Hand Surgery Exam Module — OrthopaedicPrinciples.com

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1. 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:

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

(Question 1 of 10)

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

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

(Question 2 of 10)

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

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

(Question 3 of 10)

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

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

(Question 4 of 10)

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

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

(Question 5 of 10)

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

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

(Question 6 of 10)

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

MRI may be necessary to identify nerve compression due to ganglia arising from the triquetro-hamate joint.
It can be caused by nonunion of the hook of hamate
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.
Thrombosis of the ulnar artery can mimic symptoms of ulnar tunnel syndrome

(Question 7 of 10)

8. 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 2B
Class2A
Class IA
Class IB

(Question 8 of 10)

9. The following is true about Viral brachial neuralgia EXCEPT

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

(Question 9 of 10)

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

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

(Question 10 of 10)

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Comments

Dr. R.Thakur says

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

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good questions…………..
Siva Kumar says

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

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Superb
….
immi says

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well done

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