OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Ques, Exams of Nursing

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OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) If a clinical test demonstrates the ability to identify accurately those patients who truly have the disease or impairment, then one would conclude that the test demonstrates: _____? - Correct Answers ✅High Sensitivity What makes a clinical test the best for "ruling in" a disorder? - Correct Answers ✅High Specificity All of the following are considered historical red flags in the lumbar spine, EXCEPT FOR: a. pain that is worse during rest vs activity b. pain worsened at night or not relieved by any position c. poor response of pain to conservative care d. pain that decreases with extension and increases with flexion - Correct Answers ✅d. pain that decreases with extension and increases with flexion All of the following physical examination findings may be suggestive of myelopathy, EXCEPT FOR: a. dermatomal pattern sensory loss b. hyper-reflexia in the LE's OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) c. bowel or bladder disturbances d. spasticity in muscle tone - Correct Answers ✅a. dermatomal pattern sensory loss A cancer history, long-term corticosteroid use, a metabolic bone disorder history, and age greater than 50 years best fit into which category of red flags? Category: I, II, III, or IV? - Correct Answers ✅Category II Pulsatile abdominal masses, unexplained neurological deficits and recent bowel and bladder changes best fit into which category of red flags? Category: I, II, III, or IV? - Correct Answers ✅Category: I Approximately 50% of all spine fractures occur at all of the following cervical spine levels, EXCEPT FOR: a. C2 b. C3 c. C6 d. C7 - Correct Answers ✅b. C3 OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) According to Altman's classification of hip OA, what is the following diagnostic cluster is positive for OA? - Correct Answers ✅Hip IR < 15 degrees Morning stiffness < 60 minutes Hip flexion < 115 degrees Pain with hip IR Age > 50 Grade A Evidence of new ACR (American College or Rheumatology) hip OA - Correct Answers ✅Moderate hip pain AM stiffness < 1 hour Hip IR < / = 24 degrees OR hip IR and hip flexion 15 degrees < non-painful side OR Pain with passive hip IR What test is best to rule in Plantar Fasciitis> - Correct Answers ✅Windlass Test OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) According to the APTA's CPG on Ankle Sprains, how much sagittal plane motion loss is expected in a Grade 2 ankle sprain? - Correct Answers ✅5-10 degrees According to the APTA's CPG on Ankle Sprains, what is the difference in recovery time b/t Grade 3a and 3B sprains? - Correct Answers ✅25 days According to the APTA's CPG on Achilles Tendinopathy, which intervention has a preponderance of Level 1 and Level 2 studies supporting its use? - Correct Answers ✅Eccentric Loading True or False? Posterior hip pain is a part of the typical clinical presentation of hip FAI. - Correct Answers ✅False True or False? With FAI, Cam impingements are associated with delamination of cartilage more so than Pincer impingements. - Correct Answers ✅True Name the ligament involved based on MOI: OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) Non-contact: acceleration/deceleration activities; excessive quads / diminished hams activation; Quad force + active load + knee IR< WB, deceleration - Correct Answers ✅ACL Knee hyperextension + ER + varus Complete knee dislocation Flexed and ER knee that receives AP blow to tibia - Correct Answers ✅PLC Valgus torque to knee, typically hit to lateral knee with foot on ground - Correct Answers ✅MCL Dashboard / anterior tibial blow injury; fall on flexed knee with ankle PF (note -- this is often mis-diagnosed as patellar contusion), Violent hyperextension - Correct Answers ✅PCL Lachman's Test LR's - Correct Answers ✅-LR 0.2 +LR 10.2 Pivot Shirt LR's - Correct Answers ✅-LR 0.9 OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) b. scapular retraction in sitting (rows) using exercise band resistance c. Push-up position with end range scapular protraction, elevated as necessary to perform the exercise pain free d. supine scapular protraction with a light dumbbell - Correct Answers ✅c. Push-up position with end range scapular protraction, elevated as necessary to perform the exercise pain free -- this exercise, often called 'push ups plus' strongly fires teh serratus anterior, which is the primary muscle that prevents winging. The closed chain exercise also encourages co0contraction of the RC MM Which muscles of the RC most directly contribute to preventing excessive anterior translation