CCEP Orthopedic Testing 4 — Questions and Answers
Question 1: The FADIR maneuver (Flexion, Adduction, Internal Rotation) of the hip is a primary provocative test for which condition?
- Femoroacetabular impingement (Correct answer)
- Hip osteoarthritis
- Sacroiliac joint dysfunction
- Greater trochanteric bursitis
Correct answer: Femoroacetabular impingement
FADIR compresses the femoral head against the acetabular rim, provoking anterior groin pain in femoroacetabular impingement (FAI).
Question 2: Which clinical test for plantar fasciitis involves dorsiflexing the toes and ankle to tension the plantar fascia before palpating the medial calcaneal tubercle?
- Windlass Test (Correct answer)
- Thompson Test
- Tinel's Sign at the tarsal tunnel
- Jack's Test
Correct answer: Windlass Test
The Windlass Test recreates plantar fascia tension via the windlass mechanism; a positive test reproduces medial heel pain with passive great toe dorsiflexion.
Question 3: A positive Thompson (Simmonds) Test — absence of plantarflexion when the calf is squeezed with the patient prone — indicates rupture of which structure?
- Achilles tendon (Correct answer)
- Peroneus longus tendon
- Tibialis posterior tendon
- Flexor hallucis longus tendon
Correct answer: Achilles tendon
Squeezing the gastrosoleus complex normally produces plantarflexion via the Achilles tendon; absence of this response confirms complete Achilles tendon rupture.
Question 4: The FABER Test (Patrick's Test) is positive when it reproduces groin or posterior hip pain; anterior groin pain suggests pathology of which joint?
- Hip joint (Correct answer)
- Sacroiliac joint
- Lumbar facet joint
- Pubic symphysis
Correct answer: Hip joint
FABER positions the hip in Flexion, Abduction, and External Rotation; anterior groin pain suggests hip joint pathology, while posterior pain suggests sacroiliac joint involvement.
Question 5: Which elbow test assesses for lateral epicondylitis (tennis elbow) by resisting wrist extension with the elbow extended?
- Cozen's Test (Correct answer)
- Mill's Test
- Golfer's Elbow Test
- Chair Test
Correct answer: Cozen's Test
Cozen's Test resists wrist extension with the elbow in extension, stressing the ECRB origin at the lateral epicondyle and reproducing lateral elbow pain in tennis elbow.
Question 6: In the Varus Stress Test of the knee, excessive lateral joint gapping compared to the contralateral side indicates injury to which structure?
- Lateral collateral ligament (Correct answer)
- Medial collateral ligament
- Anterior cruciate ligament
- Iliotibial band
Correct answer: Lateral collateral ligament
Varus stress applied to the knee at 0° and 30° of flexion tests the lateral collateral ligament; gapping at 30° indicates isolated LCL injury, while gapping at 0° suggests posterolateral corner involvement.
Question 7: The Speed's Test assesses for bicipital tendinopathy by resisting which motion with the elbow in extension and forearm supinated?
- Shoulder flexion (Correct answer)
- Shoulder abduction
- Shoulder external rotation
- Elbow flexion
Correct answer: Shoulder flexion
Speed's Test resists forward shoulder flexion with the elbow extended and forearm supinated, loading the long head of the biceps tendon at the bicipital groove.
CCEP Orthopedic Testing 4
The FADIR maneuver (Flexion, Adduction, Internal Rotation) of the hip is a primary provocative test for which condition?