CCEP Patient Management 3

Question 1

A 45-year-old runner presents with lateral knee pain that worsens with downhill running. The Noble compression test is positive. Which structure is most likely involved?

Accepted Answer

Iliotibial band

Answer

A positive Noble compression test at the lateral femoral epicondyle is characteristic of iliotibial band syndrome, a common overuse injury in runners.

Question 2

When establishing short-term goals for an extremity patient, goals should ideally be:

Accepted Answer

Measurable, time-bound, and functional

Answer

SMART goals (Specific, Measurable, Achievable, Relevant, Time-bound) are the standard framework for setting meaningful clinical goals.

Question 3

A CCEP patient has been non-compliant with home exercises. The most therapeutically appropriate first response is to:

Accepted Answer

Explore barriers to adherence and modify the program accordingly

Answer

Exploring barriers (pain, time, confusion) and simplifying or modifying the program improves adherence and produces better outcomes.

Question 4

Which finding during a shoulder examination most warrants immediate referral rather than chiropractic management?

Accepted Answer

Rapidly progressing deltoid atrophy with complete arm weakness

Answer

Rapidly progressive neurological deficits such as deltoid atrophy and complete weakness suggest serious pathology (e.g., Parsonage-Turner syndrome or cord compression) requiring urgent referral.

Question 5

In extremity chiropractic, the Thomas test is primarily used to assess:

Accepted Answer

Hip flexor tightness and iliopsoas contracture

Answer

The Thomas test detects hip flexor tightness by observing whether the contralateral hip flexes off the table when one knee is drawn to the chest.

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

CCEP Patient Management 3