OCS EXAM PREP TEST QUESTIONS AND ANSWERS

OCS EXAM PREP TEST QUESTIONS AND ANSWERS Ankle sprains that will respond to manual and exercise - CORRECT ANSWERSymptoms worse in standing, worse in PM, navicular drop > 5mm, distal tibfib hypomobility Hip OA that will respond to PT - CORRECT ANSWER-Unilateral hip pain, age <58, pain>6/10, 40m walk test <25.9s, symptoms <1 year Altman criteria hip OA - CORRECT ANSWER-Squatting aggravating, active hip flexion causes lateral hip pain, scour with adduction lateral hip or groin pain, active hip extension causes pain, passive IR <25 deg SIS cluster - CORRECT ANSWER-Hawkins Kennedy, painful arc, infraspinatus test +LR 10.56 Full thickness RC tear cluster - CORRECT ANSWER-Drop arm, painful arc, infraspinatus test +LR 15.57 Carpal tunnel CPR - CORRECT ANSWER-Shaking hands to relieve symptoms, wrist ratio > .67, symptom severity scale >1.9, diminished sensation in thumb, age > 45 Cervical radiculopathy CPR - CORRECT ANSWER-Positive ULTT A, involved side rotation <60, +distraction test, +spurlings Meniscal pathology CPR - CORRECT ANSWER-Hx catching/locking, joint line tenderness, pain with forced hyperextension, pain with maximal passive knee flexion, pain/click with McMurray's Cervicothoracic manip for shoulder pain CPR - CORRECT ANSWER-Pain free shoulder flexion <127, IR @ 90 <53deg, negative neers, not taking meds, symptoms less than 90 days Lumbar stabilization CPR - CORRECT ANSWER-Age less than 40, SLR >91deg, aberrant motion present, positive prone instability test Hip mobilization for knee OA - CORRECT ANSWER-Hip/groin pain/paresthesia, ipsilateral anterior thigh pain, passive knee flexion <122deg, passive hip IR <17deg, pain with hip distraction Lumbar manipulation CPR - CORRECT ANSWER-Pain <16 days, no symptoms distal to knee, FABQ <19, IR of one hip greater than 35deg, hypo mobility of at least one lumbar segment Cervical traction CPR - CORRECT ANSWER-Periph w/lower cervical (c4-7) mobility testing, positive shoulder abduction test, age >55, positive ULTT A, positive neck distraction test Lumbar traction CPR - CORRECT ANSWER-Pain radiating distal to knee, peripheralization with extension, positive crossed straight leg raise Thoracic manip for neck pain CPR - CORRECT ANSWER-Symptoms <30 days, no symptoms distal to shoulder, looking up does not aggravate symptoms, FABQpa score <12, diminished upper Tspine kyphosis, cervical extension <30deg Sign of renal system involvement - CORRECT ANSWER-Pelvic, low back, L shoulder pain Signs of large intestine involvement - CORRECT ANSWER-Buttock, mid lumbar spine, lower abdomen pain T11-L1 Gallbladder involvement signs - CORRECT ANSWER-R upper abdominal, R scapular, mid to lower Tspine Liver involvement signs - CORRECT ANSWER-T7-T9 & R cervical spine Stomach involvement signs - CORRECT ANSWER-Upper abdominal, middle & lower T spine T6-T10 Group to benefit from traction - CORRECT ANSWER-Peripheralization with extension & positive crossed straight leg raise Lumbar traction parameters as part of treatment based classification - CORRECT ANSWER-40-60% if body weight for max of 12 minutes Cervical myelopathy risk factors - CORRECT ANSWER-Asian, male, age over 70, ligamentous thickening Best treatment for carpal tunnel - CORRECT ANSWER-Surgery is superior to splinting WB post PCL injury - CORRECT ANSWER-PWB 2-4 weeks, then progress to full Symptoms common to PLC injury - CORRECT ANSWER-Sharp pains in terminal stance and push off Most specific test for PCL - CORRECT ANSWER-Posterior sag sign 100% specificity Best tests to diagnose SLAP tear - CORRECT ANSWER-Active compression