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OCS3 – Neurological & Musculoskeletal Clinical Exam | 60+ Questions with Answers | Dermatomes, Reflexes, CN Testing, Gait | 2025/2026

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This document compiles 60+ structured questions and detailed answers for the OCS3 (Objective Clinical Skills 3) module at Medical University, specifically for the 2025/2026 academic year. It offers a concise yet high-yield review of clinical neuroanatomy, musculoskeletal screening, and cranial nerve assessments designed for OSCEs, midterms, and board-style clinical evaluations. Main areas covered: Cranial Nerve (CN) Examination: Step-by-step tests for CN I–XII, including sensory/motor branches, special tests (e.g., Weber, Rinne), and expected findings. Clinical correlates (e.g., Bell’s palsy, trigeminal neuralgia, CN III palsy) are discussed for diagnostic accuracy. Motor Function Testing: Detailed breakdown of strength testing by myotomes, posture, tone, and gait patterns. Includes interpretation of findings such as spasticity, flaccidity, and abnormal reflexes. Sensory Examination: Questions test knowledge on light touch, vibration, proprioception, pinprick, and temperature—linked with ascending tract anatomy (dorsal column, spinothalamic pathway). Reflexes & Neuro Root Testing: Includes deep tendon reflexes (biceps, triceps, brachioradialis, patellar, Achilles) and C5–T1 and L1–S1 root testing, along with clinical significance of hyperreflexia, hyporeflexia, and clonus. Cerebellar Function & Gait Assessment: Covers Romberg, finger-to-nose, heel-to-shin, rapid alternating movements, tandem gait, and pathologic gaits like steppage and ataxic patterns. This guide is ideal for students in: MD, DO, and PA programs preparing for neurology exams or OSCEs Physical Therapy and Nursing students covering neurological screening Any health sciences student learning neuroanatomy, clinical reflexes, and motor assessments Those preparing for Step 2 CS-style exams, COMLEX PE, or neuro checkoffs Keywords: cranial nerve testing, reflexes, dermatomes, myotomes, gait exam, cerebellar testing, proprioception, spinothalamic tract, upper motor neuron signs, lower motor neuron, CN deficits, strength testing, Romberg, deep tendon reflexes, neurological screening, sensory exam, clinical neuro exam

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Uploaded on
December 15, 2025
Number of pages
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Written in
2025/2026
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OCS: CE2 Donor mix, gait, special Tests
2025/2026 Exam Questions with 100%
Correct Answers | Latest Update



What muscle is actively undergoing eccentric contraction during heel-strike

of stance phase in gait cycle? - 🧠ANSWER ✔✔tibialis anterior


What muscle attaches on the dorsum of the 5th metatarsal base? -

🧠ANSWER ✔✔fibularis tertius


What is the distal attachment for the fibularis longus muscle? - 🧠ANSWER

✔✔medial cuneiform, first metatarsal base


What is the distal attachment for the fibularis brevis? - 🧠ANSWER ✔✔base

of the 5th metatarsal

,*tibialis posterior attaches to everything (including cuboid, navicular)

What is the proximal attachment for the flexor hallucis brevis? - 🧠ANSWER

✔✔lateral cuneiform, cuboid bone


What is the function of the popliteus muscle? - 🧠ANSWER ✔✔Laterally

rotate the femur

What muscle's tendon wraps around the sustentaculum tali of the

calcaneus? - 🧠ANSWER ✔✔flexor hallicus longus


An overweight guy decides he wants to become healthier and lose weight.

He begins an exercise regimen running every day. He presents to your

office complaining of pain in the distal two thirds of the tibia. You diagnose

him with shin splints. What muscle is most commonly involved in this mild

form of compartment syndrome? - 🧠ANSWER ✔✔tibialis anterior




*due to repeated microtrauma of the TA causing small tears in the

periosteum + deep fascia. Commonly, untrained persons or runners who

do not warm up and cool down ->me, yes I had shin splints back then,

always skipped warmups

,What ligament passes from the calcaneus to the base of the metatarsals? -

🧠ANSWER ✔✔long plantar ligament, from calcaneus to groove of

cuboid/bases of metatarsals




*maintains lateral longitudinal arch (prevent flatfeet)

The short plantar (calcaneocuboid) ligament extends from where to where?

- 🧠ANSWER ✔✔calcaneus to inferior surface of cuboid




*also maintains lateral longitudinal arch

The spring ligament (calcaneo-navicular) runs from where to where? -

🧠ANSWER ✔✔sustentaculum tali of calcaneus to inferior navicular




*helps in weight transfer from talus, mains medial longitudinal arch


What do the tarsometatarsal ligaments do? - 🧠ANSWER ✔✔support TMT

joints by connecting cuneiforms/cuboids to the metatarsal bases




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

, What direction does the patella most commonly dislocate? - 🧠ANSWER

✔✔lateral




*due to weakness of vastus medialis, thus the vastus lateralis is always

stronger

A 27 year old guy presents to the ski patrol office you are staffing after

crashing and hearing a "pop" in his knee. On physical examination, you

notice the tibia glides much further anteriorly on the injured knee without

firm resistance compared to the uninjured knee. The effected knee can also

be taken further into extension. What ligament is most likely injured? -

🧠ANSWER ✔✔ACL




*usually ACL prevents posterior turning and travelling of femoral condyles

on tibia as well as resisting posterior displacement of femur on tibia, and

hyperextension.


Telencephalon differentiates into? - 🧠ANSWER ✔✔cerebral hemispheres


Meningomyelocele pathology? - 🧠ANSWER ✔✔meninges + part of spinal

cord herniates through. More common than meningocele.

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