CCEP Orthopedic Testing 5 — Questions and Answers
Question 1: Which test for rotator cuff integrity assesses the infraspinatus by resisting external rotation with the arm adducted and elbow at 90°?
- External Rotation Resistance Test (Correct answer)
- Lift-Off Test
- Bear Hug Test
- Belly Press Test
Correct answer: External Rotation Resistance Test
Resisting external rotation with the arm adducted isolates the infraspinatus; weakness or pain indicates infraspinatus pathology.
Question 2: The Thessaly Test performed at 20° of knee flexion is used to detect which pathology by having the patient rotate the body while standing on one leg?
- Meniscal tear (Correct answer)
- ACL instability
- Patellar chondromalacia
- Popliteus tendinopathy
Correct answer: Meniscal tear
Thessaly testing at 20° of flexion recreates physiological compressive and rotational forces on the menisci, reproducing joint line pain or locking in meniscal tears.
Question 3: A positive Valgus Stress Test at 30° of knee flexion but negative at full extension most specifically indicates injury to which structure?
- Medial collateral ligament only (Correct answer)
- Posterior cruciate ligament
- ACL and MCL combined
- Posteromedial corner
Correct answer: Medial collateral ligament only
Laxity with valgus stress at 30° but not at 0° indicates isolated MCL injury, since the posterior capsule and PCL remain intact to stabilize in full extension.
Question 4: The Impingement Sign (Neer Test) is performed by stabilizing the scapula and passively raising the patient's arm in which position?
- Forward flexion with internal rotation (Correct answer)
- Abduction with external rotation
- Horizontal adduction across the chest
- Extension with external rotation
Correct answer: Forward flexion with internal rotation
Neer's Impingement Sign involves passive forward flexion of the internally rotated arm, impinging the supraspinatus against the anterior inferior acromion.
Question 5: Which provocative test for cubital tunnel syndrome involves maintaining full elbow flexion with wrist extension for 60 seconds to reproduce ulnar nerve symptoms?
- Elbow Flexion Test (Correct answer)
- Tinel's Sign at the elbow
- Pressure Provocation Test
- Wartenberg's Sign
Correct answer: Elbow Flexion Test
The Elbow Flexion Test maximally stretches the ulnar nerve within the cubital tunnel; sustained position reproduces ulnar paresthesia in the ring and small fingers.
Question 6: The Anterior Apprehension Test of the glenohumeral joint combined with a Relocation Test (Jobe Relocation) is positive when posterior pressure on the humeral head does what?
- Relieves apprehension and allows more external rotation (Correct answer)
- Increases apprehension and pain
- Produces a click or clunk
- Reproduces posterior shoulder pain
Correct answer: Relieves apprehension and allows more external rotation
Posterior pressure on the humeral head in the Relocation Test reduces anterior subluxation, relieving apprehension and allowing greater external rotation — confirming anterior instability.
Question 7: Which test assesses for a peroneal nerve injury at the fibular head by tapping over the nerve to reproduce tingling into the lateral leg and dorsum of the foot?
- Tinel's Sign at the fibular head (Correct answer)
- Anterior Drawer Test
- Eversion Stress Test
- Talar Tilt Test
Correct answer: Tinel's Sign at the fibular head
Tapping over the common peroneal nerve as it wraps around the fibular neck elicits Tinel's Sign, producing paresthesia in the superficial and deep peroneal nerve distributions.
CCEP Orthopedic Testing 5
Which test for rotator cuff integrity assesses the infraspinatus by resisting external rotation with the arm adducted and elbow at 90°?