Hand Surgery Exam Module — OrthopaedicPrinciples.com

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

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
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%

(Question 1 of 10)

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

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

(Question 2 of 10)

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

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

(Question 3 of 10)

4. The following is true about Viral brachial neuralgia EXCEPT

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

(Question 4 of 10)

5. 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
Class IA
Class IB
Class2A

(Question 5 of 10)

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

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

(Question 6 of 10)

7. 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.
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
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
Trans scaphoid perilunate injury
More than 1 mm displacement
Fracture comminution

(Question 8 of 10)

9. 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:

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

(Question 9 of 10)

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

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

(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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