of the humeral head? (2) - Correct Answers ✅Teres minor Infraspinatus These muscles are oriented in such a way as to allow them to restrain excessive anterior translation. In away, they can act similarly to ten hs mm, in an ACL deficient knee A PT who wishes to improve GH ER using joint mobilizations should perform: a. caudal glides OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) b. distracton glides c. superior glides d. posterior glides - Correct Answers ✅d. posterior glides -- the GH joint does not comply with strict concave-convex rules due to capsular constraint. The humeral head needs to have enough capsular mobility available to posterior translate on the glenoid during ER. This concept was supported in a recent RCT, which found greater improvements in ER with posterior GH glides What is the most common nerve injury following anterior dislocation? - Correct Answers ✅Axillary nerve -- the axillary nerve winds around the surgical neck of the humerus after passing to the posterior aspect of the arm thru the quadrangular space. A traction injury can occur with a traumatic anterior dislocation. (about 30% experience mostly mild neuropraxic lesions with < 5% experiencing significant damage What is the Putti-Platt Procedure? - Correct Answers ✅Procedure which divides the subscapularis tendon, overlaps it, and repositions it to achieve anterior capsular stability. This is not performed in throwers due to the risk of ROM loss OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) Magnuson-Stack Procedure - Correct Answers ✅The following description of the Magnuson-Stack procedure is directly based on the original paper by Magnuson and Stack. [1] In general, the subscapularis is approached through a deltopectoral interval. The insertion of the subscapularis is identified and detached with a bone block. This is then attached to a groove lateral to the bicipital groove at the greater tuberosity of the humerus. Rehabilitation follows immobilization, but external rotation is limited for 4-6 weeks following surgery Latarjet Procedure AKA Latarjet-Bristow procedure - Correct Answers ✅The Latarjet operation, also known as the Latarjet-Bristow procedure, is a surgical procedure used to treat recurrent shoulder dislocations, typically caused by bone loss or a fracture of the glenoid. Accessory motion at the SCJ during arm elevation includes a. superior glide of the clavicle b. anterior roll of the clavicle c. inferior glide of the clavicle OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) patient's arm is abducted until the scapula is felt to start moving. The test is positive if the range of passive abduction is over 105º. The authors reported a 15% of patients in which passive abduction was limited by apprehension what could somehow contribute to the diagnosis of instability A 63yo patient is being evaluated by a PT for right shoulder pain. The pt c/o pain in the shoulder while dressing and washing her hair. No specific MOI was apparent. The pt reports to the PT she feels as if the shoulder has been continually losing ROM, and that the pain is often sharp. Additionally, the pt describes pain radiating into the right arm and hand, often occurring at night. Co-morbidities include obesity, HTN, and Type II DM and and a breast cancer survivor x 10 years. What would be red flags? a. Night pain b. Age > 60 c. Type II DM d. Radiating pain - Correct Answers ✅a. Night pain -- potential red flag for neck and shoulder dysfunction. Also consider other red flags: constant and sever pain, especially at night, unexplained weight loss, loss of appetite, unusual fatigue (malaise), fever, chills or night sweats, unexplained nausea or vomiting, SOB, frequent or severe headaches, dizziness, arm pain lasting >2-3 months, bower or bladder dysfunction OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) Same pt from 48: the PT has developed a pre-test probability for this pt's likely dx which would NOT include _______: a. shoulder impingement syndrome b. AMBRI c. systemic pathology d. adhesive capsulitis - Correct Answers ✅b. AMBRI -- stands for Atraumatic, Multidirectional, frequently Bilateral, responds to Rehabilitation, and rarely requires an Inferior Capsular Shift Same pt from 48: Which of the following favor systemic pathology as a diagnosis for this pt? a. previous hx of ca b. night pain c. age over 60 d. All of the above - Correct Answers ✅d. All of the above -- historical risk factors important for screening for malignant disease are: past hx of ca age > 50 and <20, recent unexplained weight loss, failure of conservative management, not relief with complete bed rest, severe pain unaffected by posture or position, and night