Elbow, Hand & Wrist Questions

Which of the following is the correct test to perform to help determine lateral epicondylitis of the elbow? a. Cozen's Test b. Mill's Test c. Middle Finger Extension Test d. All of the above are correct

All of the above are correct

Doing pronation of the right forearm, the roll happens in what direction? A. Posterior B. Inferior C. Anterior D. Lateral

Anterior

As you are reading your Chiropractic Technique textbook you go to turn the page from right to left which creates pronation of your right forearm. Describe the roll and slide of the distal radioulnar joint inthis motion. a.Anterior roll, anterior glide of ulna b.Anterior roll, anterior glide of radius c.Anterior roll, posterior glide of carpals d.Posterior roll, anterior glide of carpals

Anterior roll, anterior glide of radius

Pronation of the radioulnar joint at the distal aspect of the forearm results in... A. Anterior rotation/Posterior glide of the joint B. Posterior rotation/Anterior glide of the joint C. Anterior rotation/Anterior glide of the joint D. Aberrant motion

Anterior rotation/Anterior glide of the joint

The landmark for the proximal transverse arch is: a. Lunate b. Capitate c. Scaphoid d. Hamate

Capitate

Patient comes to you with a swollen, tender wrist. They fell riding a bike on an outstretched extended hand. Based off of this information, what clinical finding would you assume to find on an x-ray? a. Humeroulnar subluxation b. Colle's fracture c. Smith's fracture d. Supracondylar fracture

Colle's Fracture

A patient presents with severe pain as well as a swollen left wrist after falling off of their bike and attempting to break their fall with their palms facing towards the ground. A radiograph is taken and clearly shows a fracture on the distal end of the radius. How would you classify this patient's fracture? a. Colle's Fracture b. Bennet's Fracture c. Jone's Fracture d. Boxer's Fracture

Colle's fracture

A patient, a 72 year old female, comes into your office stating that she has once again tripped ascending her stairs to clean her spare bedroom for guests she was expecting for Thanksgiving. She elates; however, that this time she was almost able to catch herself in a push-up like position, but has been experiencing sharp pain in her wrist ever since the incident. What condition should you suspect given the patient's statement. A. The patient needs to downsize to a one story house, before she gets any older.... B. Smith's fracture C. Potential amputation D. Colle's fracture

Colle's fracture

The ulna plays a significant role in the function of the ______, but plays a secondary role in the ______. a. Wrist, Elbow b. Elbow, Wrist c. Wrist, Metacarpals d. Elbow, Trochlea

Elbow, Wrist

As you are performing a static postural assessment,

Excessive cubitus valgus

What muscle is tested in the Middle Finger Extensor test? A) Extensor Indicis B) Extensor Digitorum C) Extensor Carpi Radialis Longus D) Extensor Carpi Radialis Brevis

Extensor Carpi Radialis Brevis

The surface of the radial notch is of what orientation? A) Faces Laterally and is Convex B) Faces Laterally and is Concave C) Faces Medially and is Convex D) Faces Medially and is Concave

Faces laterally and is concave

T/F The radial fossa and coronoid fossa are both posterior and the olecranon fossa is anterior.

False

T/F: The Ulnar plays a primary role in the Elbow and wrists:

False

T/F: The elbow joint is made of 2 joints, the radio-ulnar and humeroulnar.

False

Which ligament within the shoulder complex provides the greatest amount of stability? A. Coracohumeral B. Glenohumeral C. Acromioclavicular D. Coracoclavicular

Glenohumeral

An 18-year-old college student reports to your office with complaints of pain in the elbow. He stated that he noticed when he leaned on his elbows during exams and while taking notes in class that he had increased pain. What is a probable diagnosis? a. Cubital tunnel syndrome b. Olecranon bursitis c. Ulnar nerve entrapment d. Golfer's elbow

Olecranon bursitis

During an appointment you noticed that your patient's left elbow was swollen. You determine that both palpation and movement cause him to wince. He explains that the swelling was noticed after a long day at school yesterday. What is the most likely cause of your patient's condition? a. Cubital tunnel syndrome b. Pulled elbow c. Olecranon bursitis d. Ulnar nerve entrapment

Olecranon bursitis

Ronald, a new patient of yours (and new father) has increased the frequency of his singing and hand movements while he puts his child to sleep to "Baby Shark." The motion that hurts him the most is abduction of his thumb. What is the roll and slide of this motion? a. Medial roll and slide b. Lateral roll, medial slide c. Palmar roll, dorsal slide d. Dorsal roll, palmar slide

Palmar roll, dorsal slide

Lisa works as a computer engineer for a very prestigious tech company but has had some radiating pain and weakness into the palm of her hand while typing. She saysthat the pain gets worse when she is typing at her computer in an extended position at the wrist. Describe the roll and slide mechanism of the motion that is giving Lisa problems. a.Posterior roll, posterior glide b.Anterior roll, anterior glide c.Posterior roll, anterior glide d.Anterior roll, Posterior glide

