GARTBLBRICKS

Question 1

What is shoulder separation?

Answer 1

When acromioclavicular joint widens after a ligamentous tear

Question 2

What is Colles fracture at wrist?

Answer 2

Radius fractures completely and is displaced posteriorly. Hand assumes a dinner fork position

Question 3

Which carpal bone is most commonly fractured when falling in outstretched (flexed) hand?

Answer 3

Scaphoid

Question 4

Pain or tenderness at the anatomical snuff box may indicate ?

Answer 4

Fracture of scaphoid bone. This can compromise radial artery blood flow which can lead to avascular necrosis and eventual degenerative joint disease if not treated

Question 5

Rheumatoid arthritis affects what joints in hands?

Answer 5

MCPs
PIPs

Question 6

Osteoarthritis affects which joints of hand?

Answer 6

DIPs
PIPs
MCPs

Question 7

What is lateral epicondylitis (tennis elbow) and symptoms?

Answer 7

When overuse of the forearm extensor muscles cause strain if their tendons (extensor carpi tendons) at their origins near lateral epicondyle of elbow

Pain over lateral elbow

Question 8

What is keyboard wrist and symptoms?

Answer 8

When constant hand abduction causes injury to the extensor carpi radialis longus and brevis tendons?

Pain on ulnar side of wrist

Question 9

Dorsal interosseous muscles —————- the fingers from midline

Answer 9

Abduct

Question 10

Adductor pollicis action

Answer 10

Moves thumb toward palm

Question 11

Patient describes pain over lateral elbow. Can reproduce pain hby having her extend her hand against resistance. What muscles involved?

Answer 11

Extensor carpi radialis brevis
Extensor digitorum
Extensor digiti minimi
Extensor carpi ulnaris

Question 12

What is thoracic outlet syndrome?

Answer 12

When arteries, veins, or nerves are compressed between the lower neck and axillary.

Question 13

Symptoms of thoracic outlet syndrome involving arteries in arm?

Answer 13

Pain, pallor, and low blood pressure in arm

Question 14

Symptoms of thoracic outlet syndrome in veins of arm?

Answer 14

Swelling and pain in arm

Question 15

Symptoms of thoracic outlet syndrome involving nerves of the arm?

Answer 15

Pain, numbness, and weakness

Question 16

Possible causes of thoracic outlet syndrome?

Answer 16

Congenital (eg. abnormal cervical rib)
Trauma (whiplash)
Tumors

Question 17

If patient has dislocated shoulder with pain and reduced blood pressure in that arm, what artery damaged ?

Answer 17

Axillary

Question 18

The superficial palmar arch is formed from which artery?

Answer 18

Ulnar

Question 19

Deep palmar arch is formed from which artery?

Answer 19

Radial

Question 20

Where is thoracic outlet located?

Answer 20

Between the clavicle and first rib

Question 21

What space does the brachial plexus go through on the way to armpit

Answer 21

Thoracic outlet

Question 22

Which spinal levels give rise to the brachial plexus?

Answer 22

C5 through T1

Question 23

Branches of the posterior cord

Answer 23

ULTRA

Upper subscapular
Lower subscapular
Thoracodorsal
Radial
Axillary

Question 24

A patient presents with a supracondylar fracture of humerus. What nerve may have damage?

Answer 24

Median nerve

Question 25

What nerve is vulnerable to entrapment at the carpel tunnel in carpal tunnel syndrome?

Answer 25

Median nerve

Question 26

What nerve is vulnerable with a fracture of the medial epicondyle?

Answer 26

Ulnar nerve

Question 27

What nerve may get damaged with a wrist fracture on the hamate bone?

Answer 27

Ulnar nerve

Question 28

Which nerve supplies sensation to the lateral surface of the forearm?

Answer 28

Musculocutaneous nerve

Question 29

A patient with weak forearm extension and numbness over the back of the forearm and third finger likely has damage to which spinal nerve?

Answer 29

C7 spinal nerve

Question 30

What is radiculopathy

Answer 30

Injuries to spinal nerves (pinched nerves)

Question 31

What are the 2 most common causes of cervical radiculopathy?

Answer 31

Cervical disc herniation Spondylosis

Question 32

What is spondylosis?

Answer 32

age-related wear and tear of spinal disks

Question 33

What are common injuries that affect the axillary nerve?

Answer 33

Anterior dislocation of the humerus and fracture of the surgical neck of humerus

Question 34

Atrophy of thenar muscles can be a sign of?

Answer 34

Carpal tunnel syndrome

Question 35

What type of muscle action would be weakest on PE with C6 radiculopathy ?

Answer 35

Forearm flexion

Question 36

Which nerve roots affected in Erbs palsy?

Answer 36

C5-C6

Question 37

Clawing of hand is due to injury of which cord of brachial plexus?

Answer 37

Medial cord

Question 38

What causes hand of benediction?

Answer 38

Injury to proximal median nerve often due to supracondylar fracture in children or compression between heads of pronator teres in adults

Question 39

What are the most common sites for tendonitis?

Answer 39

Rotator cuff Elbow Achilles tendon Long head of biceps tendon

Question 40

What does a positive Cozen test indicate?

Answer 40

Lateral epicondylitis. There is pain in the area of the lateral epicondyle with resisted wrist extension

Question 41

What would you expect to see histologically on slide if bursitis ?

Answer 41

Nwiteophils Macrophages Lymphocytes

Question 42

What can cause popliteal bursitis to develop?

Answer 42

Trauma or injury to knee which causes fluid to accumulate behind the knee joint. Inflammation can also precipitate fluid production leading to Baker cyst formation

Question 43

A positive Cozen test is indicative of injury to which muscle tendon?

Answer 43

Extensor carpi radialis brevis

Question 44

If patient holding arm in external rotation and abduction, what injury suspected?

Answer 44

Dislocation

Question 45

If patient holding arm in external rotation and abduction, what injury suspected?

Answer 45

Dislocation