pain disturbing sleep OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) Lateral Scapular Slide Test - Correct Answers ✅scapular stability during GH movements measure distance from inferior angle to spinous process of T7-T9 in 3 positions: Arms at sides, hands on hips (thumbs posterior), 90 degrees abduction with IR. Distance measured should not vary more than 1.5 cm Diagnostic Rule to identify vertebral fracture -- Threshold to refer for x-ray include the following: - Correct Answers ✅> 2 positive features: -female -age >70 -significant trauma -prolonged use of corticosteroids Which of the follow is the best initial intervention strategy for a patient with TMJ anterior disc displacement with reduction? a. Iontophoresis and ultrasound to reduce muscle spasm Electrophysical modalities provide little improvement compared to placebo. OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) A patient presents with an acute onset of left TMJ pain following a blow to the side of the face with while playing dodgeball. Assuming the spine and face have been cleared for fracture, what is the best initial strategy for managing the symptoms? a. Perform grade 3 anterior mobilization of the involved side. b. Instruct the patient to maintain the tongue to the hard palate. c. All of the above are appropriate. d. Multi-directional isometrics - Correct Answers ✅b. Instruct the patient to maintain the tongue to the hard palate. Correct. By learning the resting position of the tongue and jaw, the joint can move into the resting position while inflammation subsides. Inhibit excessive tension in the muscles of mastication and relieve pain and improve function. Describe the normal arthrokinematics of the TMJ opening. a. The mandible rotates posteriorly followed by posterior translation of the condyle. b. The condyle slides anteriorly followed by anterior rotation of the mandible. c. The mandible rotates posteriorly followed by anterior translation of the condyle. OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) d. The condyles slides anteriorly followed by posterior rotation of the mandible. - Correct Answers ✅c. The mandible rotates posteriorly followed by anterior translation of the condyle. Correct. This is the proper opening arthrokinematics for the TMJ. Pt is a 61 yo female with a chief complaint of R shoulder pain and inability to reach the mugs on the second shelf of her cabinet for the past 3 weeks. Her pain is now an 8/10 whenever she tries to move it in any direction, but comes back to a 3/10 if she keeps her arm resting at her side. She has a history of diabetes type II and does not regularly check her blood sugars; she admits that she frequently sees glucose levels of 300 or 400 when she does test. She has a history of migraines as well as complaints of numbness and tingling in both hands, worse on the R. Her primary care physician ordered an xray, which showed AC joint degeneration. If we presume this patient has stage 1 adhesive capsulitis, what is the most appropriate intervention for her? a. Ultrasound to the axilla, followed by sustained, end-range stretching and mobilizations b. Gentle, painfree mobilization and stretching and sub-maximal isometrics c. Hold PT until pain better controlled; return to MD for steroid injection OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) d. Aggressive stretching, end-range joint mobilizations, and sub-maximal isometrics - Correct Answers ✅b. Gentle, painfree mobilization and stretching and sub-maximal isometrics Ultimately, corticosteroid injections have shown to have success rates ranging from 44-80% with rapid pain relief and improved function occurring mainly in the first weeks of treatment. Thus, injections should be suggested to patients with pain as their predominant complaint in the early stage of adhesive capsulitis.Though intra-articular steroid injection may be beneficial early on, its effect may be small and not well maintained and thus should be offered in conjunction with physical therapy. Also appreciate that steroid injections can significantly raise blood sugar levels and may be dangerous in a labile diabetic. Pt is a 61 yo female with a chief complaint of R shoulder pain and inability to reach the mugs on the second shelf of her cabinet for the past 3 weeks. Her pain is now an 8/10 whenever she tries to move it in any direction, but comes back to a 3/10 if she keeps her arm resting at her side. She has a history of diabetes type II and does not regularly check her blood sugars; she admits that she frequently sees glucose levels of 300 or 400 when she does test. She has a history of migraines as well as complaints of numbness and tingling in both hands, worse