Lower Extremity Treatment Flashcards
7 cards from real CCEP practice questions. Tap to flip, then mark Knew It or Still Learning โ missed cards come back until you master them.
Read the first 7 Lower Extremity Treatment flashcards as text
A dancer presents with pain at the posterior ankle reproduced by passive plantarflexion compression. The most likely diagnosis is:
Answer: Os trigonum syndrome
Passive plantarflexion compressing a posterior ankle bony or soft tissue prominence is the hallmark provocative test for os trigonum syndrome.
Which nerve is most at risk during a proximal fibular manipulation for peroneal nerve entrapment?
Answer: Common peroneal nerve
The common peroneal nerve wraps around the fibular head and is directly at risk during proximal fibula joint procedures.
What is the recommended chiropractic approach for a Grade II lateral ankle sprain in the subacute phase (days 4-14)?
Answer: HVLA thrust to restore subtalar motion, with proprioceptive rehabilitation
Subacute ankle sprains benefit from gentle HVLA to restore restricted talocrural and subtalar motion paired with early proprioceptive training.
A patient with hallux limitus has restricted first MTP dorsiflexion. The preferred joint mobilization glide direction is:
Answer: Dorsal glide of the proximal phalanx on the metatarsal head
To restore dorsiflexion (extension) at the first MTP, a dorsal glide of the proximal phalanx is applied per the concave-convex rule.
Which muscle, if weak, most commonly contributes to 'too many toes' sign during posterior observation of gait?
Answer: Tibialis posterior
Tibialis posterior weakness allows hindfoot valgus and forefoot abduction, causing more toes to be visible lateral to the heel from behind.
In the CCEP examination context, the Lachman test differs from the anterior drawer test in that it:
Answer: Evaluates ACL at 20-30 degrees of flexion where hamstrings are less able to mask laxity
The Lachman test at 20-30 degrees of knee flexion reduces hamstring contribution, making it more sensitive for ACL rupture than the 90-degree drawer.
Trigger point therapy applied to the short head of the biceps femoris most commonly refers pain to:
Answer: Posterior lateral knee and lower leg
Short head biceps femoris trigger points typically refer pain posterolaterally through the knee and into the upper posterior calf.