OCS CLUSTERS EXAM WITH ALL CORRECT & 100%
VERIFIED ANSWERS|ACTUAL COMPLETE EXAM|
ALREADY GRADED A+
Carpal Tunnel Tests x 6 ✔Correct Answer-phalen's test (Sn .68, Sp .73)
tinnel (Sn .50, Sp .77)
MMT APB (Sn .29, Sp .80)
Semmes Weinstein monofilament (Sn .72, Sp .62)
2-point (Sn .24, Sp .95)
DeQuervain's Tenosynovitis ✔Correct Answer-100% Sn and Sp for 5/7
+finklestein's
+TTP APL.EPB
p! over radial styloid
swelling
thickening
p! c MMT thumb extension
p! 1st dorsal compartment c wrist extension
MCP UCL Injury ✔Correct Answer-(NOT GREAT) + LR 1.08, -LR 0.99
>35deg valgus stress or >15deg delta
Wrist Fx Diagnosis ✔Correct Answer-edema (PP 95.2%)
local wrist tenderness (PPV 67.3, Sn 0.94)
p! c AROM flex/ext (Sn .97, PPV 77.3%)
p! c PROM flex/ext (Sn ,94, PPV 91.7%)
p! c gripping PPV 89.6%)
p! c wrist supination PPV 96%
Scaphoid Fx ✔Correct Answer-axial load to thumb
Sn 0.89, -LR 0.02
Sp 0.98, +LR 4.0
Scapho-lunate Injury ✔Correct Answer-scaphoid shift test (thumb on palmar side of scaphoid,
place in ulnar dev, PROM into radial dev c doral pressure, thunk when released)
Sn .69, -LR .47
Sp .66, LR 2.0
(small)
OA of Hand ✔Correct Answer-4/5 + LR 46, -LR 0.1
hand pain/aching/stiffness
hard enlargement >=2/10 (B DIPs, PIPs of 2nd, 3rd, 1st CMCs)
<3 swollen MCP
hard tissue of 2+ DIP or deformity of 2+ of noted joints
Elbow UCLSprain ✔Correct Answer-Moving valgus stress test, good to RO if -, eh to RI
Sn 1.0, -LR 0.0
Sp .75, +LR 4.0
, passive elbow flex to 120deg, apply/maintain valgus stress while passively extending to 70 deg, + = p!
Lateral Epiconyalgia ✔Correct Answer-CPR for MWM, 3/3 + LR infinity (100% success), 2/3 + LR 3.7
(97% success), 1/3 + LR 1.8 (87% success)
Age <49 (+LR 2.6, 91% success)
Affected UE painfree grip >25# (+LR 2.3, 90% success)
Unaffected UE pain free grip < 75.5# (+LR 2.1, 89%)
Carpal Tunnel CPR ✔Correct Answer-age >45yo
shaking hands relives symptom
wrist ratio index (AP/ML) >0.67
decreased median sensory field 1st digit compared to thenar eminance
symptom severity scalre >1.9
pretx 34%, post test prob 4/5 = 70%, 5/5 = 90%
2/5 (Sn .98, -LR 0.14) (Sp 0.14, +LR 1.1)
3/5 (Sn .98, -LR 0.04) (Sp 0.54, + LR 2.1)
4/5 (Sn ,77, -LR 0.28) (Sp 0.83, +LR 4.6)
5/5 (Sn .18, -LR 0.83) (Sn 0.99, +LR 18.3)
Cubital Tunnel Syndrome ✔Correct Answer-elbow flexion test (AROM into flexion, hold 60s, + if
paresthesias in ulnar distribution)
SN 0.75, -LR 0.25, SP 0.99, + LR 75
Ulnar nerve compression test (60s pressure proximal cubital tunnel at 20deg flexion)
SN 0.89, -LR 0.11, SP 0.98, + LR 44.5
Wartenberg test (hand on table, examiner passively spreads fingers, ask pt to bring together, + =
can't adductor 5th digit)
Froment's sign (pt grasps paper between 1st and 2nd and pulls, + = distal phalanx flexion (median),
to compensate for Add Pollicus Weakness)
AC Joint Cluster ✔Correct Answer-Cross Body Adduction
O'Brien
AC Resisted Extension
+LR 8.3, Sp = .97 for 3/3
RTC Tear (Supraspinatus) ✔Correct Answer-age >= 65yo, weakness ER, night pain
3/3 +LR 9.84
RTC Tear diagnostic cluster ✔Correct Answer-+ drop arm, + painful arc, + infraspinatus MMT@0ER
pre tx prob = 39%
3/3 +LR = 15.57, post tx prob 91%
2/3 +LR 3.57 (post test 69%)
Anterior Instability ✔Correct Answer-combine apprehension/relocation
+LR 39.68, -LR = -.19
Impingement/Tendinopathy ✔Correct Answer-1. HK, painful arc, infra MMT (3/3/ +LR 10.5, 2/3
+LR 5.03)
2. HW, Neer, painful arc, empty can, infra MMT ( 3/4 SN: .75 +LR 2.93, SP: .74 -LR: .34
Supra Tendon ✔Correct Answer-Full thickness tear -ERLS (elbow 90, scaption 20): (+LR 15.5-34.5, -
