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Pain in the forearm 02

Topic: Adult

Created on Saturday, April 18 2009 by jdmiles

Last modified on Saturday, April 18 2009.

A 25 year-old woman presents complaining of pain and tingling in her right arm. The pain is in her wrist, forearm, and elbow. The tingling is in her thumb and index finger. She says it's been going on for about 4 weeks, and getting worse. It frequently wakes her up at night. When it does, she shakes it out, and after a few minutes it feels better. She is diabetic, has hypothyroidism, and is 9 months pregnant. She works as a cashier. Which of the following is a NOT predisposing factor for carpal tunnel syndrome?

 
        A) Age under 30
 
        B) Obesity
 
        C) Pregnancy
 
        D) An occupation involving repetitive use of the hands
 
        E) Female gender
 

 


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This question was created on April 18, 2009 by jdmiles.
This question was last modified on April 18, 2009.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ANSWERS AND EXPLANATIONS




A) Age under 30

This answer is correct.


CTS can occur in the young and old alike, but the peak incidence is in the 40s and 50s.   (See References)

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B) obesity

This answer is incorrect.


Obesity is associated with a higher risk for CTS.   (See References)

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C) pregnancy

This answer is incorrect.


Pregnancy is associated with a higher risk for CTS.   (See References)

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D) an occupation involving repetitive use of the hands

This answer is incorrect.


An occupation involving repetitive use of the hands is associated with a higher risk for CTS.   (See References)

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E) female gender

This answer is incorrect.


Women are almost twice as likely to get CTS than men.   (See References)

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References:

1. Preston, D.C., and Shapiro, B.E. (2005). Electromyography and Neuromuscular Disorders: Clinical-Electrophysiologic Correlations, 2nd Edition. Elsevier, Philadelphia. (ISBN:075067492X) Advertising:
2. Gelfman, R., Melton, L.J., Yawn, B.P., Wollan, P.C., Amadio, P.C., and Stevens, J.C. (2009). "Long-term trends in carpal tunnel syndrome." Neurology, 72(1) 33-41. (PMID:19122028)
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adult
Pain in the forearm 02
Question ID: 041809060
Question written by J. Douglas Miles, (C) 2006-2009, all rights reserved.
Created: 04/18/2009
Modified: 04/18/2009
Estimated Permutations: 600

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