Elbow , Wrist Hand Exam

Question 1

What is classical presentation for lateral epicondylitis?

Answer 1

1. Aggravated by resisted wrist extension (pt feels pain with wrist extension)
2. Pain over lateral epicondyle

Question 2

Tennis elbow is overuse of ….?

Answer 2

Extensor tendons

Question 3

Golfers elbow is overuse of …?

Answer 3

Common flexor tendons

Question 4

Classic presentation of medial epicondylitis?

Answer 4

1. Pain with resisted wrist FLEXION

2. With or without grip weakness

Question 5

Medial epicondylitis could affect what nerve?

Answer 5

Ulnar nerve

Question 6

This commonly results after trauma from leaning on elbow ….

Answer 6

Olecranon bursitis

Question 7

Tinel sign can be used to test for 3 things. What are they?

Answer 7

Medial epicondylitis
Olecranon bursitis
Carpal tunnel

Question 8

What is the most common compression neuropathy ? What nerve is involved?

Answer 8

Carpal tunnel

Median N.

Question 9

Flick sign would be associated with?

Answer 9

Carpal tunnel

Question 10

DeQuervains Tenosynovitis is inflammation of?

Answer 10

Tendon and synovial sheath covering:
Extensor pollicis brevis
Abductor pollicis longus

Question 11

Positive Finkelstein test is indicative of ?

Answer 11

De quervains tenosynovitis

Question 12

What joints are involved in RA?

Answer 12

Wrists, MCP, PIP joints

Question 13

Which condition presents with symmetric joint pain, swelling or stiffness?

Answer 13

Rheumatoid arthritis

Question 14

Osteoarthtritis involves which joint?

Answer 14

DIP

Question 15

Felty syndrome manifestations (3)?

Answer 15

Neutropenia
splenomegaly
Severe RA

Question 16

Swan neck deformity and boutonnie deformity is observed in pts with?

Answer 16

RA

Question 17

Most common arthritis in adults?

Answer 17

Osteoarthritis

Question 18

Assymetric joint pain is associated with?

Answer 18

Osteoarthritis

Question 19

Heberdeb nodes on exam indicate?

Answer 19

Ostroarthritis

Question 20

What is the cause of ganglion cyst?

Answer 20

Herniation of connective tissue from tendon sheaths, ligaments or bursa

Question 21

Avascular necrosis can be a result of ?

Answer 21

Scaphoid fracture

Question 22

Pain of the floor of the anatomic snuffbox could indicate?

Answer 22

Scaphoid fx

Question 23

What artery could be damaged in scaphoid fx?

Answer 23

Palmar carpal branch of radial artery

Question 24

elbow joint exam first three steps?

Answer 24

inspection, palpation, range of motion

Question 25

ranges of motion to look for in the elbow joint exam?

Answer 25

flexion, extension, supination, pronation

Question 26

common causes of elbow pain?

Answer 26

gout, osteoarthritis, lateral epicondylitis, carpal tunnel syndrome, medial epicondylitis, olecranon bursitis

Question 27

what two types of olecranon bursitis can you have?

Answer 27

septic or aseptic

Question 28

ulnar nerve entrapment/cubital tunnel syndrome occurs often w/ which epicondyle?

Answer 28

medial humeral epicondyle

Question 29

what elbow movement constricts the ulnar nerve?

Answer 29

flexion of elbow

Question 30

what carpal bone is in the anatomic snuffbox?

Answer 30

scaphoid

Question 31

wrist and hand exam first three steps?

Answer 31

inspection, palpation, range of motion

Question 32

what ranges of motion do you test in the wrist?

Answer 32

flexion, extension, radial/ulnar flexion

Question 33

what ranges of motion do you test in the hand?

Answer 33

flexion, extension, abduction, adduction

Question 34

wrist and hand joint exam?

Answer 34

speciality exam: phalen's signs, tinel's sign, finkelstein test, checking trigger finger

Question 35

common causes of wrist pain?

Answer 35

- palmar ulnar neuropathy (Guyon's canal syndrome) | - distal radial fracture (Colle's)

Question 36

common causes of hand pain?

Answer 36

carpal tunnel syndrome, benign bone tumor, infection (paronychia, cellulitis or abscess, herpetic whitlow, mallet finger)

Question 37

pregnancy increases the chance of what syndrome?

Answer 37

carpal tunnel syndrome

Question 38

what is phalen sign? what is it used to diagnose?

Answer 38

??

Question 39

what is tinel sign? what is it used to diagnose?

Answer 39

tap on proximal to middle of anterior wrist, carpal tunnel syndrome

Question 40

de quervain's tenosynovitis uses which special test to diagnose?

Answer 40

finkelstein test

Question 41

key features of rheumatoid arthritis

Answer 41

- symmetric joint pain