Deck 24: The Forearm, Wrist, Hand, and Fingers

Question 1

Select the symptoms that are related to the injury of the forearm, wrist, hand, and fingers.
Forearm Contusion

A) Pain
B) Ecchymosis
C) Hematoma
D) Swelling
E) Muscular weakness
F) Tenderness
G) Disability
H) Crepitus
I) Deformity

Answer 1

Pain
Ecchymosis
Hematoma
Swelling
Tenderness

Question 2

Select the symptoms that are related to the injury of the forearm, wrist, hand, and fingers.
Forearm Splints

A) Pain
B) Ecchymosis
C) Hematoma
D) Swelling
E) Muscular weakness
F) Tenderness
G) Disability
H) Crepitus
I) Deformity

Answer 2

Pain
Muscular weakness
Tenderness

Question 3

Select the symptoms that are related to the injury of the forearm, wrist, hand, and fingers.
Forearm Fractures

A) Pain
B) Ecchymosis
C) Hematoma
D) Swelling
E) Muscular weakness
F) Tenderness
G) Disability
H) Crepitus
I) Deformity

Answer 3

Pain
Ecchymosis
Swelling
Muscular weakness
Tenderness
Disability
Crepitus
Deformity

Question 4

Select the symptoms that are related to the injury of the forearm, wrist, hand, and fingers.
Colles' Fracture

A) Pain
B) Ecchymosis
C) Hematoma
D) Swelling
E) Muscular weakness
F) Tenderness
G) Disability
H) Crepitus
I) Deformity

Question 5

Please check all of the mechanisms of injury that can cause a triangular fibrocartilage complex (TFCC) injury.

A) Violent twist or torque of the wrist
B) Hyperflexion of the wrist
C) Falling on an outstretched hand
D) Repetitive ulnar deviation
E) Repetitive radial deviation
F) Crushing of the wrist by a helmet, ball, etc

Question 6

Select only the appropriate steps that may be taken when releasing blood from beneath a fingernail.

A) First, coat the injured finger with antifungal cream once the hole is created.
B) Provide open wound follow-up care.
C) Use a high-temperature cautery while using moderate pressure to melt through the nail to the site of the bleeding.
D) Use a needle that has been sanitized by a burning flame.
E) First, coat the injured finger with antibiotic cream once the hole is created.
F) Use a small gauge drill to penetrate the injured nail, using a rotary action.

Question 7

Which of the following statements is true of the middle radioulnar joint?

A) It is an enarthrodial joint that is covered by a thin, fibrous capsule.
B) It is a pivot joint that moves in a ring formed by the ulna and the annular ligament.
C) It is held together by an oblique ligamentous cord and the interosseous membrane.
D) It is a pivot joint formed by the articulation of the head of the ulna with a small notch on the radius.
E) It is held securely by the anterior and posterior radioulnar ligaments.

Question 8

Which of the following cords is a small band of ligamentous fibers that are attached to the lateral side of the ulna and pass downward and laterally to the radius?

A) The oblique cord
B) The posterior cord
C) The medial cord
D) The lateral cord
E) The thoracodorsal cord

Question 9

Which of the following nerves controls the majority of extensor muscles?

A) The median nerve
B) The axillary nerve
C) The ulnar nerve
D) The radial nerve
E) The subscapular nerve

Question 10

Which of the following nerves enters the palm of the hand through the carpal tunnel and supplies three of the four thenar muscles?

A) The median nerve
B) The radial nerve
C) The ulnar nerve
D) The thoracodorsal nerve
E) The subclavian nerve

Question 11

Which of the following nerves supplies most of the flexor muscles of the forearm with the exception of the flexor carpi ulnaris and half of the flexor digitorum profundus?

A) The radial nerve
B) The median nerve
C) The subclavian nerve
D) The ulnar nerve
E) The thoracodorsal nerve

Question 12

Which of the following statements is true of the superior radioulnar joint?

A) It is a false joint that is enclosed in a thin, fibrous capsule.
B) It is held securely by the posterior and anterior radioulnar ligaments.
C) It is a gliding articulation that is separated by a fibrocartilaginous disk.
D) It is a pivot joint that moves in a ring formed by the ulna and the annular ligament.
E) It is held together by an oblique ligamentous cord and the interosseous membrane.

