20250923 Tendon disorder P2 - Dr Asikin

Which of the following tendons are involved in De Quervain’s tenosynovitis?

• A. Extensor pollicis brevis and extensor pollicis longus

• B. Extensor pollicis longus and abductor pollicis longus

• C. Extensor pollicis longus and extensor pollicis brevis

• D. Abductor pollicis longus and extensor pollicis brevis

What wrist motion most increases tension within the first dorsal compartment, exacerbating De Quervain’s symptoms?

• A.Wrist flexion with ulnar deviation

• B. Wrist extension with radial deviation

• C. Pronation with wrist flexion

• D. Supination with neutral wrist

Which of the following statements is TRUE regarding anatomical variations of the first dorsal compartment of the wrist?

• A. It always contains a single tendon of the abductor pollicis longus (APL) and extensor pollicis brevis (EPB).

• B. The first dorsal compartment never has a septum dividing it into separate tunnels.

• C. Multiple slips of the abductor pollicis longus tendon are a common anatomical variation.

• D. The extensor pollicis brevis tendon is always present in the first dorsal compartment.

A patient with radial wrist pain shows swelling proximal to the radial styloid, tenderness over the second dorsal compartment, and pain exacerbated by wrist extension and radial deviation. Which diagnosis is most likely?

• A. De Quervain’s tenosynovitis

• B. Intersection syndrome

• C. Lateral epicondylitis

• D. Scaphoid fracture

During a surgical release for De Quervain’s tenosynovitis, which of the following steps is critical to prevent recurrence?

• A. Partial release of only the abductor pollicis longus tendon sheath

• B. Complete excision of the extensor retinaculum over the first dorsal compartment

• C. Identification and release of any septation within the first dorsal compartment

• D. Release of both the first and second dorsal compartments