AT Upper Body Eval

Which of the following is a rupture of the central extensor tendon that causes the lateral bands to slip palmarly on each side of the PIP, changing its line of pull on this joint from an extensor to a flexor?

Boutonniere Deformity

Which of the following is a rupture of the central extensor tendon that causes the lateral bands to slip palmarly on each side of the PIP, changing its line of pull on this joint from an extensor to a flexor?

Boutonniere deformity

Which of the following muscles does not influence wrist movement? a. Extensor carpi radialis longus b. Brachioradialis c. Flexor digitorum superficialis d. Flexor carpi ulnaris

B

Which of the following is a nonarticular fracture of the radius occurring approximately 1.5 inches proximal to the radiocarpal joint, causing the distal radius to be displaced dorsally?

Colle's Fracture

Which of the following is a non articular fracture of the radius occurring approximately 1.5 inches proximal to the radiocarpal joint, causing the distal radius to be displaced dorsally?

Colles Fracture

Which of the following statements is correct? Question options: 1) An avulsion of the flexor digitorum profundus is known as mallet finger. 2) A mallet finger presents with an inability to actively flex the distal interphangeal joint (DIP). 3) Jersey finger is a rupture to the extensor digitorum communis tendon 4) A rupture of the volar plate at the PIP jt can lead to Swan-Neck deformity.

D is correct

Which of the following common finger injuries should be splinted with the finger in extension? Question options: 1) Mallet Finger 2) Jersey Finger 3) Boutonnière's deformity 4) A and C 5) All of the above

a and c

What are the functions of the triangular fibrocartilage complex (TFCC)?

Dissipates stresses imposed on the forearm during loading by extending the radiocarpal articulation. Stabilizes end-range of flexion and extension

What is a benign collection of thick fluid within a tendinous sheath or joint capsule found on the wrist and hand called?

Ganglion Cyst

What is a benign collection of thick fluid within a tendinous sheath or joint capsule found on the wrist and hand called?

Ganglion cyst

The deep branch of what nerve innervates the hypothenar eminence?

Interosseous

Shoulder Adduction

Latissimus Dorsi Teres Major Infraspinatus Teres Minor Pectoralis Major Triceps brachii (long head) Coracobrachialis

Which carpal bone is most commonly dislocated?

Lunate

Reagan's test

Lunotriquetrial instability

Which of the following is a standard radiograph taken for suspected scaphoid fracture?

Oblique x-ray

Which pulleys are located on the distal aspect of the metacarpal and the most proximal member of the pulley system?

Palmar Aponeurosis Pulley

Which ligament is most important in controlling motion and wrist stability?

Palmar Radiocarpal Ligament

Which ligament is not stressed during passive flexion of the wrist?

Palmar Ulnocarpal

What is an infection around the periphery of the fingernail that results in redness and swelling?

Paronychia

What are small cuts or abrasions over the dorsal surface of the MCP or IP joints known as?

Russell's Sign- Sign of Bulimia

What are small cuts or abrasions over the dorsal surface of the MCP or IP joints known as?

Russells sign

What is the most commonly fractured carpal bone in the hand?

Scaphoid

Which carpal bone is palpable as the floor of the anatomical snuffbox?

Scaphoid

What is the most commonly fractured carpal bone in the hand?

Scaphoid Bone

Reverse Watson's test

Scaphoid instability/carpal ligament sprain

Scapular Protraction

Serratus anterior Pectoralis minor

The deep branch of what nerve innervates the hypothenar eminence? a. Median b. Radial c. Ulnar d. Interosseous

c. Ulnar

Which of the following is responsible for checking radial deviation and becomes taut at the end-ranges of flexion and extension? a. Dorsal radiocarpal ligament b. Palmar radiocarpal ligament c. Ulnar collateral ligament (UCL) d. Radial collateral ligament (RCL)

c. Ulnar collateral ligament (UCL)

two muscles involved with De Quarvain's syndrome? a. flexor pollicis longus and adductor pollicis b. abductor pollicis brevis and flexor carpi radialis c. abductor pollicis longus and extensor pollicis brevis d. adductor pollicus brevis and adductor pollicis

c. abductor pollicis longs and extensor pollicis brevis

which of the following is NOT a border of the cubital fossa a. pronator teres b. imaginary line between the epicondyles c. brachialis d. brachioradialis

