Deck 170: Hand and Wrist Pain

Question 1

A patient reports numbness and weakness of the wrist with pain focuses on the radial aspect of the joint. During physical examination, what will the examiner do to help diagnose this condition?

A) Applying press to the focus area
B) Flexing the thumb while placing a finger on the metacarpophalangeal joint
C) Passively extending the thumb and observe for puckering of the skin
D) Placing the thumb on the palm while deviating the hand toward the ulna

Answer 1

A

Question 2

A 40-year-old woman reports pain at the thumb base in one hand radiating to the distal radius. The provider learns that the woman knits for a hobby and is able to elicit the pain by asking the patient to pour water from a pitcher. Which condition is suspected in this patient?

A) Carpal tunnel syndrome
B) Palmar fibrosis
C) De Quervain's Tenosynovitis
D) Trigger finger

Answer 2

C

Question 3

A patient has symptoms of carpal tunnel syndrome. Which diagnostic tests will help confirm this disorder? (Select all that apply.)

A) Anti-nuclear antibody (ANA)
B) Electromyography
C) Erythrocyte sedimentation rate (ESR)
D) Nerve conduction studies
E) Plain radiographs

Answer 3

B, D