CCEP Lower Extremity Treatment 3

Question 1

Which orthotic modification best addresses a patient with a rigid forefoot valgus deformity causing lateral column overload?

Accepted Answer

Lateral forefoot post

Answer

A lateral forefoot post fills the gap under the lateral forefoot in rigid forefoot valgus, distributing load more evenly.

Question 2

A positive Tinel's sign at the medial ankle posterior to the medial malleolus indicates compression of the:

Accepted Answer

Tibial nerve within the tarsal tunnel

Answer

Tinel's sign at the tarsal tunnel reproduces tingling along the tibial nerve distribution indicating tarsal tunnel syndrome.

Question 3

Which of the following best describes the close-packed position of the hip joint?

Accepted Answer

Full extension, internal rotation, and abduction

Answer

The hip's close-packed position is full extension with internal rotation and slight abduction, creating maximum ligamentous tension.

Question 4

During a chiropractic lateral recumbent adjustment of the hip, the primary movement imparted to the femoral head is:

Accepted Answer

Inferior glide

Answer

The lateral recumbent hip adjustment uses body weight and leverage to impart an inferior glide, decompressing the acetabular cartilage.

Question 5

A patient reports lateral knee pain worsening at the 30-degree flexion point during stair descent. This is characteristic of:

Accepted Answer

Iliotibial band friction syndrome

Answer

ITB friction syndrome peaks at approximately 30 degrees of knee flexion where the band crosses the lateral femoral epicondyle.

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test