Hand and Wrist Disorders

Beschreibung

Clinical medicine study aid
Derek Trautwein
Quiz von Derek Trautwein, aktualisiert more than 1 year ago
Derek Trautwein
Erstellt von Derek Trautwein vor mehr als 9 Jahre
5
0

Zusammenfassung der Ressource

Frage 1

Frage
A ganglion cyst is a type of malignant tumor found in the hand.
Antworten
  • True
  • False

Frage 2

Frage
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?
Antworten
  • Paronychia
  • Felon
  • Trigger finger
  • Mallet finger

Frage 3

Frage
Which is NOT a sign of septic tenosynovitis?
Antworten
  • Finger resting in the flexed position
  • Fusiform swelling
  • Tendon sheath tenderness
  • Swan neck deformity

Frage 4

Frage
You would use Kanavel's cardinal signs in order to identify a septic tenosynovitis.
Antworten
  • True
  • False

Frage 5

Frage
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
Antworten
  • 1 and 3
  • 2 and 4
  • 1, 2, 3
  • 4 only
  • All of the above

Frage 6

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

Frage 7

Frage
Carpal tunnel syndrome is an idiopathic condition that involves entrapment of the:
Antworten
  • Median nerve
  • Ulnar nerve
  • Dorsal nerve
  • Radial nerve

Frage 8

Frage
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
Antworten
  • 1 and 3
  • 2 and 4
  • 1, 2, 3
  • 4 only
  • All of the above

Frage 9

Frage
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?
Antworten
  • Injection injury
  • Nerve injury
  • Proximal interpharangeal joint dislocation
  • De Quervain's tenosynovitis

Frage 10

Frage
Common nerve injuries can include: 1. Radial nerve palsy 2. Ulnar nerve palsy 3. Median nerve palsy 4. Crutch palsy
Antworten
  • 1 and 3
  • 2 and 4
  • 1, 2, 3
  • 4 only
  • All of the above

Frage 11

Frage
Delayed reporting and/or lying is a major problem when treating De Quervain's tenosynovitis.
Antworten
  • True
  • False

Frage 12

Frage
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?
Antworten
  • Septic tendonsynovitis
  • Trigger finger
  • Subungual hematoma
  • Boxer fracture

Frage 13

Frage
Enteral (oral) antibiotics is the gold standard treatment of septic tendonsynovitis.
Antworten
  • True
  • False

Frage 14

Frage
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
Antworten
  • 1 and 3
  • 2 and 4
  • 1, 2, 3
  • 4 only
  • All of the above

Frage 15

Frage
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?
Antworten
  • De Quervain's tenosynovitis
  • Volar plate fracture
  • Carpel tunnel syndrome
  • Wilson fracture

Frage 16

Frage
Dislocation of a metacarpophalangeal (MCP) joint usually requires surgery to properly treat.
Antworten
  • True
  • False

Frage 17

Frage
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
Antworten
  • 1 and 3
  • 2 and 4
  • 1, 2, 3
  • 4 only
  • All of the above

Frage 18

Frage
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?
Antworten
  • Skier's thumb
  • Crutch palsy
  • Volar plate fracture
  • Colle's deformity

Frage 19

Frage
The indicative treatment for an ulnar collateral ligament (UCL) rupture includes a thumb spica splint.
Antworten
  • True
  • False

Frage 20

Frage
How would you anatomically describe a mallet finger?
Antworten
  • Distal phalanx avulsion fracture
  • Distal metacarpal neck fracture of fifth phalanx
  • Subluxation of metacarpal joint
  • Flexion fracture with voller/palmer angulation

Frage 21

Frage
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
Antworten
  • 1 and 3
  • 2 and 4
  • 1, 2, 3
  • 4 only
  • All of the above

Frage 22

Frage
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
Antworten
  • 1 and 3
  • 2 and 4
  • 1, 2, 3
  • 4 only
  • All of the above

Frage 23

Frage
A Wilson fracture is a volar plate avulsion of the base of the middle phalanx.
Antworten
  • True
  • False

Frage 24

Frage
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
Antworten
  • 1 and 3
  • 2 and 4
  • 1, 2, 3
  • 4 only
  • All of the above

Frage 25

Frage
A boxer fracture is commonly treated with an ulnar gutter splint.
Antworten
  • True
  • False

Frage 26

Frage
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?
Antworten
  • Bennett fracture
  • Rolando fracture
  • Colle's fracture
  • Smith's fracture

Frage 27

Frage
A Rolando fracture is simply a comminuted Bennett fracture.
Antworten
  • True
  • False

Frage 28

Frage
Avascular necrosis secondary to trauma and a non or mal union is a very concerning sign most likely found in what hand injury?
Antworten
  • Scaphoid fracture
  • Colle's fracture
  • Injection injury
  • Mallet finger

Frage 29

Frage
After properly diagnosing a wrist injury as a scaphoid fracture, what is the most appropriate treatment?
Antworten
  • Sugar tong splint
  • Thumb spica cast/splint
  • Corticosteroidal injection
  • Parenteral antibiotics

Frage 30

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

Frage 31

Frage
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:
Antworten
  • Colle's fracture
  • Scaphoid fracture
  • Volar plate fracture
  • Smith's fracture

Frage 32

Frage
A forearm sugar tong splint is indicated in displaced fractures in regards to the treatment of injuries in the distal radius.
Antworten
  • True
  • False

Frage 33

Frage
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?
Antworten
  • Smith's fracture
  • Colle's fracture
  • Barton's fracture
  • Monteggia fracture
Zusammenfassung anzeigen Zusammenfassung ausblenden

ähnlicher Inhalt

Basic Immunology Principles
Robyn Hokulani-C
The Endocrine System
DrABC
Respiratory anatomy
James Murdoch
1. Anatomy & Physiology of the Ear
t.whittingham
Fluid and Electrolyte Imbalances
D R
Introduction to pharmacology
Ifeoma Ezepue
Hormones
try2bangel
FOODBORNE ILLNESS & DISEASE
Jenn A
How does the immune system recognise pathogens?
Ifeoma Ezepue
Neuro-Cognitive Disorders
SaraJaarour
Why is immunology important?
Ifeoma Ezepue