Distinguishing Hand Conditions Quiz

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Questions and Answers

What distinguishes a benediction hand from a claw hand when a patient attempts to make a fist?

  • Neither hand shows any significant change in appearance.
  • Both hands appear similar, making differentiation difficult.
  • The benediction hand exhibits a noticeable proximal median neuropathy. (correct)
  • The claw hand demonstrates a prominent ulnar nerve palsy.

Which nerve is primarily affected in a benediction hand?

  • Radial nerve
  • Musculocutaneous nerve
  • Ulnar nerve
  • Median nerve (correct)

When is an ulnar claw most readily observed?

  • Only during specific hand movements
  • When the wrist is flexed
  • When attempting to make a fist
  • At rest and when opening the palm (correct)

A patient presents with a hand deformity. When asked to make a fist, the deformity becomes significantly more pronounced. Which condition is this most suggestive of?

<p>Benediction hand (C)</p> Signup and view all the answers

Which of the following is a key differentiating factor between benediction and claw hand when asking a patient to open their palm?

<p>The benediction hand becomes less noticeable, while the claw hand becomes more prominent. (C)</p> Signup and view all the answers

Flashcards

Benediction Hand

A hand posture that reveals median nerve dysfunction, especially when making a fist.

Claw Hand

A hand posture where the fingers curl, commonly seen at rest due to ulnar nerve damage.

Proximal Median Neuropathy

A condition where the median nerve is compressed near the elbow, affecting finger movement.

Ulnar Claw

Deformity recognized in ulnar nerve paralysis, observed even without hand movement.

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Fist Test

A method to differentiate between benediction hand and claw hand by asking the patient to make a fist.

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Study Notes

Distinguishing Hand Conditions

  • Differentiation Method: To distinguish a benediction hand from a claw hand, ask the patient to make a fist and open their palm.
  • Proximal Median Neuropathy: A proximal median neuropathy becomes apparent when attempting to clench a fist.
  • Ulnar Claw Hand: An ulnar claw hand is visible at rest and when opening the palm.

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