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Hand and Wrist Disorders

Description

Clinical medicine study aid
Derek Trautwein
Quiz by Derek Trautwein, updated more than 1 year ago
Derek Trautwein
Created by Derek Trautwein over 9 years ago
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Resource summary

Question 1

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

Question 2

Question
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?
Answer
  • Paronychia
  • Felon
  • Trigger finger
  • Mallet finger

Question 3

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

Question 4

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

Question 5

Question
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
Answer
  • 1 and 3
  • 2 and 4
  • 1, 2, 3
  • 4 only
  • All of the above

Question 6

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

Question 7

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

Question 8

Question
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
Answer
  • 1 and 3
  • 2 and 4
  • 1, 2, 3
  • 4 only
  • All of the above

Question 9

Question
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?
Answer
  • Injection injury
  • Nerve injury
  • Proximal interpharangeal joint dislocation
  • De Quervain's tenosynovitis

Question 10

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

Question 11

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

Question 12

Question
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?
Answer
  • Septic tendonsynovitis
  • Trigger finger
  • Subungual hematoma
  • Boxer fracture

Question 13

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

Question 14

Question
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
Answer
  • 1 and 3
  • 2 and 4
  • 1, 2, 3
  • 4 only
  • All of the above

Question 15

Question
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?
Answer
  • De Quervain's tenosynovitis
  • Volar plate fracture
  • Carpel tunnel syndrome
  • Wilson fracture

Question 16

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

Question 17

Question
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
Answer
  • 1 and 3
  • 2 and 4
  • 1, 2, 3
  • 4 only
  • All of the above

Question 18

Question
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?
Answer
  • Skier's thumb
  • Crutch palsy
  • Volar plate fracture
  • Colle's deformity

Question 19

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

Question 20

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

Question 21

Question
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
Answer
  • 1 and 3
  • 2 and 4
  • 1, 2, 3
  • 4 only
  • All of the above

Question 22

Question
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
Answer
  • 1 and 3
  • 2 and 4
  • 1, 2, 3
  • 4 only
  • All of the above

Question 23

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

Question 24

Question
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
Answer
  • 1 and 3
  • 2 and 4
  • 1, 2, 3
  • 4 only
  • All of the above

Question 25

Question
A boxer fracture is commonly treated with an ulnar gutter splint.
Answer
  • True
  • False

Question 26

Question
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?
Answer
  • Bennett fracture
  • Rolando fracture
  • Colle's fracture
  • Smith's fracture

Question 27

Question
A Rolando fracture is simply a comminuted Bennett fracture.
Answer
  • True
  • False

Question 28

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

Question 29

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

Question 30

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

Question 31

Question
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:
Answer
  • Colle's fracture
  • Scaphoid fracture
  • Volar plate fracture
  • Smith's fracture

Question 32

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

Question 33

Question
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?
Answer
  • Smith's fracture
  • Colle's fracture
  • Barton's fracture
  • Monteggia fracture
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