Question 13

What joint classification is the first carpometacarpal joint?

A) The saddle joint
B) The arthrodial joint
C) The ellipsoid joint
D) The hinge joint
E) The flail joint

Question 14

Which of the following is a thenar muscle that pulls the thumb in front of the palm to meet the little finger?

A) The adductor pollicis
B) The opponens pollicis
C) The palmar interossei
D) The dorsal interossei
E) The palmaris brevis

Question 15

How many articulations does the forearm have?

A) One, the middle radioulnar joint between the shafts of the ulna and radius
B) Two, the middle radioulnar joint and distal radioulnar joint.
C) Three, the middle radioulnar joint, distal and superior radioulnar joint
D) Four, the the middle radioulnar joint, distal and superior radioulnar joint, and humeroulnar joint
E) Five, the the middle radioulnar joint, distal and superior radioulnar joint, humeroulnar joint, and humeroradial joint

Question 16

Which of the following is a test for carpal tunnel syndrome?

A) Speed's test
B) Yergason's test
C) Ludington's test
D) Neer's test
E) Phalen's test

Question 17

Which of the following tests is used to determine the function of the radial and ulnar arteries supplying the hand?

A) Speed's test
B) Yergason's test
C) Allen's test
D) Phalen's test
E) Neer's test

Question 18

What other injury can the forearm sustain that is much less common than in the lower leg?

A) High ligament sprain
B) Stress fracture
C) Trigger points
D) Chronic exertional compartment syndrome
E) Muscular strains

Question 19

Which of the following deformities is caused by a palsy of the radial nerve?

A) Benediction deformity
B) Bishop's deformity
C) Claw hand deformity
D) Ape hand deformity
E) Drop wrist deformity

Question 20

Which of the following conditions will occur when a person consistently performs wrist flexion activities?

A) Tendinitis of the flexor digitorum profundus
B) Tendinitis of the abductor pollicis brevis
C) Tendinitis of the flexor carpi ulnaris
D) Tendinitis of the palmaris longus
E) Tendinitis of the flexor figitorum superficialis

Question 21

If a patient is suffering from the problem noted in the figure of the hand, which nerve would be damaged?

A) The ulnar nerve
B) The radial nerve
C) The median nerve
D) The axillary nerve
E) The musculocutaneous nerve

Question 22

What etiology is accurate to the cause of carpal tunnel syndrome?

A) Repetitive wrist flexion
B) Repetitive wrist extension
C) Repetitive radial deviation
D) Repetitive ulnar deviation
E) Repetitive supination

Question 23

Hoffman's disease is another name for which of the following?

A) Kienbock's disease
B) deQuervain's disease
C) Wrist ganglion
D) Mallet finger
E) Triangular fibrocartilage complex injury

Question 24

What carpal bone is the most likely to dislocate?

A) Scaphoid
B) Lunate
C) Hamate
D) Trapezium
E) Pisiform

Question 25

What is the most commonly fractured carpal bone?

A) Scaphoid
B) Lunate
C) Hamate
D) Trapezium
E) Pisiform

Question 26

What motion would cause pain and be indicative of a scaphoid fracture?

A) Downward pressure on the thumb
B) Upward pressure on the thumb
C) Radial flexion
D) Upward pressure on the thumb and radial flexion
E) Downward pressure on the thumb and radial flexion

Question 27

Mallet finger is an injury to which of the following structures?

A) Extensor tendon avulsion
B) Flexor tendon avulsion
C) Extensor tendon strain
D) Flexor tendon strain
E) Subluxation of the flexor tendon

Question 28

If a person presents with a boutonniere deformity, what was the mechanism of injury?

A) DIP is forced into extension and the PIP is forced into flexion
B) DIP and PIP are forced into extension
C) DIP and PIP are forced into flexion
D) DIP is forced into flexion and the PIP is forced into extension
E) DIP has no injury and the PIP is forced into flexion

Question 29

The figure of the wrist, hand, and fingers demonstrates which of the following conditions?

A) Boutonniere deformity
B) Mallet finger
C) Dupuytren's contracture
D) Trigger finger
E) Gamekeepers thumb

Question 30

If a patient complains of pain and swelling over the 5^th metacarpal, what type of fracture may have occurred?

