CCEP Diagnosis & Assessment Techniques 2 — Questions and Answers
Question 1: Which orthopedic test is used to assess for thoracic outlet syndrome by compressing the costoclavicular space?
- Adson's test
- Costoclavicular test (Correct answer)
- Roos test
- Wright's test
Correct answer: Costoclavicular test
The costoclavicular test (military brace position) compresses the costoclavicular space to reproduce TOS symptoms.
Question 2: During shoulder assessment, a painful arc between 60–120 degrees of abduction most likely indicates pathology of which structure?
- Long head of biceps tendon
- Supraspinatus tendon or subacromial bursa (Correct answer)
- Infraspinatus tendon
- Subscapularis tendon
Correct answer: Supraspinatus tendon or subacromial bursa
The painful arc between 60–120 degrees of shoulder abduction is the classic presentation of supraspinatus or subacromial bursal impingement.
Question 3: Which provocative test evaluates medial collateral ligament integrity at the knee by applying a valgus stress?
- Varus stress test
- Valgus stress test (Correct answer)
- Lachman test
- McMurray's test
Correct answer: Valgus stress test
The valgus stress test applies force to the lateral aspect of the knee to assess medial collateral ligament integrity.
Question 4: A positive Thompson's test, where squeezing the calf fails to produce plantarflexion, indicates rupture of which structure?
- Posterior tibial tendon
- Peroneal tendon
- Achilles tendon (Correct answer)
- Plantar fascia
Correct answer: Achilles tendon
Thompson's test (Simmond's test) diagnoses complete Achilles tendon rupture when calf compression does not cause plantarflexion.
Question 5: When assessing carpal tunnel syndrome, Phalen's test is performed by maintaining which position for 60 seconds?
- Full wrist extension
- Full wrist flexion with fingers extended (Correct answer)
- Wrist neutral with finger flexion
- Wrist flexion with ulnar deviation
Correct answer: Full wrist flexion with fingers extended
Phalen's test requires sustained full wrist flexion which increases carpal tunnel pressure and reproduces median nerve symptoms.
Question 6: The Q-angle in the knee assessment is measured between the quadriceps line of pull and which other reference?
- Tibial tuberosity to femoral condyle line
- Line from ASIS through patella center to tibial tuberosity (Correct answer)
- Femoral shaft axis to tibial shaft axis
- Medial joint line to patellar midpoint
Correct answer: Line from ASIS through patella center to tibial tuberosity
The Q-angle is formed by the line from ASIS through the patellar center and the line from the patellar center to the tibial tuberosity.
Question 7: Which ankle assessment finding indicates anterior talofibular ligament (ATFL) laxity?
- Positive talar tilt test beyond 5 degrees
- Positive anterior drawer sign with forward talar translation (Correct answer)
- Pain with forced dorsiflexion
- Positive Thompson's test
Correct answer: Positive anterior drawer sign with forward talar translation
The anterior drawer test of the ankle assesses ATFL integrity; excessive anterior translation of the talus indicates ligament laxity or rupture.
CCEP Diagnosis & Assessment Techniques 2
Which orthopedic test is used to assess for thoracic outlet syndrome by compressing the costoclavicular space?