wrist and hand

Question 1

MCP, PIP, and DIP should be in ______ when at rest

Answer 1

slight flexion

Question 2

There is 2 transverse arches at the _____&____ levels

Answer 2

carpel & MCP level

Question 3

There is 1 longitudinal center line created by the tone of the _______

Answer 3

intrinsic M

Question 4

Palmar creases occur where_____ attaches to _____

Answer 4

skin attaches to fascia

Question 5

Wrist crease @:

Answer 5

base of hand

Question 6

Prox. palmar crease @:

Answer 6

anterior to neck of metacarpels

Question 7

Distal palmar crease @

Answer 7

anterior to the MCP joint

Question 8

Thenar crease @

Answer 8

outlines the thenar eminance

Question 9

Median crease @

Answer 9

center of the palm

Question 10

Palmar digital crease @

Answer 10

base of fingers

Question 11

PIP crease @

Answer 11

anterior to PIPs

Question 12

DIP crease @

Answer 12

anterior to DIPs

Question 13

Obliteration of the creases could indicate _____

Answer 13

swelling

Question 14

_____MCP is the most prominant when looking at a fist

Answer 14

3rd

Question 15

What should the normal appearance of the finger nails look like

Answer 15

pink & smooth with a white lunula

Question 16

Whitish nail beds indicate ____ c.c.

Answer 16

anemia

Question 17

Spoon shaped nailed (concave) indicate ______ c.c.

Answer 17

fungal infection

Question 18

clubbed nails (domed) with hypertrohy underlying tissue indicate _____ or ____ c.c.

Answer 18

respitory issues

congenital heart problems

Question 19

The anatomical snuff box is distal of the _____

Answer 19

radial styloid process

Question 20

Contents of the anatomical snuff box

Answer 20

radial art

superficial radial N

Question 21

Floor of the anatomical snuff box

Answer 21

scaphoid

Question 22

Proximal border of the anatomical snuff box

Answer 22

styloid of the radius

Question 23

Distal border of the anatomical snuff box

Answer 23

Base of the 1st metacarpel

trapezium

Question 24

Posterior border of the anatomical snuff box

Answer 24

Extensor pollicus longus tendon

Question 25

Anterior border of the anatomical snuff box

Answer 25

abd. pollucis longus | ext. pollucis brevis

Question 26

Where would ishemic necrosis occur on the scaphoid

Answer 26

on the proximal end | bc blood vessels go through the distal end

Question 27

Where do blood vessels go through on the scaphoid

Answer 27

distal end - injury will cause necrosis on the prox end)

Question 28

Boxer's fracture is a _____ fracture

Answer 28

spiral

Question 29

boxers fracture is spiral facture on the _____

Answer 29

5th metacarpel

Question 30

_______ is the most common carpel bone fractures

Answer 30

scaphoid

Question 31

definition of volar:

Answer 31

relating to the palm of the hand

Question 32

c.c_____ a small, non tender, swelling with jellylike consistency on the dorsal or valar wrist

Answer 32

ganglion cyst - usually causes no prob's , just cosmetic

Question 33

Possible causes of carpel tunnel syndrome

Answer 33

1. ant dislocation of the lunate 2. swelling following trauma 3. synovitis secondary to rheumatoid arthritis 4. thickening of the tunnel structures due to repetitive stress

Question 34

Anterior dislocation of the lunate can cause _____c.c.

Answer 34

carpel tunnel

Question 35

synovitis secondary to rheumatoid arthritis can cause _____c.c

Answer 35

carpel tunnel

Question 36

______ is a secondary condition to rheumatoid arthritis that causes carpel tunnel

Answer 36

synovitis

Question 37

thickening of the carpel tunnel can be caused by ____

Answer 37

repetitive stress

Question 38

Nodules in the palmar fascia is usually on the ______ side

Answer 38

ulnar side

Question 39

c.c. _______: nodules on the ulnar side that may cause flexion deformity in the 4th & 5th digits

Answer 39

dupuytren's contracture

Question 40

Dupuytren's contracture is usually on which digists?

Answer 40

4th and 5th

Question 41

nodules in flexor tendons is usually on which digits?

Answer 41

2nd & 3rd

Question 42

c.c. _____: Finger has more flexion than normal when at rest

Answer 42

nodules in the flexor tendon ( usually 2nd or 3rd)

Question 43

nodules in the flexor tendons can cause an audible snap. This c.c. is called______

Answer 43

trigger finger

Question 44

c.c ______ : is a autoimmune dx that results in swelling, inflammation, pain and deformity

Answer 44

rheumatoid arthritis

Question 45

swan-neck deformity is aka ______

Answer 45

rheumatoid arthritis

Question 46

c.c. _____: hyperextension of the PIP's & flexion of the DIPs

Answer 46

swan neck deformity

Question 47

swan neck deformaty is hyperextension of the ____ & flexion of the ____

Answer 47

hyperextension of : PIPs | flexion of : DIPs

Question 48

____ deviation at the MCP caused by rheumatoid arthritis

Answer 48

ulnar deviation

Question 49

ulnar deviation caused by rheumatoid arthritis is at the _______ joint

Answer 49

MCP

Question 50

c.c._____ : UNILATERAL swelling & tenderness at a joint; may cause the formation of nodules if at the DIPs

Answer 50

osteoarthritis

Question 51

______ nodules are caused by osteoarthritis

Answer 51

heberden's nodes

Question 52

bouchard's nodules form on the ____

Answer 52

PIPs

Question 53

C.c.___________: ruputre/ avulsion of the extensor digitorum at the PIP. causes hyperflexion of the PIP & extension of the DIP

Answer 53

boutonniere deformity