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Carpal Tunnel Syndrome (PG)
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1. What is the most common symptom of carpal tunnel syndrome?
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Shoulder pain
Neck stiffness
Numbness or tingling in the thumb, index, and middle fingers
Elbow tenderness
2. Which nerve is compressed in carpal tunnel syndrome?
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Radial nerve
Median nerve
Ulnar nerve
Axillary nerve
3. Which test involves tapping over the median nerve to elicit symptoms?
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Tinel's sign
Finkelstein's test
Phalen's test
Neer’s test
4. Which of the following is NOT a risk factor for carpal tunnel syndrome?
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Pregnancy
Diabetes
Hypothyroidism
Hypertension
5. What is the typical first-line management in mild carpal tunnel syndrome?
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Surgical decompression
NSAIDs
Night splints
Oral corticosteroids
6. What is the purpose of a nerve conduction study in suspected carpal tunnel syndrome?
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To visualise bone damage
To assess muscle strength
To confirm median nerve compression
To rule out infection
7. In severe or refractory cases of carpal tunnel syndrome, what is the definitive treatment?
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Physiotherapy
Wrist casting
Surgical decompression
Electrotherapy
8. Which condition is commonly associated with bilateral carpal tunnel syndrome?
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Osteoarthritis
Chronic renal failure
Heart failure
Migraine
9. Which physical sign supports the diagnosis of carpal tunnel syndrome?
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Positive Hawkins test
Atrophy of the thenar eminence
Pain on resisted wrist flexion
Elbow joint effusion
10. Phalen’s test is positive when:
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Wrist flexion reproduces symptoms within 60 seconds
Neck extension causes arm pain
Tapping the ulnar nerve causes tingling
Elbow is held in extension for 2 minutes
11. Which lifestyle change may help reduce symptoms of carpal tunnel syndrome?
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Increase screen time
Elevate the hand while sleeping
Reduce hand movements
Wear heavy gloves
12. Which occupation is most associated with carpal tunnel syndrome?
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Gardener
Office worker with repetitive hand tasks
Postman
Driver
13. What is a common feature of carpal tunnel syndrome at night
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Facial flushing
Neck spasm
Waking with hand numbness
Hip pain
14. Which muscle may show weakness in advanced carpal tunnel syndrome?
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Abductor pollicis brevis
Biceps brachii
Flexor carpi ulnaris
Trapezius
15. What is the main anatomical structure forming the roof of the carpal tunnel?
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Flexor retinaculum
Extensor retinaculum
Palmar aponeurosis
Median nerve
16. In which condition is carpal tunnel syndrome more likely to resolve spontaneously?
*
Thyroid disease
Cervical spondylosis
Rheumatoid arthritis
Pregnancy-related CTS
17. Which imaging modality is sometimes used to evaluate carpal tunnel syndrome?
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X-ray
Bone scan
CT scan
Ultrasound
18. What structure is compressed in the carpal tunnel that leads to sensory and motor symptoms?
*
Median nerve
Ulnar nerve
Radial artery
Flexor digitorum tendon
19. Which hand area is typically unaffected in carpal tunnel syndrome?
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Thumb
Index finger
Middle finger
Little finger
20. How long should conservative management be trialled before considering surgery in mild CTS?
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1–2 days
1–2 weeks
6 weeks to 3 months
6 months to 1 year