FREE JIPMER PG Medical MCQ on 04 December 2016

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 DAILY FREE MCQ CHALLENGE for Medical PG Preparation

Question
A 35 year old man presents to the orthopedic department with complaint of multiple swelling in his fingers associated with restriction of mobility. On examination, contracture of hand was seen with few palpable nodules. Which among the following is the most appropriate diagnosis?

A. Dupuytren Contracture
B. Gout
C. Osteoarthritis
D. De Quervain’s tenovaginitis

TIPSImportant Question from JIPMER 2015

Answer: A. Dupuytren Contracture
Explanation :

Dupuytren Contracture

Dupuytren contracture is thickening of the palmar fascia, which is the layer of tissue between the skin and the underlying tendon sheath. It typically begins as a small nodule or nodules that can grow over time to form cords.  The cords progress slowly and become tender and limit hand function.

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These cords eventually lead to contracture of the digit at the proximal interphalangeal and metacarpophalangeal joints. It is more common in males, and has a hereditary predisposition.

Reference: Shoulder, Elbow, & Hand Injuries. In: LaDou J, Harrison RJ. eds. CURRENT Diagnosis & Treatment: Occupational & Environmental Medicine, 5e. Reference link

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