Hand Surgery Exam Module — OrthopaedicPrinciples.com

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1. 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 1 of 10)

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

There is no role for intralesional injections of gamma interferon
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.
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.

(Question 2 of 10)

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

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

(Question 3 of 10)

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

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

(Question 4 of 10)

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

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

(Question 5 of 10)

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

Excision of non union ,will provide symptom relief in cases of nonunion of hook of hamate.
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.
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

(Question 6 of 10)

7. The following is true about Viral brachial neuralgia EXCEPT

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

(Question 7 of 10)

8. 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:

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

(Question 8 of 10)

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

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

(Question 9 of 10)

10. 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
Class2A
Class 2B
Class IA

(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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