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Introduction To the Wrist & Hand

Total questions: 35

Worksheet time: 24mins

Name
Class
Date
1.

Which statement best describes the wrist in relation to the forearm and hand?

a)

It attaches fingers directly to the radius

b)

It separates radius from the ulna

c)

It connects proximal hand to the elbow

d)

It connects distal forearm to the hand

2.

How many carpal bones form the wrist?

a)

Twelve bones total

b)

Ten bones total

c)

Eight bones total

d)

Six bones total

3.

Match each carpal bone to its correct row location.

a)

Scaphoid

1.

Proximal row

b)

Lunate

2.

Proximal row

c)

Capitate

3.

Distal row

d)

Hamate

4.

Distal row

4.

Which set lists ONLY proximal row carpal bones from radial to ulnar side?

a)

Scaphoid, Capitate, Lunate, Hamate

b)

Scaphoid, Lunate, Triquetral, Pisiform

c)

Pisiform, Trapezium, Triquetral, Radius

d)

Trapezium, Trapezoid, Capitate, Hamate

5.

Which bones make up the distal carpal row from radial to ulnar side?

a)

Trapezium, Trapezoid, Capitate, Hamate

b)

Scaphoid, Lunate, Triquetral, Pisiform

c)

Trapezoid, Capitate, Hamate, Pisiform

d)

Radius, Ulna, Capitate, Hamate

6.

How many metacarpal bones are in one hand?

a)

Seven per hand

b)

Five per hand

c)

Four per hand

d)

Six per hand

7.

Phalanges in the fingers are organized into which segments?

a)

Basal, central, terminal

b)

Proximal, middle, distal

c)

Primary, secondary, tertiary

d)

Radial, median, ulnar

8.

What is the primary function of wrist ligaments?

a)

To cushion impact during running

b)

To transport nutrients to cartilage

c)

To bind carpal, radius, ulna, metacarpals

d)

To generate muscle contraction power

9.

In the labeled hand diagram, which carpal is located proximal and lateral adjacent to the radius?

a)

Pisiform on palmar ulnar

b)

Hamate at distal ulnar

c)

Lunate near distal ulna side

d)

Scaphoid near radial styloid

10.

A PA wrist radiograph highlights a small pea-shaped carpal on the palmar ulnar side. Which bone is most likely seen?

a)

Triquetral dorsal to pisiform

b)

Scaphoid near radial styloid

c)

Pisiform on palmar ulnar

d)

Trapezium under first metacarpal

11.

Which bones articulate directly with the metacarpals in the distal carpal row? Select all that apply.

a)

Capitate articulating with third

b)

Trapezoid articulating with second

c)

Trapezium articulating with first

d)

Lunate articulating with fourth

12.

In the tendon diagrams, which structure spreads over the dorsum of the finger to distribute extensor forces?

a)

Central slip to distal phalanx

b)

Flexor sheath within tenosynovium

c)

Lumbrical tendon to volar side

d)

Extensor hood over dorsal digit

13.

Which tendon inserts on the distal phalanx to produce fingertip flexion?

a)

Flexor digitorum profundus tendon

b)

Extensor digitorum communis tendon

c)

Flexor digitorum superficialis tendon

d)

Extensor indicis proprius tendon

14.

Where does the flexor digitorum superficialis (FDS) typically insert?

a)

Proximal phalanx shaft

b)

Metacarpal head

c)

Base of middle phalanx

d)

Base of distal phalanx

15.

Which structures prevent bowstringing of flexor tendons during finger flexion?

a)

Interosseous muscles only

b)

Lumbrical muscles only

c)

Extensor retinaculum bands

d)

Annular pulley system (A2–A4)

16.

Which statement best distinguishes extensor tendon slips over the dorsum of the finger?

a)

Lateral slips attach to proximal phalanx only

b)

Three slips all inserting at middle phalanx

c)

Central slip to middle phalanx, lateral slips to distal phalanx

d)

Single central slip inserting at distal phalanx

17.

Select all muscles that contribute to finger extension via the extensor mechanism.

a)

Extensor digitorum

b)

Lumbricals

c)

Flexor pollicis longus

d)

Aductor pollicus

18.

Match each tendon with its primary action at the finger.

a)

FDP

1.

Flexes distal interphalangeal joint

b)

FDS

2.

Flexes proximal interphalangeal joint

c)

Extensor digitorum

3.

Extends interphalangeal joints

19.

On the extensor side image, what structure holds the extensor tendons close to the wrist bones?

a)

Palmar aponeurosis sheet

b)

Extensor retinaculum fibrous band

c)

Interosseous membrane band

d)

Flexor retinaculum ligament

20.

Which pair correctly identifies the tendons that act on the thumb?

a)

Extensor Pollicis longus with Abductor Pollicus Longui

b)

Extensor Carpi Radialis Brevis with Extensor Carpi Ulnaris

c)

Abductor Pollicis Longus with Flexor Digitorum Profundus

d)

Extensor digitorum with Extensor Pollicis Longus

21.

Multiple structures pass through the carpal tunnel. Which nerve is correct?

a)

Flexor carpi ulnaris tendon

b)

Flexor pollicis longus tendon

c)

Median nerve

d)

Flexor digitorum superficialis tendons

e)

Ulnar Nerve

22.

Which structure forms the roof of the carpal tunnel?

a)

Extensor retinaculum band

b)

Flexor retinaculum thick band

c)

Transverse carpal artery

d)

Palmar fascia thin sheet

23.

Blood supply to the hand primarily comes from which arteries?

a)

Ulnar and brachial arteries

b)

Median and radial arteries

c)

Anterior and posterior interosseous

d)

Radial and ulnar arteries

24.

Most flexor muscles of the forearm and hand are innervated by which nerve?

a)

Musculocutaneous nerve supply

b)

Median nerve motor supply

c)

Ulnar nerve motor supply

d)

Radial nerve motor supply

25.

Which nerve predominantly controls wrist and finger extension?

a)

Axillary nerve motor control

b)

Median nerve motor control

c)

Ulnar nerve motor control

d)

Radial nerve motor control

26.

Match each quick motor test gesture to the nerve it assesses.

a)

Thumbs up

1.

Radial nerve

b)

Power to the people (fist)

2.

Median nerve

c)

Peace out (V sign)

3.

Ulnar nerve

27.

During a sensory exam, which area tests the radial nerve?

a)

First dorsal web space skin

b)

Medial tip of index finger

c)

Lateral tip of little finger

d)

Thenar eminence skin

28.
What else is ADDUCTION of the wrist known as?
a)
ulnar deviation
b)
radial deviation
c)
flexion
d)
extension 
29.
What else is ABDUCTION of the wrist known as?
a)
ulnar deviation
b)
radial deviation
c)
flexion
d)
extension 
30.

Identify the sacphoid bone:

31.

Identify the lunate

32.

Identify the 1st Metacarpal

33.

Identify the 3rd middle phalange

34.

Identify the metacarpals

35.

Identify the 1st distal phalange