Hand and Wrist Flashcards Preview

Summer 2014 > Hand and Wrist > Flashcards

Flashcards in Hand and Wrist Deck (44)
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0
Q

biceps motor nerve

A

C5,6

1
Q

deltoid motor nerve

A

C5

2
Q

Wrist extensor motor nerve

A

C6

3
Q

Wrist flexor motor nerve

A

C7

4
Q

finger extensor motor nerve

A

C7

5
Q

finger flexors motor nerve

A

c8

6
Q

spock’s motor nerve (live long and prosper)

A

T1

7
Q

Biceps reflex nerve

A

C5

8
Q

Brachioradialis reflex nerve

A

C6

9
Q

triceps reflex nerve

A

c7

10
Q

cutaneous nerve for digits 4.5-5

A

Ulnar

11
Q

cutaneous nerve for most of palm and digits 1-4.5

A

Median

12
Q

cutaneous nerve for lateral 1/2 of dorsum and dorsal 1st digit

A

Radial

13
Q

motor functions of radial nerve

A

Wrist and finger extension

14
Q

motor functions of median nerve

A

thenar compartment, opposition, pincer grip

15
Q

ulnar nerve motor functions

A

intrinsic muscles, power grip

16
Q

Carpal tunnel syndrome is entrapment of

A

median nerve at the wrist

17
Q

3 tests for carpal tunnel

A

Phalen test, Tenel test, 2 point discrimination in median nerve area (where’s that)

18
Q

Phalen test

A

Think galen test, anti-prayer for 30 seconds or so, positive is pain/discomfort

19
Q

Tinel test

A

tap tap tap it in on the carpal tunnel

20
Q

Test for palsy of ulnar nerve

A

Froment’s sign, opposition and such

21
Q

carpal tunnel treatment

A

splints at night, STOP IT, oral steroids, injected steroids, surgery, ergonomic modifications at work

22
Q

take a netter quiz on hand and wrist

A

then mark this card a 1

23
Q

which tendon flexes at PIP?

A

flexor digitorum superficialis

24
Q

which tendon flexes at the DIP

A

flexor digitorum profundus

25
Q

mallet finger vs jersey finger

A

mallet is a broken extensor, jersey is a broken flexor

26
Q

gamekeeper’s thumb common MOI

A

Ski Pole, hyperabduction

27
Q

gamekeepers thumb treatment

A

thumb spica X 6 weeks, if large avulsion, refer

28
Q

Boutonniere deformity

A

flexed PIP, hyperextended DIP

29
Q

I use my lumbrical muscles to

A

tell people to live long and prosper

30
Q

felon infection

A

proximal nail fold

31
Q

paronychia infection

A

lateral nail fold

32
Q

dogbite pathogens

A

Strep, Staph, Pasteurella, Capnocytophaga

33
Q

cat bite pathogens

A

Pasteurella and Actinomyces

34
Q

Human bite pathogens

A

Strep, Staph, Eikenella

35
Q

bite treatment

A
Irrigate!
maybe don't close?  maybe delayed closure?
ABX
Tdap
(rabies?)
36
Q

test for DeQuervains Tenosynovitis

A

Finklestein (entrap thumb, push ulnar-ly, pain is positive, but it always hurts. . . )

37
Q

Most common fracture of hand

A

boxer

38
Q

exam for FOOSH

A

snuffbox tenderness

39
Q

Colles’ fracture AKA

A

dorsal angulation distal radius fx

40
Q

Colles’ fracture MOI

A

FOOSH

41
Q

Smith’s fracture AKA

A

Reverse Colles’, or Volar angulation distal radial fracture

42
Q

Smith Fracture MOI

A

Gorilla mechanism

86
Q

Froments sign

A

paper pull test with first and second digits, pt unable to maintain pinch with thumb straight, so flexes IP joint in thumb, using flexor pollicis longus (as opposed to adductor). Sign of ulnar nerve palsy