OCS Exam Questions With Complete
Solutions
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
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 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
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%)
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
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
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
Grade A Evidence of new ACR (American College or Rheumatology) hip OA
Moderate hip pain
AM stiffness < 1 hour
Hip IR < / = 24 degrees
OR
hip IR and hip flexion 15 degrees < non-painful side
OR
Pain with passive hip IR
What test is best to rule in Plantar Fasciitis>
Windlass Test
According to the APTA's CPG on Ankle Sprains, how much sagittal plane motion
loss is expected in a Grade 2 ankle sprain?
5-10 degrees
According to the APTA's CPG on Ankle Sprains, what is the difference in
recovery time b/t Grade 3a and 3B sprains?
25 days
According to the APTA's CPG on Achilles Tendinopathy, which intervention has a
preponderance of Level 1 and Level 2 studies supporting its use?
Eccentric Loading
True or False? Posterior hip pain is a part of the typical clinical presentation of
hip FAI.
Solutions
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
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 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
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%)
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
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
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
Grade A Evidence of new ACR (American College or Rheumatology) hip OA
Moderate hip pain
AM stiffness < 1 hour
Hip IR < / = 24 degrees
OR
hip IR and hip flexion 15 degrees < non-painful side
OR
Pain with passive hip IR
What test is best to rule in Plantar Fasciitis>
Windlass Test
According to the APTA's CPG on Ankle Sprains, how much sagittal plane motion
loss is expected in a Grade 2 ankle sprain?
5-10 degrees
According to the APTA's CPG on Ankle Sprains, what is the difference in
recovery time b/t Grade 3a and 3B sprains?
25 days
According to the APTA's CPG on Achilles Tendinopathy, which intervention has a
preponderance of Level 1 and Level 2 studies supporting its use?
Eccentric Loading
True or False? Posterior hip pain is a part of the typical clinical presentation of
hip FAI.
