Hand Surgery Indian Medical PG Practice Questions and MCQs
Practice Indian Medical PG questions for Hand Surgery. These multiple choice questions (MCQs) cover important concepts and help you prepare for your exams.
Hand Surgery Indian Medical PG Question 1: A patient at the orthopedics OPD complains of troubled sleep at night due to numbness and tingling sensation involving his lateral 3 digits. His symptoms are relieved as he lays his arms hanging from the bed. Which of the following options correctly describes his condition and the test used to assess it?
- A. Guyon's canal syndrome, Froment's test
- B. Carpal tunnel syndrome, Froment's test
- C. Guyon's canal syndrome, Durkan's test
- D. Carpal tunnel syndrome, Durkan's test (Correct Answer)
Hand Surgery Explanation: ***Carpal tunnel syndrome, Durkan's test***
- The symptoms of **numbness and tingling** in the **lateral 3 digits** (thumb, index, middle, and radial half of the ring finger) are classic for **carpal tunnel syndrome (CTS)**, caused by compression of the **median nerve**. Relief with hanging the arm is due to gravity reducing swelling and pressure.
- **Durkan's test** (or **median nerve compression test**) is highly specific for CTS. It involves direct pressure over the carpal tunnel, reproducing symptoms within 30 seconds.
*Guyon's canal syndrome, Froment's test*
- **Guyon's canal syndrome** involves compression of the **ulnar nerve** at the wrist, primarily affecting the **little finger** and the **ulnar half of the ring finger**, not the lateral 3 digits.
- **Froment's test** assesses **ulnar nerve palsy** by observing the strength of adductor pollicis during a pinch grip, which is unrelated to median nerve compression.
*Carpal tunnel syndrome, Froment's test*
- While **carpal tunnel syndrome** is correctly identified based on the symptoms, **Froment's test** is not used to assess it.
- As mentioned, Froment's test evaluates **ulnar nerve function**, particularly the adductor pollicis muscle.
*Guyon's canal syndrome, Durkan's test*
- The symptoms described (lateral 3 digits) are inconsistent with **Guyon's canal syndrome**, which affects the ulnar nerve distribution.
- Although **Durkan's test** is appropriate for carpal tunnel syndrome, the diagnosis for Guyon's canal syndrome is incorrect.
Hand Surgery Indian Medical PG Question 2: What is the condition commonly known as jumper's knee?
- A. Inflammation of the patellar tendon at its insertion on the patella.
- B. Tendinopathy of the quadriceps tendon.
- C. Injury to the hamstring tendon.
- D. Patellar tendonitis due to overuse of the patellar tendon. (Correct Answer)
Hand Surgery Explanation: ***Patellar tendonitis due to overuse of the patellar tendon.***
- **Jumper's knee** is the common term for **patellar tendonitis**, which specifically refers to inflammation of the patellar tendon.
- This condition is frequently caused by **overuse**, especially in activities involving repetitive jumping and landing.
*Inflammation of the patellar tendon at its insertion on the patella.*
- While jumper's knee does involve inflammation of the patellar tendon, it is more commonly at its insertion on the **tibial tubercle** or specifically its origin at the **inferior pole of the patella**, not necessarily at the patella itself.
- This option is less precise as it describes only one aspect of the condition without mentioning the critical role of overuse.
*Tendinopathy of the quadriceps tendon.*
- **Tendinopathy of the quadriceps tendon** is a distinct condition affecting the tendon above the patella, known as **quadriceps tendinopathy**.
- It presents with pain proximal to the patella, differentiating it from jumper's knee, which involves the tendon distal to the patella.
*Injury to the hamstring tendon.*
- An **injury to the hamstring tendon** would cause pain and symptoms on the posterior aspect of the knee or thigh.
- This is completely unrelated to jumper's knee, which is characterized by anterior knee pain.
Hand Surgery Indian Medical PG Question 3: The structure that integrates impulses for eye-hand coordination is:
- A. Pretectal nucleus
- B. Superior colliculus (Correct Answer)
- C. Frontal eye field
- D. Area 17
Hand Surgery Explanation: ***Superior colliculus***
- The **superior colliculus** is a crucial midbrain structure that plays a significant role in integrating visual, auditory, and somatosensory information to direct **saccadic eye movements** and orienting behaviors.
