Forearm and Wrist Conditions Quiz

Hannah, a junior in high school, was playing basketball when she fell and injured her wrist. She continues to have mild soreness and stiffness noted with activity. What type of minor injury is commonly associated with this type of fall?

• Sprain

• Fracture

• Dislocation

• Arthritis

SELECT ALL THAT APPLY: David, age 65, has been experiencing the gradual onset pain and stiffness in his wrist. After your examination during which you ruled out red flags which condition(s) will you consider in your differential diagnosis?

• Rheumatoid Arthritis

• Osteoarthritis

• Gout

• Colles Fracture

Luna was playing soccer when she tripped and fell on her outstretched hand. While examining her, you ask her to push up on the armrest of her chair to come to stand to determine if this causes pain. This does elicit pain on the ulnar aspect of her wrist. What test did you complete and what type of injury are we considering?

• TFCC Load Test; TFCC injury

• Press Test; TFCC injury

• Grind test (1st CMC OA test); thumb dislocation

• Carpal Compression Test; Median Nerve lesion

SELECT ALL THAT APPLY: Your patient arrives for her evaluation complaining of tingling and numbness in her right hand including her thumb, index finger, middle and lateral half of her ring finger. Which of the following tests will you consider performing to assess for Carpal Tunnel Syndrome?

• Phalen's Test

• Carpal Compression Test

• Tinel's Sign at the Cubital Tunnel

• Tinel's Sign over the carpal tunnel

Chet is planning to measure supination for his patient as he noted AROM was limited in his assessment. Where should he position the goniometer (axis, moveable arm, stationary arm)?

• Lateral to the radial styloid process; ventral surface of the wrist; perpendicular to the midline of the humerus

• Lateral to the radial styloid process; ventral surface of the wrist; parallel to the midline of the humerus

• Medial to the ulnar styloid process; ventral surface of the wrist; perpendicular to the midline of the humerus

• Medial to the ulnar styloid process; ventral surface of the wrist; parallel to the midline of the humerus

During your evaluation, you note your patient is demonstrating a positive Froment's sign. What type of nerve injury/involvement does this positive test indicate?

• Median Nerve

• Anterior Interosseus Nerve

• Radial Nerve

• Ulnar Nerve

SELECT ALL THAT APPLY: A tissue stretch end feel is normal for:

• 1st CMC adduction

• Thumb MCP flexion

• Wrist extension

• MCP extension of the 2nd digit

Knowing that this hand deformity is related to a nerve issue, please tell me what it is; what nerve is involved; and which muscles are impacted.

• Ape hand-

• Claw fingers

• Claw Hand

• Benediction Hand

Jamie, a 78-year-old female, has been experiencing persistent joint pain in her bil hands. Which condition are we concerned about and what might her hands and/or x-rays look like?

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If your patient presents with mallet finger of her index finger which of the following joint(s) is/are affected?

• DIP and PIP

• DIP

• PIP

• CMC