NM703 MSK Exam Questions with Revised
Answers| Verified 100% Correct
what is CTS - ✔✔-median nerve compression
-often d/t overuse, repetitive hand motion
CTS stats - ✔✔3x more common in women
repetitive hand movements that may cause CTS - ✔✔-typing
-sewing
-knitting
CTS risk factors - ✔✔-repetitive motion
-weight gain (esp. quick)
-pregnancy
-swelling
-diabetes
-hypothyroid
CTS subjective - ✔✔-pain/numbness/tingling in palm (esp. thumb and first 2-3
fingers)
-loss of grip strength over time
-aching pins and needles, wakes up from sleep
CTS objective - ✔✔-Tinel test (Tapping over medial nerve)
, -Phalen (back of hands together with fingers pointing down
symptoms occur w/in 1 minute
swelling, decreased ROM
CTS differentials - ✔✔-other nerve related stuff
-cervical disc disease
-cervical spondylosis
cervical shit
CTS management - ✔✔-first line: neutral position splints (at night)
-activity change
-OTC pain reliever (APAP if pregnant)
-steroids
NSAIDs in pregnancy - ✔✔avoid, esp. in third trimester
can cause premature ductus arteriosis closure
steroids in pregnancy - ✔✔use sparingly, CTS usually resolves after pregnancy
NSAIDs in breastfeeding - ✔✔safe
CTS referral - ✔✔-if persistent/worsening symptoms, loss of strength
-for steroid injections or surgery
Answers| Verified 100% Correct
what is CTS - ✔✔-median nerve compression
-often d/t overuse, repetitive hand motion
CTS stats - ✔✔3x more common in women
repetitive hand movements that may cause CTS - ✔✔-typing
-sewing
-knitting
CTS risk factors - ✔✔-repetitive motion
-weight gain (esp. quick)
-pregnancy
-swelling
-diabetes
-hypothyroid
CTS subjective - ✔✔-pain/numbness/tingling in palm (esp. thumb and first 2-3
fingers)
-loss of grip strength over time
-aching pins and needles, wakes up from sleep
CTS objective - ✔✔-Tinel test (Tapping over medial nerve)
, -Phalen (back of hands together with fingers pointing down
symptoms occur w/in 1 minute
swelling, decreased ROM
CTS differentials - ✔✔-other nerve related stuff
-cervical disc disease
-cervical spondylosis
cervical shit
CTS management - ✔✔-first line: neutral position splints (at night)
-activity change
-OTC pain reliever (APAP if pregnant)
-steroids
NSAIDs in pregnancy - ✔✔avoid, esp. in third trimester
can cause premature ductus arteriosis closure
steroids in pregnancy - ✔✔use sparingly, CTS usually resolves after pregnancy
NSAIDs in breastfeeding - ✔✔safe
CTS referral - ✔✔-if persistent/worsening symptoms, loss of strength
-for steroid injections or surgery
