College of Massage Therapists of British Columbia (CMTBC) Practice Exam

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What test involves applying pressure over the median nerve to assess for Carpal Tunnel Syndrome?

Phalen's Test
Tinel's Sign
Carpal Compression Test
Finkelstein's Test

The correct answer is: Carpal Compression Test

The Carpal Compression Test is specifically designed to assess for Carpal Tunnel Syndrome by applying direct pressure over the median nerve at the wrist. This test aims to reproduce the symptoms associated with median nerve compression, such as tingling, numbness, or pain in the distribution area of the nerve, which can indicate the presence of Carpal Tunnel Syndrome. In contrast, while Phalen's Test and Tinel's Sign are both valuable tests for evaluating median nerve issues, they focus on different methodologies. Phalen's Test involves holding the wrists in flexion for a period of time to see if symptoms develop, and Tinel's Sign involves tapping over the median nerve to elicit symptoms. Finkelstein's Test is unrelated to Carpal Tunnel Syndrome as it assesses De Quervain's tenosynovitis and involves ulnar deviation of the wrist while the thumb is held down. Thus, the Carpal Compression Test is the most direct and appropriate choice for evaluating suspected Carpal Tunnel Syndrome.