CPG's MSK

Question 1

Cervical Radiculopathy CPG

Answer 1

(+) Distraction
(+) Spurling’s test A
ULTT1 (A)
Involved side cervical rotation ROM <60 degrees

Question 2

Carpal Tunnel Syndrome CPG

Answer 2

Shaking hands to relieve symptoms
Wrist ration >0.67
Symptom Severity Scale >1.9
Diminished sensation to median field (thumb)
Age >45 years old

Question 3

Lumbar Manipulation CPG

Answer 3

Pain lasting <16 days
No symptoms past the knee
FABQ score <19
IR > 35 degrees for at least one hip
Hypomobility of at least one level of the lumbar spine

Question 4

Ottawa Ankle Rules

Answer 4

Bone tenderness along the distal 6cm of the posterior edge of the tibia or tip of the medial malleolus

Bone tenderness along the distal 6cm of the posterior edge of the fibula or tip of the lateral malleolus

Inability to bear weight both immediately and in the ER room for 4 steps

Question 5

Ottawa Foot Rules

Answer 5

Bone tenderness at the base of the 5th metatarsal

Bone tenderness at the navicular bone

Inability to bear weight both immediately and in the ER room for 4 steps

Question 6

Ottawa Knee Rules

Answer 6

aged 55 years or >
tenderness at the head of the fibula.
isolated tenderness of the patella.
inability to flex knee to 90 degrees.
inability to bear weight (defined as an inability to take four steps, ie. two steps on each leg, regardless of limping) immediately and at presentation.