CCEP Orthopedic Testing 5

Question 1

Which test for rotator cuff integrity assesses the infraspinatus by resisting external rotation with the arm adducted and elbow at 90°?

Accepted Answer

External Rotation Resistance Test

Answer

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?

Accepted Answer

Meniscal tear

Answer

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?

Accepted Answer

Medial collateral ligament only

Answer

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?

Accepted Answer

Forward flexion with internal rotation

Answer

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?

Accepted Answer

Elbow Flexion Test

Answer

The Elbow Flexion Test maximally stretches the ulnar nerve within the cubital tunnel; sustained position reproduces ulnar paresthesia in the ring and small fingers.

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

CCEP Orthopedic Testing 5