Hand Conditions and Signs Quiz
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Questions and Answers

What condition is indicated by Froment’s sign?

  • Carpal tunnel syndrome
  • Dupuytren contractures
  • Scaphoid fracture
  • Ulnar neuropathy (correct)

    • Which sign is indicative of cubital tunnel syndrome?

  • Froment’s sign
  • Wartenberg’s sign (correct)
  • Tinel's sign
  • Finkelstein test

    • What is a primary risk factor for Dupuytren contractures?

  • Excessive weight lifting
  • Running
  • Trauma (correct)
  • Excessively playing video games

    • Which underlying condition is commonly associated with chronic carpal tunnel syndrome?

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

    What is the typical mechanism of injury for a scaphoid fracture?

    <p>Falling onto an outstretched hand</p> Signup and view all the answers

    Which clinical feature is commonly associated with an anterior cruciate ligament (ACL) injury?

    <p>Immediate hemarthrosis</p> Signup and view all the answers

    What includes a common presentation of a Baker's cyst?

    <p>Synovial cyst in the popliteal fossa</p> Signup and view all the answers

    Which statement regarding medial collateral ligament (MCL) injury is accurate?

    <p>Valgus stress causes widening of the medial joint space.</p> Signup and view all the answers

    In the context of knee dislocation, what does the term 'closed reduction' refer to?

    <p>A maneuver performed to realign the joint externally</p> Signup and view all the answers

    What does 'genu valgum' refer to in knee alignment?

    <p>Medial misalignment resulting in knocked-knee deformity</p> Signup and view all the answers

    Which injury is indicated by the presentation of the 'unhappy triad'?

    <p>ACL tear, MCL tear, and medial meniscus tear</p> Signup and view all the answers

    What is a typical feature of Osgood-Schlatter disease?

    <p>Anterior knee pain worsened by activity</p> Signup and view all the answers

    What does an abnormal ankle brachial index (ABI) indicate?

    <p>Presence of peripheral artery disease (PAD)</p> Signup and view all the answers

    What is the primary function of the infraspinatus muscle?

    <p>External rotation of the shoulder</p> Signup and view all the answers

    Which test is associated with a suspected injury to the teres minor?

    <ul> <li>Hornblower’s sign</li> </ul> Signup and view all the answers

    What does a positive Lachman test indicate?

    <p>Anterior cruciate ligament (ACL) injury</p> Signup and view all the answers

    The Bulge Sign test is used to assess which condition in the knee?

    <p>Effusion in the suprapatellar bursa</p> Signup and view all the answers

    In which test is the knee held in maximal flexion while applying varus stress?

    <p>McMurray Test</p> Signup and view all the answers

    What does a positive Varus Stress Test indicate?

    <p>Lateral collateral ligament (LCL) injury</p> Signup and view all the answers

    Which knee structure is primarily assessed with the Posterior Drawer Test?

    <p>Posterior cruciate ligament (PCL)</p> Signup and view all the answers

    What is the clinical presentation of osteochondritis dissecans?

    <p>Localized necrosis of subchondral bone</p> Signup and view all the answers

    Which of the following tests is specifically for assessing the MCL?

    <p>Valgus Stress Test</p> Signup and view all the answers

    What is the function of the subscapularis muscle in the shoulder?

    <p>Internal rotation</p> Signup and view all the answers

    What is the primary physical exam maneuver used to test for medial epicondylitis?

    <p>Supinate the arm and extend the wrist and elbow</p> Signup and view all the answers

    Which of the following is a clinical feature of olecranon bursitis?

    <p>Erythema and localized swelling around the elbow</p> Signup and view all the answers

    What is the etiology of a radial head subluxation known as Nursemaid’s Elbow?

    <p>Axial traction of the pronated and extended forearm</p> Signup and view all the answers

    Which clinical feature is indicative of a radial head fracture?

    <p>Radial head tenderness and hemarthrosis</p> Signup and view all the answers

    How is lateral epicondylitis (Tennis Elbow) tested during a physical examination?

    <p>Extending the wrist and fingers against resistance while pronating</p> Signup and view all the answers

    What type of inflammation characterizes olecranon bursitis?

    <p>Non-septic caused by repeated trauma</p> Signup and view all the answers

    Which management technique is appropriate for treating radial head subluxation?

    <p>Supination-flexion maneuver</p> Signup and view all the answers

    What symptom might a patient with distal biceps tendon rupture present with?

    <p>Visible deformity of the biceps muscle</p> Signup and view all the answers

    What does an increased laxity result from during the Anterior Drawer Test indicate?

    <p>Injury to the anterior talofibular ligament</p> Signup and view all the answers

    Which condition is characterized by sharp heel pain that worsens after prolonged inactivity?

    <p>Plantar fasciitis</p> Signup and view all the answers

    What does the abbreviation ACL stand for?

    <p>Anterior cruciate ligament</p> Signup and view all the answers

    What is a common risk factor for Achilles tendon rupture?

    <p>Fluoroquinolone use</p> Signup and view all the answers

    Which joint is referred to by the abbreviation PIP?

