CCEP Diagnosis & Assessment Techniques 4

Question 1

In assessing patellofemoral syndrome, the Clarke's test (patellar grind test) is performed by applying pressure where?

Accepted Answer

Superior pole of the patella while asking the patient to contract the quadriceps

Answer

Clarke's test compresses the patella against the femoral condyles at the superior pole while the patient contracts the quadriceps, reproducing retropatellar pain if patellofemoral syndrome is present.

Question 2

Which goniometric measurement represents the normal range of motion for forearm pronation?

Accepted Answer

80 degrees

Answer

Normal forearm pronation is approximately 80 degrees, measured from the neutral position with the elbow at 90 degrees of flexion.

Question 3

A positive Spurling's test during cervical examination reproduces arm symptoms when performing which combined maneuvers?

Accepted Answer

Cervical compression with ipsilateral rotation and lateral flexion

Answer

Spurling's test combines axial compression with ipsilateral lateral flexion and rotation to narrow the neural foramen and reproduce radicular symptoms.

Question 4

On a normal wrist X-ray, Gilula's arcs help identify carpal instability. Which carpal row forms the distal arc (Arc III)?

Accepted Answer

Proximal surfaces of the distal carpal row

Answer

Gilula's third arc traces the proximal surfaces of the distal carpal row (trapezoid, capitate, hamate); disruption suggests midcarpal instability.

Question 5

The Lachman test for ACL integrity is preferred over the anterior drawer test because it is more sensitive at which knee flexion angle?

Accepted Answer

20–30 degrees

Answer

At 20–30 degrees of knee flexion, the hamstrings are more relaxed and the ACL's anteromedial bundle is under maximum tension, making the Lachman test more sensitive.

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

CCEP Diagnosis & Assessment Techniques 4