OCS Exam Questions With Complete Solutions
_____: sacrum rotates posterior as ilium rotates anterior
____: sacrum rotates anterior as ilium rotates posterior Correct
Answers Counternutation
Nutation
____% chance of RTW if LBP hasn't resolved in 6 months?
Correct Answers 40%
if out a full year = decrease to 20%
if she's out 2 yrs = 0%
"With the patient in the supine position, the lengths of the
inferior aspects of both medial malleoli are compared. In the
supine position, the finding of a shorter leg when compared with
the opposite side is suggestive, but not confirmatory, of a
posteriorly rotated innominate. While the clinician holds the
medial border of the medial malleoli with the thumbs, the
patient is asked to come to a long sitting position. Any apparent
lengthening of the short leg implied to us the presence of
sacroiliac joint dysfunction and a posteriorly rotated innominate.
In the supine and long sitting positions test, the apparent short
lower extremity in the supine position suggests the ilium is
rotated posteriorly on the sacrum; the apparent lengthening of
the same lower extremity during long sitting also suggests the
ilium is rotated posteriorly on the sacrum. An observable
difference of at least 2.54 cm between the supine and long
Correct Answers learn this bullshit
,20 y/o wrestler with R arm cellulitis and arm pain, 2 week hx of
erythematous painful swelling of R elbow and forearm. he
noticed acute swelling and redness after one of his matches.
What is the most likely dx? Correct Answers Paget-Schroetter
Syndrome
DVT of one of the veins in the UE's - common occurs in young
active males involved in sports with repetitive UE movement
OH
30 y/o F accountant is referred to PT with c/o sharp pain
originating in the left groin and radiating to the medial aspect of
the upper thigh, lower leg and foot Correct Answers Saphenous
Nerve
37 y/o male presents to PT with flu like symptoms, malaise,
decreased active lumbar SB and limited chest expansion. What
is the likely dx? Correct Answers Ankylosing Spondylitis
48 hrs acute MVC - what is appropriate tx? Correct Answers
ice, estim
bed-rest (conflicting but may be recommended initially)
Cervical Collar
NSAID are not appropriate
While anti-inflammatory medications are indicated for this
patient, physical therapist prescription of pharmaceutical
medication is beyond the Description of Advanced Specialty
Practice, though some physical therapists in federal government
settings do have this privilege.
,55 y/o M has a sudden sharp onset of LBP that comes and goes.
it radiates to his right testicle, he doesn't have a fever. Whats the
most likely dx/ Correct Answers Kidney stones
6 y/o M is referred to PT for hip pain and strengthening. he has
been limping for 2 weeks. Based on this, what is likely dx?
Correct Answers LCPD
4-10 yrs
loss of circulation of the femoral head leading to necrosis of
proximal femoral epiphysis.
Transient synovitis is a common cause of acute hip pain but
resolves within a week.
A 16 y.o. competitive gymnast presents with a complaint of
acute central low back pain. Her pain is worsened with the
combined movements of extension, ipsilateral rotation, and side
bending of her lumbar spine. She denies any LE pain or motor
weakness. Her symptoms began following an increase in the
intensity of her training 3 weeks ago. Pt reports pain is
becoming so intense she is unable to perform a back bend.
Question:
What is the most likely diagnosis? Correct Answers
Spondylolysis
Correct. Acute injury to the pars interarticularis is possible with
extreme lumbar extension as often performed in gymnastics.
This should be ruled out before other diagnosis such as
neuromuscular instability are considered.
A 16 year old who is the starting pitcher for his high school
baseball team is referred for medial elbow pain that began
during the beginning of the season during practices and is now
, limiting the number of throws he can make at each baseball
game. He reports occasional paresthesia to the fourth and fifth
digits of his throwing hand while throwing. He reports that he
has been pitching for 7 years, and that he played year round
baseball until starting high school. The elbow is not painful at
rest (begins hurting after approximately 10 full speed throws).
He has not had imaging performed.
Upon examination, there is a mild loss of terminal elbow
extension (lacks the final 8 degrees). The medial elbow is
painful and the pain increases with valgus stress testing although
there is not noticeable opening of the humeroradial joint. Varus
stress testing at the elbow is not bothersome. Tinel's is negative.
Question:
Which of Correct Answers Ulnar collateral ligament tear
Correct: This condition is associated with repetitive overhead-
throwing, particularly adolescent pitching athletes. The
repetitive valgus stress placed on the elbow can lead to injury to
the ligament. Paresthesia or even associated cubital tunnel
syndrome is possible.
