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Hand Surgery Quiz

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1 / 50

A 50-year-old woman is diagnosed with carpal tunnel syndrome. She is prescribed a cock-up wrist splint at 30 degrees of extension to wear at night. This splint has what effect on the carpal tunnel?

2 / 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?

3 / 50

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

4 / 50

A 23-year-old presents with a knife laceration in the flexor zone 2 of the hand. Examination of the wound is performed and a laceration of the flexor tendon one-half the width of the tendon is identified. There is no triggering present as the patient’s finger is passively extended and flexed fully. The most appropriate treatment is:

5 / 50

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

6 / 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:

7 / 50

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

8 / 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?

9 / 50

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

10 / 50

Which of the above diagnosis is most likely: Small firm spherical mass in line with the flexor tendon at the proximal interphalangeal joint?

11 / 50

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

12 / 50

A 22-year-old rugby player presents with a mass at the base of his ring finger 5 months after sustaining an injury while making a tackle. Physical examination demonstrates a lack of active distal interphalangeal joint flexion, but full passive range of motion of all joints of the ring finger. Radiographs are normal. What is the most appropriate treatment to regain normal finger function?

13 / 50

A 54-year-old female presents with a hand deformity. A surgical procedure is being considered that relocates the lateral bands dorsally to counteract the pathophysiology of the deformity. Which of the following deformities does this patient most likely have?

14 / 50

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

15 / 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?

16 / 50

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

17 / 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?

18 / 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?

19 / 50

A 32-year-old male sustains a type IIIb open proximal third tibia fracture. Four days after intramedullary nailing of the tibia, the wound is clean and ready for coverage with a medial gastrocnemius rotational flap. What is the dominant arterial blood supply to this flap?

20 / 50

What is the most important variable when determining treatment of a hypoplastic thumb?

21 / 50

All of the following are considered the cardinal signs of flexor tenosynovitis EXCEPT:

22 / 50

Which of the following skeletal dysplasias is caused by a sex linked mutation of the short stature homeobox (SHOX) gene?

23 / 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:

24 / 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?

25 / 50

All of the following are possible sites of compression for the ulnar nerve EXCEPT:

26 / 50

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

27 / 50

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

28 / 50

All of the following are contents of the carpal tunnel EXCEPT:

29 / 50

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

30 / 50

The most appropriate procedure for the extensor digitorum communis to the little finger and extensor digiti minimi rupture in patient with rheumatoid arthritis is?

31 / 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?

32 / 50

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

33 / 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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34 / 50

A 43 year old domestic worker woman presents with pain and swelling proximal to the radial styloid for several weeks. She has no systemic symptoms:

35 / 50

The following is not a cause of intrinsic muscle shortening (Intrisic Plus deformity):

36 / 50

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

37 / 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?

38 / 50

A 44-year-old man presents with ulnar-sided right wrist pain and mild constant tingling in the fourth and fifth digits after injuring his wrist while playing golf. Although pain and function have improved with conservative treatment 6 months following the injury, he still reports difficulty with his golf game. Which of the following should initially be obtained in this patient to aide in the diagnosis?

39 / 50

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

40 / 50

You have decided to perform a thenar flap for coverage on a patient following a partial fingertip amputation. What should you advise your patient is a likely risk of this type of coverage?

41 / 50

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

42 / 50

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

43 / 50

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

44 / 50

Which of the following patients with Dupuytren’s contracture would benefit the most from dermatofasciectomy and full-thickness skin grafting opposed to traditional fasciectomy?

45 / 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?

46 / 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:

47 / 50

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

48 / 50

Syndactyly is associated with all of the following conditions EXCEPT?

49 / 50

An open dorsal approach for antegrade screw fixation of a nondisplaced scaphoid waist fracture differs in which of the following ways compared to a percutaneous dorsal approach?

50 / 50

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

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