We’re excited to unveil the new cover of our book coming out this fall.

• The book will be released on Amazon this November!
• Focus is on extremity based questions for those taking the OCS or SCS exam.
• Book is complete with short, quick, engaging review sections.
• As well as multiple choice practice questions.
• Also, two new authors: Marcus Williams and John Snyder.

We hope that this book in conjunction with our other study preparation material will be helpful to everyone looking to take the OCS or SCS exam next year.

OCS track:

The first book for OCS prep, PT Ortho Questions, has a focus on questions specific to the spine, brachial and lumbosacral plexus.

Click here for reviews of the book.

SCS track:

The first book for SCS prep, PT Sports Questions, has a focus on questions specific to on field management of sports injuries, sports physical therapy, and athletic training position statements.

Click here for review of the book.

 

June Questions of the Month

 

Question 1

A patient with abnormally high levels of creatine kinase and generalized muscle pain, most likely has what condition?

A. Fibromyalgia

B. Rhabdomyolysis

C. Lyme Disease

D. Guillain-Barré Syndrome

 

 

 

Question 2

 

A college soccer player is dribbling down the right flank of the field in the opponents half when he is slide tackled from behind by a defender with his knee in a slightly flexed position.  His right shank was caught in an externally rotated position underneath his body.  The subtalar joint was forced into eversion.  The player was unable to continue, and had to be removed from the game.  Assuming there is no meniscus or ligamentous injury to the knee.  Which of the following muscles is most likely strained?

A. Biceps femoris muscle

B. Lateral head of gastrocnemius muscle

C. Peroneal brevis

D. Popliteus muscle

 

SCROLL DOWN FOR ANSWERS…..

 

 

 

 

 

 

 

Answers

Question 1

A patient with abnormally high levels of creatine kinase and generalized muscle pain, most likely has what condition?

A. Fibromyalgia 

B. Rhabdomyolysis 

C. Lyme Disease 

D. Guillain-Barré Syndrome

Answer choice B is the correct answer.

• Abnormally high levels of creatine kinase is indicative of rhabdomyolysis.
• Guillain-Barré Syndrome is a rare disease that initially results in weakness and tingling in the extremities.
• Lyme disease can often result in joint pain, and is diagnosed with blood work identifying specific antibodies produced by the immune system to fight it.
• Fibromyalgia typically does not result in abnormally high creatine kinase values.
• Refer to a great BJSM podcast on the topic by clicking here.

Question 2

A college soccer player is dribbling down the right flank of the field in the opponents half when he is slide tackled from behind by a defender with his knee in a slightly flexed position.  His right shank was caught in an externally rotated position underneath his body and the defenders.  The subtalar joint was forced into eversion.  The player was unable to continue, and had to be removed from the game.  Assuming there is no meniscus or ligamentous injury to the knee.  Which of the following muscles is most likely strained?

A. Biceps femoris muscle

B. Lateral head of gastrocnemius muscle

C. Peroneal brevis

D. Popliteus muscle

The correct answer choice is the popliteus muscle.

The popliteus muscle has three functions:

1. Provides tibial internal rotation
2. Inhibits external rotation of the tibia
3.  Causes femoral external rotation when the tibia is fixed

When the knee is bent the popliteus muscle provides maximum resistance to tibial external rotation force.

Bigger muscles around the knee can get strained as well, such as the semitendinosus, semimembranosus, posterior tibialis, or triceps surae muscle group which can also perform tibial internal rotation.

 

 

 

You can read about an interesting case report on a popliteus strain that a MLS athlete incurred and download the article for free by clicking here.

 

Or you can read the abstract below from Pubmed: