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 60-year-old diabetic patient presents with bilateral burning foot pain worse at night and loss of protective sensation. What is the most appropriate clinical decision?
Answer: Comprehensive diabetic foot examination with monofilament testing and neurological referral
Diabetic peripheral neuropathy requires thorough assessment including monofilament testing for protective sensation and potential neurological or endocrinology referral to prevent ulceration.
When using the Ottawa Ankle Rules, which finding indicates the need for radiographic imaging?
Answer: Point tenderness at the posterior edge of the lateral malleolus
Ottawa Ankle Rules mandate X-rays if there is bony tenderness at the posterior 6 cm or tip of the lateral or medial malleolus.
A pitcher presents with medial elbow pain during the late cocking and acceleration phases of throwing. Valgus stress testing at 30° flexion reveals laxity. Which structure is most likely injured?
Answer: Ulnar collateral ligament (anterior band)
The anterior band of the UCL is the primary stabilizer against valgus stress at the elbow and is commonly injured in overhead throwing athletes.
Which pattern of hip joint restriction is most consistent with early osteoarthritis of the hip using the capsular pattern?
Answer: Greatest loss of internal rotation, then flexion, then abduction
The capsular pattern of the hip joint involves greatest restriction of internal rotation, followed by flexion and abduction, indicating intra-articular pathology.
A CCEP practitioner identifies joint hypomobility at the first MTP joint with limitation of dorsiflexion. This clinical pattern is consistent with which condition?
Answer: Hallux rigidus
Hallux rigidus is characterized by loss of dorsiflexion at the first MTP joint due to degenerative changes, causing pain and stiffness during push-off.
When evaluating shoulder instability, which test combination provides the highest diagnostic accuracy for anterior glenohumeral instability?
Answer: Apprehension test and relocation test
The apprehension test combined with the relocation test (Jobe's relocation) has high sensitivity and specificity for anterior glenohumeral instability.
A patient presents after ankle sprain with a positive squeeze test (fibular compression) and syndesmotic tenderness. Which injury should be suspected?
Answer: High ankle sprain (syndesmosis injury)
A positive squeeze test with anterosuperior pain at the syndesmosis indicates a high ankle sprain, which requires more conservative management and longer recovery.