CCEP Adjusting Techniques for Extremities 3

Question 1

The 'gun-stock' deformity after a supracondylar fracture contraindicates which elbow adjustment?

Accepted Answer

Valgus stress mobilization

Answer

A gun-stock deformity indicates malunion with cubitus varus; valgus stress mobilization is contraindicated because it stresses compromised medial structures.

Question 2

Which carpal bone is most commonly restricted in an anterior (palmar) direction and adjusted with a posterior-to-anterior thrust?

Accepted Answer

Lunate

Answer

The lunate commonly subluxates anteriorly; an anterior lunate adjustment uses a P-to-A thrust to restore it toward its anatomic position.

Question 3

A 'pinch-roll' or 'facet' adjustment to the interphalangeal joint of the finger primarily restores which motion?

Accepted Answer

Lateral glide (shear)

Answer

The pinch-roll technique applies a lateral (shear) glide to gap the IP joint and restore restricted lateral motion.

Question 4

When performing a posterior fibular head adjustment, excessive force risks injury to which structure?

Accepted Answer

Common peroneal nerve

Answer

The common peroneal nerve wraps around the fibular neck just below the fibular head, making it vulnerable to compression or traction during adjustment.

Question 5

In a Gonstead-style knee adjustment for a lateral-restricted tibia, the patient is prone and the tibial contact is:

Accepted Answer

Medial tibial plateau with medial-to-lateral thrust

Answer

For a lateral tibial restriction, contact is on the medial tibial plateau and the thrust is medial-to-lateral to restore the restricted lateral glide.

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

CCEP Adjusting Techniques for Extremities 3