CCEP Lower Extremity Treatment 5

Question 1

Which of the following best describes the mechanism of Morton's neuroma?

Accepted Answer

Perineural fibrosis of the common digital nerve, most often in the 3rd interspace

Answer

Morton's neuroma is a perineural fibrosis of the common plantar digital nerve, classically in the 3rd intermetatarsal space.

Question 2

A positive Ober test finding (thigh does not adduct to the table from the abducted side-lying position) indicates tightness of the:

Accepted Answer

Iliotibial band and tensor fasciae latae complex

Answer

The Ober test stretches the ITB/TFL; inability to adduct indicates contracture or tightness of this lateral hip and thigh complex.

Question 3

Which taping technique is used to offload the Achilles tendon by reducing tensile load during rehabilitation?

Accepted Answer

Heel lift with calcaneal taping in mild plantarflexion

Answer

A calcaneal lift tape in slight plantarflexion reduces Achilles tensile stress by shortening the functional length of the tendon unit.

Question 4

After an inversion ankle sprain, which proprioceptive rehabilitation sequence is most appropriate?

Accepted Answer

Static balance → dynamic balance → sport-specific tasks

Answer

Progressive proprioceptive rehab moves from static (single-leg stance) to dynamic (perturbation) to sport-specific challenges to restore neuromuscular control.

Question 5

A patient with patellofemoral pain syndrome shows a J-sign on knee extension. This indicates:

Accepted Answer

Lateral tracking and sudden medial movement as the knee reaches full extension

Answer

The J-sign describes lateral patellar tracking that abruptly shifts medially near full extension, suggesting VMO weakness and lateral retinacular tightness.

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

CCEP Lower Extremity Treatment 5