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49

Hand Surgery Quiz

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1 / 50

A collegiate rower complains of dorsal wrist pain for 6 weeks refractory to NSAIDs and bracing. Maximal tenderness is palpated on the dorsoradial forearm approximately 5 cm proximal to the wrist. Pain is exacerbated with resisted wrist extension. Radiographs are unremarkable. A steroid injection should be directed into the compartment containing which of the following structures?

2 / 50

Which of the following modalities has been shown to have a positive effect when treating early stages of complex regional pain syndrome?

3 / 50

Repair of a nailbed injury with 2-octylcyanoacrylate (Dermabond) provides what distinct advantage over standard suture repair?

4 / 50

A 34-year-old male sustains amputations of the 4th and 5th fingers at the level of the middle phalanx after cutting them with a butcher knife. Which of the following techniques would most likely increase total surgical time during replantation?

5 / 50

A 4 year-old boy sustains a flexor tendon laceration in Zone 2 of his 4th digit when he attempts to grab a knife. Optimal surgical management and postoperative rehabilitation consists of:

6 / 50

Replantation is indicated for which of the following amputations.

7 / 50

You are taking care of an adult patient with significant scar contracture in her first web space after a thermal burn. Which of the following techniques will allow you to lengthen her scar approximately 75%?

8 / 50

Which of the following peripheral nerve structures functions to cushion the nerve against external pressure?

9 / 50

A 24-year-old male cuts his left middle finger with a knife while chopping vegetables. Physical exam reveals a zone 2 flexor tendon laceration. He undergoes a 2-strand core suture repair with epitendinous suture. This particular repair is strong enough for each of the following rehabilitation protocols EXCEPT:

10 / 50

A 35-year-old butcher inadvertently lacerates his ring finger FDP tendon at the level of the DIP joint which is subsequently repaired. Following the operation he notes the inability to fully flex his long and small fingers at the DIP joints with attempted fist clenching as well as a weak grip. Which of the following intraoperative maneuvers was likely responsible for this?

11 / 50

All of the following are predictive findings for correctly diagnosing carpal tunnel syndrome EXCEPT:

12 / 50

Level 1 evidence has shown vitamin C reduces the incidence of reflex sympathetic dystrophy (RSD) or complex regional pain syndrome type I (CRPS) in patients with which of the following?

13 / 50

Syndactyly is associated with all of the following conditions EXCEPT?

14 / 50

The muscle that is most commonly used for extensor pollicis longus repair:

15 / 50

A 35-year-old female office worker reports 6 months of deep aching on her lateral dominant elbow which worsens with repetitive movements. The pain is located 4cm distal to the lateral epicondyle. She also complains of night pain. What is the most likely diagnosis?

16 / 50

Which of the pulleys of the flexor tendon are the most important in preventing bowstring?

17 / 50

All of the following can be found on the Electromyography (EMG) portion of an electrodiagnostic study during the evaluation of a patient with carpal tunnel syndrome EXCEPT:

18 / 50

When surgically treating a trigger finger in a child, what structure may need to be released in addition to the A-1 pulley?

19 / 50

The muscle that is used for a brunelli repair following scapho-lunate dissociation:

20 / 50

A 30-year-old healthy female sustains a traumatic digit amputation while working at a factory. Which of the following is a relative indication for digit replantation in this patient?

21 / 50

A butcher sustains a traumatic amputation of the ring finger through the distal interphalangeal joint. He is brought to the operating room where the flexor digitorum tendon is retrieved and advanced to the distal stump. Three months after surgery the patient notes that when he makes a fist, only his ring finger tip reaches the palm. What is this patient’s clinical problem?

22 / 50

The median nerve lies immediately ulnar to which of the following structures at the level of the distal radioulnar joint?

23 / 50

What is the most important factor influencing immediate and late outcome of digit replantation?

24 / 50

Which of the following digit amputations may be considered a relative contraindication for a replantation?

25 / 50

All of the following have been implicated in the pathogenesis of Duputryen’s contracture EXCEPT?

26 / 50

Percutaneous screw fixation for non-displaced scaphoid waist fractures has been shown to have which of the following differences compared to closed treatment?

27 / 50

In the majority of patients, the deep palmar arch has a main contribution from what vessel which travels between the two heads of the first dorsal interosseous muscle?

28 / 50

A 32-year-old male sustains a 100% tear of his flexor tendon in the Zone 2 region after cutting his finger with a knife. You plan a one-stage repair of the flexor tendon. Which of the following variables has the greatest effect on increasing the strength of the tendon repair?

29 / 50

Dropped finger in Rheumatoid arthritis is due to:

30 / 50

Extrinsic imbalance from splinting a crushed hand with metacarpophalangeal joint extension causes what characteristic hand deformity?

31 / 50

The muscle that is most commonly ruptured following a distal radius fracture:

32 / 50

Which of the following muscles provide the primary deforming forces to Bennett and Rolando fractures (base of the 1st metacarpal fractures)?

33 / 50

Which of following most appropriately details the anatomic orientation of the digital nerve and artery in the finger?

34 / 50

A 35-year-old female office worker reports 6 months of deep aching on her lateral dominant elbow which worsens with repetitive movements. The pain is located 4cm distal to the lateral epicondyle. She also complains of night pain. What is the most likely diagnosis?

35 / 50

A 22-year-old male snowboarder falls on an outstretched hand and presents with the radiograph shown . Which of the following techniques is MOST important in optimizing biomechanical fixation?

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36 / 50

Which of the following statements is true about force transmission based on wrist position?

37 / 50

Which of the following dorsal wrist compartments is incorrectly paired with its contents?

38 / 50

Apert’s syndrome is caused by a mutation in what gene?

39 / 50

A 31-year-old mother of a 2-month-old infant complains of radial sided wrist pain. Corticosteroid injections should be directed into what anatomic area?

40 / 50

Poor or incomplete resolution of symptoms following first dorsal compartment release for De Quervain’s stenosing tenosynovitis would most likely occur as a result of?

41 / 50

A 42-year-old sustains a left finger injury while attempting to catch a baseball for his son. He presents with left, long finger pain and an inability to extend his middle finger at the distal interphalangeal joint. A radiograph after closed reduction and splinting is shown in Figure A. What is the best course of treatment?

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42 / 50

Flexor tendons of the fingers within Zone 2 receive their primary nutritional supply from:

43 / 50

Approximately what percentage of pre-operative grip strength would be expected 3 months after carpal tunnel release?

44 / 50

A professional baseball player develops acute hand pain after fouling off a pitch. He is tender over the hypothenar eminence and has paresthesias in the ring and small fingers. Which radiographic view is most likely to reveal the pathology?

45 / 50

Madelung’s deformity of the distal radius is caused by which of the following?

46 / 50

What is a potential complication of an amputation at the level of the distal interphalangeal joint?

47 / 50

Chronic injury to what anatomic structure can lead to a boutonneire deformity of the finger?

48 / 50

Which of the following structures is an anatomical component of the triangular fibrocartilage complex?

49 / 50

In an active, high activity level rheumatoid patient with advanced pancarpal and wrist arthritis the most appropriate treatment is?

50 / 50

Which of the following flexor tendon annular pulleys originate from palmar plates overlying joints?

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