CH 19: Wrist and Hand Conditions

A 23-year-old recreational softball player sustains a mallet finger deformity of her right third finger when she tried to catch a fly ball. How long is splinting recommended for this injury? A. 6-8 weeks B. 24-30 weeks C. 4-6 weeks D. 8-12 weeks E. 2-4 weeks

A. 6-8 weeks

As part of an injury assessment, the athletic trainer includes the pinch grip test. A positive finding on this test suggests which of the following conditions? A. Anterior interosseous nerve entrapment B. Carpal tunnel syndrome C. Interior interosseous nerve entrapment D. Ulnar nerve compression E. Guyon tunnel syndrome

A. Anterior interosseous nerve entrapment

What is the most common mechanism of injury for a wrist sprain? A. Axial loading on an outstretched hand B. Extension C. Compressive rotational forces D. Hyperflexion E. Ulnar deviation on an outstretched hand

A. Axial loading on an outstretched hand

What is the main function of the triangular fibrocartilage that overlies the distal ulnar head? A. Binds the ulna, radius and carpal bones together B. Shock absorption C. Bind the carpal bones together D. Provides an articular surface for the radius

A. Binds the ulna, radius and carpal bones together

What is the myotome for ulnar deviation? A. C8 B. T1 C. C6 D. C5 E. C7

A. C8

What is gamekeeper's thumb? A. sprain of the ulnar collateral ligament B. strain of the extensor pollicis longus C. fracture of the 1st metacarpal D. sprain of the radial collateral ligament E. contusion of the thenar eminence

A. Sprain of the ulnar collateral ligament

A fixed-flexion deformity of the finger caused by dislocation at the proximal interphalanegeal joint is termed: A. coach's finger. B. mallet finger. C. jersey finger. D. trigger finger. E. Dupuytren's contracture.

A. coach's finger

When an individual is unable to extend the DIP, it suggests that the extensor tendon is avulsed from the distal phalanx resulting in a ___________. A. mallet finger B. jersey finger C. coach's finger D. boutonniere deformity E. trigger finger

A. mallet finger

As part of an injury assessment, the athletic trainer includes the pinch grip test. What is a normal finding on this test? A. the patient is able to touch the tip of the index finger and the thumb together B. the patient is able to touch the pulp of the index finger and the thumb together C. the patient is able to touch the pulp of the middle finger and the thumb together D. the patient is able to touch the tip of the little finger (i.e., 5th digit) and the thumb together E. the patient is able to touch the pulp of the little finger (i.e., 5th digit) and the thumb together

A. the patient is able to touch the tip of the index finger and the thumb together

An 11-year-old gymnast was diagnosed with a stress fracture of her right distal radial epiphyseal plate. Complete resolution of this condition could take approximately how much time? A. 4-6 weeks B. 3-6 months C. 6-8 weeks D. 2-3 months E. 2-3 weeks

B. 3-6 months

Which fracture is associated with a dislocation of the metacarpophalangeal joint of the thumb? A. Jersey finger B. Bennett fracture C. Mallet finger D. Rolando fracture E. Boxer's fracture

B. Bennett fracture

An intra-articular fracture of the first metacarpal is called a(n): A. Smith's fracture B. Bennett's fracture C. Rolando fracture D. Galeazzi fracture E. Monteggia fracture

B. Bennett's fracture

The close packed position of the PIP joint and the DIP joint is: A. 20 degrees flexion. B. full flexion. C. full extension. D. opposition. E. 10 degrees flexion.

B. Full extension

Which of the following structures pass through the carpal tunnel? (Choose all that apply.) A. Flexor pollicis brevis tendon B. Median nerve C. Ulnar nerve D. Flexor digitorum superficialis tendon E. Extensor indicis tendon F. Flexor pollicis longus tendon G. Extensor digitorum tendon H. Flexor digitorum profundus tendon

B. Median nerve D. Flexor digitorum superficialis tendon F. Flexor pollicis longus tendon H. Flexor digitorum profundus tendon

Flexion, extension, and hyperextension of the radiocarpal joint occur in the _________ plane of motion. A. Transverse B. Sagittal C. Frontal D. Coronal

B. Sagittal

Fracture of the distal radius involving a volar displacement of the fracture fragment is known as: A. Galeazzi fracture. B. Smith's fracture. C. Monteggia fracture. D. Colles' fracture. E. Rolando fracture.

B. Smith's fracture

Which carpal bones are located in the distal row? (Choose all that apply.) A. Scaphoid B. Trapezoid C. Trapezium D. Hamate E. Capitate F. Lunate G. Pisiform H. Triquetral

B. Trapezoid C. Trapezium D. Hamate E. Capitate

Which structures pass through Guyon's canal? (Choose all that apply.) A. Radial artery B. Ulnar nerve C. Ulnar artery D. Medial nerve E. Radial nerve

B. Ulnar nerve C. Ulnar artery

The tunnel of Guyon is situated between the: A. extensor carpi radialis longus and brevis. B. hook of hamate and pisiform. C. radialstyloid process and navicular. D. extensor pollicis brevis and abductor pollicis longus. E. pisiform and navicular.

