You’re watching a a baseball game and see the batter charge the mound and throw a wild punch at the pitcher.  Which metacarpal bones are most likely to be fractured?

A. 1st or 2nd

B. 3rd or 4th

C. 4th or 5th

D. Scaphoid

 

Scroll down to find the answer.

Don’t know the answer?  Don’t sweat it.  On the OCS exam, wrist and hand questions only make up 4% of the test.

 

You’re watching a a baseball game and see the batter charge the mound and throw a wild punch at the pitcher.  Which metacarpal bones are most likely to be fractured?

A. 1st or 2nd

B. 3rd or 4th

C. 4th or 5th

The 4th or 5th metacarpal bones are most likely to be fractured due to a punch.  Interestingly, professional boxers are less likely to suffer from this, and most people that fracture these bones are not punching correctly.  

D. Scaphoid

 

BONUS Question:

What would you expect the patellar and achilles muscle stretch reflexes to be with someone who has cauda equine syndrome?

A.  Hypo-reflexive

B. Hyper-reflexive

C. Normal

D.  Clonus

 

Scroll down for answer….

 

  

 

What would you expect the patellar and achilles muscle stretch reflexes to be with someone who has cauda equina syndrome?

A.  Hypo-reflexive

Although cauda equina syndrome mostly occurs due to a central disc herniation, it will likely cause lower motor neuron signs if it occurs below L1 or L2 where the spinal cord ends.  Click on one of the 2 abstracts below for links to articles.  The first article may be my favorite case report, ever, because it reads like a war novel and highlights the importance of continual assessment of our patients.  

B. Hyper-reflexive

C. Normal

D.  Clonus

 

Click on images below to take you to the article.

 

 

Studying for the OCS or SCS?

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Both books will be updated with formatting and grammatical edits this summer.  Stay tuned.

Also, coming this fall, we are publishing and a combined Ortho and Sports study book with not only practice questions but review sections as well.