Hand surgery: practice question

A Orthopaedics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Orthopaedics · Hand surgery

Sample item

Which symptom pattern suggests carpal tunnel syndrome?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Night paraesthesia in thumb, index, and middle fingers

Median nerve compression at the carpal tunnel commonly causes nocturnal tingling in the thumb, index, middle, and radial half of ring finger.

Option by option

  • A. Painful locked knee

    Knee locking suggests meniscal pathology.

  • B. Numbness of little finger only

    Little-finger sensation is supplied mainly by ulnar nerve.

  • C. Loss of ankle inversion

    Ankle inversion involves tibial-nerve muscles.

  • D. Night paraesthesia in thumb, index, and middle fingers (correct)

    Correct: median distribution nocturnal paraesthesia is typical.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Orthopaedics question

What is the answer to this Orthopaedics question?

The best answer is D, Night paraesthesia in thumb, index, and middle fingers. Median nerve compression at the carpal tunnel commonly causes nocturnal tingling in the thumb, index, middle, and radial half of ring finger.

Why is "Painful locked knee" not the answer?

Knee locking suggests meniscal pathology.

Why is "Numbness of little finger only" not the answer?

Little-finger sensation is supplied mainly by ulnar nerve.

Why is "Loss of ankle inversion" not the answer?

Ankle inversion involves tibial-nerve muscles.

What concept does this question test?

It tests Hand surgery in Orthopaedics. The correct option holds because: Correct: median distribution nocturnal paraesthesia is typical.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Hand surgery?

Pair each fracture with its classic complication and nerve injured. Then use the flashcards and the other Orthopaedics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.