ABSTRACT

CLINICAL HISTORY 1. When taking a history from a patient with osteoarthritis of the hands, which one

of the following would be unusual? A. Pain that is worse in the morning B. Perceived weakness of grip C. Pain that affects sleeping patterns

D. Increased discomfort with joint loading and movement

E. Involvement of the IP joint and wrist

PLAIN RADIOGRAPHS IN OSTEOARTHRITIS 2. Which one of the following tends to be an early finding of osteoarthritis on plain

radiographs? A. Joint space narrowing B. Joint space widening C. Joint subluxation

D. Subchondral sclerosis/eburnation E. Osteophytes and periarticular erosions

IMAGING FOR OSTEOARTHRITIS OF THE THUMB 3. Which one of the following radiographic views gives a true anteroposterior

image of the thumb? A. Waters’ view B. Bett’s view C. Robert’s view

D. Eaton stress view E. Towne’s view

JOINT INVOLVEMENT WITH OSTEOARTHRITIS 4. Which one of the following first ray joints is most commonly affected by

osteoarthritis? A. DIP joint B. PIP joint C. MP joint

D. CMC joint E. STT joint

EXAMINATION OF THE OSTEOARTHRITIC HAND 5. When examining a patient with osteoarthritis of the hand, where would you

expect to find Heberden nodes? A. DIP joint B. PIP joint C. MP joint

D. Overlying the metacarpal E. At the wrist

See Essentials of Plastic Surgery, second edition, pp. 1017-1025.