c. brachialis

if a pt. is unable to make the "ok" sign , this indicates a. ulnar nerve entrapment b. radial nerve entrapment c. medial nerve entrapment d. all nerves are intact

c. median nerve entrapment

which joint is being tested during the extensor hood rupture test a. carpometacarpal b. metacarpophalangeal c. proximal interphalangeal d. distal interphalangeal

c. proximal interphalangeal

pt. pinches the _____ in the pinch grip test a. elbow that is flexed to 45 degrees b. tips of the thumb and little finger c. tips of the thumb and index finger together d. pinch a piece of paper between thumb and index finger and clinician tries to pull paper out

c. tips of the thumb and index finger together

which carpal bone articulates with the 2nd metacarpal a. pisiform b. capitate c. trapezoid d. hamate

c. trapezoid

Phalen's

carpal tunnel/median nerve

Which of the following is a nonarticular fracture of the radius occurring approximately 1.5 inches proximal to the radiocarpal joint, causing the distal radius to be displaced dorsally?

colles fracture

Which of the following is a radial fracture that displaces palmarly?

Smith's fracture

Which of the following is a radial fracture that displaces palmarly?

Smith's or Reserve Colles'

Scapular Elevation

Trapezius (upper fibers) Rhomboid Major Rhomboid Minor Levator Scapula

Which wrist pathology is commonly associated with clicking on the ulnar side of the wrist?

Triangular Fibrocartilage tear

Elbow Extension

Triceps brachii Anconeus

An isometric test in midrange is the recommended method to determine muscle pain or weakness in the hand/wrist.

True

An isometric test in midrange is the recommended method to determine muscle pain or weakness. True False

True

An isometric test in midrange is the recommended method to determine muscle pain or weakness. T/F

True

Patients with carpal tunnel syndrome typically describe increased pain when sleeping. True False

True

Patients with carpal tunnel syndrome typically describe increased pain when sleeping. T/F

True

T/f: if TTFCC injury is not properly managed, it can result in permanent loss of wrist motion

True

The probability of fracturing the hook of the hamate is increased when someone is gripping an object such as a bat or racquet. T/F

True

The probability of fracturing the hook of the hamate is increased when someone is gripping an object such as a bat or racquet. True False

True Gripping these objects please direct pressure on the hook of the hamate.

What is the ligament that is responsible for limiting radial deviation and becomes taut at the end-ranges of flexion and extension?

UCL

Which nerve travels through the tunnel of Guyon?

Ulnar

Which of the following is responsible for checking radial deviation and becomes taut at the end-ranges of flexion and extension?

Ulnar Collateral Ligament

The deep branch of what nerve innervates the hypothenar eminence?

Ulnar Nerve

Which nerve travels through the tunnel of Guyon?

Ulnar Nerve

Tinel's - elbow

Ulnar nerve

What special test indicates a scapholunate ligament injury and does it have poor specificity or sensitivity?

Watson test, specificity

which bundle of UCL serves as the primary restraint against a valgus force at elbow a. Anterior bundle b. Transverse bundle c. Posterior bundle d. Medial bundle

a. Anterior bundle

what fracture shows an up-side-down fork sign a. Colle's b. Smith's c. Galeazzi's d. Monteggia's

a. Colle's

Which bone in the hand is involved in a boxer's fracture? a. Fifth metacarpal b. Scaphoid c. Radial styloid process d. Third metacarpal

a. Fifth metacarpal

What is the special test used to support or refute the presence of de Quervain syndrome? a. Finkelstein's test b. Adson's test c. Phalen's test d. Tinel's sign

a. Finkelstein's test

What is an infection around the periphery of the fingernail that results in redness and swelling? a. Paronychia b. Pilonidal cyst c. Hang nail d. Felon

a. Paronychia

Which of the following statements is correct? a. Pseudoboutonnière deformities show with limited active and passive extension. b. A mallet finger presents with an inability to actively flex the distal interphalangeal joint (DIP). c. A rupture of the volar plate is known as a boutonnière deformity. d. An avulsion of the flexor digitorum profundus is known as mallet finger.

