CCEP Clinical Decision Making 5

Question 1

A patient presents with acute knee effusion following a non-contact deceleration injury. Lachman's test is positive. Which structure is most likely ruptured?

Accepted Answer

Anterior cruciate ligament

Answer

A positive Lachman's test (anterior tibial translation at 20–30° knee flexion) with acute effusion after non-contact deceleration is the hallmark of ACL rupture.

Question 2

When applying the clinical prediction rule for manipulation of the ankle, which finding increases the likelihood of a successful outcome?

Accepted Answer

Unilateral hypomobility with symptom duration less than 16 days

Answer

Short symptom duration (under 16 days) and unilateral hypomobility are key predictors in clinical prediction rules favoring successful ankle manipulation outcomes.

Question 3

A CCEP practitioner notes clicking and medial joint line pain with Thessaly's test at 20° knee flexion. This finding is most consistent with:

Accepted Answer

Medial meniscal pathology

Answer

Thessaly's test at 20° knee flexion loads the menisci through axial rotation; medial joint line pain or clicking indicates medial meniscal pathology.

Question 4

Which clinical finding would most support a diagnosis of thoracic outlet syndrome rather than cervical radiculopathy in a patient with upper extremity numbness?

Accepted Answer

Positive Adson's test with pulse obliteration and symptom reproduction

Answer

Adson's test assesses neurovascular compression at the thoracic outlet; pulse obliteration combined with symptom reproduction differentiates TOS from cervical radiculopathy.

Question 5

In a patient with chronic ankle instability, which rehabilitation progression principle is most critical before returning to sport?

Accepted Answer

Restoring proprioception and neuromuscular control before strength

Answer

Proprioceptive training and neuromuscular control restoration are essential in chronic ankle instability, as mechanoreceptor damage contributes to recurrent sprains.

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

CCEP Clinical Decision Making 5