Upper extremity exam 4
Which of the following tests may be used to determine the function of the radial and ulnar arteries supplying the hand? a. allens test b. de quervains c. tinels sign d. wrist press
a. allens test
In order to determine the presence of ulnar nerve compression in the cubital tunnel, which special test would be most useful? a. elbow flexion test b. radioulnar joint stress test c. moving valgus stress test d. medial epicondylitis test
a. elbow flexion test
Which of the following tendons is involved with mallet finger? a. extensor digitorum b. flexor digitorum profundus c. flexor digitorum superficialis d. lumbricals
a. extensor digitorum
Which of the following results from a repeated static contraction of the forearm muscle that correlates to medial tibial stress syndrome? a. forearm splints b. contusion c. forearm fracture d. triangular fibrocartilage injury
a. forearm splits
complex regional pain syndrome usually follows an injury and most often affects the a. hand in the upper extremity b. knee in the lower extermity c. hip in the lower extremity d. shoulder in the upper extremity
a. hand in the upper extremity
Which of the following results from a rupture of the flexor digitorum profundus tendon? a. jersey finger b. boutonniere deformity c. mallet finger d. gamekeepers thumb
a. jersey finger
Which bone in the wrist is most commonly dislocated? a. lunate b. capitate c. scaphoid d. hamate
a. lunate
A ball that inadvertenly strikes the tip of an extended finger can cause what injury? a. mallet finger b. gamekeepers thumb c. swan neck deformity finger d. boutonniere deformity
a. mallet finger
Which of the following finger nail deformities results from thyroid problems? a. spooning b. ridging c. clubbing d. scaling
a. spooning
Arthritis is typically characterized by pain and inflammation of one or more joints and can result in joint deformity. a. true b. false
a. true
Dislocation of the phalanges have a high rate of occurrence in sports. a. true b. false
a. true
During an on-field examination, the examiner must be aware of the complications from an elbow dislocation that could include injury to the median and radial nerve and the brachial artery. a. true b. false
a. true
Forearm splints are commonly seen in rowers. a. true b. false
a. true
If a Triangular Fibrocartilage Complex injury is not properly managed it can result in a permanent loss of wrist motion. a. true b. false
a. true
Many of the soft tissue and bony pahtologies to the wrist and hand can be preliminarily identified with a thorough observation strategy. a. true b. false
a. true
Rupture of the extensor digitorum tendon at the base of the middle phalanx is known as boutonniere deformity. a. true b. false
a. true
The main symptom of forearm splints is a dull ache between the extensor muscles crossing the back of the forearm. a. true b. false
a. true
The structural pathology typically present with a colle's fracture at the distal radius is known as a silver fork deformity. a. true b. false
a. true
The volar plate of the PIP joint is most commonly injured in sports as a result of a severe hyperextension force. a. true b. false
a. true
a blow to the end of the finger that avulses the extensor tendon from its insertion is called a mallet finger. a. true b. false
a. true
a ganglion is a herniation of the joint capsule or of the synovial sheath of a tendon; it is often thought of as a cyst structure. a. true b. falst
a. true
a wrist sprain is the most common wrist injury. a. true b. false
a. true
crossing over the volar aspect of the carpal bones is the transverse carpal ligament, which serves as the roof to theh carpal tunnel through which the median nerve passes. a. true b. false
a. true
pain at/over the anatomical snuffbox is indicative of a scaphoid fracture. a. true b. false
a. true
The final consequence of a compartment syndrome in the elbow where permanent loss of nerve and muscle function occurs is known as a. volkmann's ischemic contracture b. duputryn's contracture c. little leaguer's elbow d. tommy john surgery
a. volkmann's ishcemic contracture
To properly examine for carpal tunnel syndrome, the phalen's test must be administered for at least a. 30 seconds b. 1 min c. 3 min d. 5 min
