OCS Orthopedic Assessment & Diagnosis 3

Question 1

A patient has a positive Ober's test with limited hip adduction in sidelying. This finding suggests tightness of which structure?

Accepted Answer

Iliotibial band and tensor fasciae latae

Answer

Ober's test assesses iliotibial band and tensor fasciae latae flexibility; limited hip adduction in the test position indicates tightness of these structures.

Question 2

During cervical assessment, a patient's radicular symptoms are reproduced by ipsilateral lateral flexion and rotation with axial compression. This describes:

Accepted Answer

Spurling's test

Answer

Spurling's test (cervical compression with ipsilateral lateral flexion and rotation) narrows the neural foramen and reproduces cervical radiculopathy symptoms.

Question 3

A 30-year-old soccer player reports medial knee pain with joint line tenderness and pain during McMurray's test with valgus stress and external rotation. The MOST likely diagnosis is:

Accepted Answer

Medial meniscus tear

Answer

McMurray's test with valgus stress and external tibial rotation specifically loads the medial meniscus, and a positive test with joint line pain indicates a medial meniscus tear.

Question 4

Which reflex, if absent, is MOST consistent with an L4 nerve root lesion?

Accepted Answer

Patellar reflex

Answer

The patellar (knee jerk) reflex is primarily mediated by the L4 nerve root, and its absence suggests L4 radiculopathy.

Question 5

The FABER test (Flexion, ABduction, External Rotation) is used to assess which structures?

Accepted Answer

Hip joint and sacroiliac joint

Answer

FABER test stresses both the hip joint (anterior capsule, labrum) and the sacroiliac joint, making it a useful screen for both pathologies.

(OCS) Orthopedic Certified Specialist Practice Test

(OCS) Orthopedic Certified Specialist Practice Test

OCS Orthopedic Assessment & Diagnosis 3