1) You’re traveling abroad in Munich, Germany and decide to stop by the original Hofbrauhaus. You notice during the stein hoisting competition that one of the German locals cannot extent his arm fully.  All the following can explain why he cannot extend his elbow fully except which answer choice?

A. Lateral epicondylagia

B. Radial head fracture

C. Osteophytes

D.Medial elbow tightness

 

 

2) Frankenstein’s monster presents to you with complaints of weakness in right forearm. The triceps, pronator teres, and flexor carpi radialis were all 5 out of 5 per manual muscle testing.   You give the wrist extensors a 2+ out of 5 per manual muscle testing. What nerve or nerve root is affected?

A. C7

B. Posterior interosseous nerve

C. C8

D. Anterior interosseous nerve

 

 

3) An eight-year-old male wizard has been practicing his overhead spell casting with a wand to prepare for an upcoming duel and he presents to you with anterolateral elbow pain of their dominant arm. He has increased volume of practicing over the last month.  What is the most likely diagnosis?

A. Panner’s Disease

B. Biceps tendonopathy

C. Osteochondritis Dissecans

D. Olecranon fracture

 

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Stay tuned for our latest book coming out this November.

• Practice Questions for OCS and SCS

• Short Review Sections

 

 

 

1) You’re traveling abroad in Munich, Germany and decide to stop by the original Hofbrauhaus. You notice during the stein hoisting competition that one of the German locals cannot extent his arm fully.  All the following can explain why he cannot extend his elbow fully except which answer choice?

  A. Lateral epicondylagia

Answer choices B, C and D can all cause a decrease in elbow extension range of motion.  Answer choice A is the least likely choice.  Test taker may have been confused that the correct answer choice was not answer choice B, radial head fracture.  Often radial head fractures can be missed on radiographs due to the overlapping translucency between the radius and ulna.  Fat Pad sign usually indicates that there is edema in the joint and could be suggestive of an occult radial head fracture.

      B. Radial head fracture

          C. Osteophytes

          D.Medial elbow tightness

Citation: Hobbs, Dan L. “Fat pad signs in elbow trauma.” Radiologic technology 77.2 (2005): 93-96.

 

2) Frankenstein’s monster presents to you with complaints of weakness in right forearm. The triceps, pronator teres, and flexor carpi radialis were all 5 out of 5 per manual muscle testing.   You give the wrist extensors a 2+ out of 5 per manual muscle testing. What nerve or nerve root is affected?

     A. C7

            B. Posterior interosseous nerve

This nerve is part of the deep branch of the radial nerve.   It can be confused with C7 radiculopathy.  Some of the defining characteristics however are that the posterior interosseous nerve is a motor nerve only.  If C7 radiculopathy were present you would expect weakness of muscles above the elbow and sensory deficits.

      C. C8

            D. Anterior interosseous nerve

Citation: Abbed KM, Coumans JV. Cervical Radiculopathy Pathophysiology, Presentation, And Clinical Evaluation. Neurosurgery. 2007 Jan 1;60(suppl_1):S1-28.

 

3) An eight-year-old male wizard has been practicing his overhead spell casting with a wand to prepare for an upcoming duel and he presents to you with anterolateral elbow pain of their dominant arm. He has increased volume of practicing over the last month.  What is the most likely diagnosis?

            A. Panner’s Disease

Given the patient’s age, sport and position (dueling wizard or baseball pitcher) you should be concerned with answer choice A.  Panner’s disease is characterized by a disruption of the growth plate of the capitellum secondary to a repetitive valgus force.  Answer choice C is less common, but should be on the differential as well.  This pathology typically occurs in patient’s over the age of 10 years old.

      B. Biceps tendonopathy

            C. Osteochondritis Dissecans

            D. Olecranon fracture

Citation: Kobayashi K., Burton K., Rodner C., Smith B., and Caputo A. Lateral compression injuries in the pediatric elbow: panner’s disease and osteochondritis dissecans of the capitellum. J Am Acad Orhop Surg. 2004;12:246-254.

 

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

• 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.
• Scroll down to see details on OCS track and SCS track.

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:

SCS track:

 

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