CCEP Diagnosis & Assessment Techniques 5 — Questions and Answers
Question 1: Which special orthopedic test evaluates for posterior hip labral tears by flexing, adducting, and internally rotating the hip?
- FABER (Patrick's) test
- FADIR (impingement) test (Correct answer)
- Thomas test
- Ober's test
Correct answer: FADIR (impingement) test
The FADIR test (Flexion, ADduction, Internal Rotation) is a provocation test for femoroacetabular impingement and posterior labral pathology.
Question 2: A patient with wrist drop and inability to extend the wrist and fingers most likely has a lesion at which nerve?
- Median nerve at the wrist
- Ulnar nerve at the elbow
- Radial nerve at the spiral groove of the humerus (Correct answer)
- Musculocutaneous nerve
Correct answer: Radial nerve at the spiral groove of the humerus
The radial nerve at the spiral groove of the humerus innervates the wrist and finger extensors; injury here causes classic wrist drop.
Question 3: When performing the anterior drawer test of the ankle, the examiner stabilizes the distal tibia and draws the calcaneus anteriorly at which ankle position?
- Full dorsiflexion
- 10–15 degrees of plantarflexion (Correct answer)
- Neutral position
- Full plantarflexion
Correct answer: 10–15 degrees of plantarflexion
Slight plantarflexion (10–15 degrees) positions the ATFL perpendicular to the tibia, maximizing its contribution to ankle stability and test sensitivity.
Question 4: In assessing glenohumeral internal rotation deficit (GIRD), which measurement comparison is used?
- Comparing total arc of rotation to contralateral side (Correct answer)
- Measuring external rotation strength bilaterally
- Comparing AC joint height bilaterally
- Measuring scapular upward rotation angle
Correct answer: Comparing total arc of rotation to contralateral side
GIRD is assessed by comparing the total arc of rotation (ER + IR) between the dominant and non-dominant shoulders; a deficit of >25 degrees is clinically significant.
Question 5: Which test evaluates for peroneal nerve entrapment at the fibular head by reproducing lateral leg and dorsal foot paresthesias?
- Tinel's sign over the fibular head (Correct answer)
- Thompson's test
- Mulder's click test
- Homans' sign
Correct answer: Tinel's sign over the fibular head
Tinel's sign elicited over the fibular head by tapping the common peroneal nerve reproduces distal paresthesias consistent with peroneal entrapment neuropathy.
Question 6: During functional movement assessment, excessive contralateral pelvic drop during gait is a sign of which neuromuscular deficit?
- Weak ipsilateral hip flexors
- Weak ipsilateral hip abductors (gluteus medius) (Correct answer)
- Weak contralateral hip extensors
- Tight ipsilateral IT band
Correct answer: Weak ipsilateral hip abductors (gluteus medius)
The stance-phase gluteus medius on the weight-bearing side prevents the swinging leg's pelvis from dropping; weakness causes the Trendelenburg gait pattern.
Question 7: Which finding on stress X-ray of the first metatarsophalangeal joint is most indicative of turf toe with complete plantar plate disruption?
- Increased joint space on dorsal stress view
- Proximal migration of sesamoids relative to the first metatarsal head (Correct answer)
- Decreased metatarsal declination angle
- Hallux valgus angle greater than 15 degrees
Correct answer: Proximal migration of sesamoids relative to the first metatarsal head
Proximal migration of the sesamoids on stress X-ray indicates plantar plate and flexor hallucis brevis attachment disruption, consistent with severe turf toe.
CCEP Diagnosis & Assessment Techniques 5
Which special orthopedic test evaluates for posterior hip labral tears by flexing, adducting, and internally rotating the hip?