Family Medicine: Common Hand Problems and Carpal Tunnel Syndrome
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Questions and Answers

What is the most common symptom of carpal tunnel syndrome?

  • Weakness in the thumb
  • Pain in the little finger
  • Tenderness over the radial styloid
  • Numbness, tingling and pain in a median nerve distribution (correct)

    • What is the main cause of carpal tunnel syndrome?

  • Repetitive use of the little finger
  • Direct trauma to the distal phalanx
  • Compression of the median nerve in the carpal tunnel (correct)
  • Anatomic anomalies in the wrist

    • What is the pathognomonic test for De Quervain tenosynovitis?

  • Tinel's sign
  • Finkelstein test (correct)
  • Golfer's elbow test
  • Phalen's test

    • Which activity is likely to precipitate De Quervain tenosynovitis?

    <p>Racket sports</p> Signup and view all the answers

    What is the recommended management for De Quervain tenosynovitis?

    <p>Thumb spica splint to immobilize the wrist and thumb</p> Signup and view all the answers

    What may be a late symptom of carpal tunnel syndrome?

    <p>Weakness, dropping objects, and persistent numbness</p> Signup and view all the answers

    What is the most frequently occurring fracture in adults?

    <p>Distal radius fractures</p> Signup and view all the answers

    How is a Mallet finger typically caused?

    <p>Forced flexion of an actively extended DIP joint</p> Signup and view all the answers

    What is the clinical presentation of an Ulnar collateral ligament (UCL) tear at the thumb MCP joint?

    <p>Instability with pinch grasp</p> Signup and view all the answers

    What should be done if initial x-ray films are negative for scaphoid fracture?

    <p>Immobilize the area with thumb spica cast and repeat imaging after 10 to 14 days</p> Signup and view all the answers

    What is the cause of Trigger finger?

    <p>Inflammation of the first annular (A1) pulley</p> Signup and view all the answers

    How is a Galeazzi fracture typically caused?

    <p>Direct blow to radius</p> Signup and view all the answers

    Which type of fracture involves a diaphyseal fracture of proximal ulna with subluxation of the radial head?

    <p>Monteggia fracture</p> Signup and view all the answers

    What is the clinical presentation of Boutonniere deformity?

    <p>Fixed flexion at the PIP joint</p> Signup and view all the answers

    What are subtypes of wrist fractures that occur in a fall onto an outstretched hand (FOOSH)?

    <p>Distal radius, Colles, and Smith fractures</p> Signup and view all the answers

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