Which Quebec Task Force WAD level is defined by neck pain with musculoskeletal signs such as decreased ROM and point tenderness?

• A. WAD 3
• B. WAD 2
• C. WAD 1
• D. WAD 4

Answer: (B)

This question tests how the Quebec Task Force classifies whiplash injuries by the presence of objective signs. The level described—neck pain with musculoskeletal signs such as decreased range of motion and point tenderness—is the category where there is clear musculoskeletal involvement but no neurological deficits. That fits WAD II, where patients show reduced neck motion and local tenderness or muscle spasm, yet there are no nerve signs like numbness, weakness, or reflex changes.

This differs from WAD I, which involves neck pain without objective physical signs; WAD III, which includes neurological signs; and WAD IV, which involves fracture or dislocation. Thus, the presence of decreased ROM and focal tenderness anchors the answer to WAD II.