OCS EXAM CERVICAL SPINE CPG WITH ALL CORRECT &
100% VERIFIED ANSWERS|ACTUAL COMPLETE EXAM|
ALREADY GRADED A+
moderated to high level evidence indicates that these two things are consistent risk factors for new
onset of neck pain ✔Correct Answer-female sex, prior history of neck pain
recommended prognostic tools in patients with neck pain include ✔Correct Answer-NDI (>30%)
pain catastrophizing scale (20 or greater)
stroke the side of the foot and the toes fan out ✔Correct Answer-positive Babinski's
flick the nail of D3 and D1/2 flex ✔Correct Answer-positive Hoffman's
Biceps DTR nerve roots ✔Correct Answer-C5-C6
brachioradialis DTR nerve roots ✔Correct Answer-C6
triceps DTR nerve roots ✔Correct Answer-C7
patellar DTR nerve roots ✔Correct Answer-L4
Achilles DTR nerve roots ✔Correct Answer-S1
grade B evidence says that these are the 4 categories of neck pain: ✔Correct Answer-(1) neck pain
with mobility deficits, including cervical active range of motion (ROM), the cervical flexion-rotation
test, and cervical and
thoracic segmental mobility tests; (2) neck pain with headache, including cervical AROM, the CFRT,
and upper cervical segmental mobility testing; (3) neck pain with radiating pain, including
neurodynamic testing, Spurling's test, the distraction test, and the Valsalva test; and (4) neck pain
with movement coordination impairments, including cranial cervical flexion and neck flexor muscle
endurance tests.
Best interventions for ACUTE neck pain with mobility deficits ✔Correct Answer-B thoracic manip,
neck ROM exercises, and scapulothoracic and UE strengthening to enhance program adherence
C cervical manip and/or mobs
best interventions for SUBACUTE neck pain with mobility deficits ✔Correct Answer-B neck and
shoulder girdle exercises
C thoracic manip and cervical manip and/or mob
best interventions for CHRONIC neck pain with mobility deficits ✔Correct Answer-B multimodal
approach of the following: thoracic manip and cervical manip or mob
mixed exercise for cervical/scapulothoracic regions: neuromuscular exercise, stretching,
strengthening, endurance training, aerobic conditioning, and cognitive affective elements, dry
needling, laser, or intermittent mechanical/manual traction.
, C neck, shoulder girdle and trunk endurance exercises and pt education and counseling strategies
that promote an active lifestyle and address cognitive and affective factors
INTERVENTIONS: NECK PAIN WITH MOVEMENT
COORDINATION IMPAIRMENTS (including WAD) ACUTE ✔Correct Answer-B) Clinicians should
provide the following:
• Education of the patient to
- Return to normal, nonprovocative preaccident activities as soon as possible
- Minimize use of a cervical collar
- Perform postural and mobility exercises to decrease pain and increase ROM
• Reassurance to the patient that recovery is expected to occur within the first 2 to 3 months.
B) Clinicians should provide a multimodal intervention approach including manual mobilization
techniques plus exercise
(eg, strengthening, endurance, flexibility, postural, coordination, aerobic, and functional exercises)
for those patients expected to experience
a moderate to slow recovery with persistent impairments.
C) Clinicians may provide the following for patients whose condition is perceived to be at low risk of
progressing toward chronicity:
• A single session consisting of early advice, exercise instruction,
and education
• A comprehensive exercise program (including strength and/or endurance with/without
coordination exercises)
• Transcutaneous electrical nerve stimulation (TENS)
interventions For patients with chronic neck pain with movement coordination impairments
(including WAD): ✔Correct Answer-C) • Patient education and advice focusing on assurance,
encouragement,
prognosis, and pain management
• Mobilization combined with an individualized, progressive submaximal exercise program including
cervicothoracic strengthening,
endurance, flexibility, and coordination, using principles of cognitive
behavioral therapy
• TENS
INTERVENTIONS: NECK PAIN WITH HEADACHES ACUTE ✔Correct Answer-B) supervised instruction
in active mobility exercise.
C)Clinicians may provide C1-2 self-sustained natural apophyseal glide (self-SNAG) exercise.
interventions For patients with subacute neck pain with headache: ✔Correct Answer-B) cervical
manip and mob
C) C1-2 self SNAG exercise
interventions for chronic neck pain with headache ✔Correct Answer-B) Clinicians should provide
cervical or cervicothoracic manipulation or mobilizations combined with shoulder girdle and
neck stretching, strengthening, and endurance exercise.
