Upper Extremity, CDB Flashcards Preview

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Flashcards in Upper Extremity, CDB Deck (85):
1

Sweat vs sebaceous gland: The breast is a modified ___

Sweat

2

Sebaceous glands surrounding the breast

Montgomery tubercle

3

Axillary LN levels

Level I: Inferolateral to pectoralis minor Level II: Posterior to pectoralis minor Level III: Superomedial to pectoralis minor

4

Least vascular portion of breast

Inferior

5

Most common site of breast CA

Upper outer quadrant

6

Intraosseous vs intramembranous ossification: Clavicle

Intramembranous

7

Scapular landmarks (rib): Superior angle

2nd rib

8

Scapular landmarks (rib): Spine

3rd rib

9

Scapular landmarks (rib): Inferior angle

7th rib

10

Suprascapular notch transmits

Suprascapular nerve

11

Humerus: Shape of head

1/3 of sphere

12

Humerus: Anatomical vs surgical neck, more frequently fractured

Surgical

13

Vessel/s/Nerve/s related to the surgical neck of humerus

1) Posterior humeral circumflex artery 2) Axillary nerve

14

Radius and ulna, fracture-dislocation: Radial fracture, inferior dislocation

GRIMUS Galleazi

15

Radius and ulna, fracture-dislocation: Ulnar fracture, superior dislocation

GRIMUS Monteggia

16

Nursemaid elbow: Bone dislocated

Radial head

17

Nursemaid elbow: Ligament torn

Annular ligament

18

Most common fracture of metacarpals

Boxer fracture

19

Anterior vs posterior dislocation: Humeral head at subcoracoid position

Anterior

20

Anterior vs posterior dislocation: Humeral head at subglenoid position

Posterior

21

Acromioclavicular joint dislocation is due to a tear in what ligament

Coracoclavicular

22

Cubitus varus vs valgus: Gunstock deformity

Varus

23

Malunion of supracondylar fractures give rise to

Gunstock deformity

24

Most common dislocation in children

Elbow dislocation

25

Most common dislocation in adults

Shoulder dislocation

26

2nd most common dislocation in adults

Elbow dislocation

27

Partial dislocation

Subluxation

28

Most common cause of elbow dislocation

Fall on outstretched hand

29

Most common type of shoulder dislocation

Anterior dislocation

30

Injury to the brachial artery in elbow dislocation brings about

Volkmann ischemic contracture

31

Osteoarthritis, DIP vs PIP: Heberden node

DIP

32

Osteoarthritis, DIP vs PIP: Bouchard node

PIP

33

Brachial plexus: Trunk affected by downward displacement of arm

Upper

34

Brachial plexus: Trunk affected by forced abduction of arm

Lower

35

Causes of thoracic outlet syndrome (2)

1) Scalene spasm 2) Cervical rib

36

Thoracic outlet syndrome: Structures compressed

1) Lower trunk of brachial plexus 2) Subclavian artery

37

Canal in the wrist that transmits the ulnar artery and nerve into the hand

Guyon canal

38

Channel which allows the ulnar nerve to travel over the elbow

Cubital tunnel

39

Condition brought on by increased pressure on the ulnar nerve at the elbow.

Cubital tunnel syndrome

40

The funny bone is related to what nerve

Ulnar nerve

41

A thin aponeurotic band extending from medial head of triceps to the medial intermuscular septum which could be a site of ulnar nerve entrapment after arm surgery

Arcade of Struthers

42

Fracture of this bone causes compression of ulnar nerve at the Guyon canal

Hook of hamate

43

Nerve paralysis: (+) Froment sign

Ulnar nerve

44

(+) Froment sign

Flexion of PIP of thumb with paper between fingers

45

Nerve paralysis: Pronator teres syndrome

Median nerve

46

Nerve paralysis: Saturday night palsy

Radial nerve

47

A fibrous band extending from the supracondylar process to the median epicondyle in which the median nerve may be compressed

Ligament of Struthers

48

Nerve paralysis: Honeymooner's palsy

Radial nerve

49

Nerve paralysis: Anterior interosseous syndrome

Ulnar nerve

50

Nerve paralysis: Crutch palsy

Radial nerve

51

Nerve paralysis: Weak supination

Radial nerve

52

Nerve paralysis: Simian hand

Median nerve

53

Nerve paralysis: Posterior interosseous syndrom

Radial nerve

54

T/F Compression of the radial nerve at the cubital fossa (arcade of Frohse) results in wrist drop and sensory loss

F

55

Radial vs ulnar artery: Deep palmar arch

Radial

56

Radial vs ulnar artery: Common interosseous artery

Ulnar

57

Radial vs ulnar artery: Superficial palmar arch

Ulnar

58

Test: The hand is elevated and the patient/person is asked to make a fist for about 30 seconds. Pressure is applied over the ulnar and the radial arteries so as to occlude both of them. Still elevated, the hand is then opened. It should appear blanched. Ulnar pressure is released.

Allen Test

59

Allen test: Positive result

Color does not return within 7 seconds

60

Allen test: Done prior to

Heart bypass surgery

61

Allen test: Determines

Patency of ulnar artery prior to radial artery cannulation

62

Tendon ruptured with inability to initiate abduction of arm

Supraspinatus

63

Reflex-roots: Ankle

S1,2

64

Reflex-roots: Knee

L3,4

65

Extensor tendon compartments: Compartment 1

1) Abpolo 2) Expobre

66

Extensor tendon compartments: Compartment 2

1) Extensor carpi radialis brevis 2) Extensor carpi radialis longus

67

Extensor tendon compartments: Compartment 3

Extensor pollicis longus

68

Extensor tendon compartments: Compartment 4

1) Extensor digitorum 2) Extensor indicis

69

Extensor tendon compartments: Compartment 5

Extensor digiti minimi

70

Extensor tendon compartments: Compartment 6

Extensor carpi ulnaris

71

Extensor compartment affected in De Quervain's tenosynovitis

Compartment 1

72

Maneuver to test for De Quervain's tenosynovitis

Finkelstein test

73

(+) Finkelstein test

A image thumb
74

Most frequently fractured carpal bone

Scaphoid

75

Tests for carpal tunnel syndrome (3)

1) Phalen 2) Tinel 3) Carpal compression test

76

Phalen test

A image thumb
77

Tinel test

A image thumb
78

Positive Phalen, Tinel, and carpal compression test

Tingling (pins and needles) sensation at the median nerve distribution

79

Carpal compression test

A image thumb
80

No man's land

Zone 2: Poor prognosis

A image thumb
81

Laceration of extensor tendon over DIP joint

Mallet finger

82

Laceration of extensor tendon over PIP joint

Boutonniere deformity

83

Injury to ulnar collateral ligament of thumb

Gamekeeper's thumb

84

Reverse Phalen

A image thumb
85

(+) Froment sign: Muscle paralyzed

Adductor pollicis