b. 1 min
In a neurological examination specifically at the elbow, what neurological levels are most appropriate? a. c5-t1 b. c5-c7 c. c5-c8 d. c6-t1
b. c5-c7
Dermatomal distribution to the thumb, index finger and half of the middle finger and hand area is distributed by which neurological level? a. c5 b. c6 c. c7 d. c8
b. c6
Which of the following nerve roots provides innervation to the opponens digiti minimi? a. c7 b. c8 c. c6 d. c5
b. c8
A wrist fracture resulting from the radius and ulna being forced backward and upward is called a : a. bowler's fracture b. colles fracture c. de quervains fracture d. smith's fracture
b. colles fracture
Ulnar nerve palsy is usually associated with prolonged pressure to the thenar eminence in what common activity? a. pommel horse b. cycling c. lacrosse d. baseball
b. cycling
In the wrist, which joint mobility test examines general joint mobility? a. compression b. distraction c. glide d. slide
b. distraction
What is the preferred upper extremity position when testing general elbow flexion for overall strength? a. elbow flexed to 45 degrees b. elbow flexed to 90 degrees c. elbow extended to 0 degrees with forearm at midpronation or supination d. elbow extended to 0 degrees with forearm in full supination
b. elbow flexed at 90 degrees
A bennett's fracture occurs from forced axial loading and abduction of the thumb and treatment of choice is casting of the thumb/forearm. a. true b. false
b. false
A common nerve entrapment involves the median nerve getting compressed between the pisiform and hook of the hamate. a. true b. false
b. false
All of the flexor muscles of the forearm are supplied by the median nerve. a. true b. false
b. false
Gamekeeper's thumb involves forceful adduction of the proximal phalanx causing a sprain of the ulnar collateral ligament. a. true b. false
b. false
Lateral epicondylitis results from repeitive activities that apply tension and stretch to the wrist flexors and forearm pronator muscles. a. true b. false
b. false
The concave surface of the radius and ulna articulate with the convex surfaces of the scaphoid, lunate, triquetral and hamate bones. a. true b. false
b. false
The flexor tendon avulsion test is used to identify both a mallet finger and a jersey finger. a. true b. false
b. false
The typical mechanism of injury for a posterior dislocation in the elbow is hyperflexion. a. true b. false
b. false
The volar plate is a thin ligament that separates the joint space from the flexor tendons. a. true b. false
b. false
a colles fracture is a fracture of the proximal end of the radius. a. true b. false
b. false
tenosynovitis most commonly affects the flexors of the forearm and wrist. a. true b. false
b. false
A two point discrimination test can be used in more than one area. It is, however, most commonly used to check sensation in the a. wrist b. fingers c. forearm d. elbow
b. fingers
A sprain of the ulnar collateral ligament of the MCP joint of the thumb caused by forceful abduction of the proximal phalanx is called: a. bowler's thumb b. gamekeeper's thumb c. boutonniere thumb d. baseball thumb
b. gamekeeper's thumb
a sprain to the ulnar collateral ligament in the metacarpophalangeal joint of the thumb is known as a. trigger finger b. gamekeeper's thumb c. boxer's fracture d. baseball thumb
b. gamekeeper's thumb
During PROM in the elbow and forearm, what physiological end feel would be produced during forearm pronation? a. soft end feel b. hard end feel c. open end feel d. empty end feel
b. hard end feel
A direct blow to the ulnar nerve will distribute pain signs and symptoms along the a. lateral forearm into the thumb b. medial forearm into fourth and fifth fingers c. upper lateral humerus d. upper medial humerus
b. medial forearm into fourth and fifth fingers
Which of the following special tests would be best for detecting chronic tears in the ulnar collateral ligament? a. valgus stress test b. moving valgus stress test c. passive medial epicondylitis test d. tinels' sign
b. moving valgus stress test
which nerve controls extension of the fingers, wrist and thumb? a. median b. radial c. ulnar d. volar
b. radial