Posterior roll, anterior glide

In hyperextension of the humeroulnar joint, what is the direction of the roll and slide? A. Anterior/Anterior B. Posterior/Anterior C. Anterior/Posterior D. Posterior/Posterior

Posterior/posterior

In regards to the movement of the radioulnar joint... A. The ulna moves on the radius B. The radius moves on the ulna

The radius moves on the ulna

. While performing bicep curls, Tom is picturing the movement between the articulation between the radial head and the capitum of the humerus and is wondering about the direction for both the roll and slide of this articulation during bicep flexion. Here are a few of the options that Tom is thinking, which of the answer choices are correct? a. convex on concave so roll and slide happen in the same direction b. concave on convex so roll and slide happen in the same direction c. concave on convex so roll and slide happen in the opposite direction d.convex on concave so roll and slide happen in the opposite direction

concave on convex so roll and slide happen in the same direction

While moving your arm 180 degrees from pronation to supination you observe the proximal radioulnar joint. The ______ head of the Radius is rolling/sliding over the _____ surface of the Ulna which produces roll/slide in ______ direction(s). A) concave/convex/same B) concave/convex/opposite C) convex/concave/opposite D) convex/concave/same

convex/concave/opposite

Describe the roll and slide mechanism during radial deviation a. palmar roll, dorsal slide b. radial roll, ulnar slide c. medial slide, medial roll d. lateral roll, lateral slide

radial roll, ulnar slide

A 32 year old male complaining of right elbow pain. The patient complains of weak grip and slight tingling in his right hand. The pain is presented on the medial side of the elbow, which leads to the belief that this is Medial Epicondylitis. What tests would you use to diagnose for Medial Condylitis> a. + Mills Test b. + Cozen's Test c. + Reverse Mills Test d. - Reverse Cozen's Test

+ Reverse Mills Test

How many arches support the natural concavity of the palm? a. 1 b. 2 c. 3 d. 4

3

While measuring ROM, you find a patient can extend their right wrist 97 degrees. What does this mean? a. Normal; joint is stable b. Abnormal; hypermobility c. Abnormal; hypomobility

Abnormal; hypermobility

A 4 year old boy is brought into your office by his mother which is holding him by his right hand. You shake the mothers hand and attempt to give the little boy a high-five, but he hesitantly elevates his left hand before putting it back down to his side, pulling his arm away from his mother he high-fives you with his right hand. You soon learn that he has been having pain in his left elbow and refuses to use it. Having remembered the previous encounter and after palpating the radial head you know exactly what the issue is. What would you do to correct this little boy's pain? A) Axial Pull, Supinate, Flex B) Axial Pull, Pronate, Flex C) Axial Pull, Supinate, Extend D) Both A and C are correct

Both A and C are correct

It has just snowed 10 inches in the great state of Michigan. John is headed out to shovel his driveway instead of using his snow blower because he has wanted to get more exercise. While shoveling he comes across a patch of ice under the snow and looses his balance and falls. To break his fall he extended his arm and landed on his palm. What is the expected outcome from his fall? A: Colle's fracture B: Smith's fracture C: Greenstick fracture D: Scaphoid fracture

Colle's fracture

Patient presents to your office experiencing pain around the elbow of his dominant arm. Palpation of the lateral epicondyle exasperates the pain. Which of the following is true about this patient's condition? MACA a. Commonly known as Tennis elbow b. Commonly known as Golfer's elbow c. Ulnar nerve entrapment d. Most common condition effecting the elbow e. Reversed Cozen's tes

Commonly known as Tennis elbow & Most common condition effecting the elbow

A 40 year old patient comes into your office complaining of pain in the elbow. Upon examination you determine the lateral portion of the elbow is tender to the touch. You suspect you know what the issue is so you conduct an orthopedic test to confirm your suspicion. The test you conduct requires you to resist the patient's wrist while the attempt to extend their wrist. What type of test are you conducting? A) Middle Finger Extension Test B) Mill's Test C) Cozen's Test D) Reverse Cozen's Test

Cozen's Test

A 32 year old female patient presents with pain in the lateral portion of her right elbow. The pain started about a month ago and was fairly mild but has been increasing in intensity over that time. Recently she said she is having difficulty gripping her tennis racket and has given up playing due to the pain. You decide to test the elbow by holding her elbow in the bent position with your thumb over the point of pain. You have her extend her wrist back while you apply resistance. This movement replicates the pain. What test did we use and what is the likely diagnosis? a. Mills test; Lateral Epicondylitis b. Middle Finger Extension Test; Pulled Elbow c. Cozen's Test, Pulled Elbow d. Cozen's Test, Lateral Epicondylitis e. Reverse Cozen's Test, Medial Epicondylitis

