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A 34-year-old woman is diagnosed with carpal tunnel syndrome. Which of the following treatments does NOT improve function in carpal tunnel syndrome?

A.

Occupational therapy

B.

Oral and topical NSAIDs

C.

Splinting

D.

Joint replacement

Answer and Explanation

The Correct Answer is D

Choice A reason: Occupational therapy, including activity modification and ergonomic interventions, can improve hand function and reduce symptoms in carpal tunnel syndrome, making it an effective non-surgical treatment.

Choice B reason: NSAIDs may help reduce pain and inflammation, although they have limited effect on nerve function. They are used as a supportive treatment but do not directly improve long-term function.

Choice C reason: Splinting, particularly at night, helps maintain the wrist in a neutral position, reducing pressure on the median nerve and improving functional symptoms. It is a widely recommended non-invasive intervention.

Choice D reason: Joint replacement is not indicated for carpal tunnel syndrome. This procedure addresses joint pathology, not median nerve compression, and does not improve hand function in CTS. It is irrelevant to the treatment of this condition.


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Related Questions

Correct Answer is D

Explanation

Choice A reason: Type 1 diabetes is an autoimmune condition associated with increased risk of celiac disease, warranting evaluation.

Choice B reason: Down syndrome is a genetic condition associated with higher prevalence of celiac disease, indicating evaluation is appropriate.

Choice C reason: Having a first-degree relative with celiac disease significantly increases risk, making further assessment necessary.

Choice D reason: Obesity alone is not a recognized risk factor for celiac disease and does not indicate the need for routine screening unless other symptoms are present.

Correct Answer is D

Explanation

Choice A reason: This is true; BCC typically presents as pearly papules with visible blood vessels or ulceration.

Choice B reason: This is true; BCC develops primarily on sun-exposed skin, rarely affecting mucous membranes or extremities.

Choice C reason: This is true; BCC is the most common form of skin cancer and cancer overall in humans.

Choice D reason: This is false; BCC is usually slow-growing and rarely metastasizes. Rapid growth and frequent metastasis are atypical, making this the incorrect statement.

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