a. Pseudoboutonnière deformities show with limited active and passive extension

Trauma or pathology to which nerve results in a drop-wrist deformity? a. Radial b. Median c. Ulnar d. Musculocutaneous

a. Radial

Mallet finger

athlete tries to actively extend fingers, but DIP joint is forced into flexion

the radial tuberosity is the insertion site for what muscle a. brachialis b. biceps brachii c. radiobrachialis d. pronator teres

b. biceps brachii

What forms the lateral humeral articulating surface on the distal border of the lateral epicondyle a. trochlea b. capitellum c. radial fossa d. semilunar notch

b. capitellum

what is an increase in the carrying angle of the elbow called? a. cubitus varus b. cubitus valgus c. olecranon valgus d. olecranon varus

b. cubitus valgus

which of the following is NOT a common s/s of OCD in elbow a. "locking" of the elbow b. ecchymosis c. decreased ROM d. pain inside the joint

b. ecchymosis

Monteggia's fracture a. up-side-down fork defect b. fracture of ulna and dislocated radial head c. avulsion of med. epic d. fracture of distal radius, dislocation of distal radioulnar joint

b. fracture of the ulna with dislocation of radial head

characteristic of Kienbock's disease: a. primarily caused due to compression of median nerve. b. involves blood supply loss to the lunate bone c. occurs due to a Colle's fracture d. Occurs secondary to a Volkman's contracture

b. involves blood supply loss to lunate bone

which of the following is NOT correct in performing the cozen's tennis elbow test a. examiner palpates lat. epi b. patient starts with fingers extended, wrist in neutral, and forearm pronated c. patient will radiallyl deviate and extend wrist against resistance d. positive sign is pain and/or muscle weakness of extensors

b. patient starts with fingers extended, wrist in neutral, and forearm pronated

most elbow dislocations result from falling on an oustretched hand and result in the ulna and radius dislocating a. anteriorly b. posteriorly c. medially d. laterally

b. posteriorly

which is NOT a function of the TFCC a. decrease loading stresses b. stabilizes radial side carpals c. stabilizes ulnar side carpals d. stabilizes distal radioulnar joint

b. stabilizes radial side carpals

Which of the following is a fracture of the base of the first metacarpal that extends into the articular surface and causes dorsal displacement of the first metacarpal?

bennetts fracture

Which of the following is present when a rupture of the central extensor tendon causes the lateral bands to slip palmarly on each side of the PIP, changing its line of pull on this joint from an extensor to a flexor?

boutonniere

what runs through cubital fossa

-brachial artery -median nerve -musculocutaneous nerve

terrible triad of the elbow

-posterior dislocation of the ulna -fracture of coronoid process -radius fracture

how long do you hold Phalen's and Reverse Phalen's

1 minute

List four facts regarding a scaphoid fracture?

A majority of all carpal fractures because it limits wrist extension More prevalent in 15-40 year old individuals- weaker distal radius Untreated fracture can lead to instability of the proximal carpal row Can cause a humpback deformity- results from the dorsal and radial angulation of the scaphoid fragments. Occur by falling on an outstretched hand- pain in anatomical snuffbow, pain with passive wrist flexion and extension at end-range, grip strength decreased

Describe the alignment of the rays from the metacarpal to the proximal carpal.

1st: Aligns with the Trapezium and then the scaphoid. 2nd: Aligns with the Trapezium and the Trapezoid. 3rd: Aligns with the Capitate and then the lunate. 4th: Aligns with the Hamate. 5th: The fifth metacarpal aligns with the Hamate and then triquetrum.

Ulnar deviation is how many degrees

35

Which finger's MCP is not commonly injured?

3rd MCP

Which bone in the hand is involved in a boxer's fracture?

5th metacarpal

what 10 structures run through the carpal tunnel

-FDS (4) -FDP (4) -flexor pollicis longus tendon -median nerve

A positive Phalen's sign is suspect of what problem? a. Long thoracic nerve injury b. Suprascapular entrapment syndrome c. Thoracic outlet syndrome d. Carpal tunnel syndrome e. Tarsal tunnel syndrome

d. Carpal tunnel syndrome

What is the primary extensor of the lateral four fingers' interphalangeal (IP) joints and assists in wrist extension? a. Extensor carpi ulnaris b. Extensor carpi radialis brevis c. Extensor carpi radialis longus d. Extensor digitorum communis

d. Extensor digitorum communis

Upon suffering a scapholunate dislocation, range of motion (ROM) is typically noted as painful for which of the following? a. Extension b. Flexion and ulnar deviation c. Extension and ulnar deviation d. Flexion and extension

