Hand and Wrist Disorders

Descrição

Clinical medicine study aid
Derek Trautwein
Quiz por Derek Trautwein, atualizado more than 1 year ago
Derek Trautwein
Criado por Derek Trautwein mais de 9 anos atrás
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Resumo de Recurso

Questão 1

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

Questão 2

Questão
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?
Responda
  • Paronychia
  • Felon
  • Trigger finger
  • Mallet finger

Questão 3

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

Questão 4

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

Questão 5

Questão
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
Responda
  • 1 and 3
  • 2 and 4
  • 1, 2, 3
  • 4 only
  • All of the above

Questão 6

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

Questão 7

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

Questão 8

Questão
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
Responda
  • 1 and 3
  • 2 and 4
  • 1, 2, 3
  • 4 only
  • All of the above

Questão 9

Questão
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?
Responda
  • Injection injury
  • Nerve injury
  • Proximal interpharangeal joint dislocation
  • De Quervain's tenosynovitis

Questão 10

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

Questão 11

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

Questão 12

Questão
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?
Responda
  • Septic tendonsynovitis
  • Trigger finger
  • Subungual hematoma
  • Boxer fracture

Questão 13

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

Questão 14

Questão
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
Responda
  • 1 and 3
  • 2 and 4
  • 1, 2, 3
  • 4 only
  • All of the above

Questão 15

Questão
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?
Responda
  • De Quervain's tenosynovitis
  • Volar plate fracture
  • Carpel tunnel syndrome
  • Wilson fracture

Questão 16

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

Questão 17

Questão
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
Responda
  • 1 and 3
  • 2 and 4
  • 1, 2, 3
  • 4 only
  • All of the above

Questão 18

Questão
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?
Responda
  • Skier's thumb
  • Crutch palsy
  • Volar plate fracture
  • Colle's deformity

Questão 19

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

Questão 20

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

Questão 21

Questão
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
Responda
  • 1 and 3
  • 2 and 4
  • 1, 2, 3
  • 4 only
  • All of the above

Questão 22

Questão
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
Responda
  • 1 and 3
  • 2 and 4
  • 1, 2, 3
  • 4 only
  • All of the above

Questão 23

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

Questão 24

Questão
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
Responda
  • 1 and 3
  • 2 and 4
  • 1, 2, 3
  • 4 only
  • All of the above

Questão 25

Questão
A boxer fracture is commonly treated with an ulnar gutter splint.
Responda
  • True
  • False

Questão 26

Questão
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?
Responda
  • Bennett fracture
  • Rolando fracture
  • Colle's fracture
  • Smith's fracture

Questão 27

Questão
A Rolando fracture is simply a comminuted Bennett fracture.
Responda
  • True
  • False

Questão 28

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

Questão 29

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

Questão 30

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

Questão 31

Questão
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:
Responda
  • Colle's fracture
  • Scaphoid fracture
  • Volar plate fracture
  • Smith's fracture

Questão 32

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

Questão 33

Questão
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?
Responda
  • Smith's fracture
  • Colle's fracture
  • Barton's fracture
  • Monteggia fracture

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