Ch 26

Question 1

Finkelstein’s test is used for what syndrome?

Answer 1

deQuervain’s syndrome

Question 2

injury to the TFCC can occur through what motions

Answer 2

forced hyperextension of the wrist

falling on an outstretched hand

Question 3

where is there pain and what motion is difficult with TFCC?

Answer 3

pain on ulnar side, pain with wrist extension

Question 4

where does tenosynovitis occur?

Answer 4

extensor carpi radialis longus or brevis

Question 5

where does tendonitis occur?

Answer 5

flexor carpi radialis, and the flexor ulnars with repetitive wrist flexion

Question 6

compression of the ulnar nerve and median nerve can cause what?

Answer 6

Claw hand

Question 7

a palsy of the radial nerve produces what?

Answer 7

drop wrist

Question 8

a palsy from the median nerve can cause what?

Answer 8

ape hand

Question 9

which tendons are associated with deQuervain’s syndrome?

Answer 9

extensor pollicis brevis, abductor pollicis longus

Question 10

what is the most common dislocation of the carpal bone and which direction is it dislocated?

Answer 10

lunate, anteriorly (palmar side)

Question 11

what is the most frequently fractured carpal bone?

Answer 11

scaphoid

Question 12

what can improper splinting of the scaphoid result in?

Answer 12

degeneration necrosis aka Preiser’s disease

Question 13

a rupture of the extensor tendon form the distal phalanx is called what?

Answer 13

mallet finger

Question 14

a rupture of the extensor expansion dorsal to the PIP joint is called what and how is it splinted?

Answer 14

boutonniere deformity using an Oval-8 splint

Question 15

a rupture of the flexor digitorum profundus tendon and a loss of ability to flex finger

Answer 15

jersey finger

Question 16

how is the finger located for a boutonniere deformity?

Answer 16

the DIP is extended and the PIP is flexed

Question 17

game keeper thumb involves a sprain of what?

Answer 17

UCL ligament of MCP joint

Question 18

avulsion of the volar plate from the proximal phalanx may cause

Answer 18

pseuboutonniere deformity

Question 19

occurs in the first metacarpal just distal to the CMC of the thumb as a result of an axial abduction force to the thumb

Answer 19

Bennet’s fracture

Question 20

this coordinates all voluntary muscle activities and interprets sensory impulses in addition to controlling higher mental functions including memory, reasoning, emotion and intelligence

Answer 20

cerebrum

Question 21

controls synergic movements of the skeletal muscle and plays a critical role in coordination of voluntary muscular movements

Answer 21

cerebellum

Question 22

controls sleep posture, respirtation, swalling and the bladder

Answer 22

pons

Question 23

regulates heart rate, breathing, bp, coughing, sneezing, and vomiting

Answer 23

medulla oblongata

Question 24

what is the order of the meninges in the brain from closest to the skull to the brain

Answer 24

dura mater, arachnoid mater, and pia mater

Question 25

true or false: slowly accommodating pupil may indicate cerebral injury

Answer 25

true

Question 26

what is nystagmus indicate?

Answer 26

possible lesion to posterior fossa to the brain and often involving brainstem or cerebellum

Question 27

which is a better test to use, Ramberg or BESS?

Answer 27

BESS

Question 28

what is the rehabilitation stage after a concussion?

Answer 28

1: no activity
2: light aerobic activity
3: sport specific
4: non contact
5: full contact
6: return to play

Question 29

in cases of repetitive concussion or mild traumatic brain injury it is possible a patient may develop what?

Answer 29

chronic traumatic encephalopathy (CTE)

Question 30

this occurs because of rapid swelling and herniation of the brain after a second brain injury that occurs before the symptoms of a previous head injury resolve

Answer 30

second impact syndrome

Question 31

second impact syndrome is likely to occur in what age group?

Answer 31

people less than 20

Question 32

true or false: second impact syndrome is a life threatening situation that has a 50 % mortality rate?

Answer 32

true

Question 33

what are the symptoms of an epidural hematoma?

Answer 33

dizziness, nausea, dilation of one pupil usually on same side of injury, sleepiness

Question 34

acute subdural hematoma is due to what?

Answer 34

arterial bleeding

Question 35

chronic subdural hematoma is due to what?

Answer 35

venuous bleeding