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A 50-Year-Old Woman Complaining of Severe "Pins and Needles" in Her

Question 12

Multiple Choice

A 50-year-old woman complaining of severe "pins and needles" in her right hand and lateral fingers visited her physician. She said that she had experienced difficulty in buttoning up her clothes when dressing. On physical examination the patient pointed to her thumb and index, middle, and ring fingers as the areas where she felt discomfort. No objective impairment of sensation was found in these areas. The muscles of the thenar eminence appeared to be functioning normally, although there was some loss of power compared with the activity of the muscles of the left thenar eminence.
-The following statements concerning this patient are correct except which?


A) Altered skin sensation was felt in the skin areas supplied by the digital branches of the median nerve.
B) The muscles of the thenar eminence showed some evidence of wasting as seen by flattening of the thenar eminence.
C) The muscles of the thenar eminence are supplied by the recurrent muscular branch of the median nerve.
D) The median nerve enters the palm through the carpal tunnel.
E) The median nerve occupies a large space between the tendons behind the flexor retinaculum.
F) This patient has carpal tunnel syndrome.

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