d. Flexion and extension

What is a benign collection of thick fluid within a tendinous sheath or joint capsule found on the wrist and hand called? a. Baker's cyst b. Popliteal cyst c. Pilonidal cyst d. Ganglion cyst

d. Ganglion cyst

Which carpal bone is most commonly dislocated? a. Scaphoid b. Pisiform c. Trapezium d. Lunate

d. Lunate

Which of the carpal bones is most commonly dislocated? a. Hamate b. Triquetral c. Cuboid d. Lunate e. Scaphoid

d. Lunate

Which nerve supplies the primary innervation for wrist flexion and radial deviation? a. Musculocutaneous b. Radial c. Ulnar d. Median

d. Median

Which pulleys are located on the distal aspect of the metacarpal and the most proximal member of the pulley system? a. Lumbrical b. Cruciate c. Annular d. Palmar aponeurosis

d. Palmar aponeurosis

Which of the following is a radial fracture that displaces palmarly? a. Boxer's fracture b. Bennet's fracture c. Colles' fracture d. Smith's fracture

d. Smith's fracture

distal radial fracture where radius is displaced palmerly a. Colle's fracture b. Boxer's fracture c. Bennett's fracture d. Smith's fracture

d. Smith's fracture

An athlete complains of a collection of a thick fluid within a tendinous sheath of her wrist extensor tendons. What is the most appropriate advice to give the athlete to manage this condition? a. Initiate comprehensive rehabilitation program focusing on wrist flexion range-of-motion strength of wrist extensors. b. Tape to limit wrist flexion, and avoid repetitive wrist flexion exercises. c. Seek evaluation from a wrist/hand surgeon regarding excision. d. Treat the condition symptomatically, and play as tolerated. e. Utilize a paraffin bath and cross-friction massage daily to break up the fluid.

d. Treat the condition symptomatically, and play as tolerated.

Which wrist pathology is commonly associated with clicking on the ulnar side of the wrist? a. Trigger finger b. Tenosynovities c. De Quervain syndrome d. Triangular fibrocartilage tear

d. Triangular fibrocartilage tear

Digital Allen test evaluates: a. radial or ulnar nerve pathology b. brachial artery pathology c. cubital artery occlusion d. radial or ulnar artery occlusion

d. radial or ulnar artery occlusion

You evaluate a basketball player who has sustained a finger injury while attempting to catch a ball. During your examination, you observe that the athlete is unable to extend the distal phalanx and the tip of his finger is positioned in approximately 30 degrees of flexion. You determine the athlete has mallet finger. This injury is caused by which of the following? a. Tenosynovitis of the abductor pollicis longus b. Dupuytren's contracture c. A subungual hematoma d. A sprain of the extensor pollicis brevis e. An avulsion of the extensor tendon from its insertion

e. An avulsion of the extensor tendon from its insertion

Wrist Extension

extensor carpi radialis longus extensor carpi radialis brevis extensor carpi ulnaris Extensor Digitorum Extensor Indicis

What is the primary extensor of the lateral four fingers' interphalangeal (IP) joints and assists in wrist extension?

extensor digitorum communis

only extrinsic muscle of the wrist

extensor pollicis brevis

Which of the following is a special test used to support or refute the presence of de Quervain's syndrome?

finkelsteins

The pisiform is a sesamoid bone that lies within which of the following tendons?

flexor carpi ulnaris

What is the muscle responsible for the flexion of the four proximal interphalangeal (PIP) joints?

flexor digitorum superficialis

Long finger flexion test

flexor digitorum superficialis and profundus

Which of the following is a benign collection of thick fluid within a tendinous sheath or joint capsule and often found on the wrist and hand?

ganglion cyst

cubital recurvatum

hyperextended elbows

Pinch grip test

interosseous nerve entrapment

3fd digit extension test

lateral epicondylasia

Digital Allen's test

occlusion of the ulnar and/or radial arteries

What is an infection around the periphery of the fingernail that results in redness and swelling?

paronychia

Which of the following muscles do NOT influence hand or finger movement?

pronator quadratus

Trauma or pathology to which nerve results in a drop-wrist deformity?

radial

Which nerve innervates the extensor muscles of the wrist and fingers?

radial

Boutonniere deformity?

rupture of central extensor tendon that causes lateral bands to slip palmarly on each side of PIP

What are small cuts or abrasions over the dorsal surface of the MCP or IP joints known as?