on the R. Her primary care physician ordered OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) away if he takes a nap for more than 20 minutes. He denies any visual disturbances. Flexion-rotation test demonstrates full cervical ROM to the R (90 deg) but painful and limited ROM to the L (30 degrees). He has no history of cardiac disease, no hypertension, and runs 30 miles a week. He denies any specific mechanism of injury. Which is the most important pathology to screen for during the initial evaluation? a. Cervical radiculopathy b. Cervical arterial dysfunction c. Cervical facet dysfunction d. Upper cervical ligament integrity - Correct Answers ✅b. Cervical arterial dysfunction Correct. this is the most dangerous of all the options shown and should be screened for using cranial nerve testing. Review carotid artery dissection symptoms and how closely they resemble the above scenario Pt is a 32 yo computer programmer with complaints of persistent severe, dull, aching headaches that start around 2p every day for the past 2 weeks, worse than his "usual" headaches. The pain is on the L side of his neck, radiating to his head, just above the ear, and seems to wrap around his L eye as well. He complains of nausea during the headache, and he feels better if he lies down in a dark, quiet room. The headache will go away if he takes a OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) nap for more than 20 minutes. He denies any visual disturbances. Flexion- rotation test demonstrates full cervical ROM to the R (90 deg) but painful and limited ROM to the L (30 degrees). He has no history of cardiac disease, no hypertension, and runs 30 miles a week. He denies any specific mechanism of injury. Given the results above, what is the most likely diagnosis? a. Cervicogenic headache b. Cluster headache c. Tension-type headache d. Migraine without aura - Correct Answers ✅a. Cervicogenic headache Correct. Note findings of the flexion-rotation test [sn .91; sp .90] This HA tends to be unilateral, "ram's horn" pattern, starts at the neck and progresses to the head; A 52 yo female presents to your clinic in 9/10 pain in her neck, B shoulders, B hips, low back and B knees. She is angry that her pain doctor will not send her to a surgeon who can fix her, and does not want to have to do any exercise because it will hurt. She is also upset that no one will fix the bulging discs at C5/6, C6/7 and L4/5. She says any movement at all makes her worse, and the only thing that helps is her medication or taking a hot shower. She stopped working a year ago because of her pain, and is upset that her OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) husband doesn't believe her and thinks she is making everything up just to get attention. She scores a 21 on the FABQpa scale and her Oswestry Low Back Pain Disability Questionnaire is a 64%. Which of the following factors in the above presentation will likely be the most limiting in terms of the patient's prognosis: a. Strong belief in the biomedical model b. Incomplete medical workup c. Presence of degenerative disc disease at all levels of the spine d. Lack of support at home - Correct Answers ✅a. Strong belief in the biomedical model The biomedical model of medicine has been around since the mid-19th century as the predominant model used by physicians in diagnosing diseases. It has three core elements. According to the biomedical model, health constitutes the freedom from disease, pain, or defect, making the normal human condition "healthy." The model's focus on the physical processes (for example, pathology, biochemistry and physiology of a disease) does not take into account the role of social factors or individual subjectivity. Unlike the biopsychosocial model, the biomedical model does not consider the diagnosis, which affects the treatment of the patient, to be the result of a negotiation between doctor and patient. OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) friends to show off, but now he thinks this might be why his shoulders hurt so much. The Army sent him to an orthopedic surgeon, who took plain radiographs of B shoulders; they were WNL. PMH includes a ruptured quad tendon on the L at 14 and a ruptured achilles tendon on the R at age 17. Your evaluation reveals a 9/9 on the Beighton scale. Given the limited information about the above patient, what type of therapy management would be the most appropriate for this patient? a. Joint manipulation for pain relief b.High impact aerobic training for improved bone strength c. Low resistance, high repetition resistive training d. High resistance, low repetition strength training - Correct Answers ✅c. Low resistance, high