Hand and Wrist Flashcards

(44 cards)

0
Q

biceps motor nerve

A

C5,6

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1
Q

deltoid motor nerve

A

C5

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2
Q

Wrist extensor motor nerve

A

C6

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3
Q

Wrist flexor motor nerve

A

C7

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4
Q

finger extensor motor nerve

A

C7

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5
Q

finger flexors motor nerve

A

c8

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6
Q

spock’s motor nerve (live long and prosper)

A

T1

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7
Q

Biceps reflex nerve

A

C5

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8
Q

Brachioradialis reflex nerve

A

C6

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9
Q

triceps reflex nerve

A

c7

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10
Q

cutaneous nerve for digits 4.5-5

A

Ulnar

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11
Q

cutaneous nerve for most of palm and digits 1-4.5

A

Median

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12
Q

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

A

Radial

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13
Q

motor functions of radial nerve

A

Wrist and finger extension

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14
Q

motor functions of median nerve

A

thenar compartment, opposition, pincer grip

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15
Q

ulnar nerve motor functions

A

intrinsic muscles, power grip

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16
Q

Carpal tunnel syndrome is entrapment of

A

median nerve at the wrist

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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
which tendon flexes at the DIP
flexor digitorum profundus
25
mallet finger vs jersey finger
mallet is a broken extensor, jersey is a broken flexor
26
gamekeeper's thumb common MOI
Ski Pole, hyperabduction
27
gamekeepers thumb treatment
thumb spica X 6 weeks, if large avulsion, refer
28
Boutonniere deformity
flexed PIP, hyperextended DIP
29
I use my lumbrical muscles to
tell people to live long and prosper
30
felon infection
proximal nail fold
31
paronychia infection
lateral nail fold
32
dogbite pathogens
Strep, Staph, Pasteurella, Capnocytophaga
33
cat bite pathogens
Pasteurella and Actinomyces
34
Human bite pathogens
Strep, Staph, Eikenella
35
bite treatment
``` Irrigate! maybe don't close? maybe delayed closure? ABX Tdap (rabies?) ```
36
test for DeQuervains Tenosynovitis
Finklestein (entrap thumb, push ulnar-ly, pain is positive, but it always hurts. . . )
37
Most common fracture of hand
boxer
38
exam for FOOSH
snuffbox tenderness
39
Colles' fracture AKA
dorsal angulation distal radius fx
40
Colles' fracture MOI
FOOSH
41
Smith's fracture AKA
Reverse Colles', or Volar angulation distal radial fracture
42
Smith Fracture MOI
Gorilla mechanism
86
Froments sign
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