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Retired NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 4/Question#45 (reveal difficulty score)
A previously healthy 22-year-old woman comes ...
Inflammation within the first dorsal extensor tendon compartment ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: msk marked

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submitted by step_prep4(11)
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  • Classic presentation of de Quervain tendinopathy, which is atraumatic lateral wrist pain in a woman 30-50, often seen 4-6 weeks postpartum due to repetitive thumb abduction and extension when lifting their infant
  • Key idea: Also commonly leads to increased pain with adduction (ulnar deviation) of the wrist due to stretching of the tendons over the radial styloid

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submitted by โˆ—drzed(332)
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The maneuver described is known as Finkelstein's test, which is meant to be specific for DeQuervain tenosynovitis.

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