repetition resistive training Correct. The key to treating patients with Ehlers-Danlos is joint protection and stabilization. Low resistance and high reps will most effectively achieve that Pt is a 45 yo female office worker who presents with new onset R lateral hip/upper buttock pain. The pain came on when she tried to start a Couch- to-5k running program 7 days ago. Now she has pain sitting in her chair at work, driving her car more than 10 minutes, or lying on her R side at night. OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) She denies any back pain or distal paresthesias. No pain distal to the mid- thigh. She has stopped running at this point but the pain is not changing. She is slightly overweight and would like to get back to running in order to improve her fitness. Standing on the affected leg reproduces her pain, as does palpation over the greater trochanter. She is unable to perform a clam exercise without pain over the lateral hip. She also has hypomobility with PA mobilizations of the lumbar spine. Given this limited information about the patient, which of the following would be the most likely additional finding on physical exam? a. + trendelenberg in single leg stance b. pes planus in relaxed standing c. genu valgus in relaxed standing d. weak VMO - Correct Answers ✅a. + trendelenberg in single leg stance Correct. This indicates a weakness of the ipsilateral hip abductors and external rotators, the exact muscles implicated in the development of greater trochanteric pain syndrome same pt as above: OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) Of the differential diagnoses in this case, which of the following is the most likely pathology that would present as lateral hip/upper buttock pain? a. R innominate rotation b. R L5/S1 facet dysfunction c. Iliotibial band syndrome d. Piriformis syndrome - Correct Answers ✅b. R L5/S1 facet dysfunction Piriformis syndrome is incorrect -- This controversial diagnosis is more associated with a sciatica-type nerve pain complaint down the leg rather than an isolated hip/buttock pain. Piriformis Syndrome (PS) is an uncommon, controversial neuromuscular disorder that is presumed to be a compression neuropathy of the sciatic nerve at the level of the piriformis muscle (PM). The diagnosis is hampered by a lack of agreed upon clinical criteria and a lack of definitive investigations such as imaging or electrodiagnostic testing. same pt: One possible hypothesis is greater trochanteric pain syndrome. What is the primary pathophysiology behind this condition? a. OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) A 46 year old female presents to your clinic with right groin and right lower- quadrant abdominal pain. She describes it as deep, dull, and achy with occasional cramping. The pain started 6 weeks ago without any known cause or trauma. The patient is only able to identify that her symptoms are worse during menstruation and that has accompanied increased menstrual bleeding. She also reports that taking nonsteroidal anti-inflammatory medication is the only thing that decreases her symptoms. Patient denies any other significant medical or surgical history including recent episodes of fatigue, fever, nausea, and bowel/bladder issues. Upon examination the patient is found to have forward head posture, anterior pelvic tilt, and pronated feet. Monosynaptic reflexes of the lower extremity are normal. Lumbar and hip range of motion are within normal limits and do not reproduce the patient's familiar symptoms. Central posterior to anterior spring testing in the mid-lower thoracic and lumbar spine revealed normal mobility and no reproduction of the patient's familiar symptoms. Visual inspection of the abdomen and auscultation revealed nothing significant. However, palpation of the lower right quadrant did reproduce the patient's familiar symptoms. What structure is least likely to be a concern in the right lower quadrant? a. Ascending colon b. Right kidney OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) c. Appendix d. Right ovary - Correct Answers ✅b. Right kidney same pt What diagnosis is most likely for this patient? a. Appendicitis b. Athletic pubalgia c. Uterine fibroids d. Pain due to poor posture - Correct Answers ✅c. Uterine fibroids Correct: Uterine fibroids are the most common type of benign tumors of the female reproductive system that occur in premenopausal women, and their highest incidence is in women in their mid-40s. A 20 year old male presents with right heel and central, mid-low back pain that started after jumping out of a window on the second floor of a building 10 days ago. He presented to the Emergency Department the following day