CCEP Patient Management 2

Question 1

A patient with a suspected scaphoid fracture has a negative initial X-ray. What is the most appropriate next step in management?

Accepted Answer

Immobilize and order advanced imaging (MRI or CT)

Answer

Scaphoid fractures are frequently occult on initial X-ray, so immobilization and advanced imaging (MRI or CT) are indicated to avoid missing the diagnosis.

Question 2

When documenting a CCEP patient encounter, which element is LEAST likely to be required in a SOAP note?

Accepted Answer

Patient's insurance billing preferences

Answer

Insurance billing preferences are administrative and not a clinical component of a SOAP note.

Question 3

A chiropractor is treating a patient for lateral ankle sprain and notices signs of deep vein thrombosis (DVT) in the calf. The appropriate response is to:

Accepted Answer

Immediately refer the patient to emergency care

Answer

DVT is a medical emergency requiring immediate referral, as manipulation or compression could dislodge a clot and cause pulmonary embolism.

Question 4

In the management of chronic Achilles tendinopathy, which rehabilitation approach has the strongest evidence base?

Accepted Answer

Eccentric loading exercise program

Answer

Eccentric loading protocols (e.g., Alfredson's protocol) have the strongest evidence for improving outcomes in chronic Achilles tendinopathy.

Question 5

Which informed consent principle requires the chiropractor to disclose alternatives to the proposed treatment?

Accepted Answer

Autonomy

Answer

Autonomy requires that patients be given enough information, including treatment alternatives, to make an informed decision about their care.

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

CCEP Patient Management 2