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Roger presents with marked swelling at the medial elbow after hours of resting his arm down on a flat surface. The patient complains of diminished sensation along the medial aspect of his right hand. Which of the following activities is likely the MOST difficult for the patient to perform?    
A. Writing with a fine-tipped pen  
B. Carrying a bucket using a two-finger hook grasp 
C. Swiping a credit card  
D. Painting on a small canvas using light brush strokes
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