OCS CERVICAL EXAM WITH ALL CORRECT & 100%
VERIFIED ANSWERS|ACTUAL COMPLETE EXAM|
ALREADY GRADED A+
CPR Exam
Canadian Cervical Spine Rules ✔Correct answer-1. High risk: order imaging if "YES"
- >65 years old
- dangerous MOI
- paresthesias
2. Low risk:
- low risk MOI (rear end MVA)
- sitting in ER
- ambulatory at any time
- delayed onset of neck pain
- no midline tenderness to palpation
3. Low risk:
- AROM 45 degrees regardless of pain
Sn = 1
CPR Exam
Closed Cervical Fracture ✔Correct answer-1. >55 years old
2. marital status: single
3. traumatic onset
4. acute
5. ER visit
Sp: 3/4 = .88, 4/5 = .98
CPR Exam/ CT Imaging
CT s/p head injury (NEXUS II) ✔Correct answer-1. HIGH risk:
- GCS <15 (15 is the best response)
- suspected skull fracture
- vomiting
- 65 years old or more
2. scalp hematoma
3. neurological deficiency
4. altered alertness
5. abnormal behavior
6. coagulopathy
Sn: .98
Sn: .95 GCS 15
CPR Exam
Cervical Myelopathy ✔Correct answer-- +Babinski (+ LR = 4)
- +Hoffmans
- +inverted supinator sign
, - gait deviations
- > 45 years old
Pre-test prob (35%)
<1 -LR .18
>3 + LR = 30.9
Post-test prob (94%)
CPG Differential diagnosis for Neck Pain ✔Correct answer-- infection
- CA
- cardiac
- arterial insufficiency
- upper cervical ligamentous laxity
- cranial nerve dysfunction
- fracture
CPR Outcomes
Chronic disability s/p WAD ✔Correct answer-NDI >15 = 54% (+ TSK > 41 = 83%) (+TSK < 41 = 36%)
NDI <15 = 5% (+ TSK > 41 = 11%) or (+TSK < 41 = 6%)
Tampa scale for kinesiophobia
2-3 weeks for acute recovery
57% recovered in 3 months
8% cannot RTW
The brain perceives pain differently following WAD
increased trigger point in levator scap
CPR Exam
Cervical Radiculopathy ✔Correct answer-1. + Median nerve tension
2. +Spurlings
3. Relief with distraction
4. < 60 degrees of rotation to involved side
3/4 +LR = 6.1 (65%)
4/4 +LR = 30.3 (not validated) (90%)
CPR Outcomes
Cervical Radiculopathy Inverventions ✔Correct answer-1. <54 years old
2. Non-dominant UE affected
3. Looking down does NOT increase symptoms
4. multimodal approach
Looking for 3/4
Cleland '07
CPR intervention
Mechanical traction and exercise for neck pain ✔Correct answer-1. >55 years old
2. peripheralization ofsymptoms with C4-7 mobility testing
3. +shoulder abduction test
VERIFIED ANSWERS|ACTUAL COMPLETE EXAM|
ALREADY GRADED A+
CPR Exam
Canadian Cervical Spine Rules ✔Correct answer-1. High risk: order imaging if "YES"
- >65 years old
- dangerous MOI
- paresthesias
2. Low risk:
- low risk MOI (rear end MVA)
- sitting in ER
- ambulatory at any time
- delayed onset of neck pain
- no midline tenderness to palpation
3. Low risk:
- AROM 45 degrees regardless of pain
Sn = 1
CPR Exam
Closed Cervical Fracture ✔Correct answer-1. >55 years old
2. marital status: single
3. traumatic onset
4. acute
5. ER visit
Sp: 3/4 = .88, 4/5 = .98
CPR Exam/ CT Imaging
CT s/p head injury (NEXUS II) ✔Correct answer-1. HIGH risk:
- GCS <15 (15 is the best response)
- suspected skull fracture
- vomiting
- 65 years old or more
2. scalp hematoma
3. neurological deficiency
4. altered alertness
5. abnormal behavior
6. coagulopathy
Sn: .98
Sn: .95 GCS 15
CPR Exam
Cervical Myelopathy ✔Correct answer-- +Babinski (+ LR = 4)
- +Hoffmans
- +inverted supinator sign
, - gait deviations
- > 45 years old
Pre-test prob (35%)
<1 -LR .18
>3 + LR = 30.9
Post-test prob (94%)
CPG Differential diagnosis for Neck Pain ✔Correct answer-- infection
- CA
- cardiac
- arterial insufficiency
- upper cervical ligamentous laxity
- cranial nerve dysfunction
- fracture
CPR Outcomes
Chronic disability s/p WAD ✔Correct answer-NDI >15 = 54% (+ TSK > 41 = 83%) (+TSK < 41 = 36%)
NDI <15 = 5% (+ TSK > 41 = 11%) or (+TSK < 41 = 6%)
Tampa scale for kinesiophobia
2-3 weeks for acute recovery
57% recovered in 3 months
8% cannot RTW
The brain perceives pain differently following WAD
increased trigger point in levator scap
CPR Exam
Cervical Radiculopathy ✔Correct answer-1. + Median nerve tension
2. +Spurlings
3. Relief with distraction
4. < 60 degrees of rotation to involved side
3/4 +LR = 6.1 (65%)
4/4 +LR = 30.3 (not validated) (90%)
CPR Outcomes
Cervical Radiculopathy Inverventions ✔Correct answer-1. <54 years old
2. Non-dominant UE affected
3. Looking down does NOT increase symptoms
4. multimodal approach
Looking for 3/4
Cleland '07
CPR intervention
Mechanical traction and exercise for neck pain ✔Correct answer-1. >55 years old
2. peripheralization ofsymptoms with C4-7 mobility testing
3. +shoulder abduction test