russells

What is the most commonly fractured carpal bone in the hand?

scaphoid

Which carpal bone is palpable as the floor of the anatomical snuffbox?

scaphoid

Which of the following is a fracture where the distal radius is displaced palmarly?

smiths

Which of the following statements is NOT correct? Question options: 1) The trapezoid aligns with the first metacarpal. 2) The capitate aligns with the third metacarpal. 3) The pisiform is in the proximal row of carpal bones. 4) The lunate is the third bone in the proximal row when starting on the ulnar side.

the trapezoid aligns with the first metacarpal

Which ligament forms the roof of the carpal tunnel?

transverse carpal ligament

What pathology causes locking followed by an audible snapping sound during finger flexion?

trigger finger

An isometric test in mid-range is recommended to determine muscle weakness and pain.

true

Reynaud's phenomenon is a peripheral vascular disease.

true

The deep branch of what nerve innervates the hypothenar eminence?

ulnar

Which nerve travels through the Tunnel of Guyon, which is formed by the hamate and pisiform?

ulnar

In what percentage of the population is the palmaris longus found to be absent?

12 to 15

Subungual hematoma

Blood under fingernail

What is a fracture of the base of the first metacarpal that extends into the articular surface called?

Bennets fracture

What is a fracture of the base of the first metacarpal that extends into the articular surface called?

Bennett's Fracture

Elbow Flexion

Biceps Brachii Brachialis Brachioradialis Flexor Carpi Radialis Flexor Carpi Ulnaris Palmaris Longus Pronator Teres Extensor carpi radialis longus Extensor carpi radialis brevis

Forearm Supination

Biceps brachii Supinator Brachioradialis

Which pathology is often treated with an injection of a corticosteroid along with rest, ice and splinting to limit ulnar deviation?

DeQuervains

Shoulder Abduction

Deltoid Supraspinatus

Shoulder Internal Rotation

Deltoid (anterior fibers) Latissimus dorsi Teres major Subscapularis Pectoralis major

Shoulder Horizontal Adduction

Deltoid (anterior fibers) Pectoralis major (upper fibers)

Shoulder Flexion

Deltoid (anterior fibers) Pectoralis major (upper fibers) Biceps brachii Coracobrachialis

Shoulder horizontal abduction

Deltoid (posterior fibers)

Shoulder External Rotation

Deltoid (posterior fibers) Infraspinatus Teres minor

Shoulder Extension

Deltoid (posterior fibers) Latissimus dorsi Teres major Pectoralis major (lower fibers) Triceps brachii (long head)

What is the special test used to support or refute the presence of de Quervain syndrome?

Finkelstein's Test

What is the special test used to support or refute the presence of de Quervain syndrome?

Finkelsteins test

Radial Deviation

Extensor Carpi Radialis Longus Extensor Carpi Radialis Brevis Extensor Pollicis Longus Extensor Pollicis Brevis Flexor Carpi Radialis Abductor Pollicis Longus

Ulnar Deviation

Extensor Carpi ulnaris Flexor carpi ulnaris

What is the primary extensor of the lateral four fingers' interphalangeal (IP) joints and assists in wrist extension?

Extensor Digitorum Communis

An individual suffering from de Quervain's syndrome will typically undergo a series of magnetic resonance imaging. True False

False

An individual suffering from de Quervain's syndrome will typically undergo a series of magnetic resonance imaging. T/F

False

Ape hand is a pathological hand posture resulting from weakness and atrophy of the hypothenar eminence

False

Patients with carpal tunnel syndrome typically describe increased pain when sleeping

False

T/F: carpal tunnel syndrome occurs from repetitive wrist extension and finger flexion

False

T/F: in wrist glide stress test, anterior and posterior glides stress the collateral ligaments

False

Ape hand is a pathological hand posture resulting from weakness and atrophy of the hypothenar eminence. True False

False Ape hand results from weakness and atrophy of the thenar eminence.

Ape hand is a pathological hand posture resulting from weakness and atrophy of the hypothenar eminence. T/F

False- thenar eminence

Which bone in the hand is involved in a boxer's fracture?

Fifth metacarpal

Name the two muscles of the flexor grouping that are not innervated by the median nerve.

Flexor Capri Ulnaris & Flexor Digitorum Profundus

What is the muscle responsible for flexing the four proximal interphalangeal (PIP) joints?