and x-rays were taken of his heel. X-rays showed a calcaneal fracture and he is now non-weight bearing and using crutches. He presented to his primary care physician due to back pain 5 days ago and he was referred to you to OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) evaluate and treat. The patient reports that his back pain is near his central, mid-low back that does not radiate. Objective findings are as follows: right hip internal rotation: 40 degrees left hip internal rotation: 30 degrees Lumbar ROM is limited severely limited in all directions Posterior to anterior assessment of lower thoracic and lumbar vertebrae reveal moderate hypomobility with moderate pain in all locations, but severe pain at L1 Posterior instability test: negative Right straight leg raise: 92 degrees Left straight leg raise: 91 degrees What is the most likely return to full weight bearing timeline for this patient? a. 16 weeks b. 7 weeks c. 4 weeks d. 12 weeks - Correct Answers ✅d. 12 weeks same pt What is the most appropriate next step? OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) There is pain with the combined motion of elbow extension, forearm pronation, wrist flexion, and phalangeal flexion. What is the most likely diagnosis? a. Radial tunnel syndrome b. Cubital tunnel syndrome c. Posterior interosseous nerve entrapment. d. Lateral epicondylalgia - Correct Answers ✅a. Radial tunnel syndrome Correct: Localized pain distal to the lateral epicondyle without motor loss is a hallmark of radial tunnel syndrome. same pt What is the most common site of entrapment of the radial nerve? a. Pronator teres b. Ligament of struthers c. Arcade of Frohse d. Cubital tunnel - Correct Answers ✅c. Arcade of Frohse Correct: aka supinator arch. This is the superior aspect of the superficial layer of the supinator muscle. OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) A 32 y.o. male administrative assistant presents to your outpatient clinic via direct access. He is reporting a sudden onset of severe (8/10) low back pain two days ago after lifting a box of files at work. He also reports left leg pain along the anterior thigh, which he describes as a "deep burn." Aggravating factors include sitting or standing for > 15 minutes, bending forward, coughing and sneezing. Easing factors include lying supine with knees bent or legs elevated and walking 5-10 minutes. Objective findings include: AROM for forward bend: 40 degrees with pain, Extension: 20 degrees with pain, left sidebend 10 degrees with pain. Right sidebend and rotation is WNL. Repeated movements into flexion and extension do not change location or distribution of pain. (+) Slump, SLR (at 50 degrees) and Ely testing. Based on the patient's age and gender, which of the following causes of LBP should be considered in differential diagnosis? a. Spinal Stenosis b. Cancer c. Compression fracture d. Ankylosing Spondylitis - Correct Answers ✅d. Ankylosing Spondylitis A 30 y.o. M , right hand dominant construction worker is referred to you from an orthopedic specialist for "evaluation and treatment." He states that he injured his right wrist 6 weeks ago when he tripped forward over uneven OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) ground, catching himself on an outstretched right hand while evaluating a construction site. Radiographs were negative for fracture. He is wearing a thumb spica splint and tells you that his orthopedic doctor wants him to start range of motion exercises this week. He reports pain at the base of his thumb with turning a doorknob, grasping his travel coffee mug and turning the key when starting his car. Upon examination, he is tender to palpation at the medial base of the MCP joint of the thumb. ROM in thumb flexion, extension, abduction and adduction are all painful, and you decide to defer any strength testing based on the patient's irritability. Which of the following conditions most closely matches the patient's presentation? a. Fracture of the Hooke of the Hamate b. Golfer's thumb c. DeQuervain's Tenosyonvitis d. Gamekeeper's (Skier's ) thumb - Correct Answers ✅d. Gamekeeper's (Skier's ) thumb same pt Which of the following special tests would be helpful in confirming the specific injury described above? OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) *no palpable or audible joint clicking or popping throughout ROM Joint play: distraction, anterior and lateral glide are WNL with no provocation of pain TMJ loading test: + for pain on ipsilateral side with forced biting Palpation: tenderness along R masseter and temporalis both extra and intra- orally. Which of the following non-musculoskeletal conditions should you look to rule OUT