Cozen's Test, Lateral epicondylitis

Young tennis player presents with difficulty picking up items and weakness gripping. You notice point tenderness over the lateral epicondyle that increases in intensity with resisted wrist and finger extension. What tests would you perform and what is the diagnosis? a. Reversed Cozen's test, Lateral epicondylitis b. Reversed Mills, Medial epicondylitis c. Middle finger extension test, Pulled elbow d. Cozen's test, Lateral epicondylitis

Cozen's test, Lateral epicondylitis

What is Nurse maids' elbow? A. Detachment of the Ulnar from the medial/lateral collateral ligaments B. Detachment of the Ulnar from the annular ligament (when a young person has their arm yanked on from an adult or an force of some kind, causing the radial head to dislodge form or the annular ligament to be displaced is the cause of nurse maids elbow) C. Head of the radius detaches from the annular ligament D. Head of the radius detaches from the medial/lateral collateral ligaments

Head of the radius detaches from the annular ligament

Tonya, a 36 year old woman comes into your office and presents with pain in her elbow, which started after playing tennis three days prior. You palpate the elbow and the patient reports tenderness on the lateral aspect of the elbow but not the medial side. You do a few more tests and notice the patient is positive for the Cozens test, Mill's test, and middle finger extensor test. What is more than likely wrong with Tonya's elbow? A) Overly tight extensor muscles in the wrist that need to be properly stretched B) Lateral Epicondylitis C) A torn Lateral Collateral Ligament D) A torn Annular Ligament

Lateral Epicondylitis

The physiological arches of the hand are: MACA a. Longitudinal arch b. Distal transverse arch c. Proximal transverse arch d. Medial longitudinal arch

Longitudinal arch Distal transverse arch Proximal transverse arch

A 16-year-old young man comes to your clinic presenting with medial elbow pain and tingling in his hand. He states that it started after a weekend-long video game tournament. He says that taking pain medication helps, but it returns, and it's important that his arm improves so that he can play in another tournament next weekend. Your orthopedic testing validates your diagnosis. What is the condition your patient is suffering from? Name the nerve involved and which test you performed. A. Lateral epicondylitis, Mill's test, Ulnar B. Medial epicondylitis, Cozen's test, Medial C. Medial epicondylitis, reversed Mill's test, Ulnar D. Lateral epicondylitis, Cozen's test, Medial

Medial epicondylitis, reversed Mill's test, Ulnar

In ulnar deviation the roll occurs in which direction? A: Anterior B: Laterally C: Medially D: Superiorly

Medially

A family brings in their son who complains of elbow pain after being tackled via traction of his arm in the opposite direction of his intended path of travel, his middle school football team's endzone. Based off of the young man's description of the onset of his pain you should expect what condition? A. Potential amputation B. Gunstock deformity C. Ulnar nerve palsy D. Nursemaid's elbow E. Supracondylar fracture

Nursemaid's elbow

Little Jimmy, who is usually Parker Elementary School's top high-fiver came in to school on Monday refusing to give any of his teachers or classmates his famed high-fives. He goes on to explain that he injured his elbow when walking his german shepherd Rufus this weekend. After seeing a squirrel, Rufus took off running and pulled little Jimmy along with him while he was holding the leash. Which of the following is Jimmy most likely suffering from? a.Golfer's Elbow b.Little leaguer's elbow c.Supracondylar fracture d.Nursemaid's elbow

Nusemaid's elbow

A father walks in with his 4 year old son to your office with his son complaining of elbow pain. When you as the doctor asked little Zac Jr. if he could give you a high five, he replied that he couldn't because the pain hurt too much. both of the parents are highly successful doctors, which means Zac Jr. spends most of his time with Nanny Olga who has been known to be a little rough around the edges. Diagnose Zac Jr.'s condition. a. Lateral Epicondylitis b. Medial Epicondylitis c. Pulled Elbow d. None of the above

Pulled elbow

The medial/ulnar collateral ligament of the Elbow contribute to: (MACA) A. Reinforces joint capsule of the Elbow B. Restrict the radius from hyper rotation C. Resist varus forces D. Resist valgus forces

Reinforce joint capsule of elbow & resist valgus forces

A 40 year old patient comes into your office complaining of pain in the elbow. Upon examination you determine the medial portion of the elbow is tender to the touch. You suspect you know what the issue is so you conduct an orthopedic test to confirm your suspicion. The test you conduct requires you to resist the patient's wrist while the attempt to flex their wrist. What type of test are you conducting? A) Middle Finger Extension Test B) Mill's Test C) Cozen's Test D) Reverse Cozen's Test

