Hand Surgery Exam Module — OrthopaedicPrinciples.com

This exam must be completed in 15 minutes. Click here to start the exam

1. The peripheral nerve most likely to be involved in brachial plexus injuries associated with medial clavicle fracture is

Nerve of Bell
Median nerve
Ulnar nerve
Radial Nerve
Nerve to Rhomboideus

(Question 1 of 10)

2. The following are true about Dupuytren’s disease except

There is no role for intralesional injections of gamma interferon
A PIP joint flexion contracture more than 15 degrees or a MCP joint flexion contracture more than 30 degrees are considered indications for surgery.
The Cleland’s ligaments are the last to involve.
Recurrence after surgery is as high as 50%
The best predictor for central neurovascular bundle displacement is the presence of a PIP joint flexion contracture.

(Question 2 of 10)

3. The following is true about wartenberg’s syndrome except:

Compression occurs between the brachioradialis and the abductor pollicis longus tendon
It is also known as Cheiralgia paresthetica
It is a compressive neuropathy of the sensory branch of the radial nerve
Forceful forearm pronation provocates the symptom

(Question 3 of 10)

4. A 42 year old manual labourer complains of diminished ROM and grip weakness. Finsterer ‘s sign is positive. Xrays show stage 4 disease according to Lichtman’s classification. The best treatment for him is:

Wrist arthrodesis
STT fusion
Proximal row carpectomy
Radial shortening osteotomy
Revascularization and external fixation

(Question 4 of 10)

5. The causes for swan neck deformity are all except :

DIP mallet finger
FDS rupture
Attentuation of central slip
Attenuation of volar plate

(Question 5 of 10)

6. The following is true about Viral brachial neuralgia EXCEPT

More than 80% patients recover completely in 3 years
MRI reveals intersitial muscle edema
the long thoracic and the suprascapular nerve are commonly affected
Weakness precedes pain
It is also called Parsonage Turner Syndrome or Neuralgic Amyotrophy

(Question 6 of 10)

7. All the following are true about ulnar tunnel syndrome except :

In type III lesions the deep motor branch of the ulnar nerve is usually involved.
Excision of non union ,will provide symptom relief in cases of nonunion of hook of hamate.
MRI may be necessary to identify nerve compression due to ganglia arising from the triquetro-hamate joint.
Thrombosis of the ulnar artery can mimic symptoms of ulnar tunnel syndrome
It can be caused by nonunion of the hook of hamate

(Question 7 of 10)

8. For an unstable scaphoid fracture , following is not true:

Scaphalolunate angle less than 60 degrees
More than 1 mm displacement
Fracture comminution
Trans scaphoid perilunate injury

(Question 8 of 10)

9. A 21 year old man complains of ulnar sided wrist pain . there is tenderness over the distal radioulnar joint but there are no signs of instability. Xrays of wrist are normal. An MR arthrogram reveals a tear of the triangular fibrocartilaginous complex associated with central perforation. The injury can be classified according to palmer as

Class IB
Class 2B
Class IA
Class2A

(Question 9 of 10)

10. What is the most common site of compression of the posterior interosseous nerve?

The distal border of the supinator
The tendinous margin of the extensor carpi radialis brevis muscle
The fibrous bands at the entrance of the radial tunnel
The fan-shaped radial recurrent vessels(the leash of Henry)
The proximal border of the superficial belly of the supinator (the arcade of Frohse)

(Question 10 of 10)

Get explanatory answers from our book,

Post Views: 7,954

Comments

Dr. R.Thakur says

at

Nice effort to spread knowledge,and more important , the awareness.
Dr. A K Tiwari says

at

good questions…………..
Siva Kumar says

at

Thank you so much for the valuable effort
Very useful for post graduates
DR ALI MOHAMMED P says

at

Superb
….
immi says

at

well done

Related Posts

Reader Interactions

Comments

Leave a Reply