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CSA1 – Clinical Skills & OMM Techniques (OCS/MRI) | 130 Questions with Answers | Neuro, MSK, History Taking | 2025/2026

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This document is a complete and high-yield preparation guide for CSA1 (Clinical Skills Assessment 1), designed to support students through the OCS (Objective Clinical Skills) and MRI (Musculoskeletal/Neurological Integration) components of their exams. Containing 130 exam-style questions with 100% correct answers, it is formatted to simulate real clinical OSCE scenarios, making it highly relevant for practical examinations and clinical rotation preparation. Students will find structured, step-by-step approaches to: Vital signs examination, including correct procedure for blood pressure and respiratory rate testing Upper extremity musculoskeletal exams, integrating osteopathic principles such as TART (Tenderness, Asymmetry, Restricted motion, Tissue texture changes) Neurological root assessments from C5 to T1, covering dermatome, myotome, and deep tendon reflex testing Orthopedic special tests, including Jobe’s, Neer’s, Hawkins, Yergason’s, Apprehension test, and Phalen’s, among others History taking and medical interviews, following a comprehensive format from chief complaint to ROS (Review of Systems) OMM techniques: includes detailed descriptions of Muscle Energy, Counterstrain, HVLA (High-Velocity Low-Amplitude), and Articulation techniques — complete with setup, execution, and reassessment instructions This resource is especially valuable for students in the following programs: Doctor of Osteopathic Medicine (DO) Doctor of Medicine (MD) with clinical skills components Physiotherapy, Chiropractic, and PA programs involving MSK and neuro assessments Advanced Nursing or Clinical Skills modules requiring hands-on examination proficiency Whether preparing for OSCEs, board exams, or clinical practicals, this guide offers the clarity and clinical depth needed to perform confidently and accurately in a high-stakes setting. Keywords: CSA1, clinical skills, OMM, musculoskeletal exam, neurological exam, special tests, upper extremity, C5-T1, medical history, physical exam, OSCE prep, muscle energy, HVLA, counterstrain, articulation, palpation skills, reflex testing, vital signs, manual medicine

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CSA1: History Taking/MRI, OCS Exams,
OMM Technique 2025/2026 Exam
Questions with 100% Correct Answers |
Latest Update



Perform Blood pressure test - 🧠ANSWER ✔✔----(debrief & CONSENT)----


measure systolic (beating)/diastolic (resting) pressure via the brachial

artery




▶SETUP=state correct size BP cuff, remove clothes, support arm, and

,▶PLACEMENT= find brachial pulse, place cuff 2.5cm above antecubital

crease




▶ESTIMATE= test systolic with radial pulse, note reading, remove cuff and

let arm rest




▶ASSESS= find brachial artery with steothoscope, test BP over 30mmHG

of estimated #,

-note systolic (beats start)

-note diastolic (beats stop)




=your BP is (125/90), within normal range of 120-130/80


Perform Respiratory Rate test & respiratory - 🧠ANSWER ✔✔----(debrief &

CONSENT)----

-test for both heart rate and respiratory test which counts bpm, breathspm,

just relax

,▶Radial pulse (count rate for 30sec, x2)

-70bpm normal within 60-100bpm

-rhythm is regular and normal




(don't let pt know this so else they will hold their breath)

▶Respiratory rate (count for 30sec, x2)

-palpate breaths with hand over back

-13 breaths normal (12-20 bpm)


Perform GENERAL UE exam (followed by specific UE) - 🧠ANSWER ✔✔i.

Washes Hands/sanitize

ii. Apply appropriate draping




----(Debrief & CONSENT)----

●INDICATION

- evaluate pain of (area), looking for TART (tenderness, asymmetry, ROM,

texture) changes to determine best treatment




COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
3
STATEMENT. ALL RIGHTS RESERVED

, ●PROCEDURE-I will be looking at 5 things....

-general posture & skin

-bony structure on UE,

-lymph vessels,

-nerve sensation

-passive/active ROM of joints




-----(ask CONSENT)-------let's start with general....




▶GENERAL

-Posture of plum line (scoliosis, upper kyophisis, lower lordosis)

-asymmetry back

-carrying angle (5-15%)

-no skin lesions,

-in no acute distress

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