Reverse Cozen's Test

Your patient was pitching and felt tingling in their pinky and ring finger. Their flexors are really tight. You perform a Reversed Cozen test. What other test could you perform and what is the possible diagnosis A. Mills Test/Medial Epicondylitis B. Reversed Mills Test/Lateral Epicondylitis C. Reversed Mills Test/ Medial Epicondylitis D. Middle finger extension test/Lateral Epicondyliti

Reversed Mills Test/ Medial Epicondylitis

Zach is trying to teach you how to golf, so that later on in your career you can secure business deals out on the course. As a warm up before you begin to swing the club, he has you take both your arms and pronate them, then supinate them back and forth ten times. What direction does the roll and slide mechanism occur when focusing in on the distal radio-ulnar joint in pronation during this warm up? a. Same Direction b. Opposite Direction c. No Movement

Same direction

A 34 year old man presents with left wrist pain after falling with his hand stretched out playing football. He said he had immediate swelling and painful wrist extension. The physical examination reveals soft tissue swelling with limited motion. There is bony tenderness along the distal radius as well as the anatomic snuff box. His sensory and vascular examination results are negative of any damage. What is the possible diagnosis? A. Scaphoid fracture B. Strain muscle C. Carpal tunnel syndrome D. Arthritis

Scaphoid fracture

Tiffany comes in for a visit and complains of shoulder pain she has had for over a year. She had difficulty in lifting her left hand above her head while doing any activity in that position. She complains of a clicking in her shoulder and the end of the day her shoulder feels tired, fatigued and painful. After examination you conclude the left arm has lost strength and is very poor. You also notice atrophy in the scapular stabilizers. What is your diagnosis? A. Slight Dislocation of shoulder joint B. SLAP tear C. Scapular dyskinesia D. Subacromial Bursitis

Scapular dyskinesia

Peter, a 2 year old boy is brought into your office presenting his left arm limp to the side of his body, and his mother says he refuses to use his arm to do anything. She said it started after Peter and his father were twirling in circles. You guess he has a pulled elbow (nursemaids elbow) and ask Peter to give you a high five just to check, but Peter refuses. What causes nursemaids elbow to occur? A) Slippage of the radial head under the annular ligament B) Supracondylar fracture C) Torn Pronator Teres muscle D) Slippage of the Lateral Collateral Ligament

Slippage of the radial head under the annular ligament

A male patient presents to your office and his chief complaint is elbow pain. After questioning the patient to see whether or not the pain was from a traumatic event. An examination is then performed, and you (the doctor) diagnose the patient with lateral epicondylitis (tennis elbow) due to the pain and inflammation located on the lateral aspect of the epicondyle. In order for some of the patient's pain to alleviate you assign the patient with a stretch to help with pain levels. Which group of muscles needs to be stretched in order for some of the patient's pain to be alleviated? A. Stretch pronator muscles B. Stretch extensor muscles C. Stretch supinator muscles D. Stretch flexor muscles

Stretch extensor muscles

What adjustment would you use to correct a Pulled Elbow? A) Supinate the arm and axial pull B) Flex or extend the radial head and axial pull C) Pronate the arm, put the radial head into flexion or extension, and axial pull D) Supinate the arm, stabilize the radial head, put elbow into flexion or extension, and axial pull

Supinate the arm, stabilize the radial head, put elbow into flexion or extension, and axial pull

Gloria, a 29 year old woman comes into your office and presents with a decreased Lateral/Vulgus angle measuring at 6 degrees in her right arm. She reported that when she was younger she had injured her elbow in a vehicle accident. What would be the cause of her decreased Lateral/Vulgus angle? A) Epiphyseal damage B) Supracondylar fracture C) Damage to the pronator and supinator muscles D) Lateral Epicondylar fracture

Supracondylar fracture

Gunshot deformity is most commonly associated with what type of fracture? a. Colle's fracture b. Supracondylar fracture c. Smith's fracture d. Golfer's elbow fracture

Supracondylar fracture

T/F During pronation of the forearm, the distal end of the radius will both be rolling and sliding anteriorly over the distal ulna.

True

T/F The Elbow joint consists of 3 separate joints

True

The medial collateral ligament prevents medial/lateral angulation and glide of which 2 bones? a. Ulna on the humerus b. Radius on the ulna c. Humerus on the scapula d. Ulna on the radius

Ulna on humerus

A baseball player comes into your clinic complaining of severe elbow pain. He was sliding into home base, when he thinks he hyperextended his elbow as he was reaching for the ground. You perform a valgus stress test on the injured elbow and it comes out to be positive. What would you diagnose this patient with? a. Radial collateral ligament sprain b. Ulnar collateral ligament sprain c. Annular ligament sprain d. Extensor muscle strain

Ulnar collateral ligament sprain

In ulnar deviation, the proximal row of metacarpals slide ______ roll _______. a. Radially; ulnarly b. Radially; radially c. Ulnarly; radially d. Ulnarly; ulnarly

Ulnarly; radially