2502447
Descripción
Test por Derek Trautwein, actualizado hace más de 1 año
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Creado por Derek Trautwein
hace más de 9 años
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Pregunta 1
Pregunta
A ganglion cyst is a type of malignant tumor found in the hand.
Respuesta
- True
- False
Pregunta 2
Pregunta
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?
Respuesta
-
Paronychia
-
Felon
-
Trigger finger
-
Mallet finger
Pregunta 3
Pregunta
Which is NOT a sign of septic tenosynovitis?
Respuesta
-
Finger resting in the flexed position
-
Fusiform swelling
-
Tendon sheath tenderness
-
Swan neck deformity
Pregunta 4
Pregunta
You would use Kanavel's cardinal signs in order to identify a septic tenosynovitis.
Respuesta
- True
- False
Pregunta 5
Pregunta
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
Respuesta
-
1 and 3
-
2 and 4
-
1, 2, 3
-
4 only
-
All of the above
Pregunta 6
Pregunta
"Trigger finger" is a non-acute, idiopathic condition in a phalanx in which a patient has extension but not flexion.
Respuesta
- True
- False
Pregunta 7
Pregunta
Carpal tunnel syndrome is an idiopathic condition that involves entrapment of the:
Respuesta
-
Median nerve
-
Ulnar nerve
-
Dorsal nerve
-
Radial nerve
Pregunta 8
Pregunta
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
Respuesta
-
1 and 3
-
2 and 4
-
1, 2, 3
-
4 only
-
All of the above
Pregunta 9
Pregunta
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?
Respuesta
-
Injection injury
-
Nerve injury
-
Proximal interpharangeal joint dislocation
-
De Quervain's tenosynovitis
Pregunta 10
Pregunta
Common nerve injuries can include:
1. Radial nerve palsy
2. Ulnar nerve palsy
3. Median nerve palsy
4. Crutch palsy
Respuesta
-
1 and 3
-
2 and 4
-
1, 2, 3
-
4 only
-
All of the above
Pregunta 11
Pregunta
Delayed reporting and/or lying is a major problem when treating De Quervain's tenosynovitis.
Respuesta
- True
- False
Pregunta 12
Pregunta
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?
Respuesta
-
Septic tendonsynovitis
-
Trigger finger
-
Subungual hematoma
-
Boxer fracture
Pregunta 13
Pregunta
Enteral (oral) antibiotics is the gold standard treatment of septic tendonsynovitis.
Respuesta
- True
- False
Pregunta 14
Pregunta
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
Respuesta
-
1 and 3
-
2 and 4
-
1, 2, 3
-
4 only
-
All of the above
Pregunta 15
Pregunta
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?
Respuesta
-
De Quervain's tenosynovitis
-
Volar plate fracture
-
Carpel tunnel syndrome
-
Wilson fracture
Pregunta 16
Pregunta
Dislocation of a metacarpophalangeal (MCP) joint usually requires surgery to properly treat.
Respuesta
- True
- False
Pregunta 17
Pregunta
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
Respuesta
-
1 and 3
-
2 and 4
-
1, 2, 3
-
4 only
-
All of the above
Pregunta 18
Pregunta
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?
Respuesta
-
Skier's thumb
-
Crutch palsy
-
Volar plate fracture
-
Colle's deformity
Pregunta 19
Pregunta
The indicative treatment for an ulnar collateral ligament (UCL) rupture includes a thumb spica splint.
Respuesta
- True
- False
Pregunta 20
Pregunta
How would you anatomically describe a mallet finger?
Respuesta
-
Distal phalanx avulsion fracture
-
Distal metacarpal neck fracture of fifth phalanx
-
Subluxation of metacarpal joint
-
Flexion fracture with voller/palmer angulation
Pregunta 21
Pregunta
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
Respuesta
-
1 and 3
-
2 and 4
-
1, 2, 3
-
4 only
-
All of the above
Pregunta 22
Pregunta
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
Respuesta
-
1 and 3
-
2 and 4
-
1, 2, 3
-
4 only
-
All of the above
Pregunta 23
Pregunta
A Wilson fracture is a volar plate avulsion of the base of the middle phalanx.
Respuesta
- True
- False
Pregunta 24
Pregunta
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
Respuesta
-
1 and 3
-
2 and 4
-
1, 2, 3
-
4 only
-
All of the above
Pregunta 25
Pregunta
A boxer fracture is commonly treated with an ulnar gutter splint.
Respuesta
- True
- False
Pregunta 26
Pregunta
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?
Respuesta
-
Bennett fracture
-
Rolando fracture
-
Colle's fracture
-
Smith's fracture
Pregunta 27
Pregunta
A Rolando fracture is simply a comminuted Bennett fracture.
Respuesta
- True
- False
Pregunta 28
Pregunta
Avascular necrosis secondary to trauma and a non or mal union is a very concerning sign most likely found in what hand injury?
Respuesta
-
Scaphoid fracture
-
Colle's fracture
-
Injection injury
-
Mallet finger
Pregunta 29
Pregunta
After properly diagnosing a wrist injury as a scaphoid fracture, what is the most appropriate treatment?
Respuesta
-
Sugar tong splint
-
Thumb spica cast/splint
-
Corticosteroidal injection
-
Parenteral antibiotics
Pregunta 30
Pregunta
You would repeat x-ray views in 10-14 days if they are negative for a scaphoid fracture.
Respuesta
- True
- False
Pregunta 31
Pregunta
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:
Respuesta
-
Colle's fracture
-
Scaphoid fracture
-
Volar plate fracture
-
Smith's fracture
Pregunta 32
Pregunta
A forearm sugar tong splint is indicated in displaced fractures in regards to the treatment of injuries in the distal radius.
Respuesta
- True
- False
Pregunta 33
Pregunta
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?
Respuesta
-
Smith's fracture
-
Colle's fracture
-
Barton's fracture
-
Monteggia fracture
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