tailieunhanh - Ebook NMS Q&A family medicine (3/E): Part 2

Part 2 book “NMS Q&A family medicine” has contents: Musculoskeletal and rheumatological diseases in primary care, infectious diseases in primary care, endocrinology in primary care, preventive health care, allergies, behavior and psychology in primary care, miscellaneous areas of clinical practice. | SECTION IX Musculoskeletal and Rheumatological Diseases in Primary Care chapter 23 Musculoskeletal Problems of the Upper Extremities Examination questions: Unless instructed otherwise, choose the ONE lettered answer or completion that is BEST in each case. 1 A 32-year-old female, employed for 2 years in an assembly line, complains to her family doctor of wrist and hand pain increasing over 2 weeks. She has worked with her hands and wrists handling small part and feeding them into an automated machine 100 times per hour, with 30 minutes for lunch break and two 15-minute rest periods. She denies numbness in the extremities. There is no tenderness ventrally over the radius or between the extensor tendons of the thumb. However, on further examination, she complains of pain when the doctor asks her to make a fist and then to ulnar deviate the wrist. This maneuver causes pain in the radial aspect of the wrist. There is tenderness to palpation over the radial styloid near the base of the metacarpal of the thumb. Which of the following is the diagnosis? (A) Carpal tunnel syndrome (B) DeQuervain syndrome (C) Occult scaphoid fracture (D) Stress fracture of the distal radius (E) Reflex sympathetic dystrophy 2 A 25-year-old woman fell onto her outstretched hand and incurred a fracture of the distal radius that appears to be virtually non-displaced. Which of the following would be appropriate for treating this fracture during the acute phase in the family doctor’s office? (A) Volar splint extending from the mid forearm to the distal palmar crease. 143 143 6/23/11 3:55:04 PM 144 NMS Q&A Family Medicine (B) Long arm posterior splint extending from the axilla over the 90 degree flexed elbow to the proximal palmar crease (C) Short arm cast extending from the proximal forearm to the distal palmar crease (D) Long arm cast from the mid humerus to the distal palmar crease (E) Sugar-tong splint from the elbow to the distal palmar crease 3 A .