    <p>Proximal interphalangeal joint</p> Signup and view all the answers

    What does the term PROM represent in a medical context?

    <p>Passive range of motion</p> Signup and view all the answers

    What physical exam finding is indicative of a calcaneofibular ligament injury during the Inversion Stress Test?

    <p>Increased laxity when inverting the foot</p> Signup and view all the answers

    The abbreviation MT head refers to which part of the anatomy?

    <p>Metatarsal head</p> Signup and view all the answers

    Which of the following is not a characteristic feature of Charcot neuropathy?

    <p>Symptoms exclusively in the upper limbs</p> Signup and view all the answers

    Which structure does the abbreviation IT band refer to?

    <p>Iliotibial band</p> Signup and view all the answers

    What is a primary cause of acquired pes planus?

    <p>Tibialis posterior tendon dysfunction</p> Signup and view all the answers

    What characteristic feature is associated with 'low' ankle sprains?

    <p>Tenderness along the anterior talofibular ligament</p> Signup and view all the answers

    What does the abbreviation DJD stand for in medical terminology?

    <p>Degenerative joint disease</p> Signup and view all the answers

    During the Thompson Squeeze Test, what does absent foot plantarflexion indicate?

    <p>Achilles tendon rupture</p> Signup and view all the answers

    The abbreviation RA is commonly used to denote which condition?

    <p>Rheumatoid arthritis</p> Signup and view all the answers

    Which of the following findings is least likely to be associated with plantar fasciitis?

    <p>Bruising on the plantar surface</p> Signup and view all the answers

    What does the abbreviation ROM represent in a clinical setting?

    <p>Range of motion</p> Signup and view all the answers

    Which ligament is most commonly injured in a low ankle sprain?

    <p>Anterior talofibular ligament</p> Signup and view all the answers

    Study Notes

    Musculoskeletal (MSK) Course Primer

    • This primer covers various musculoskeletal topics including the spine, hand/wrist, elbow, shoulder, knee, hip, ankle/foot, bone biology & bone tumors, additional videos, and abbreviations.
    • The course directors are Dr. Kamalpreet Buttar, MD and Dr. Farzana Nuruzzaman, MD.
    • The primer was created by Jack Scheutzow and Kevin Kashanchi.

    Learning Objectives for Spine

    • Know the basic components of the physical examination of the cervical and lumbar spine.
    • Understand the implications of Spurling's Test, Lhermitte Sign, and Straight Leg Raise.
    • Identify and understand the clinical presentation, physical exam findings, and basic management of common spinal disorders, including thoracic kyphosis, vertebral fractures (pathologic), disc herniation, lumbar disc (L4-L5), cervical disc (posterolateral annulus fibrosus), Paget's disease (Osteitis deformans), spondylolisthesis (risk factors), ankylosis/spondyloarthropathies, cervical nerve radiculopathy, and enthesopathy of the spine.

    Basic Anatomy of the Spine

    • Diagrams depict the anterior, left lateral, and posterior views of the spine, highlighting vertebrae (cervical, thoracic, lumbar, sacrum, coccyx), processes (spinous, transverse, articular), and associated structures.

    • Anatomical details of various vertebral parts include body, vertebral foramen, superior vertebral notch, inferior vertebral notch, superior articular facet, inferior articular facet, etc. are illustrated.

    Muscles of the Spine and Back

    • Detailed diagrams illustrate the muscles of the posterior aspect of the body.
    • Muscle names are listed with diagrams.

    Normal Physical Exam Components of the Cervical Spine & Lumbar Spine

    • Examine gait, alignment, posture, and skin.
    • Palpate muscles, bony structures, and soft tissues.
    • Assess range of motion for flexion/extension, lateral flexion, and rotation.
    • Perform Spurling's maneuver and Lhermitte's sign for specific assessments.

    Normal Physical Exam Components of the Wrist

    • Examine gross deformity, swelling, wasting, skin changes, and nerve sensation.
    • Palpate carpal bones, soft tissues and joints.
    • Evaluate range of motion (flexion, extension, radial/ulnar deviation, pronation, supination).
    • Perform specific maneuvers such as Finkelstein's test, Watson's test, Phalen's test, and Froment's test.

    Normal Physical Exam Components of the Elbow

    • Inspect for gross deformity, swelling, wasting, and skin changes.
    • Perform palpation of bony and soft tissue structures
    • Evaluate range of motion (flexion/extension, pronation/supination).
    • Perform specific tests like medial and lateral epicondylitis tests.

    Additional Information

    • Comprehensive information about various musculoskeletal conditions, including specific tests and diagnostic criteria, is provided for each body region and the related diseases in subheadings.
    • There are links to videos for upper/lower extremities and spine and back.
    • A complete list of abbreviations used in the primer is included.

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    Related Documents

    2023 MSK Primer PDF

    Description

    Test your knowledge on various hand conditions and their associated signs. This quiz covers important clinical signs like Froment's sign, as well as conditions such as Dupuytren's contractures and carpal tunnel syndrome. Sharpen your understanding of hand injuries and treatments.

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