Abstract: A combination ratchet wrench having a standard open-type or box-type wrench at one end thereof and a ratcheting extraction box at the other end thereof. The ratchet extraction wrench box is connected by a ratcheting mechanism to the wrench that allows rotation of the ratchet extraction wrench box relative to the wrench only in one direction. The ratchet extraction wrench box is provided with a fastener extraction head that has an interior bore extending inwardly from a receiving end. The bore has a plurality of helically-shaped grooves, each extending from the receiving end and curve radially and inwardly towards the central axis of the bore to form sharp ridges that extend in a helical fashion inside the bore. When the fastener extraction is placed over a fastener head, the ridges “bite” into the material of the fastener. Because the extraction head is formed as an integral part of the wrench there is no need to have a separate turning tool.