LR 0.2-.32)
VERIFIED ANSWERS|ACTUAL COMPLETE EXAM|
ALREADY GRADED A+
Carpal Tunnel Tests x 6 ✔Correct Answer-phalen's test (Sn .68, Sp .73)
tinnel (Sn .50, Sp .77)
MMT APB (Sn .29, Sp .80)
Semmes Weinstein monofilament (Sn .72, Sp .62)
2-point (Sn .24, Sp .95)
DeQuervain's Tenosynovitis ✔Correct Answer-100% Sn and Sp for 5/7
+finklestein's
+TTP APL.EPB
p! over radial styloid
swelling
thickening
p! c MMT thumb extension
p! 1st dorsal compartment c wrist extension
MCP UCL Injury ✔Correct Answer-(NOT GREAT) + LR 1.08, -LR 0.99
>35deg valgus stress or >15deg delta
Wrist Fx Diagnosis ✔Correct Answer-edema (PP 95.2%)
local wrist tenderness (PPV 67.3, Sn 0.94)
p! c AROM flex/ext (Sn .97, PPV 77.3%)
p! c PROM flex/ext (Sn ,94, PPV 91.7%)
p! c gripping PPV 89.6%)
p! c wrist supination PPV 96%
Scaphoid Fx ✔Correct Answer-axial load to thumb
Sn 0.89, -LR 0.02
Sp 0.98, +LR 4.0
Scapho-lunate Injury ✔Correct Answer-scaphoid shift test (thumb on palmar side of scaphoid,
place in ulnar dev, PROM into radial dev c doral pressure, thunk when released)
Sn .69, -LR .47
Sp .66, LR 2.0
(small)
OA of Hand ✔Correct Answer-4/5 + LR 46, -LR 0.1
hand pain/aching/stiffness
hard enlargement >=2/10 (B DIPs, PIPs of 2nd, 3rd, 1st CMCs)
<3 swollen MCP
hard tissue of 2+ DIP or deformity of 2+ of noted joints
Elbow UCLSprain ✔Correct Answer-Moving valgus stress test, good to RO if -, eh to RI
Sn 1.0, -LR 0.0
Sp .75, +LR 4.0
, passive elbow flex to 120deg, apply/maintain valgus stress while passively extending to 70 deg, + = p!
Lateral Epiconyalgia ✔Correct Answer-CPR for MWM, 3/3 + LR infinity (100% success), 2/3 + LR 3.7
(97% success), 1/3 + LR 1.8 (87% success)
Age <49 (+LR 2.6, 91% success)
Affected UE painfree grip >25# (+LR 2.3, 90% success)
Unaffected UE pain free grip < 75.5# (+LR 2.1, 89%)
Carpal Tunnel CPR ✔Correct Answer-age >45yo
shaking hands relives symptom
wrist ratio index (AP/ML) >0.67
decreased median sensory field 1st digit compared to thenar eminance
symptom severity scalre >1.9
pretx 34%, post test prob 4/5 = 70%, 5/5 = 90%
2/5 (Sn .98, -LR 0.14) (Sp 0.14, +LR 1.1)
3/5 (Sn .98, -LR 0.04) (Sp 0.54, + LR 2.1)
4/5 (Sn ,77, -LR 0.28) (Sp 0.83, +LR 4.6)
5/5 (Sn .18, -LR 0.83) (Sn 0.99, +LR 18.3)
Cubital Tunnel Syndrome ✔Correct Answer-elbow flexion test (AROM into flexion, hold 60s, + if
paresthesias in ulnar distribution)
SN 0.75, -LR 0.25, SP 0.99, + LR 75
Ulnar nerve compression test (60s pressure proximal cubital tunnel at 20deg flexion)
SN 0.89, -LR 0.11, SP 0.98, + LR 44.5
Wartenberg test (hand on table, examiner passively spreads fingers, ask pt to bring together, + =
can't adductor 5th digit)
Froment's sign (pt grasps paper between 1st and 2nd and pulls, + = distal phalanx flexion (median),
to compensate for Add Pollicus Weakness)
AC Joint Cluster ✔Correct Answer-Cross Body Adduction
O'Brien
AC Resisted Extension
+LR 8.3, Sp = .97 for 3/3
RTC Tear (Supraspinatus) ✔Correct Answer-age >= 65yo, weakness ER, night pain
3/3 +LR 9.84
RTC Tear diagnostic cluster ✔Correct Answer-+ drop arm, + painful arc, + infraspinatus MMT@0ER
pre tx prob = 39%
3/3 +LR = 15.57, post tx prob 91%
2/3 +LR 3.57 (post test 69%)
Anterior Instability ✔Correct Answer-combine apprehension/relocation
+LR 39.68, -LR = -.19
Impingement/Tendinopathy ✔Correct Answer-1. HK, painful arc, infra MMT (3/3/ +LR 10.5, 2/3
+LR 5.03)
2. HW, Neer, painful arc, empty can, infra MMT ( 3/4 SN: .75 +LR 2.93, SP: .74 -LR: .34
Supra Tendon ✔Correct Answer-Full thickness tear -ERLS (elbow 90, scaption 20): (+LR 15.5-34.5, -
LR 0.2-.32)