or anterior apprehension maneuver & jobe relocation tests Progression of knee OA - CORRECT ANSWER-1-irreversible matrix degradation, 2- synovitis, 3-loss of cartilage, 4-sclerosis, subchondral cysts, & osteophytes, 5-loss of joint congruency Modalities to reduce pain in knee OA - CORRECT ANSWER-Acupuncture, TENS, electrical nerve stimulation, low level laser Hip mobilizations to use with knee OA - CORRECT ANSWER-Caudal, AP, PA, PA with flexion, abd, and ER Outcome best associated with NDI - CORRECT ANSWER-SF36 Muscles people substitute with during testing of deep neck flexors - CORRECT ANSWER-Platysma and hyoid-place tongue on roof of mouth Best treatment for neck pain with radiating pain - CORRECT ANSWER-Upper quarter & nerve mobilization procedures Diagnose neck pain with headaches - CORRECT ANSWER-Cervical arom, segmental mobility, cranial cervical flexion test Joint mobs for dequervain's - CORRECT ANSWER-First cmc, intercarpal, radiocarpal Manual therapy to benefit lateral elbow pain - CORRECT ANSWER-CT non thrust manip, radioulnar non thrust manip, SNAG technique MWM for lateral elbow pain CPR - CORRECT ANSWER-Age less than 49, pain free grip strength over 25lbs, uninvolved hand grip strength less than 75.5lbs Patient health questionnaire for anxiety and depression scores - CORRECT ANSWERMild 3-5, moderate 6-8, severe 9-12 Pancoast tumor may mimic what msk condition - CORRECT ANSWER-C8 radic Parameters for cervical traction for those who meet criteria - CORRECT ANSWERInitial pull of 10-12lbs, 15 min intermittent 60sec on, 20sec off Cervical manip for neck pain - CORRECT ANSWER-Symptoms less than 38 days, positive expectation, side to side rotation difference of >10 deg, pain with PAs of mid cervical spine. 3 present LR 13.5 Tseng CpR for immediate responder to cervical manip for mechanical neck pain - CORRECT ANSWER-NDI <11.5, bilateral involvement, not performing sedentary work >5 hours per day, moving neck feels better, extending neck doesn't feel worse, dx of spondy w/o radic. 4/6 present 89% chance of success Cervical myelopathy CPR - CORRECT ANSWER-Ataxic gait, + hoffman's, + babinski's, +inverted supinator sign, age >45. 3 present LR 31 Best meds for Ankylosing Spondylitis - CORRECT ANSWER-NSAIDs-naproxen Psoriatic arthritis symptoms - CORRECT ANSWER-Affects DIPs, inflammatory eye conditions (iritis) L5-S1 facet referral - CORRECT ANSWER-Gluteal region Signs of upper cervical ligamentous instability - CORRECT ANSWER-Clumsiness with gait, occipital numbness & headaches, significant ROM limitations What is weak with anterior interosseous syndrome - CORRECT ANSWER-Pronator quadratus, FPL, lateral half of FDP What to strengthen after PCl injury to help - CORRECT ANSWER-Popliteus L3-4 & 4-5 facet referral - CORRECT ANSWER-Groin or trochanteric region What tendons are in the carpal tunnel? - CORRECT ANSWER-FPL, FDS, FDP Most specific tests for lateral meniscus - CORRECT ANSWER-Joint line tenderness 97%, mcmurray 94%, Thessaly 20deg flexion 96% Causes of secondary knee OA - CORRECT ANSWER-Acromegaly, hyperparathyroidism, rickets Part of patella most at risk for arthritis - CORRECT ANSWER-Lateral How long should someone be able to hold neck flexor endurance test? - CORRECT ANSWER-24 sec Parsonage Turner syndrome - CORRECT ANSWER-Neuritis of brachial plexus causing weakness that usually resolves Risks involved with steroid injections for heel pain - CORRECT ANSWER-Plantar fascia rupture, skin pigment changes, subcutaneous fat atrophy Which mobs improve heel pain - CORRECT ANSWER-Cuboid thrust, proximal tibfib thrust, distal tibfib posterior glides