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Wrist & Hand injuries Review

Total questions: 24

Worksheet time: 48mins

Name
Class
Date
1.

What is letter "A"?

a)

2nd Proximal Phalanx

b)

4th Distal Phalanx

c)

4th Metacarpal

d)

2nd Middle Phalanx

2.

What is letter "E"?

a)

3rd Metacarpal

b)

4th Metacarpal

c)

3rd Proximal Phlanax

d)

4th Proximal Phalanx

3.

The thumb does NOT have a distal phalanx?

a)

True

b)

False

4.

The word "carpi" is referencing...

a)

Flexion

b)

Extension

c)

Wrist

d)

Fingers

5.

Wrist extensors are on the posterior side of the forearm?

a)

True

b)

False

6.

What does "Pollicis" mean?

(a)  

7.

What type of muscles are on the anterior side of the forearm? (most all of them do what action)

(a)  

8.

9

a)

phalanges

b)

DIP joint

c)

metacarpals

d)

MCP joint

9.

10

a)

phalanges

b)

DIP joint

c)

metacarpals

d)

MCP joint

10.

Which general ROM test do the following steps belong to?

Instruct athlete to flex both wrists as far as possible. Compare ROM between the uninvolved and involved side. Movement should be smooth and painless. Limited ROM on one side indicates a potential injury on that side.

a)

wrist flexion

b)

finger flexion

c)

wrist extension

d)

finger extension

11.

Which manual muscle test do the following steps belong to?

Place one finger on the palmar aspect of the athlete’s finger to be tests and have the athlete flex the finger as you provide isometric resistance. Compare the strength between the involved and uninvolved side. Weakness on one side indicates a potential injury to the muscles of the finger on that side or possible fracture. If there is any question about a fracture, refer to a physician for further evaluation.

a)

finger flexion strength

b)

finger extension strength

c)

wrist flexion strength

d)

wrist extension strength

12.

Which manual muscle test would you perform is expected an injury to the extensor carpi radialis longus, extensor carpi radialis brevis, and/or extensor carpi ulnaris?

a)

wrist flexion strength

b)

wrist extension strength

c)

Wrist Ulnar Deviation Strength

d)

Wrist Radial Deviation Strength

13.

Which general ROM test should you perform if you believe an athlete hurt their wrist by hyperextending it?

a)

wrist extension

b)

wrist flexion

c)

finger flexion

d)

finger extension

14.

You find weakness in the flexor carpi ulnaris and the extensor carpi ulnaris. Which manual muscle test did you perform?

a)

Wrist Ulnar Deviation Strength Test

b)

Wrist Radialis Deviation Strength Test

c)

Wrist Flexion Strength Test

d)

Wrist Extension Strength Test

15.

Which manual muscle test do the following step belong to?

Place one finger on the lateral  aspect of the athlete’s finger to be tested. Place another finger on the medial aspect of one of the athlete’s adjacent fingers.  Instruct the athlete to abduct the fingers as you provide isometric resistance. Compare the strength between the involved and uninvolved side. Weakness on one side indicates a potential injury to the muscles of the finger on that side or possible fracture. If there is any question about a fracture, refer to a physician for further evaluation.

a)

finger abduction strength

b)

finger adduction strength

c)

finger flexion strength

d)

finger extension strength

16.

Describe boutonniere deformity.

a)

an abnormal contracture of a phalange in which the proximal joint flexes and the distal joint hyperextends. This is caused by a rupture of the tendon in the middle phalange of a finger. 

b)

damage to the extensor tendon at the distal interphalangeal joint of the finger resulting in an inability to extend the finger at that joint.

c)

a fluid filled sac in the synovial membrane that is located next to the joint capsule or tendon sheath.  This usually appears on the back of the wrist and creates a knot/bump underneath the skin. 

d)

median nerve becomes compressed as the wrist

17.

Which injury is best described as "the median nerve becomes compressed as the wrist. Signs/symptoms of this impingement include point tenderness, pain with and without motion, numbness and possible loss of strength. "

a)

all impingements

b)

carpal tunnel syndrome

c)

ganglion cyst

d)

tendonitis

18.

Wrist sprains are usually caused by what?

a)

hyperflexion

b)

hyperextension

c)

direct blow

d)

pulling motion

19.

Gamekeeper's thumb is _________________________?

a)

a sprain to the thumb specific to the ulnar collateral ligament, or the medial ligament of the thumb

b)

where the median nerve becomes compressed as the wrist

c)

damage to the extensor tendon at the distal interphalangeal joint of the finger

d)

n abnormal contracture of a phalange in which the proximal joint flexes and the distal joint hyperextends

20.

Which injury is best described as the compression of the median nerve causing pain, numbness, and loss of strength?

a)

carpal tunnel

b)

ganglion cyst

c)

tendonitis

d)

fracture

21.

What test do the following steps belong to?

Instruct athlete to place the backs of hands together near the middle of the chest.

The shoulders, elbows and wrists should be flexed to 90 degrees. Have them 

hold for 60 seconds.

Tingling and/or numbness in the fingers suggest nerve impingements on that side.

a)

phalen's test

b)

percussion test

c)

drop arm test

d)

valgus test

22.

What test is used to test for tendonitis in the thumb?

a)

finklestein's test

b)

phalen's test

c)

percussion test

d)

hawkins-kennedy test

23.

Mallet finger

a)

damage to the extensor tendon at the distal interphalangeal joint of the finger resulting in an inability to extend the finger at that joint

b)

an abnormal contracture of a phalange in which the proximal joint flexes and the distal joint hyperextends

c)

breaking of the carpal bones resulting in dislocation

d)

 where the median nerve becomes compressed as the wrist

24.

Ganglion cyst

a)

a fluid filled sac in the synovial membrane that is located next to the joint capsule or tendon sheath.  This usually appears on the back of the wrist and creates a knot/bump underneath the skin. 

b)

inflammation of a bursa or tendon

c)

pus filled sac caused by infection after a cut

d)

a sprain to the thumb specific to the ulnar collateral ligament, or the medial ligament of the thumb