OCS - POTENTIAL TEST QUESTIONS
.
,If a clinical test demonstrates the ability to identify accurately those patients who truly have the disease
or impairment, then one would conclude that the test demonstrates: _____?
High Sensitivity
What makes a clinical test the best for "ruling in" a disorder?
High Specificity
All of the following are considered historical red flags in the lumbar spine, EXCEPT FOR:
a. pain that is worse during rest vs activity
b. pain worsened at night or not relieved by any position
c. poor response of pain to conservative care
d. pain that decreases with extension and increases with flexion
d. pain that decreases with extension and increases with flexion
All of the following physical examination findings may be suggestive of myelopathy, EXCEPT FOR:
a. dermatomal pattern sensory loss
b. hyper-reflexia in the LE's
c. bowel or bladder disturbances
d. spasticity in muscle tone
a. dermatomal pattern sensory loss
A cancer history, long-term corticosteroid use, a metabolic bone disorder history, and age greater than
50 years best fit into which category of red flags?
Category: I, II, III, or IV?
Category II
Pulsatile abdominal masses, unexplained neurological deficits and recent bowel and bladder changes
best fit into which category of red flags? Category: I, II, III, or IV?
Category: I
Approximately 50% of all spine fractures occur at all of the following cervical spine levels, EXCEPT FOR:
a. C2
b. C3
c. C6
d. C7
b. C3
Which of the following best describes the Sn and Sp of the Spurling test for cervical spine?
a. Sn and Sp both high (>90%)
b. Sn and Sp are both low (<40%)
c. Sn that is high (>90%) and Sp that is low (<40%)
d. Sn that is low (<40%) and Sp that is high (>90%)
, d. Sn that is low (<40%) and Sp that is high (>90%)
The spinal levels associated with a viscerosomatic reflex stemming from the stomach are
a. C8-T8
b. T5-T9
c. T6-T10
d. T9-T11
b. T5-T9
According to Cyriax, what lumbar radiculopathy (level and age) is most suggestive of serious pathology?
Upper lumbar radiculopathy in a younger adult
Which of the following best describe the Sn and Sp of the SLR and slump as diagnostic tests?
a. Good Sn and moderate Sp
b. Moderate Sn and poor Sp
c. Poor Sn and good Sp
d. Poor Sn and moderate Sp
b. Moderate Sn and poor Sp
True or False: While somatic and / or visceral referred pain emerges distant from the site of insult, the sx
are not easily provoked with movements in the clinical examination
Inter --
b/t or among groups
Intra --
inside, within
(single rater)
What is the only intervention of adhesive capsulitis with Strong Evidence?
Steroid injection
According to Altman's classification of hip OA, what is the following diagnostic cluster is positive for OA?
Hip IR < 15 degrees
Morning stiffness < 60 minutes
Hip flexion < 115 degrees
Pain with hip IR
Age > 50
.
,If a clinical test demonstrates the ability to identify accurately those patients who truly have the disease
or impairment, then one would conclude that the test demonstrates: _____?
High Sensitivity
What makes a clinical test the best for "ruling in" a disorder?
High Specificity
All of the following are considered historical red flags in the lumbar spine, EXCEPT FOR:
a. pain that is worse during rest vs activity
b. pain worsened at night or not relieved by any position
c. poor response of pain to conservative care
d. pain that decreases with extension and increases with flexion
d. pain that decreases with extension and increases with flexion
All of the following physical examination findings may be suggestive of myelopathy, EXCEPT FOR:
a. dermatomal pattern sensory loss
b. hyper-reflexia in the LE's
c. bowel or bladder disturbances
d. spasticity in muscle tone
a. dermatomal pattern sensory loss
A cancer history, long-term corticosteroid use, a metabolic bone disorder history, and age greater than
50 years best fit into which category of red flags?
Category: I, II, III, or IV?
Category II
Pulsatile abdominal masses, unexplained neurological deficits and recent bowel and bladder changes
best fit into which category of red flags? Category: I, II, III, or IV?
Category: I
Approximately 50% of all spine fractures occur at all of the following cervical spine levels, EXCEPT FOR:
a. C2
b. C3
c. C6
d. C7
b. C3
Which of the following best describes the Sn and Sp of the Spurling test for cervical spine?
a. Sn and Sp both high (>90%)
b. Sn and Sp are both low (<40%)
c. Sn that is high (>90%) and Sp that is low (<40%)
d. Sn that is low (<40%) and Sp that is high (>90%)
, d. Sn that is low (<40%) and Sp that is high (>90%)
The spinal levels associated with a viscerosomatic reflex stemming from the stomach are
a. C8-T8
b. T5-T9
c. T6-T10
d. T9-T11
b. T5-T9
According to Cyriax, what lumbar radiculopathy (level and age) is most suggestive of serious pathology?
Upper lumbar radiculopathy in a younger adult
Which of the following best describe the Sn and Sp of the SLR and slump as diagnostic tests?
a. Good Sn and moderate Sp
b. Moderate Sn and poor Sp
c. Poor Sn and good Sp
d. Poor Sn and moderate Sp
b. Moderate Sn and poor Sp
True or False: While somatic and / or visceral referred pain emerges distant from the site of insult, the sx
are not easily provoked with movements in the clinical examination
Inter --
b/t or among groups
Intra --
inside, within
(single rater)
What is the only intervention of adhesive capsulitis with Strong Evidence?
Steroid injection
According to Altman's classification of hip OA, what is the following diagnostic cluster is positive for OA?
Hip IR < 15 degrees
Morning stiffness < 60 minutes
Hip flexion < 115 degrees
Pain with hip IR
Age > 50
