Weekly Quiz 23 - UE Recon
Quiz by Miguel Dorante
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- Q1
A 55-year-old woman comes to the office with progressive swelling around the wrist. Tendon rupture is suspected. Which of the following tendons is most likely to rupture in a patient with rheumatoid arthritis?
Extensor digitorum communis
Extensor digitorum manus
Extensor pollicis longus
Flexor digitorum profundus
Flexor pollicis longus
120s - Q2
A 42-year-old man sustains an avulsion injury to the index finger of the left hand after it is caught in a piece of machinery. He says he needs to return to his job as a manual laborer as soon as possible. The bone of the proximal phalanx is exposed. The avulsed segment of the finger includes the distal and middle phalanges and soft tissue to the level of the mid-proximal phalanx, along with segments of tendons, nerves, and vessels. Which of the following is the most appropriate management?
Coverage with a groin flap
Coverage with a reverse radial forearm flap
Microvascular replantation
Revision amputation
Skin grafting
120s - Q3
During coverage of a defect with a reverse cross-finger flap, which of the following is the most appropriate location for application of a full-thickness skin graft?
Dorsal surface of the middle phalanx of the donor finger
Dorsal surface of the middle phalanx of the recipient finger
Volar surface of the distal phalanx of the donor finger
Volar surface of the distal phalanx of the recipient finger
Volar surface of the middle phalanx of the donor finger
120s - Q4
A 65-year-old right-hand–dominant man comes to the office because of Dupuytren contracture of the metacarpophalangeal joints of the ring and little fingers of the left hand with a 40-degree flexion deformity of the proximal interphalangeal (PIP) joint of the little finger. The PIP joint of the ring finger is not involved. He has no history of trauma. Palmar fasciectomies are performed, but no improvement of the little finger PIP joint contracture is noted intraoperatively. Which of the following is the most appropriate next step?
Administration of collagenase
Excision of collateral ligaments
Percutaneous fixation of the PIP joint in forced extension
PIP joint capsulotomy
Release of the checkrein ligaments of the PIP joint
120s - Q5
A 25-year-old man is evaluated for thumb reconstruction after failed replantation just distal to the metacarpophalangeal (MCP) joint. The amputation was a sharp injury with no avulsion component. A photograph is shown. Which of the following is the dominant arterial pedicle for the most appropriate flap for reconstruction?
First dorsal metatarsal artery
Lateral plantar artery
Peroneal artery
Radial artery
Superficial circumflex iliac artery
120s