in the evaluation and treatment of this patient, based on the limited information above? a. Giant Cell Arteritis b. Cervicogenic Headache c. Otosclerosis d. Bell's Palsy - Correct Answers ✅a. Giant Cell Arteritis Giant cell arteritis is an inflammation of the lining of your arteries. Most often, it affects the arteries in your head, especially those in your temples. For this reason, giant cell arteritis is sometimes called temporal arteritis. Giant cell arteritis frequently causes headaches, scalp tenderness, jaw pain and vision problems. OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) A 17 y.o. high school baseball pitcher presents with complaints of gradual onset anterior shoulder pain, which has elevated to 6/10 in the past week with sport-related activity. Objective findings include: forward head posture, pain with left thoracic rotation/extension, and pain with right overhead movement from 90-120 degrees. 5/5 internal rotation. 4/5 external rotation MMT and elicits primary symptom. Neer's sign is positive. Using seated shoulder scaption as a functional asterisk, you note scapular elevation begins at 90 degrees with onset of symptoms. The patient has full AROM in all planes. What would be the most useful special test to include in the exam to help rule in an anterior instability? a. Crank test b. Sulcus sign c. Jobe relocation test d. Yocum test - Correct Answers ✅c. Jobe relocation test Correct. The Jobe relocation test (Guanche C and Jones D 2003) has 0.83 specificity for identifying anterior instability... more information than you really have to have for this question. In this case if you know what the various tests are for you can answer the question correctly. OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) A 32 y.o. administrative assistant presents to your outpatient clinic via direct access. He is reporting a sudden onset of severe (8/10) low back pain two days ago after lifting a box of files at work. He also reports left leg pain along the anterior thigh, which he describes as a "deep burn." Aggravating factors include sitting or standing for > 15 minutes, bending forward, coughing and sneezing. Easing factors include lying supine with knees bent or legs elevated and walking 5-10 minutes. Objective findings include: AROM for forward bend: 40 degrees with pain, Extension: 20 degrees with pain, left sidebend 10 degrees with pain. Right sidebend and rotation is WNL. Repeated movements into flexion and extension do not change location or distribution of pain. (+) Slump, SLR (at 50 degree) and Ely testing. Which of the following additional findings do you expect to see in the physical exam? a. Weak dorsiflexion on the affected side b. Weak ilioposas on the affected side c. Diminished medial hamstrings reflex on the affected side compared to the unaffected side. d. Diminished achilles reflex on the affected side compared to the unaffected side - Correct Answers ✅b. Weak ilioposas on the affected side Correct. The patient's signs and symptoms are consistent with an L3 radiculopathy, which can include weakness of quadriceps, iliopsoas, and hip adductors. OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) Correct. In posterior interosseous nerve entrapment, motor symptoms include weakness in wrist and finger extension. A 17 y.o. high school baseball pitcher presents with complaints of gradual onset anterior shoulder pain, which has elevated to 6/10 in the past week with sport-related activity. Objective findings include: forward head posture, pain with left thoracic rotation/extension, and pain with right overhead movement from 90-120 degrees. 5/5 internal rotation. 4/5 external rotation MMT and elicits primary symptom. Neer's sign is positive. Using seated shoulder scaption as a functional asterisk, you note scapular elevation begins at 90 degrees with onset of symptoms. The patient has full AROM in all planes. Which scapular syndrome as described by Burkhart et al 2003 is most consistent with the patient's presentation? a. type I - inferior b. type IV - lateral c. type II - medial d. type III - superior - Correct Answers ✅d. type III - superior OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) A 32 year old female who has pain in R thoracic area just medial to the scapula with no known mechanism of injury. The patient denies neck pain.Thoracic ROM is full and pain free.Cervical flexion and extension and therapist applied cervical compression increase her R thoracic pain.Palpation of rhomboids is moderately tenderMonosynaptic reflexes of C5, C6, C7: 2+No diminished sensation in upper extremitiesUpper extremity myotomal strength is normal If concerned about pain being viscerogenic what