Manual muscle testing finger abduction will examine motor function for which peripheral nerve? a. median b. ulnar c. radial d. musculocutaneous
b. ulnar
The circulatory integrity of the hand is examined using which of the following tests? a. adson's test b. finkelstein test c. allen test d. tinels sign
c allens test
To ensure the most complete healing of a PIP dorsal dislocation, constant splinting must be maintained at a 30 degree angle of flexion for how long? a. 1 week b. 2 weeks c. 3 weeks d. 6 weeks
c. 3 weeks
Pain and creptius at the base of the thumn and increased pain when making a fist and deviating toward the ulnar side of the wrist are indicative of a. lunate dislocation b. periostitis c. de quervains disease d. ganglion
c. de quervains disease
During normal active range in the elbow, end of range flexion will be caused by which of the following? a. contact of the coronoid process in the coronoid fossa b. tension from the triceps muscle and posterior joint capsule c. direct contact from the anterior upper arm with the forearm
c. direct contact from the anterior upper arm with the forearm
During PROM in the elbow, what type of end feel would you normally expect with extension> a. soft b. springy c. firm d. empty
c. firm
Which of the following is the most common cause of wrist sprains? a. forced hyperflexion b. forced torsion c. forced hyperextension d. forced shearing
c. forced hyperextension
What nerve can be compressed due to repetitive motion as it passes through the carpal tunnel? a. radiud b. ulnar c. median d. brachial
c. median
The ________ is considered to be the most provocative special test for identifying partial tears of the UCL. a. varus stress test b. distal biceps tendon rupture test c. moving valgus stress test d. active epicondylitis test
c. moving valgus stress test
Manual muscle testing wrist extension will examine motor function for which peripheral nerve? a. median b. ulnar c. radial d. musculocutaneous
c. radial
Severe point tenderness in the anatomical "snuffbox" may indicate a fracture of which bone? a. hamate b. lunate c. scaphoid d. trapezoid
c. scaphoid
acute stretching or tearing of the ulnar collateral ligament in the elbow joint can occur from what MOI? a. fall on an adducted arm b. excessive varus force c. throwing motion d. batting motion
c. throwing motion
Which peripheral nerve passes through the tunnel of Guyon? a. median b. radial c. ulnar d. anterior interosseous
c. ulnar
Which side of the arm recieves the most frequent impact and therefor is where the majority of bruising occurs? a. radial b. anterior c. ulnar d. posterior
c. ulnar
A deformity caused by a rupture of the extensor tendon over the middle phalanx is called: a. bowlers finger b. mallet finger c. handlebar palsy d. boutonniere deformity
d. boutonniere deformity
Tapping over the transverse carpal ligament tests for: a. arterial impingement b. ganglions c. tenosynovitis of flexor tendons d. carpal tunnel syndrome
d. carpal tunnel syndrome
Which of the following is not a result of forced hyperextension of the wrist? a. triangular fibrocartilage complex injury b. lunate dislocation c. scaphoid fracture d. de quervain's syndrome
d. de quervain's syndrome
Stenosing tenosynovitis of the first tunnel of the wrist through which the extensor pollicis brevis and abductor pollicis longus move is characteristic of: a. volkmann's contractures b. forearm splints c. bowler's thumb d. de quervains syndrome
d. de quervains syndrome
a boxers fracture specifically involves the neck of which metacarpal in the hand? a. first b. second c. third d. fifth
d. fifth
Which of the follwoing tests is used to detect de quervains syndrome? a. tinels sign b. allens test c. phalens test d. finkelsteins test
d. finkelsteins test
Which of the following conditions is due to a developmental abnormality of the wrist characterized by anatomic changes in the radius, ulna and carpal bones leading to palmar and ulnar wrist subluxation? a. carpal tunnel syndrome b. hoffman's disease c. dupuytrens contracture d. madelung deformity
d. madelung deformity
Before focusing on the elbow, the athletic trainer must differentially rule out sources of pain in what areas? a. cervical spine b. thoracic spine c. shoulder d. hand e. a & c f. b & d
e. a & c
