Derek Trautwein
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Clinical medicine study aid

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Derek Trautwein
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Hand and Wrist Disorders

Frage 1 von 33

1

A ganglion cyst is a type of malignant tumor found in the hand.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 2 von 33

1

27 year old patient presents with an infection in the closed tip of the anterior second phalanx. How would you present this to a medical officer?

Wähle eine der folgenden:

  • Paronychia

  • Felon

  • Trigger finger

  • Mallet finger

Erklärung

Frage 3 von 33

1

Which is NOT a sign of septic tenosynovitis?

Wähle eine der folgenden:

  • Finger resting in the flexed position

  • Fusiform swelling

  • Tendon sheath tenderness

  • Swan neck deformity

Erklärung

Frage 4 von 33

1

You would use Kanavel's cardinal signs in order to identify a septic tenosynovitis.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 5 von 33

1

A patient is diagnosed with a felon. After incision and drainage, you would prescribe an antibiotic in order to combat what bacteria?

1. Streptococcus
2. MRSA
3. Rickettsia
4. Staphylococcus aureus

Wähle eine der folgenden:

  • 1 and 3

  • 2 and 4

  • 1, 2, 3

  • 4 only

  • All of the above

Erklärung

Frage 6 von 33

1

"Trigger finger" is a non-acute, idiopathic condition in a phalanx in which a patient has extension but not flexion.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 7 von 33

1

Carpal tunnel syndrome is an idiopathic condition that involves entrapment of the:

Wähle eine der folgenden:

  • Median nerve

  • Ulnar nerve

  • Dorsal nerve

  • Radial nerve

Erklärung

Frage 8 von 33

1

26 year old male supply clerk (POG) complains of pain and numbness in his first (pollux), second, and third phalanxes. As a learned doctor, you suspect carpal tunnel syndrome due to his weak genes and excessive use of a computer. What would you do to confirm your diagnosis?

1. Finklestein
2. Tinel
3. Colle's
4. Phalen

Wähle eine der folgenden:

  • 1 and 3

  • 2 and 4

  • 1, 2, 3

  • 4 only

  • All of the above

Erklärung

Frage 9 von 33

1

What kind of hand injury may look minor but requires immediate referral to a specialist for surgical intervention in order to avoid amputation or even death?

Wähle eine der folgenden:

  • Injection injury

  • Nerve injury

  • Proximal interpharangeal joint dislocation

  • De Quervain's tenosynovitis

Erklärung

Frage 10 von 33

1

Common nerve injuries can include:

1. Radial nerve palsy
2. Ulnar nerve palsy
3. Median nerve palsy
4. Crutch palsy

Wähle eine der folgenden:

  • 1 and 3

  • 2 and 4

  • 1, 2, 3

  • 4 only

  • All of the above

Erklärung

Frage 11 von 33

1

Delayed reporting and/or lying is a major problem when treating De Quervain's tenosynovitis.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 12 von 33

1

21 year old male Marine complains of severe pain in a hand injury he suffered over the weekend in a bar brawl. You notice jagged soft tissue damage near his second metacarpophalangeal (MCP) joint and is holding his finger in extension. What condition is this most indicative of?

Wähle eine der folgenden:

  • Septic tendonsynovitis

  • Trigger finger

  • Subungual hematoma

  • Boxer fracture

Erklärung

Frage 13 von 33

1

Enteral (oral) antibiotics is the gold standard treatment of septic tendonsynovitis.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 14 von 33

1

De Quervain's tenosynovitis is a condition which involves the tendon of what muscle?

1. Abductor pollicus longus
2. Extensor carpi radialis longus
3. Extensor pollicus brevis
4. Flexor carpi ulnaris

Wähle eine der folgenden:

  • 1 and 3

  • 2 and 4

  • 1, 2, 3

  • 4 only

  • All of the above

Erklärung

Frage 15 von 33

1

43 year old female patient presents with pain and tenderness that radiates up her forearm and down to her thumb. You perform and confirm a positive Finklestein test. What would you diagnose in this patient?

Wähle eine der folgenden:

  • De Quervain's tenosynovitis

  • Volar plate fracture

  • Carpel tunnel syndrome

  • Wilson fracture

Erklärung

Frage 16 von 33

1

Dislocation of a metacarpophalangeal (MCP) joint usually requires surgery to properly treat.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 17 von 33

1

Gamekeeper's thumb would be classified as what type of injury?

