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Chapter 44. Hand Surgery
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All of the following are true about applying a cast to the hand, except
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A. The wrist should be extended 30 degrees.
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B. The fingers should be flexed.
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C. The thumb should be in the opposed (pronated) position.
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D. The hand should be in the position of rest.
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E. Fiberglass casting materials are preferred for their flexibility.
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The correct answer is D. The hand should be in the position of rest
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Incisions on the hand should be
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A. Never made on the palm
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B. Across lines of tension
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C. Only made along the medial and lateral surfaces of the fingers
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D. Zigzagged across lines of tension
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E. Carried perpendicularly across the wrist crease
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The correct answer is D. Zigzagged across lines of tension
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Major congenital hand anomalies
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A. Occur in about 1 in 10,000 live births
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B. Can include camptodactyly
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C. Are rarely accompanied by other anomalies (< 1%)
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D. Are not known to be associated with environmental factors
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E. Are usually treated by surgery delayed until after age 15 years
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The correct answer is B. Can include camptodactyly
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A. Can be treated by local injections of corticosteroid
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B. Is usually best treated by early surgery
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C. Is always associated with a locked tendon that is trapped and frozen in the tendon sheath
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D. Can be confused with trigger finger or thumb, and must be differentiated
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E. Can be improved with immobilization
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The correct answer is A. Can be treated by local injections of corticosteroid
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Management of carpal tunnel syndrome
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A. Typically requires emergent operation
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B. Cannot be done by endoscopic approaches
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C. Should usually include incision of ...