OCS Exam Questions

What is characteristic of a migraine HA? - AnswerPRIMARY HA -pulsating/pounding -unilateral in nature -4-72 hrs -nausea is associated -light/noise sensitivity also activity increases HA 4/5 present + LR 24 which significant shifts post-test probability of the dx being present American College of Radiology would recommend what imaging modality for migraines - AnswerCT without IV contrast - for sudden onset, severe HA If you perform a manip to C1-2, where do you expect the cavitation to occur? - Answermultiple audible pops bilaterally at C1-2 If the Sharp Purser is (+) - why are you still skeptical about instability? - Answertest is only diagnostic for subjects with RA -specific test for transverse ligament, however it's only been validated in subjects with RA and Down's Syndrome; also it may be dangerous to perform the test after a traumatic MOI ?? Pt is referred to you with mechanical neck pain and they test (+) for flexion rotation test at C1-2, what intervention is best for most immediate relief? - AnswerC1-2 manip and upper thoracic manipulation manip is superior to mobs for short term effects for mechanical neck pain T/F: there is no increased risk to the VBI for chiro vs PCP - AnswerTRUE What are 3 types of people who have an increased risk for upper cervical instability? - AnswerRA Down's hx of Cervical Spine Trauma Is the VBI test validated? - AnswerNO, a neg test doesn't not r/o dissection and can be dangerous within itself What is the most commonly affected CN if a pt has an Internal Carotid Artery Dissection? - AnswerHypoglossal! CN 12