Family Medicine: Common Musculoskeletal Disorders and Hand Problems Quiz
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Questions and Answers

What is the most common symptom of carpal tunnel syndrome?

  • Weakness and dropping objects
  • Swelling and stenosis of the sheath that surrounds the thumb extensor tendons
  • Pain and tenderness over the radial styloid
  • Numbness and tingling in the thumb, index, and middle fingers (correct)

    • What is a common cause of carpal tunnel syndrome?

  • Direct trauma to the carpal tunnel
  • Use of the thumb extensor tendons
  • Repetitive use or anatomic anomalies (correct)
  • Swelling and stenosis of the sheath surrounding the thumb extensor tendons

    • What is a characteristic test for De Quervain tenosynovitis?

  • Finkelstein test (correct)
  • EMG (median nerve conduction velocity study)
  • Thumb spica splint
  • Ultrasound imaging

    • What activities are often associated with De Quervain tenosynovitis?

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

    What is a late symptom of carpal tunnel syndrome?

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

    What does EMG confirm in carpal tunnel syndrome?

    <p>Severity of the median nerve compression</p> Signup and view all the answers

    What is the most appropriate initial imaging modality to rule out a scaphoid fracture?

    <p>X-ray of the wrist</p> Signup and view all the answers

    Which type of wrist fracture is characterized by a fall onto an extended wrist with the distal fragment of the radius tilted dorsally?

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

    What type of injury is indicated by instability of the MCP joint of the thumb accompanied by pain and weakness with pinch grasp?

    <p>Ulnar collateral ligament (UCL) tear</p> Signup and view all the answers

    What is the clinical presentation of mallet finger?

    <p>Inability to actively extend the DIP joint</p> Signup and view all the answers

    Which injury is characterized by a disruption of the central slip of the extensor tendon where it inserts into the middle phalanx?

    <p>Boutonniere deformity</p> Signup and view all the answers

    What diagnostic imaging is recommended to evaluate for a bony avulsion versus tendon rupture in mallet finger?

    <p>X-ray of the finger</p> Signup and view all the answers

    What is the most common fractured carpal bone, especially in young men?

    <p>Scaphoid</p> Signup and view all the answers

    What type of wrist fracture involves a diaphyseal fracture of radius with dislocation of distal radial-ulnar joint, often caused by a direct blow to radius?

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

    What injury is characterized by inflammation of the flexor tendon, with thickening and stenosis of the first annular (A1) pulley, causing pain and catching with flexion/extension of the finger?

    <p>Trigger finger</p> Signup and view all the answers

    What type of fall can cause a Smith fracture?

    <p>Fall onto a flexed wrist</p> Signup and view all the answers

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