CCEP Clinical Decision Making 4

Question 1

A patient with knee pain has a positive McMurray's test with a palpable click on external tibial rotation. Which meniscus is most likely torn?

Accepted Answer

Medial meniscus

Answer

McMurray's test with external tibial rotation stresses the medial meniscus; a click or pain at the medial joint line indicates a medial meniscal tear.

Question 2

During examination of the wrist, which provocative test is used to identify de Quervain's tenosynovitis?

Accepted Answer

Finkelstein's test

Answer

Finkelstein's test (thumb in fist with ulnar deviation) stretches the APL and EPB tendons through their sheath, reproducing pain in de Quervain's tenosynovitis.

Question 3

A CCEP practitioner is assessing gait and notes the patient's ipsilateral pelvis drops during the mid-stance phase. This Trendelenburg sign indicates weakness of which muscle?

Accepted Answer

Ipsilateral gluteus medius

Answer

A positive Trendelenburg sign indicates weakness of the ipsilateral gluteus medius, which normally prevents pelvic drop during single-leg stance.

Question 4

Which imaging modality is most appropriate as a first-line study for evaluating a suspected rotator cuff tear in an acute setting?

Accepted Answer

MRI without contrast

Answer

MRI without contrast is the gold standard for evaluating rotator cuff pathology, providing excellent soft tissue contrast for both partial and full-thickness tears.

Question 5

A runner presents with lateral knee pain that increases around the 2-km mark and resolves with rest. Noble compression test is positive. What is the most likely diagnosis?

Accepted Answer

Iliotibial band syndrome

Answer

IT band syndrome presents with predictable onset at a specific running distance and a positive Noble compression test at 30° knee flexion (2 cm proximal to the lateral epicondyle).

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

CCEP Clinical Decision Making 4