers are usually at blank

Answer 53

joints

Question 54

cruciate pulleys are where

Answer 54

on bones not at joints in fingers

Question 55

without pulley system there would be a blank causing excessive extension of finger

Answer 55

bowstring effect

Question 56

swan neck deformity is flexion of these two joints but extension of this joint

Answer 56

mcp/dip, pip

Question 57

ape hand is a blank nerve palsy

Answer 57

median

Question 58

a contracture needs a blank to be relieved

Answer 58

surgical release

Question 59

drop wrist is a blank nerve palsy

Answer 59

radial

Question 60

losing thumb function causes blank percent functional loss of hand

Answer 60

40-50

Question 61

growth plate break and acute pediatric wrist fractures often present with blank instead of deformities

Answer 61

point tenderness

Question 62

two types of distal radius fractures

Answer 62

colles, smith's

Question 63

three types of carpal fractures

Answer 63

scaphoid (most common), triquetral, hook of hamate

Question 64

bone takes about blank to fully heal

Answer 64

2 yrs

Question 65

circulation in carpals (scaphoid) enters through blank pole

Answer 65

distal

Question 66

blank pole has poor circulation

Answer 66

proximal

Question 67

metacarpal fracture of thumb

Answer 67

bennet's

Question 68

4th and fifth metacarpal fractures are called

Answer 68

boxer's

Question 69

extensor tendon repair heals blank than flexor tendon repairs after surgery

Answer 69

faster

Question 70

carpal tunnel syndrome causes weakness or atrophy of these muscles

Answer 70

thenar, first 2 lumbricals (median nerve innervation)

Question 71

where the ulnar nerve runs through the wrist

Answer 71

tunnel of guyon