Flexor Digitorum Superficialis (FDS)

Wrist Flexion

Flexor carpi radialis Flexor carpi ulnaris Palmaris Longus Flexor Digitorum profundus Flexor Digitorum superficialis Flexor pollicis longus

What are the extrinsic muscle of the thumb?

Flexor carpi radialis, flexor carpi ulnaris, flexor digitorum profundus, flexor digitorum superficialis, flexor pollicus longus & palmaris longus

What is the muscle responsible for flexing the four proximal interphalangeal (PIP) joints?

Flexor digitorum superficialis

Which bone in the hand is involved in a boxer's fracture?

Fractures to the 5th Metecarpal

Mallet finger

Inability to actively extend DIP

Boutonniere deformity

Inability to actively extend PIP

Jersey finger

Inability to actively flex DIP

Which is FALSE regarding a scaphoid fracture? Question options: 1) 70% of carpal fractures involve the scaphoid. 2) It is common because of its role as a bony block-limiting flexion. 3) It is most common in 15- to 30-year-olds. 4) It has a high incidence in nonunion fractures.

It is common because of its role as a bony block-limiting flexion.

Describe the mechanism of injury for a mallet finger, jersey finger, and boutonniere deformity?

Mallet Finger: DIP is forced into flexion. Ex finger being hit with a ball Jersey Finger: Forcing finger into extension while the finger is flexing. Ex grabbing an opponent's jersey. Boutonniere Deformity: DIP and MCP are extended, and PIP is flexed. A longitudinal force on the finger, ex being struck with a ball.

A reverse Phalen's test is used to assess which nerve?

Median

Which nerve supplies the primary innervation for wrist flexion and radial deviation?

Median

Which nerve travels through the carpal tunnel in the wrist?

Median

A reverse Phalen's test is used to assess which nerve?

Median Nerve

Which nerve travels through the carpal tunnel in the wrist?

Median Nerve

List the structures that pass through the carpal tunnel?

Median nerve, flexor pollicus longus tendon, four flexor digitorum profundus tendons, four flexor digitorum superficialis tendons.

Name the muscles in the Thenar eminence

Opponens Pollicis, Abductor Pollicis brevis, & the flexor pollicis brevis.

Which of the carpal bones "floats" on the triquetrum?

Pisiform

Forearm Pronation

Pronator Teres Pronator Quadratus Brachioradialis

Varus test - elbow

RCL

What ligament originates off the styloid process and inserts on the scaphoid and trapezium?

RCL

Trauma or pathology to which nerve results in a drop-wrist deformity?

Radial

Trauma or pathology to which nerve results in a drop-wrist deformity?

Radial Nerve

Downward Rotation of the scapula

Rhomboid major Rhomboid minor Levator scapula Pectoralis minor

Which wrist pathology is commonly associated with clicking on the ulnar side of the wrist?

TFCC Tears

Which wrist pathology is commonly associated with clicking on the ulnar side of the wrist?

TFCC tear

which wrist pathology is associated with clicking on the ulnar side of the wrist a. TRFCtear b. De Quervain syndrome c. Ganglion cycst d. Carpal tunnel

TRC tear

Trigger finger

Tenosynovitis of finger flexor tendons

DeQuervain's syndrome

Tenosynovitis of pollicus tendons

radial head moves ____ during dislocation

anteriorly

Name the four compartments of the palm of the hand.

Thenar, Hypothenar, Central and Adductor Compartments

Which ligament forms the roof of the carpal tunnel?

Transverse Carpal Ligament

Which ligament forms the roof of the carpal tunnel?

Transverse carpal

Scapular Depression

Trapezius (lower) Serratus Anterior Pectoralis minor

Scapular Retraction

Trapezius (middle fibers) Rhomboid major Rhomboid minor

Upward Rotation of the Scapula

Trapezius (upper and lower fibers) Serratus anterior

What special test indicates a scapholunate ligament injury?

Watson Test

What special test indicates a scapholunate ligament injury?

Watson test

Upon suffering a perilunate or lunate dislocation, active ROM is typically noted as painful for which of the following?

Wrist Extension & Finger Flexion

Upon suffering a scapholunate dislocation, range of motion (ROM) is typically noted as painful for which of the following?

