Hand and wrist examination

Question 1

Where is the CMCJ

Answer 1

At the base of the fingers

Question 2

Base of the thumb

Answer 2

Trapezium articulates with base of the thumb

Question 3

Which bones articulate with radial bone

Answer 3

Scaphoid, lunar

Question 4

Base of fourth and fifth

Answer 4

Hamate

Question 5

Thumb side

Answer 5

Radius

Question 6

Other side

Answer 6

Ulnar

Question 7

Front of arm

Answer 7

Flexor

Question 8

Back of arm

Answer 8

Extensor

Question 9

Carpi

Answer 9

Wrist

Question 10

When you flex you thumb and finger

Answer 10

Flexor carpi radialis

Question 11

Three muscles you can flex in wrist and see

Answer 11

Flexor carpi radialis
Palmaris longus
Flexor carpi ulnaris

Question 12

Digiti

Answer 12

Fingers

Question 13

Mobile wad henry

Answer 13

Brachioradialis
ECRL
ECRB

Question 14

What is between the median and ulnar nerve in the upper arm

Answer 14

Brachial artery

Question 15

Which nerve runs behind the medial epicondyle

Answer 15

Ulnar nerve

Question 16

Which nerve could be affected when taking blood from the brachial artery

Answer 16

Median nerve

Question 17

Which nerve is on the posterior of the forearm

Answer 17

Radial nerve

Question 18

Ulnar nerve

Answer 18

Ulnar 1.5 digits
FCU
Ulnar 2 FDP
Small muscles hand (

Question 19

Median nerve

Answer 19

Radial 3.5 digits
Forearm flexors
Fingers flexors
ABP

Question 20

Radial nerve

Answer 20

Extensor forearm

Dorsum 1st web sensory

Question 21

Radial nerve

Answer 21

Extensor forearm

Dorsum 1st web sensory

Question 22

Hand history

Answer 22

Age
Sex
Occupation/hobbies
Right or left handed
PMH
Drugs
Allergies

Question 23

Hand questions

Answer 23

What problem have they got with it?
Pain- SOCRATES
Loss of function
Pins and needles 
Activities of daily living

Question 24

What is dupuytrens

Answer 24

Where one or more of the digits is permanently flexed

Question 25

Looking at nails

Answer 25

For signs of elsewhere disease | Look for local problems

Question 26

Onycholysis

Answer 26

Lifting off of the nails

Question 27

Onychogryphosis

Answer 27

Very long nails

Question 28

Pigementation on a nail

Answer 28

Melanoma

Question 29

4 things to look at in hand

Answer 29

Skin (colour) Scarring Muscle wasting Deformity

Question 30

OA signs

Answer 30

Heberdens nodes Bouchards nodes CMCJ swelling

Question 31

RA signs

Answer 31

Ulnar drift MCPJ Swan neck Boutonniere

Question 32

Things to look at in wrist

Answer 32

Ganglion | Synovitis

Question 33

Look at in palm

Answer 33

Scars Skin changes Muscle wasting Dupuytrens

Question 34

Palm up feel

Answer 34

``` Temperature Radial pulse Allens test Capillary refill Muscle bulk (hypothenar and thenar) Sensation ```

Question 35

Where to test sensation

Answer 35

``` Back of first web (radial) Index finger (median) Little finger (ulnar) ```

Question 36

How to feel for temperature

Answer 36

Use the back of your hand on the joints

Question 37

Palpate joints for

Answer 37

Tenderness Swelling Bony deformity

Question 38

Examination: move

Answer 38

Active range of movement. Passive range of movement

Question 39

4 reasons for not being able to move

Answer 39

Nerve Muscular tendinous junction Joint Skin

Question 40

How to test FDP

Answer 40

How PIP straight and see if you can flex DIPJ

Question 41

How to test FDS

Answer 41

Flex middle, extend others. The DIP can be flexed

Question 42

Carpol tunnel treatment

Answer 42

Neutral wrist splint Steroid injection Surgeon