OCS EXAM PREP QUESTIONS AND
ANSWERS. VERIFIED 2026.
Cervical Radiculopathy CPR - ANS Positive ULTT A
involved side rotation <60
(+) distraction test
(+) spurling's compression
Predictors of prolonged recovery from whiplash associated disorders - ANS Numeric Pain
Rating > 6/10
NDI > 30%
Pain Catastrophizing Scale > 20
Impact of Events Scale - Revised > 20
Cold hyperalgesia
Signs of vertebrobasilar Artery dissection - ANS Unsteadiness, ataxia
Dysphagia, dysarthria
LE/UE weakness
nausea
facial palsy
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Signs of Internal carotid artery dissection - ANS ptosis
UE weakness
facial palsy
LE weakness
Dysphagia, dysarthria
Canadian C-Spine rules - ANS High risk people
1. age > 65
2. dangerous mechanism
3. Paresthesias in the extremities
Low Risk:
1. absence of midline tenderness
2. simple rear end MVA
3. sitting position in ER
4. ambulatory at any time
5. delayed onset of neck pain
If NO to these then XRAY
IF YES to above proceed to ROM measurement
1. able to rotate neck 45 degrees both ways
If NO to this then XRAY
If YES to this that no films needed
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Cervical Myelopathy CPR - ANS Gait Deviations
(+) Hoffman's
Inverted Supinator sign
(+) Babinski
Age > 45 years
Tension-type headaches - ANS bilateral headache
mild to moderate intensity
Pressing or tightening
not aggravated by activity
30 + minutes
Migraine - ANS Unilateral or bilateral
Pulsating
Moderate to severe
Aggravated by or causes avoidance of activity
light or noise sensitivity
4-72 hours
Cluster Headache - ANS Unilateral (eye and side of head)
Severe pain
Restlessness or agitation
Can cause facial symptoms on same side (sweating, red/watery eye, swelling)
15-180 minutes
Coronary Artery disease CPG - ANS Sex and age (F>65, M>55)
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
ANSWERS. VERIFIED 2026.
Cervical Radiculopathy CPR - ANS Positive ULTT A
involved side rotation <60
(+) distraction test
(+) spurling's compression
Predictors of prolonged recovery from whiplash associated disorders - ANS Numeric Pain
Rating > 6/10
NDI > 30%
Pain Catastrophizing Scale > 20
Impact of Events Scale - Revised > 20
Cold hyperalgesia
Signs of vertebrobasilar Artery dissection - ANS Unsteadiness, ataxia
Dysphagia, dysarthria
LE/UE weakness
nausea
facial palsy
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Signs of Internal carotid artery dissection - ANS ptosis
UE weakness
facial palsy
LE weakness
Dysphagia, dysarthria
Canadian C-Spine rules - ANS High risk people
1. age > 65
2. dangerous mechanism
3. Paresthesias in the extremities
Low Risk:
1. absence of midline tenderness
2. simple rear end MVA
3. sitting position in ER
4. ambulatory at any time
5. delayed onset of neck pain
If NO to these then XRAY
IF YES to above proceed to ROM measurement
1. able to rotate neck 45 degrees both ways
If NO to this then XRAY
If YES to this that no films needed
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Cervical Myelopathy CPR - ANS Gait Deviations
(+) Hoffman's
Inverted Supinator sign
(+) Babinski
Age > 45 years
Tension-type headaches - ANS bilateral headache
mild to moderate intensity
Pressing or tightening
not aggravated by activity
30 + minutes
Migraine - ANS Unilateral or bilateral
Pulsating
Moderate to severe
Aggravated by or causes avoidance of activity
light or noise sensitivity
4-72 hours
Cluster Headache - ANS Unilateral (eye and side of head)
Severe pain
Restlessness or agitation
Can cause facial symptoms on same side (sweating, red/watery eye, swelling)
15-180 minutes
Coronary Artery disease CPG - ANS Sex and age (F>65, M>55)
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