Wrist Flexion and Extension

Which nerve travels through the tunnel of Guyon? a. Ulnar b. Musculocutaneous c. Median d. Radial

a. Ulnar

What special test indicates a scapholunate ligament injury? a. Watson test b. Allen test c. Phalen's test d. Finkelstein's test

a. Watson test

ligament that stabilized and encircles head of radius a. annular b. quadrate ligament c. ligamentum teres d. frenulum ligament

a. annular ligament

Lister's tubercle is located on which bone? a. distal radius b. distal ulna c. proximal ulna d. lunate

a. distal radius

sudden pain an locking in elbow joint, with swelling, pain and crepitation. a. elbow osteochondritis dissecans b. little leaguer's elbow c. Volkmann's contracture d. Cubital tunnel syndrome

a. elbow osteochondritis

which of the following tendons is involved with mallet finger? a. extensor digitorum b. flexor digitorum profundus c. flexor digitorum superficialis d. extensor pollicis longus

a. extensor digitorum

which is NOT common s/s of compartment syndrome? a. increased pulse rate b. decrease muscle strength c. pain d. paresthesia

a. increase pulse rate

most commonly fractured carpal bone a. scaphoid b. lunate c. hamate d. pisiform

a. scaphoid

ulnar nerve runs through: a. Tunnel of Guyon b. Cubital ossa c. Carpal tunnel d. Lister's tubercle

a. tunnel of Guyon

Which of the following would be true regarding carpal tunnel syndrome? 1) Positive Tinel's sign over the median nerve 2) Positive Phalen's test 3) Weakness with manual muscle test of the abductor pollicis brevis 4) All of the above

all of the above

Which of the following is NOT a function of the triangular fibrocartilaginous complex (TFCC)? Question options: 1) Dissipates loading stresses imposed on forearm 2) Extends the radiocarpal articulation 3) Provides stability during pronation and supination 4) Stabilizes distal radioulnar joint 5) All of the above are functions

all of them are functions

Which part of the flexor pulley system act as tunnels for the flexor tendons to pass through to maintain their alignment with the finger?

annular pulleys

Upon suffering a perilunate or lunate dislocation, active ROM is typically noted as painful for which of the following? a. Flexion and ulnar deviation b. Extension c. Flexion and extension d. Extension and ulnar deviation

b. Extension

Which of the following is an extrinsic muscle of the wrist? a. Abductor pollicis brevis b. Extensor pollicis brevis c. Flexor digiti minimi d. Flexor pollicis brevis

b. Extensor pollicis brevis

If there is inflammation at the medial epicondyle, which test would be positive a. Mill's test b. Golfer's elbow test c. Cozen's test d. Finkelstein's test

b. Golfer's elbow test

Which nerve travels through the carpal tunnel in the wrist?a. Radial b. Median c. Musculocutaneous d. Ulnar

b. Median

Which ligament is most important in controlling motion and wrist stability? a. Radial collateral b. Palmar radiocarpal c. Dorsal radiocarpal d. Ulnar collateral

b. Palmar radiocarpal

Which of the carpal bones "floats" on the triquetrum? a. Scaphoid b. Pisiform c. Lunate d. Capitate

b. Pisiform

What are small cuts or abrasions over the dorsal surface of the MCP or IP joints known as? a. Keinböck's sign b. Russell's sign c. Preiser's sign d. Raynaud's phenomenon

b. Russell's sign

Allen's test is used to test what? a. For tarsal tunnel syndrome b. The integrity of the radial and ulnar arteries of the hand c. Integrity of the ulnar nerve d. For carpal tunnel syndrome e. The integrity of the vertebral arteries

b. The integrity of the radial and ulnar arteries of the hand

Which of the following statements is not correct? a. The capitate aligns with the third metacarpal. b. The trapezoid aligns with the first metacarpal. c. The lunate is the third bone in the proximal row when starting on the ulnar side. d. The pisiform is in the proximal row of carpal bones.

b. The trapezoid aligns with the first metacarpal.