B. hook of hamate and pisiform

A volar plate injury can be the result of ________. A. varus stress B. hyperextension C. hyperflexion D. valgus stress E. shearing

B. hyperextension

Bowler's thumb involves compression of the: A. radial digital sensory nerve. B. ulnar digital sensory nerve. C. superficial radial nerve. D. posterior interosseous nerve. E. anterior interosseous nerve.

B. ulnar digital sensory nerve

The normal ROM for radial deviation is _________ degrees. A. 30-45 B. 70-90 C. 15 D. 45 E. 80-90

C. 15

A "dinner-fork" deformity is characteristic of which wrist pathology? A. Galeazzi fracture B. Monteggia fracture C. Colles' fracture D. Smith's fracture E. Bennett's fracture

C. Colles' fracture

The TFCC is a stabilizer of which articulation? A. Carpometacartpal joint B. Metacarpophalangeal joint C. Distal Radioulnar joint D. Intermetacarpal joint E. Radiocarpal joint

C. Distal Radioulnar joint

An avascular necrosis of the lunate that is often seen in young athletes and thought to be caused by repetitive trauma is referred to as: A. gymnast's wrist. B. DRUJ injury. C. Keinbock disease. D. median nerve palsy. E. flexor tendon contracture.

C. Keinbock disease

Which carpal bones articulate with the radius? (Choose all that apply.) A. Capitate B. Triquetrum C. Lunate D. Trapezoid E. Hamate F. Scaphoid

C. Lunate F. Scaphoid

The ________ artery is superficial and palpable on the anterior aspect of the wrist. A. ulnar B. digital C. radial D. anterior interosseous E. brachial

C. Radial

Because of poor blood supply to the lateral wrist area, which of the following is a complication associated with a scaphoid fracture? A. de Quervain's syndrome B. Volkmann's ischemic contracture C. aseptic necrosis D. gamekeeper's thumb E. stenosing

C. aseptic necrosis

A rupture of the flexor digitorum profundus tendon from the distal phalanx resulting in an inability to flex the DIP is known as: A. boutonniere deformity. B. mallet finger. C. jersey finger. D. Dupuytren contracture. E. pseudo-boutonniere deformity.

C. jersey finger.

As part of a hand/wrist assessment, the athletic trainer performs Finkelstein's test. What constitutes a positive finding? A. inability to flex finger at DIP joint B. abnormal pulp to pulp pinch C. pain over radial styloid process and sheath of EPB and APL D. pain felt at the injury site E. numbing or tingling into palmar aspect of thumb

C. pain over radial styloid process and sheath of EPB and APL

The most effective treatment for a painful ganglion cyst is: A. aspiration. B. RICE. C. surgical excision. D. NSAIDs. E. steroid injection.

C. surgical excision

Numbness or tingling of the medial half of the ring finger and 5th finger indicates which of the following conditions? A. Radial nerve entrapment B. Interior interosseous syndrome C. Ulnar nerve compression D. Median nerve compression E. Anterior interosseous syndrome

C. ulnar nerve compression

What test is used to determine circulatory function of the hand? A. Froment's sign B. Bunnel Littler test C. Adam's test D. Allen test E. Adson's maneuver

D. Allen test

A fracture of the proximal third of the ulna accompanied by a radial head dislocation is known as: A. Galeazzi fracture. B. Colles' fracture. C. Smith fracture. D. Monteggia fracture. E. epiphyseal fracture.

D. Monteggia fracture

A 16-year-old baseball player sustains a mallet finger to the 4th digit. What is the management for this condition? A. Splinting the finger in a neutral position B. Splinting the PIP in in complete extension C. Splinting the DIP and PIP in complete extension D. Splinting the DIP joint in complete extension E. Budding taping the 3rd and 4th digits

D. Splinting the DIP joint in complete extension

The flexors of the wrist and hand are innervated by the _________ nerve. A. ulna B. radial C. musculocutaneous D. median E. axillary

D. median

Which structure is associated with carpal tunnel syndrome? A. Flexor carpi radialis B. Ulnar artery C. Ulnar nerve D. Median nerve E. Palmaris longus F. Radial artery

D. median nerve

The management of severe paronychia includes which of the following? (Choose all that apply.) A. making a hole through the nail B. ice water immersions C. splinting the finger in full extension D. warm water soaks with germicide E. prescribed antibiotics F. excision of the fingernail

D. warm water soaks with germicide E. prescribed antibiotics

Which of the following requires the use of a precision grip? A. Baseball bat grip B. Fencing grip C. Weight bar grip D. Foil grip E. Baseball grip

E. Baseball grip

Which of the following motions of the radiocarpal joint occur in the frontal plane? (Choose all that apply.) A. Supination B. Extension C. Pronation D. Flexion E. Radial deviation F. Ulnar deviation

E. Radial deviation F. ulnar deviation

Fracture of the ___________ accounts for more than 70% of all carpal bone injuries. A. Lunate B. Neck of the fourth metacarpal C. Radial styloid process D. Ulnar styloid process E. Scaphoid F. Proximal end of the first metacarpal

E. Scaphoid

The knuckles of the hand are formed by: A. dorsal ligaments. B. DIP joints. C. interphalangeal joints. D. PIP joints. E. metacarpophalangeal joints.

E. metacarpophalangeal joints