History and examination of the hand and wrist including special clinical tests

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QUESTION 1 OF 2

A 29-year-old butcher presents after sustaining a palmar knife laceration over the proximal phalanx. He is unable to flex his non-dominant index finger. Neurovascular examination is unremarkable.
What is the most appropriate management plan?

QUESTION ID: 1071

1. A. Four-strand core suture repair with early active mobilisation
2. B. Four-strand core suture repair with position of safe immobilisation (POSI) for 2 weeks
3. C. Monofilament core suture repair with 5mm tendon purchase
4. D. Two-strand core suture repair of FDS and FDP with early active mobilisation
5. E. Urgent ultrasound
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QUESTION 2 OF 2

A 45-year-old female patient presents with a recent history of pain at the tip of her right middle finger. She also complains of hypersensitivity to cold stimulus at the tip of the finger. On examination, a small mass lesion is palpated in the tip and there is slight discolouration of the nailbed.
What is the most likely diagnosis?

QUESTION ID: 1079

1. A. Glomus tumour
2. B. Malignant melanoma of the nail bed
3. C. Mucous cyst
4. D. Osteoid osteoma
5. E. Pulp abscess
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