Which ligament forms the roof of the carpal tunnel? a. Ulnar carpal b. Transverse carpal c. Radiocarpal d. Palmar

b. Transverse carpal

Which of the following is a simple movement to check the integrity of the radial nerve? a. Shoulder flexion b. Wrist extension c. Elbow flexion d. Thumb-to-little finger opposition e. Forearm supination

b. Wrist extension

mechanism of gamekeeper's thumb is forceful ___ of proximal phalange, combined with hyperextension a. flexion b. abduction c. adduction d. opposition

b. abduction

What is a fracture of the base of the first metacarpal that extends into the articular surface called? a. Boxer's fracture b. Scaphoid fracture c. Bennett's fracture d. Volar plate fracture

c. Bennett's fracture

which is NOT a pathology that might occur due to forced hyperextension of the wrist? a. TFC injury b. Lunate dislocation c. De Quervain's dynrome d. Scaphoid fracture

c. De Quarvain's syndrome

Pain and crepitus at the base of the thumb and increased pain when making a fist and deviating toward ulnar side indicates: a. RCL sprain of the 1st MCP joint b. UCL sprain of the 1st MCP joint c. De Quervain's syndrome d. Lunate dislocation

c. De Quervain's syndrome

most common mechanism for elbow dislocation a. FOOSH, hand hyperlfexed b. FOOSH, forearm supinated c. FOOSH elbow slighly flex d. FOOSH, shoulder ABD

c. FOOSH, elbow slightly flexed

Which of the following is classified as a saddle joint and is capable of 2 degrees of freedom? a. Fifth metacarpophalangeal joint b. Fourth carpometacarpal joint c. First carpometacarpal joint d. First metacarpophalangeal joint e. Fifth carpometacarpal joint

c. First carpometacarpal joint

What is the muscle responsible for flexing the four proximal interphalangeal (PIP) joints? a. Flexor carpi radialis b. Flexor carpi ulnaris c. Flexor digitorum superficialis d. Palmaris longus

c. Flexor digitorum superficialis

Which is false regarding a scaphoid fracture? a. Of carpal fractures, 70% involve the scaphoid. b. It is most common in people ages 15 to 30. c. It is common because of its role as a bony block-limiting flexion. d. It has a high incidence in nonunion fractures.

c. It is common because of its role as a bony block-limiting flexion.

Which of the following is not a function of the triangular fibrocartilage complex (TFCC)? a. It stabilizes the distal radioulnar joint. b. It provides stability during flexion and extension. c. It provides stability during pronation and supination. d. It decreases loading stresses.

c. It provides stability during pronation and supination.

A reverse Phalen's test is used to assess which nerve? a. Musculocutaneous b. Radial c. Median d. Ulna

c. Median

what are the borders of the Tunnel of Guyon a. Triquetrium and Hook of Hamate b. Pisiform and Triquetrium c. Pisiform and Hook of Hamate d. Hook of Hamate and Capitate

c. Pisiform and hook of hamate

A basketball player is undercut while dunking and uses his outstretched hand to break his fall. He reports immediate pain in his wrist and fracture is suspected. Which carpal bone is most commonly fractured? a. Pisiform b. Lunate c. Scaphoid d. Hamate e. Capitate

c. Scaphoid

Which carpal bone is palpable as the floor of the anatomical snuffbox? a. Capitate b. Pisiform c. Scaphoid d. Trapezoid

c. Scaphoid

Which would be INCORRECT if a pt. complained of pain along medial elbow a. Tommy John's b. Golfer's elbow c. Tennis elbow d. Little Leaguer's elbow

c. Tennis elbow

During a wrist evaluation, an athletic trainer completes Tinel's sign test. The athlete complains of tingling and paresthesia in the area of the nerve distribution. What should the athletic trainer do? a. Assess the strength of the wrist flexor and extensor muscles. b. Assess the integrity of the ulnar nerve at the elbow to rule out other pathologies. c. Assess the strength of the muscles of the hypothenar eminence. d. Assess the integrity of the median nerve at the elbow, shoulder, and neck to rule out other pathologies. e. Inspect the area for neurovascular deficits to rule out other pathologies.

d. Assess the integrity of the median nerve at the elbow, shoulder, and neck to rule out other pathologies.

abduction and axial force to thumb. deformation of CMC of thumb a. Gamekeeper's thumb b. TFCC injury C. Scaphoid fracture d. Bennett's fracture

d. Bennet's fracture

Which of the following muscles does not influence wrist movement? a. Flexor digitorum superficialis b. Flexor carpi ulnaris c. Extensor carpi radialis longus d. Brachioradialis

d. Brachioradialis

What is the most commonly dislocated carpal bone in the hand?

lunate

Golfer's elbow

medial epicondylasia

Which nerve supplies the primary innervation for the muscle(s) responsible for wrist flexion and radial deviation?

median

Which nerve travels through the carpal tunnel in the wrist?

median