- Its output projects to motor centers, facilitating **eye-hand coordination** by linking visual targets with appropriate motor responses.
*Pretectal nucleus*
- The **pretectal nucleus** is primarily involved in mediating the **pupillary light reflex**, controlling pupil constriction in response to light.
- While it processes visual information, its main function is not direct eye-hand coordination.
*Frontal eye field*
- The **frontal eye field** is a part of the cerebral cortex involved in the voluntary control of eye movements, particularly **saccades**.
- It plans and initiates eye movements but does not directly integrate sensory input for eye-hand coordination in the same way the superior colliculus does.
*Area 17*
- **Area 17**, also known as the **primary visual cortex (V1)**, is responsible for the initial processing of visual information, including detecting edges, orientations, and colors.
- It is foundational for vision but does not directly integrate multimodal sensory input for coordinating eye and hand movements.
Hand Surgery Indian Medical PG Question 4: Consider the following :
1. Pain relief
2. Prevention of infection
3. Anaesthesia
4. Restoration of anatomy Which of the features given above are priorities for fracture treatment?
- A. 2, 3 and 4
- B. 1, 2 and 3
- C. 1, 3 and 4 (Correct Answer)
- D. 1, 2 and 4
Hand Surgery Explanation: **1, 3 and 4**
- **Priorities in fracture treatment** always include alleviating pain, which can be severe and debilitating.
- **Restoration of normal anatomy** is crucial for proper healing and optimal function of the fractured limb.
- **Anesthesia** is often required to facilitate reduction and fixation of a fracture, as well as to manage pain during the procedure.
*2, 3 and 4*
- While **anesthesia** and **restoration of anatomy** are priorities, **prevention of infection** is primarily a concern for **open fractures** or surgical interventions.
- **Pain relief** is a fundamental and immediate concern in all fracture cases, which is omitted in this option.
*1, 2 and 3*
- **Pain relief** and **anesthesia** are critical, and **prevention of infection** is important, but this option neglects the essential goal of **restoring anatomical alignment**.
- **Restoring anatomy** directly impacts the long-term functional outcome and is a major goal of fracture management.
*1, 2 and 4*
- This option correctly identifies **pain relief**, **prevention of infection**, and **restoration of anatomy** as important.
- However, it overlooks the immediate necessity of **anesthesia** to effectively manage pain during treatment procedures and allow for fracture reduction.
Hand Surgery Indian Medical PG Question 5: Consider the following statements regarding needle stick injuries:
1. Injured part should be washed under running water
2. Dominant index finger is the commonest site for needle stick injury
3. All needle stick injuries should be reported
4. Hepatitis/HIV testing should be done after needle stick injury Which of the statements given above are correct?
- A. 1, 2 and 3
- B. 1, 3 and 4 (Correct Answer)
- C. 1, 2 and 4
- D. 2, 3 and 4
Hand Surgery Explanation: ***1, 3 and 4***
- All **needle stick injuries** expose healthcare workers to potential bloodborne pathogens, making immediate action, reporting, and testing crucial for **risk assessment** and **post-exposure prophylaxis**.
- **Washing the injured part** helps reduce pathogen load, reporting ensures proper investigation and documentation, and testing helps monitor for infection and guide treatment.
*1, 2 and 3*
- While statements 1 and 3 are correct, statement 2, claiming the **dominant index finger** is the commonest site, is generally incorrect; the **non-dominant hand** is often at higher risk during procedures.
- Furthermore, statement 4 regarding **Hepatitis/HIV testing** is a critical component of post-exposure management that is omitted from this option.
*1, 2 and 4*
- Statements 1 and 4 are correct, but as noted, statement 2 about the **dominant index finger** being the commonest site is typically false, with **non-dominant hand** injuries being more frequent.
- This option also incorrectly omits the essential step of **reporting all needle stick injuries**, which is vital for surveillance and appropriate follow-up.
*2, 3 and 4*
- This option incorrectly includes the statement that the **dominant index finger** is the commonest site for needle stick injury.
- It also fails to include the crucial first step of immediately **washing the injured part** under running water, which is fundamental to initial management.
More Hand Surgery Indian Medical PG questions available in the OnCourse app. Practice MCQs, flashcards, and get detailed explanations.
