MRCP UK EXAMINATIONS

NEUROLOGY

PERIPHERAL NEUROPATHY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Below are the special tests for carpal tunnel syndrome. Which is the most sensitive test?
A
Phalen test
B
Durkan test
C
Tinnel test
D
Flick sign
Explanation: 

Detailed explanation-1: -The Carpal Compression Test or Durkan’s Test is performed by holding the patients wrist in slight flexion and directly compressing the median nerve by applying pressure to the proximal wrist crease for 30 seconds. A positive result occurs if patient develops pain, paresthesia, or numbness in median nerve distribution.

Detailed explanation-2: -Carpal Compression Test (Apply pressure with thumbs over the median nerve within the carpal tunnel, located just distal to the wrist crease. The test is positive if the patient responds with numbness and tingling within 30 seconds.)

Detailed explanation-3: -Carpal Compression Test or Median Compression Test or Durkan’s test is a diagnostic test for carpal tunnel syndrome.

Detailed explanation-4: -Durkan’s test had a sensitivity of 0.71 and specificity of 0.22.

There is 1 question to complete.