Clinical Decision Making Flashcards
7 cards from real CCEP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Clinical Decision Making flashcards as text
A 45-year-old male presents with lateral elbow pain that worsens with resisted wrist extension. Cozen's test is positive. Which structure is most likely involved?
Answer: Common extensor tendon at lateral epicondyle
Cozen's test (resisted wrist extension with elbow extended) specifically stresses the common extensor tendon at the lateral epicondyle, indicating lateral epicondylitis.
When evaluating a patient with suspected carpal tunnel syndrome, which electrodiagnostic finding is most diagnostic?
Answer: Prolonged median sensory latency across the wrist
Prolonged median sensory nerve conduction latency across the wrist is the most sensitive electrodiagnostic finding in carpal tunnel syndrome.
A soccer player reports anterior knee pain that worsens when descending stairs and after prolonged sitting. Patellar grind test is positive. What is the most likely diagnosis?
Answer: Patellofemoral pain syndrome
Patellofemoral pain syndrome presents with anterior knee pain worsened by stairs and prolonged knee flexion, with a positive patellar grind test.
In clinical decision making for extremity adjusting, which finding would most contraindicate high-velocity thrust to the wrist?
Answer: Rheumatoid arthritis with active synovitis
Active rheumatoid arthritis with synovitis is a contraindication to HVLA manipulation due to risk of joint damage, ligamentous laxity, and inflammatory exacerbation.
A patient presents with foot drop following a fall. Which nerve is most likely injured based on this presentation?
Answer: Common peroneal nerve
The common peroneal nerve wraps around the fibular head and is vulnerable to injury there, causing foot drop due to weakness of ankle dorsiflexion and eversion.
Which clinical test is most specific for a torn anterior talofibular ligament (ATFL)?
Answer: Anterior drawer test of the ankle
The anterior drawer test of the ankle assesses ATFL integrity by translating the talus anteriorly relative to the tibia; excessive translation indicates ATFL rupture.
A patient with chronic shoulder pain has a positive Neer impingement sign and positive empty can test. Which structure is most likely compromised?
Answer: Supraspinatus tendon
The empty can test (Jobe's test) isolates the supraspinatus, and combined with Neer's sign, suggests supraspinatus impingement or tear.