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Evaluating the Wrist: Back to the Basics

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1.  Which bone in the wrist has 80% of force transmitted through it with grip and loading? Radius Ulna Scaphoid Lunate

2.  Which anatomical marker in the carpus can be used to determine if there is a ligament injury in the wrist? Distal wrist crease Lines of Gilula Distal palmar crease Transverse arc

3.  The patient presents after a FOOSH injury and pain with palpation in the anatomical snuffbox. What type of injury might you be suspicious is present? ECU tendinitis Acute carpal tunnel Scaphoid Fracture TFCC tear

4.  Which assessment listed below would NOT be an appropriate measure of functional restriction for someone with a wrist injury? Simple Shoulder Test DASH PRWE Quick DASH

5.  Which subjective measure of pain looks at more than just intensity of pain? Numeric Rating Scale Visual Analogue Scale Verbal Rating Scale Pain Catastrophizing Scale

6.  Paresthesia with which test is indicative of median nerve compression in the carpal canal? Bent Elbow test Phalen's Test Ballottement Test Shear Test

7.  Distal radioulnar joint (DRUJ) instability can be tested with the: Piano Key Test Sulcus Sign Snuffbox Compression Test Finkelstein's

8.  I am evaluating a patient with a distal radius fracture and my physician orders state "eval and treat AROM". What test would I decide NOT to perform because of these orders? AROM of Wrist Flexion AROM of Wrist Extension Grip Strength Testing Semmes Weinstein Test

9.  The patient presents to you with no clear injury but over time she reports that she has numbness and tingling in her middle finger, index finger, and thumb causing her to drop things. What anatomical structure would suspect as the source of these symptoms? Cubital Tunnel Distal Radius TFCC Carpal Tunnel

10.  When testing grip strength, the arm should be in what position? Elbow at 90, forearm and wrist neutral Elbow at 45 , forearm pronated and wrist neutral Elbow at 90, forearm pronated and wrist neutral Elbow at 45, forearm and wrist neutral