100% VERIFIED ANSWERS|ACTUAL COMPLETE EXAM|
ALREADY GRADED A+
moderated to high level evidence indicates that these two things are consistent risk factors for new
onset of neck pain ✔Correct Answer-female sex, prior history of neck pain
recommended prognostic tools in patients with neck pain include ✔Correct Answer-NDI (>30%)
pain catastrophizing scale (20 or greater)
stroke the side of the foot and the toes fan out ✔Correct Answer-positive Babinski's
flick the nail of D3 and D1/2 flex ✔Correct Answer-positive Hoffman's
Biceps DTR nerve roots ✔Correct Answer-C5-C6
brachioradialis DTR nerve roots ✔Correct Answer-C6
triceps DTR nerve roots ✔Correct Answer-C7
patellar DTR nerve roots ✔Correct Answer-L4
Achilles DTR nerve roots ✔Correct Answer-S1
grade B evidence says that these are the 4 categories of neck pain: ✔Correct Answer-(1) neck pain
with mobility deficits, including cervical active range of motion (ROM), the cervical flexion-rotation
test, and cervical and
thoracic segmental mobility tests; (2) neck pain with headache, including cervical AROM, the CFRT,
and upper cervical segmental mobility testing; (3) neck pain with radiating pain, including
neurodynamic testing, Spurling's test, the distraction test, and the Valsalva test; and (4) neck pain
with movement coordination impairments, including cranial cervical flexion and neck flexor muscle
endurance tests.
Best interventions for ACUTE neck pain with mobility deficits ✔Correct Answer-B thoracic manip,
neck ROM exercises, and scapulothoracic and UE strengthening to enhance program adherence
C cervical manip and/or mobs
best interventions for SUBACUTE neck pain with mobility deficits ✔Correct Answer-B neck and
shoulder girdle exercises
C thoracic manip and cervical manip and/or mob
best interventions for CHRONIC neck pain with mobility deficits ✔Correct Answer-B multimodal
approach of the following: thoracic manip and cervical manip or mob
mixed exercise for cervical/scapulothoracic regions: neuromuscular exercise, stretching,
strengthening, endurance training, aerobic conditioning, and cognitive affective elements, dry
needling, laser, or intermittent mechanical/manual traction.
, C neck, shoulder girdle and trunk endurance exercises and pt education and counseling strategies
that promote an active lifestyle and address cognitive and affective factors
INTERVENTIONS: NECK PAIN WITH MOVEMENT
COORDINATION IMPAIRMENTS (including WAD) ACUTE ✔Correct Answer-B) Clinicians should
provide the following:
• Education of the patient to
- Return to normal, nonprovocative preaccident activities as soon as possible
- Minimize use of a cervical collar
- Perform postural and mobility exercises to decrease pain and increase ROM
• Reassurance to the patient that recovery is expected to occur within the first 2 to 3 months.
B) Clinicians should provide a multimodal intervention approach including manual mobilization
techniques plus exercise
(eg, strengthening, endurance, flexibility, postural, coordination, aerobic, and functional exercises)
for those patients expected to experience
a moderate to slow recovery with persistent impairments.
C) Clinicians may provide the following for patients whose condition is perceived to be at low risk of
progressing toward chronicity:
• A single session consisting of early advice, exercise instruction,
and education
• A comprehensive exercise program (including strength and/or endurance with/without
coordination exercises)
• Transcutaneous electrical nerve stimulation (TENS)
interventions For patients with chronic neck pain with movement coordination impairments
(including WAD): ✔Correct Answer-C) • Patient education and advice focusing on assurance,
encouragement,
prognosis, and pain management
• Mobilization combined with an individualized, progressive submaximal exercise program including
cervicothoracic strengthening,
endurance, flexibility, and coordination, using principles of cognitive
behavioral therapy
• TENS
INTERVENTIONS: NECK PAIN WITH HEADACHES ACUTE ✔Correct Answer-B) supervised instruction
in active mobility exercise.
C)Clinicians may provide C1-2 self-sustained natural apophyseal glide (self-SNAG) exercise.
interventions For patients with subacute neck pain with headache: ✔Correct Answer-B) cervical
manip and mob
C) C1-2 self SNAG exercise
interventions for chronic neck pain with headache ✔Correct Answer-B) Clinicians should provide
cervical or cervicothoracic manipulation or mobilizations combined with shoulder girdle and
neck stretching, strengthening, and endurance exercise.
