CCEP Diagnosis & Assessment Techniques 2

Question 1

Which orthopedic test is used to assess for thoracic outlet syndrome by compressing the costoclavicular space?

Accepted Answer

Costoclavicular test

Answer

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?

Accepted Answer

Supraspinatus tendon or subacromial bursa

Answer

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?

Accepted Answer

Valgus stress test

Answer

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?

Accepted Answer

Achilles tendon

Answer

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?

Accepted Answer

Full wrist flexion with fingers extended

Answer

Phalen's test requires sustained full wrist flexion which increases carpal tunnel pressure and reproduces median nerve symptoms.

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test