1. Scaphoid fracture
2. Chronic injury
3. "Silver fork" deformity
4. Ulnar collateral ligament (UCL) rupture

Wähle eine der folgenden:

  • 1 and 3

  • 2 and 4

  • 1, 2, 3

  • 4 only

  • All of the above

Erklärung

Frage 18 von 33

1

Upon reviewing an MRI from a 34 year old patient with a traumatic hand injury, you discover a rupture of the ulnar collateral ligament. What could you also call this condition?

Wähle eine der folgenden:

  • Skier's thumb

  • Crutch palsy

  • Volar plate fracture

  • Colle's deformity

Erklärung

Frage 19 von 33

1

The indicative treatment for an ulnar collateral ligament (UCL) rupture includes a thumb spica splint.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 20 von 33

1

How would you anatomically describe a mallet finger?

Wähle eine der folgenden:

  • Distal phalanx avulsion fracture

  • Distal metacarpal neck fracture of fifth phalanx

  • Subluxation of metacarpal joint

  • Flexion fracture with voller/palmer angulation

Erklärung

Frage 21 von 33

1

How would you properly treat an avulsion fracture of the distal phalanx?

1. Reduction to prevent compartment syndrome
2. Splint DIP in hyperextension for 6 weeks
3. Sugar tong splint for 2 weeks
4. Educate patient to leave splint on long enough

Wähle eine der folgenden:

  • 1 and 3

  • 2 and 4

  • 1, 2, 3

  • 4 only

  • All of the above

Erklärung

Frage 22 von 33

1

What obvious visual sign would you expect to see in a patient with a volar plate fracture?

1. Swan-neck deformity
2. Hyperextended PIP
3. Flexed DIP
4. Volar angulation

Wähle eine der folgenden:

  • 1 and 3

  • 2 and 4

  • 1, 2, 3

  • 4 only

  • All of the above

Erklärung

Frage 23 von 33

1

A Wilson fracture is a volar plate avulsion of the base of the middle phalanx.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 24 von 33

1

The most common metacarpal fracture, also known as a "boxer fracture", will commonly present with what sign or symptom?

1. External rotation
2. Injury is usually to fifth phalanx
3. Fracture occurred in distal neck of the metacarpal
4. Volar angulation

Wähle eine der folgenden:

  • 1 and 3

  • 2 and 4

  • 1, 2, 3

  • 4 only

  • All of the above

Erklärung

Frage 25 von 33

1

A boxer fracture is commonly treated with an ulnar gutter splint.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 26 von 33

1

A 55 year old male presents with pain in his fourth phalanx. Using inspection, palpation, and radiography: you assess that there is a dislocation of the finger at the metacarpal joint. What is this commonly known as?

Wähle eine der folgenden:

  • Bennett fracture

  • Rolando fracture

  • Colle's fracture

  • Smith's fracture

Erklärung

Frage 27 von 33

1

A Rolando fracture is simply a comminuted Bennett fracture.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 28 von 33

1

Avascular necrosis secondary to trauma and a non or mal union is a very concerning sign most likely found in what hand injury?

Wähle eine der folgenden:

  • Scaphoid fracture

  • Colle's fracture

  • Injection injury

  • Mallet finger

Erklärung

Frage 29 von 33

1

After properly diagnosing a wrist injury as a scaphoid fracture, what is the most appropriate treatment?

Wähle eine der folgenden:

  • Sugar tong splint

  • Thumb spica cast/splint

  • Corticosteroidal injection

  • Parenteral antibiotics

Erklärung

Frage 30 von 33

1

You would repeat x-ray views in 10-14 days if they are negative for a scaphoid fracture.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 31 von 33

1

A 104 year old man suffers a hand injury secondary to trauma while trying to catch himself during a fall. Upon inspection, you note a "silver-fork" deformity at the distal radius and dorsal angulation of the hand. These signs would lead you to believe the diagnosis of this patient would be:

Wähle eine der folgenden:

  • Colle's fracture

  • Scaphoid fracture

  • Volar plate fracture

  • Smith's fracture

Erklärung

Frage 32 von 33

1

A forearm sugar tong splint is indicated in displaced fractures in regards to the treatment of injuries in the distal radius.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 33 von 33

1

A 23 year old Airman complains of severe wrist pain after suffering a fall on the dorsum of his hand due to wine coolers and limp wrist syndrome. In addition to this classic MOI, you also discover voller (palmer) angulation. What would you diagnose this as?

Wähle eine der folgenden:

  • Smith's fracture

  • Colle's fracture

  • Barton's fracture

  • Monteggia fracture

Erklärung