Hand 2nd deformity

  1. What is the key joint affected in Trapeziometacarpal (TMC) osteoarthritis?
    • a) Proximal interphalangeal joint
    • b) Distal interphalangeal joint
    • c) Trapeziometacarpal joint
    • d) Scaphoid bone
    • Answer: c) Trapeziometacarpal joint
  2. Which ligament is the main stabilizer of the TMC joint?
    • a) Dorsal ligament
    • b) Lateral ligament
    • c) Beak ligament
    • d) Ulnar ligament
    • Answer: c) Beak ligament
  3. What is a common symptom of TMC osteoarthritis?
    • a) Thumb extension limitation
    • b) Pain during forceful pinch grip
    • c) Radial deviation of the wrist
    • d) Swelling in the palm
    • Answer: b) Pain during forceful pinch grip
  4. Which test is commonly used for diagnosing TMC OA?
    • a) Elson test
    • b) Grind test
    • c) Tinel’s test
    • d) Finkelstein’s test
    • Answer: b) Grind test
  5. What is the first-line conservative treatment for TMC OA?
    • a) Joint fusion
    • b) NSAIDs and splinting
    • c) Tendon repair
    • d) Excision arthroplasty
    • Answer: b) NSAIDs and splinting
  6. What is a common complication following surgery for TMC OA?
    • a) Hematoma
    • b) Radial nerve palsy
    • c) Fracture of the trapezium
    • d) Infection
    • Answer: d) Infection
  7. What is Dupuytren’s Disease primarily characterized by?
    • a) Ligament rupture
    • b) Contractures in the palmar fascia
    • c) Fractures of metacarpals
    • d) Synovial cysts
    • Answer: b) Contractures in the palmar fascia
  8. Which of the following is NOT a risk factor for Dupuytren’s Disease?
    • a) Diabetes Mellitus
    • b) Alcoholism
    • c) Rheumatoid arthritis
    • d) HIV
    • Answer: c) Rheumatoid arthritis
  9. What type of deformity does Boutonniere deformity involve?
    • a) DIP flexion and PIP extension
    • b) PIP flexion and DIP extension
    • c) MCP flexion and PIP extension
    • d) Flexion of all joints
    • Answer: b) PIP flexion and DIP extension
  10. What is a key treatment for severe cases of Dupuytren’s Disease?
    • a) NSAIDs
    • b) Limited palmar fasciectomy
    • c) Tendon release surgery
    • d) Joint replacement
    • Answer: b) Limited palmar fasciectomy
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