OCS Clinical Management of Musculoskeletal Disorders 2

Question 1

A patient with lateral epicondylalgia has failed 6 weeks of conservative treatment. Which intervention has the strongest evidence for chronic cases?

Accepted Answer

Eccentric strengthening exercise

Answer

Eccentric strengthening exercises targeting the wrist extensors have the strongest long-term evidence for chronic lateral epicondylalgia, outperforming corticosteroid injections beyond 6 weeks.

Question 2

During assessment of a patient with suspected De Quervain's tenosynovitis, which provocative test is most specific for this condition?

Accepted Answer

Finkelstein's test

Answer

Finkelstein's test, performed by ulnar deviating the wrist with the thumb tucked in the fist, is the classic provocative test for De Quervain's tenosynovitis.

Question 3

A 55-year-old presents with insidious onset hip pain, groin aching, and limited internal rotation. X-ray shows joint space narrowing. Which manual therapy approach is most appropriate initially?

Accepted Answer

Inferior hip joint distraction mobilization

Answer

Inferior hip joint distraction mobilization is appropriate for hip osteoarthritis to restore joint mobility and reduce pain before progressing to other interventions.

Question 4

A runner presents with medial tibial stress syndrome. Which biomechanical factor is most commonly implicated in its development?

Accepted Answer

Increased contralateral pelvic drop during stance

Answer

Contralateral pelvic drop (Trendelenburg pattern) increases tibial internal rotation stress and is a primary biomechanical contributor to medial tibial stress syndrome.

Question 5

Which special test is most sensitive for detecting a posterior cruciate ligament (PCL) injury?

Accepted Answer

Posterior drawer test at 90° flexion

Answer

The posterior drawer test at 90° knee flexion is the most sensitive and specific clinical test for PCL integrity.

(OCS) Orthopedic Certified Specialist Practice Test

(OCS) Orthopedic Certified Specialist Practice Test

OCS Clinical Management of Musculoskeletal Disorders 2