CCEP Clinical Decision Making 2

Question 1

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?

Accepted Answer

Common extensor tendon at lateral epicondyle

Answer

Cozen's test (resisted wrist extension with elbow extended) specifically stresses the common extensor tendon at the lateral epicondyle, indicating lateral epicondylitis.

Question 2

When evaluating a patient with suspected carpal tunnel syndrome, which electrodiagnostic finding is most diagnostic?

Accepted Answer

Prolonged median sensory latency across the wrist

Answer

Prolonged median sensory nerve conduction latency across the wrist is the most sensitive electrodiagnostic finding in carpal tunnel syndrome.

Question 3

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?

Accepted Answer

Patellofemoral pain syndrome

Answer

Patellofemoral pain syndrome presents with anterior knee pain worsened by stairs and prolonged knee flexion, with a positive patellar grind test.

Question 4

In clinical decision making for extremity adjusting, which finding would most contraindicate high-velocity thrust to the wrist?

Accepted Answer

Rheumatoid arthritis with active synovitis

Answer

Active rheumatoid arthritis with synovitis is a contraindication to HVLA manipulation due to risk of joint damage, ligamentous laxity, and inflammatory exacerbation.

Question 5

A patient presents with foot drop following a fall. Which nerve is most likely injured based on this presentation?

Accepted Answer

Common peroneal nerve

Answer

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.

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

CCEP Clinical Decision Making 2