would organ should you be most concerned about? a. Kidney b. Lung Incorrect c. Pancreas d. Stomach - Correct Answers ✅d. Stomach A 32 year old female who has pain in R thoracic area just medial to the scapula with no known mechanism of injury. The patient denies neck pain.Thoracic ROM is full and pain free.Cervical flexion and extension and therapist applied cervical compression increase her R thoracic pain.Palpation of rhomboids is moderately tenderMonosynaptic reflexes of C5, C6, C7: OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) 2+No diminished sensation in upper extremitiesUpper extremity myotomal strength is normal What is the likely primary pain generator? a. Anterior displaced 4th rib b. Anterior cervical discs c. Rhomboid major trigger point d. Thoracic facet dysfunction - Correct Answers ✅b. Anterior cervical discs An elderly patient suffers a traumatic facture of the posterior elements of C2 that results in a spondylolisthesis of C2 on C3. Which type of fracture is this known as? a. Odontoid fracture b. Clay shoveler's fracture c. Jefferson fracture d. Hangman fracture - Correct Answers ✅d. Hangman fracture You've thoroughly evaluated the patient who presents to your clinic with left lower extremity numbness/tingling, and have determined you will treat OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) biking in the hill country, whereby he lost control of his bike and fell onto an outstretched arm. He suffered a closed fracture and was treated with closed reduction and cast immobilization for 6 weeks. Patient is right hand dominant and works as a lab technician. As the evaluating Physical Therapist you were able to obtain his radiographs taken during his initial ER visit. The radius appears to be angulated volarly in nature, with volar displacement extending into the wrist joint. Which type of fracture is this known as? a. Smith's Fracture b. Barton's Fracture c. Reverse Colles' Fracture d. Colles' Fracture - Correct Answers ✅b. Barton's Fracture - "extending into the wrist joint", which by definition an intra-articular fracture; extra-articular fractures do not extend into the wrist joint. A Barton's facture is an intra- articular shear fracture of the distal radius and can be displaced either dorsally or volarly in nature A Colles' fracture is extra-articular with a dorsal displacement and angulation OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) A 55-year old male with high blood pressure and a history of chest pain is taking atenolol. What are the effects this medication can have on exercise and how can you monitor your patient's response to exercise? a. No change in heart rate with exercise, use target heart rate calculations b. Difficulty raising heart rate during exercise, use target heart rate calculations c. Difficulty raising heart rate during exercise, use Borg Rating of Perceived Exertion d. Raises heart rate quicker during exercise, use target heart rate calculations e. Raises heart rate quicker during exercise, use Borg Rating of Perceived Exertion - Correct Answers ✅c. Difficulty raising heart rate during exercise, use Borg Rating of Perceived Exertion Since one of Atenolol's effects is to slow the heart rate it will be difficult to raise it when compared to not on the medication. Since the medication is controlling the heart rate, one may not be able to actually reach a target heart rate so a substitute method for determining exertion and exercise tolerance is the Borg RPE. OCS - Potential Test Questions and Answers (Latest Update 2023) Verified Answers (103 Questions) A 55-year old male with high blood pressure and a history of chest pain is taking atenolol. What mechanism of action makes this medication effective for his cardiac issues? a. Decreasing the heart rate and increasing the force of contraction b. Decreasing the heart rate and decreasing the force of contraction c. Increasing the heart rate and decreasing the force of contraction d. Increasing the heart rate and increasing the force of contraction - Correct Answers ✅b. Decreasing the heart rate and decreasing the force of contraction Atenolol is a beta blocker which decreases blood pressure by blocking the effects of epinephrine/adrenaline so the heart beats slower and with less force of contraction. Test taking note: Atenolol is a beta blocker which decreases blood pressure by blocking the effects of epinephrine/adrenaline so the heart beats slower and with less force of contraction. A 38-y.o. female presents to physical therapy with LBP that began after a fall. Her complaints are left-sided low back with intermittent numbness into her left shin and tripping over foot when she walks. She was referred by her