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Wrist/Hand Disorders

Total questions: 17

Worksheet time: 9mins

Name
Class
Date
1.

What can be a complication of severely displaced distal radius fractures?

a)

Ulnar nerve compression

b)

Median nerve compression

c)

Radial nerve compression

d)

Tibial nerve compression

2.

What type of X-ray finding is associated with a Colles' Fracture?

a)

Volar displacement/angulation of the distal radius fragment

b)

Dorsal displacement/angulation of the distal radius fragment

c)

No displacement, only angulation of the distal radius fragment

d)

Medial displacement/angulation of the distal radius fragment

3.

What is the characteristic displacement/angulation in a Smith's Fracture?

a)

Dorsal displacement/angulation of the distal radius fragment

b)

Medial displacement/angulation of the distal radius fragment

c)

Lateral displacement/angulation of the distal radius fragment

d)

Palmar/volar displacement/angulation of the distal radius fragment

4.

What is the most common type of carpal fracture?

a)

Lunate fracture

b)

Capitate fracture

c)

Scaphoid (navicular) fracture

d)

Hamate fracture

5.

How does the blood supply to the scaphoid bone travel?

a)

From proximal end to distal end

b)

From distal end to proximal end

c)

From medial end to lateral end

d)

From lateral end to medial end

6.

What risk is increased when a scaphoid fracture disrupts the blood supply?

a)

Risk of infection

b)

Risk of arthritis

c)

Risk of nonunion

d)

Risk of carpal tunnel syndrome

7.

What is the initial treatment for a scaphoid fracture when x-rays are negative but suspicion for fracture is still high?

a)

Immediate surgical intervention

b)

Treat like a sprain with compression bandage

c)

Treat like a fracture with thumb spica splint and repeat x-ray in 1 week

d)

Cast immobilization for 3 weeks without further imaging

8.

What is a possible next step in diagnosis if a lunate fracture is not visible on an X-ray?

a)

CT scan

b)

Ultrasound

c)

Blood test

d)

Physical therapy

9.

What is a Boxer's fracture?

a)

Fracture of the 1st or 2nd metacarpals

b)

Fracture of the 4th or 5th metacarpals

c)

Fracture of the wrist bones

d)

Fracture of the phalanges

10.

What antibiotic is suggested for a Boxer's fracture when there is a punch to teeth resulting in an open wound?

a)

Cephalexin

b)

Amoxicillin/Clavulanate

c)

Metronidazole

d)

Doxycycline

11.

What is the recommended treatment for a nondisplaced stable finger fracture of the proximal phalanx?

a)

Immediate surgery

b)

Buddy taping and splint

c)

No treatment required

d)

Antibiotics

12.

What is the primary cause of carpal tunnel syndrome?

a)

Compression of the ulnar nerve

b)

Compression of the median nerve

c)

Overextension of the wrist

d)

Fracture of the wrist bones

13.

What is the most effective initial management for De Quervain's tenosynovitis?

a)

Immediate surgery

b)

Thumb spica splint and NSAIDs

c)

Corticosteroid injection

d)

Physical therapy

14.

What anatomical structures are primarily affected in De Quervain's tendonitis?

a)

The flexor tendons of the thumb

b)

The extensor tendons of the thumb

c)

The ulnar nerve

d)

The radial nerve

15.

What is the most common cause of mallet finger?

a)

Direct blow to the fingertip

b)

Repetitive strain injury

c)

Severe burn to the finger

d)

Deep cut on the finger

16.

What is the standard initial treatment for a mallet finger injury?

a)

Immediate surgery

b)

Ice and elevation

c)

Splinting the affected finger

d)

Antibiotics

17.

How long is the splint typically worn for a mallet finger injury?

a)

1-2 weeks

b)

2-4 weeks

c)

6-8 weeks

d)

3-6 months