A) Bennett's fracture
B) Distal phalangeal fracture
C) Middle phalangeal fracture
D) Proximal phalangeal fracture
E) Boxer's fracture

Question 31

The diagram represents a taping technique for the wrist, hand, and fingers that could be used for which of the following problems?

A) Tenosynovitis
B) Wrist sprain
C) Nerve compression
D) Nerve entrapment
E) Carpal tunnel

Question 32

If a patient is suffering from the problem noted in the figure of the hand, which nerves would be damaged?

A) Ulnar nerve and radial nerve
B) Radial nerve and median nerve
C) Median nerve and ulnar nerve
D) Ulnar nerve and musculocutaneous nerve
E) Musculocutaneous nerve and median nerve

Question 33

A tennis player has severe pain near the base of her fourth and fifth metacarpals after accidentally hitting her racket on the court after diving for a ball. What could possibly be the problem?

A) A scaphoid fracture
B) A lunate dislocation
C) A hamate fracture
D) Carpal tunnel
E) Nerve entrapment

Question 34

If a patient complains of pain and swelling over the thumb, what type of fracture may have occurred?

A) Bennett's fracture
B) Distal phalangeal fracture
C) Middle phalangeal fracture
D) Proximal phalangeal fracture
E) Boxer's fracture

Question 35

Which of the following would be an inappropriate body structure to palpate during the palpation section of the forearm?

A) Olecranon process
B) Lumbrical muscles
C) Extensor retinaculum
D) Pronator quadrates muscle
E) Radial artery

Question 36

Where is the triangular fibrocartilage complex (TFCC) located in the wrist and hand?

A) It is interposed between the head of the ulna and the triquetral bone.
B) It is the opening of the carpal tunnel that allows structures to pass through to the hand.
C) It is interposed between the trapezoid and the scaphoid bones of the carpal region.
D) It is the tunnel under the extensor retinaculum that allows structures to pass through to the hand.
E) It is interposed between the 5^th metacarpal phalangeal base and the pisiform bone.

Question 37

The radiocarpal joint is a condyloid joint. What does this mean?

A) A condyloid joint is an articulation between two irregular-shaped bones.
B) A condyloid joint is an articulation that allows movement around two axis.
C) A condyloid joint is an articulation that allows gliding.
D) A condyloid joint is an articulation that allows movements except axial rotation.
E) A condyloid joint is an articulation that is connected by fibrous tissue.

Question 38

What joint classification is the first carpometacarpal joint?

A) Saddle joint
B) Arthrodial joint
C) Ellipsoid joint
D) Hinge joint
E) Flail joint

Question 39

What nerve can become compressed in the carpal tunnel?

A) Radial nerve
B) Median nerve
C) Ulnar nerve
D) Musculocutaneous nerve
E) Posterior antebrachial cutaneous nerve

Question 40

What will be a sign or symptom of tenosynovitis as compared to tendinitis?

A) Pain with passive stretching
B) Isometric exercises produce pain
C) Isometric exercises produce weakness
D) Isometric exercises produce pain and weakness
E) Tenderness and pain over the tendon

Question 41

If a patient is suffering from Bishop's hand, what nerve has been damaged?

A) Ulnar nerve
B) Radial nerve
C) Median nerve
D) Axillary nerve
E) Musculocutaneous nerve

Question 42

What problem or condition is noted in this figure of the wrist, hand, and finger?

A) A hamate fracture
B) A wrist ganglion
C) A dislocated lunate
D) Triangular fibrocartilage complex injury
E) Colle's fracture

Question 43

A rupture of the flexor digitorum profundus is also referred to as which of the following?

A) Boutinniere deformity
B) Mallet finger
C) Jersey finger
D) Trigger finger
E) Gamekeepers thumb

Question 44

What rehabilitation technique is the patient doing in the two figures to address the median and radial nerve?

A) Levator scapulae static stretches
B) Active release therapy
C) Neural tension / flossing stretches
D) Positional release therapy
E) Sternocleidomastoid dynamic stretches

Question 45

What is the only clinical prediction rule used for the hand?

A) deQuervains for tenosynovitis
B) Scapholunate dislocation
C) Triangular fibrocartilage complex injury
D) Carpal tunnel syndrome
E) Hook of the hamate fracture