A 50-year-old administrative assistant has numbness and tingling in the thumb, index, and middle fingers that wakes her at night. Symptoms improve

Question

A 50-year-old administrative assistant has numbness and tingling in the thumb, index, and middle fingers that wakes her at night. Symptoms improve when she shakes her hand and Tinel sign is positive at the wrist. Which of the following is the most likely diagnosis?

Accepted Answer

Carpal tunnel syndrome

Answer

Raynaud phenomenon

Answer

Cervical myelopathy

Answer

De Quervain tenosynovitis

Answer

Ulnar neuropathy at the elbow

Carpal tunnel syndrome — USMLE Step 3 MCQ

A 50-year-old administrative assistant has numbness and tingling in the thumb, index, and middle fingers that wakes her at night. Symptoms improve when she shakes her hand and Tinel sign is positive at the wrist. Which of the following is the most likely diagnosis?