OCS Orthopedic Assessment & Diagnosis 2

Question 1

A patient presents with lateral elbow pain that worsens with resisted wrist extension and gripping. Which provocative test is MOST specific for lateral epicondylalgia?

Accepted Answer

Cozen's test

Answer

Cozen's test (resisted wrist extension with elbow extended) provokes pain at the lateral epicondyle and is highly specific for lateral epicondylalgia.

Question 2

During a lumbar spine assessment, a patient has a positive slump test that is relieved by cervical extension. What does this finding indicate?

Accepted Answer

Neural tissue mechanosensitivity

Answer

Relief of symptoms with cervical extension during the slump test confirms neural tissue mechanosensitivity, implicating the neuromeningeal structures.

Question 3

Which special test assesses the integrity of the transverse carpal ligament and median nerve compression at the wrist?

Accepted Answer

Phalen's test

Answer

Phalen's test (sustained wrist flexion) increases carpal tunnel pressure and reproduces median nerve symptoms in carpal tunnel syndrome.

Question 4

A 55-year-old presents with insidious onset of shoulder pain and progressive loss of glenohumeral motion equally in all planes. The MOST likely diagnosis is:

Accepted Answer

Adhesive capsulitis

Answer

Global loss of glenohumeral motion (capsular pattern: ER > ABD > IR) in a progressive insidious presentation is pathognomonic for adhesive capsulitis.

Question 5

When assessing for a posterior cruciate ligament tear, the clinician should perform which test?

Accepted Answer

Posterior drawer test

Answer

The posterior drawer test evaluates posterior tibial translation and is the primary clinical test for posterior cruciate ligament integrity.

(OCS) Orthopedic Certified Specialist Practice Test

(OCS) Orthopedic Certified Specialist Practice Test

OCS Orthopedic Assessment & Diagnosis 2