OCS Practice Test Questions and answers, VERIFIED/ APPROVED/[LATEST EXAM UPDATES]

OCS Practice Test Questions and answers, VERIFIED/ APPROVED/ Sandra Frank is a 58 year old female who works as an actress at the local mall during the holiday season. She arrives at your office with symptoms of weakness in the L UE and numbness along the lateral forearm and hand. About 9 months ago she suffered from a gunshot wound to the neck after trying to escape from the scene of a burglary. Her wounds have healed but she has difficulty with ADLs secondary to weakness and lack of sensation. Upon examination, you notice loss of sensation in the arm and decreased strength and/or atrophy of the deltoid, biceps, brachialis, pronator teres, infraspinatus muscles, supraspinatus, and supinator muscles. Which of the following sections of the brachial plexus is most likely injured? A. Superior trunk B. Lateral cord C. Inferior trunk D. Posterior cord E. Middle trunk - Superior trunk Chris Costeau is a 31 year old marine biologist, who comes to your office complaining of low back pain which started 15 days ago. She states that the pain is worse on the left side of the lumbar spine but also radiates into the posterior right thigh just proximal to her left knee. Her active lumbar flexion and right rotation are both limited and painful. Her hip internal rotation PROM is 37 degrees on the right side and 39 degrees on the left hip. Her hip external rotation PROM is 42 degrees bilat. Lumbar segments L4-L5 are painful and hypomobile upon P/A central gliding. She scored a 18 on the work-subscale of the Fear Avoidance Behavior Questionnaire and a 35 on the Oswestry Disability Index. Based on your examination, what is the best option for treatment? A. Centralization/Directional preference exercise B. Lumbar Traction and a generalized exercise program C. High-velocity low-amplitude manipulative thrust tech - C. High-velocity low-amplitude manipulative thrust technique and exercise; The patient meets the criteria for 5 out of 5 of the predictors for successful outcome with manipulation as per Flynn et al (Spine 2002). It is also rated as an "A" for strength of evidence and is recommended in the clinical practice guidelines for interventions to reduce pain and disability of the lumbar spine in patients with acute low back pain. Nanny G is a 78 year old retiree who was attempting to swat a fly that landed on the wall by her bed. To reach the fly, she stood on top of her bed, however, she unfortunately fell off the bed landing on her low back and left hip. She use ice and pain medication to help her make it through the night. She came to your office the next day before seeing her physician. She demonstrates decreased ROM into lumbar extension, left rotation, and left side bending. She c/o severe pain and tenderness along the lumbar spine as well as pain in the left buttock. She also reports difficulty walking and functioning throughout the day. Based on the above, what is your next step? A. Initiate gentle L/S flexion-based exercises to patient's pain tolerance B. Initiate McKenzie exercises for the lumbar spine C. Refer her out to her physician D. Initiate with gentle mobilization for the lumbar spine, followed by exercise - C. Refer her out to her physician; According to Henschke et al, this patient meets 3 of 4 clinical diagnostic predictors for spinal fracture. She should be referred out immediately before any treatment is initiated. Clinical predictors include age>70, female sex, traumatic injury, and prolonged use of corticosteroids Bo Baxter is a 34 year old dancer, who arrives with complaints of lumbar spine pain which started 3 days ago after attempting to lift his partner during a dance competition. He reports symptoms of pain radiating through the right lower extremity all the way to his heel. His symptoms worsen when bending forward, but