Peripheral Nerve entrapment and condition

Question 1

Median N

Answer 1

Carpal tunnel and pronator teres syndrome

Question 2

Carpal tunnel syndrome site

Answer 2

Under flexor retinaculum

Question 3

Cause of carpal tunnel syndrome

Answer 3

Obesity
Fluid retention due to pregnancy
Hypothyroidism
RA

Question 4

Presents with numbness and tingling of the first 3 digits, thenar atrophy, nocturnal pain, weak opponent pollicis (ape hand appearance)

Answer 4

Carpal tunnel

Question 5

Carpal tunnel tests

Answer 5

Tinnels
Phalens
Grip strength with dynamometer

Question 6

Carpal tunnel treatment

Answer 6

Adjust
Cock up splint
Natural diuretic vitamin B6

Question 7

Pronator teres syndrome site

Answer 7

Between head of pronator trees at the elbow

Question 8

Pronator teres nerve

Answer 8

Anterior interosseous nerve

Question 9

Presents with pain & paresthesia on the VOLAR (palm) aspect of forearm, lateral palm, lateral digits

Answer 9

Pronator teres syndrome

Question 10

Caused by hypertonicity of the muscle by things such as occupation (carpenters and mechanics)

Answer 10

Pronator teres syndrome

Question 11

Pain with pronation, wrist flexion, thenar atrophy

Answer 11

Pronator teres syndrome

Question 12

Test for pronator teres syndrome

Answer 12

Pinch grip test

Question 13

Treatment for pronator trees syndrome

Answer 13

Trigger point therapy, stretch

Question 14

Ulnar nerve entrapment site

Answer 14

Tunnel of Guyon (under hook of hamate)
Cubital tunnel (elbow)

Question 15

Caused by direct trauma or repetitive micro trauma. Presents with pain, tingling, and numbness in the last 2 digits and weakness of adductor pollicis (Claw hand deformity), Hypothenar atrophy

Answer 15

Ulnar N entrapment

Question 16

Claw hand deformity; weakness of adductor pollicis

Answer 16

Ulnar N

Klumpke’s paralysis (Lower brachial plexus)

Question 17

Ape hand deformity; weak opponen pollicis

Answer 17

Median N (carpal tunnel syndrome)

Question 18

Cubital tunnel entrapment will present with weak wrist flexion on the ulnar side

Answer 18

Ulnar N entrapment

Question 19

Lower Brachial Plexus entrapment c8-t1

Answer 19

Klumpke’s paralysis

Question 20

Palsy of the lower brachial plexus from childbirth

Creates a claw hand deformity with flexion of the wrist

Answer 20

Klumpke’s paralysis

Question 21

Wrist drop
Erbs Palsy (waiters tip deformity)
Saturday night palsy
Crutch paralysis

Answer 21

Radial N entrapment

Question 22

Unable to extend elbow and wrist

Answer 22

Wrist drop

Question 23

Adduction, internal rotation, flexion of the wrist

Answer 23

Erb’s palsy

Waiters tip deformity

Question 24

Presents with loss of triceps reflex. Caused by trauma, lead poisoning, pressure from crutches

Answer 24

Radial N entrapment

Question 25

Decreased sensation in posterior arm, forearm, and posterolateral 3.5 fingers

Answer 25

Radial N entrapment

Question 26

LTN entrapment

Answer 26

Scapular (medial) winging

Question 27

The result of numerous causes including trauma, iatrogenic, and idiopathic processes that most often result in nerve injury and paralysis of serratus anterior

Answer 27

LTN entrapment

Question 28

DSN entrapment

Answer 28

Flaring of the scapula

Question 29

Lateral Femoral Cutaneous N entrapment

Answer 29

MEralgia paresthetic

Question 30

Meralgia paresthetica location/ site

Answer 30

over the pelvic brim under the inguinal ligament

Question 31

Meralgia Paresthetic Nerve Roots

Answer 31

L2 and L3 Nerve Roots

Question 32

Caused by external pressure, obesity, and tight jeans. Presents with burning synesthesia on anterolateral thigh.

Answer 32

Meralgia Paresthetica

Question 33

Meralgia Paresthetica treatment

Answer 33

Advice weight loss and loose clothing

Question 34

Sciatica site

Answer 34

Pelvis, hip, popliteal fossa

Question 35

Caused by trauma, traction, wallet pressure, piriformis and muscle spasm.

Answer 35

Sciatica

Question 36

Patient presents with sensory pain in posterior buttock, thigh, leg down to the floor. Weak knee flexion and decreased achilles reflex

Answer 36

Sciatica

Question 37

Differential diagnosis with facet

Answer 37

Sciatica

Question 38

Tibial N entrapment

Answer 38

Tarsal Tunnel Syndrom (Medial plantar N)

Question 39

Presents with burning paresthesia, decreased sensation on soles of feet and weak muscles of the foot, aggravated by walking or standing

Answer 39

Tarsal tunnel syndrome

Question 40

Tarsal tunnel syndrome treatment

Answer 40

Adjust | Orthotic support to keep foot in slight inversion

Question 41

Morton's neuroma (inter metatarsal neuroma) Site

Answer 41

Between 3rd and 4th metatarsal

Question 42

Presents with pain in toes and dorsum of the foot

Answer 42

Morton's neuroma

Question 43

Test for Morton's neuroma

Answer 43

Morton's squeeze

Question 44

Treatment for Morton's neuroma

Answer 44

Surgery may be needed

Question 45

Common Peroneal N entrapment site

Answer 45

Fibular head

Question 46

Presents with pain in the lateral aspect of the leg, weak peroneal muscle, FOOT DROP. Caused by trauma

Answer 46

Common peroneal N entrapment

Question 47

Common Peroneal N entrapment (foot drop) patient management

Answer 47

Adjust | Refer if fracture is present

Question 48

Deep Peroneal N entrapment

Answer 48

Anterior Compartment Syndrome

Question 49

Can affect any and all four muscles of that compartment; tibialis anterior, extensor hallucinating longus, extensor digitorum longus, peroneus tertius.

Answer 49

Ant. Compartment SYndrome

Question 50

Symptoms of ant. Compartment syndrome is similar to

Answer 50

Charcot Marie Tooth

Question 51

A deformity in which the fingertip is curled in and cannot straighten itself. This deformity results from injury, which either damages the tendon or tears the tendon from the bone

Answer 51

Mallet finger

Question 52

Hyperflexion of DIP and Hyper-extension of PIP

Answer 52

Swan neck deformity

Question 53

Swan neck deformity is associated with which condition

Answer 53

RA

Question 54

Hyper-extension of DIP and hyper flexion of PIP

Answer 54

Boutonnierres Deformity

Question 55

Boutonierres associated with which condition

Answer 55

OA

Question 56

An abnormal thickening underneath the skin of the palm and fingers. Causes the last 2 digits to cure into the palm. Later on the middle finger may be involved

Answer 56

Dupuytren's contracture

Question 57

A finger becomes locked in a flexed position. The finger locks when one of the tendons that flex the finger becomes inflammed and swollen. To straighten the finger, a person must force the swollen area into the sheath producing a popping or snapping

Answer 57

Trigger Finger

Question 58

Inflammation of the extensor pollicis braves and the abductor pollicis longus tendons on the side of the wrist at the base of the thumb. Can be brought on by simple strain injury

Answer 58

De Quervain tenosynovitis

Question 59

Dequevain test and treatment

Answer 59

Finkelstein's test | Treated by bracing the thumb and wrist