CCEP Orthopedic Testing 2 — Questions and Answers
Question 1: Which test is used to assess for a torn medial meniscus by applying valgus stress to the knee while rotating the tibia?
- McMurray Test (Correct answer)
- Apley Test
- Thessaly Test
- Bounce Home Test
Correct answer: McMurray Test
The McMurray Test involves flexion, valgus stress, and tibial rotation to provoke a click or pain over a torn medial meniscus.
Question 2: A positive Finkelstein's test — pain with ulnar deviation of the wrist while the thumb is enclosed in the fist — is diagnostic for which condition?
- de Quervain's tenosynovitis (Correct answer)
- Carpal tunnel syndrome
- Trigger thumb
- Intersection syndrome
Correct answer: de Quervain's tenosynovitis
Finkelstein's test stretches the abductor pollicis longus and extensor pollicis brevis tendons, provoking pain in de Quervain's tenosynovitis.
Question 3: The Anterior Drawer Test of the ankle assesses the integrity of which ligament?
- Anterior talofibular ligament (Correct answer)
- Calcaneofibular ligament
- Deltoid ligament
- Posterior talofibular ligament
Correct answer: Anterior talofibular ligament
The Anterior Drawer Test translates the talus anteriorly relative to the fibula to stress the anterior talofibular ligament (ATFL), the most commonly injured ankle ligament.
Question 4: Which orthopedic test assesses for impingement of the supraspinatus by passively flexing the shoulder to 90° and then internally rotating it?
- Hawkins-Kennedy Test (Correct answer)
- Neer Impingement Test
- Empty Can Test
- Jobe Test
Correct answer: Hawkins-Kennedy Test
The Hawkins-Kennedy Test internally rotates the shoulder at 90° of forward flexion, compressing the supraspinatus against the coracoacromial ligament.
Question 5: A positive Lachman Test with a soft end-feel indicates injury to which structure?
- Anterior cruciate ligament (Correct answer)
- Posterior cruciate ligament
- Medial collateral ligament
- Posterior capsule
Correct answer: Anterior cruciate ligament
The Lachman Test assesses ACL integrity by anteriorly translating the tibia on a slightly flexed knee; a soft end-feel indicates ACL rupture.
Question 6: The Spurling's Test is used to assess cervical nerve root compression; a positive result is indicated by what finding?
- Radicular pain reproduced into the ipsilateral arm (Correct answer)
- Neck pain that worsens with distraction
- Pain radiating into both arms simultaneously
- Improvement of symptoms with lateral bending away from symptoms
Correct answer: Radicular pain reproduced into the ipsilateral arm
Spurling's Test combines lateral flexion, extension, and axial compression toward the symptomatic side, which narrows the ipsilateral foramen and reproduces radicular arm pain.
Question 7: Which test for shoulder instability involves placing the patient supine, abducting the arm to 90°, and applying anterior force to the humeral head to reproduce apprehension?
- Apprehension Test (Correct answer)
- Sulcus Sign
- O'Brien Test
- Clunk Test
Correct answer: Apprehension Test
The Apprehension Test places the shoulder in the vulnerable position of abduction and external rotation, provoking a sense of impending dislocation in anterior instability.
CCEP Orthopedic Testing 2
Which test is used to assess for a torn medial meniscus by applying valgus stress to the knee while rotating the tibia?