HIGH YIELD

Question 1

thumb and 1st finger dysthesia affected as a result in median nerve compression, what is this syndrome?

what muscles are affected?

Answer 1

carpal tunnel syndrome

all flexors of the wrist except FCU and FDP digits 4/5

Question 2

predisposing factors of carpal tunnel syndrome?

Answer 2

congenitally narrow carpal canal

repetitive hand use

pregnancy, wrist edema

med conditions like hypothyroidism, DM, acromegaly, RA and amyloidosis

Question 3

best test for carpal tunnel syndrome?

Answer 3

phalen manuever, most common and most sensitive

reproduction of paraesthesia in 1-2 minutes of wrist flexion

Question 4

most common presenting symptom?

Answer 4

nocturnal hand paresthesia with or without pain

pain in hand, wrist, forearm and shoulder but no numbness in shoulder

Question 5

inconsistent symptoms?

Answer 5

neck and shoulder pain
-cervical radiculopathy, c6/c7

radicular pain

Question 6

neuralgia parenthetic is what type of nerve entrapment?

d/t?

s/s?

Answer 6

lateral femoral cutaneous nerve entrapment

pregnancy, obesity, DM

numbness and pain, burning and stinging, hyperesthesia and allodynia, trouser pocket area**

Question 7

most common lower extremity nerve entrapment?

this precipitates?

Answer 7

peroneal mononeuropathy

peroneal nerve palsy is acute in periorperative compression and trauma

also due to lesions on sciatic nerve

Question 8

this is an uncommon entrapment neuropathy and not common in pregnancy?

Answer 8

tarsal tunnel syndrome

Question 9

what is diagnostic of tarsal tunnel syndrome?

Answer 9

asymmetrical slowing or absence of one or both plantar responses