A 16 year-old female reports a popping sensation when getting
up from a chair. The physical therapist notes tenderness to the
femoral triangle and grades iliopsoas strength at a 4/5. The
______ is MOST likely related to her complaints of pain.
Correct Answers Lesser trochanter Correct! This question
challenges your knowledge of the femoral triangle. Since weak
hip flexion and the illiopsoas are involved, and a likely place for
the illiopsoas to be involved with snapping hip is the lesser
_____: sacrum rotates posterior as ilium rotates anterior
____: sacrum rotates anterior as ilium rotates posterior Correct
Answers Counternutation
Nutation
____% chance of RTW if LBP hasn't resolved in 6 months?
Correct Answers 40%
if out a full year = decrease to 20%
if she's out 2 yrs = 0%
"With the patient in the supine position, the lengths of the
inferior aspects of both medial malleoli are compared. In the
supine position, the finding of a shorter leg when compared with
the opposite side is suggestive, but not confirmatory, of a
posteriorly rotated innominate. While the clinician holds the
medial border of the medial malleoli with the thumbs, the
patient is asked to come to a long sitting position. Any apparent
lengthening of the short leg implied to us the presence of
sacroiliac joint dysfunction and a posteriorly rotated innominate.
In the supine and long sitting positions test, the apparent short
lower extremity in the supine position suggests the ilium is
rotated posteriorly on the sacrum; the apparent lengthening of
the same lower extremity during long sitting also suggests the
ilium is rotated posteriorly on the sacrum. An observable
difference of at least 2.54 cm between the supine and long
Correct Answers learn this bullshit
,20 y/o wrestler with R arm cellulitis and arm pain, 2 week hx of
erythematous painful swelling of R elbow and forearm. he
noticed acute swelling and redness after one of his matches.
What is the most likely dx? Correct Answers Paget-Schroetter
Syndrome
DVT of one of the veins in the UE's - common occurs in young
active males involved in sports with repetitive UE movement
OH
30 y/o F accountant is referred to PT with c/o sharp pain
originating in the left groin and radiating to the medial aspect of
the upper thigh, lower leg and foot Correct Answers Saphenous
Nerve
37 y/o male presents to PT with flu like symptoms, malaise,
decreased active lumbar SB and limited chest expansion. What
is the likely dx? Correct Answers Ankylosing Spondylitis
48 hrs acute MVC - what is appropriate tx? Correct Answers
ice, estim
bed-rest (conflicting but may be recommended initially)
Cervical Collar
NSAID are not appropriate
While anti-inflammatory medications are indicated for this
patient, physical therapist prescription of pharmaceutical
medication is beyond the Description of Advanced Specialty
Practice, though some physical therapists in federal government
settings do have this privilege.
,55 y/o M has a sudden sharp onset of LBP that comes and goes.
it radiates to his right testicle, he doesn't have a fever. Whats the
most likely dx/ Correct Answers Kidney stones
6 y/o M is referred to PT for hip pain and strengthening. he has
been limping for 2 weeks. Based on this, what is likely dx?
Correct Answers LCPD
4-10 yrs
loss of circulation of the femoral head leading to necrosis of
proximal femoral epiphysis.
Transient synovitis is a common cause of acute hip pain but
resolves within a week.
A 16 y.o. competitive gymnast presents with a complaint of
acute central low back pain. Her pain is worsened with the
combined movements of extension, ipsilateral rotation, and side
bending of her lumbar spine. She denies any LE pain or motor
weakness. Her symptoms began following an increase in the
intensity of her training 3 weeks ago. Pt reports pain is
becoming so intense she is unable to perform a back bend.
Question:
What is the most likely diagnosis? Correct Answers
Spondylolysis
Correct. Acute injury to the pars interarticularis is possible with
extreme lumbar extension as often performed in gymnastics.
This should be ruled out before other diagnosis such as
neuromuscular instability are considered.
A 16 year old who is the starting pitcher for his high school
baseball team is referred for medial elbow pain that began
during the beginning of the season during practices and is now
, limiting the number of throws he can make at each baseball
game. He reports occasional paresthesia to the fourth and fifth
digits of his throwing hand while throwing. He reports that he
has been pitching for 7 years, and that he played year round
baseball until starting high school. The elbow is not painful at
rest (begins hurting after approximately 10 full speed throws).
He has not had imaging performed.
Upon examination, there is a mild loss of terminal elbow
extension (lacks the final 8 degrees). The medial elbow is
painful and the pain increases with valgus stress testing although
there is not noticeable opening of the humeroradial joint. Varus
stress testing at the elbow is not bothersome. Tinel's is negative.
Question:
Which of Correct Answers Ulnar collateral ligament tear
Correct: This condition is associated with repetitive overhead-
throwing, particularly adolescent pitching athletes. The
repetitive valgus stress placed on the elbow can lead to injury to
the ligament. Paresthesia or even associated cubital tunnel
syndrome is possible.
A 16 year-old female reports a popping sensation when getting
up from a chair. The physical therapist notes tenderness to the
femoral triangle and grades iliopsoas strength at a 4/5. The
______ is MOST likely related to her complaints of pain.
Correct Answers Lesser trochanter Correct! This question
challenges your knowledge of the femoral triangle. Since weak
hip flexion and the illiopsoas are involved, and a likely place for
the illiopsoas to be involved with snapping hip is the lesser
