CCEP Patient Management 4

Question 1

A patient presents with a 'click' in the hip during flexion, reproduced consistently. The most likely diagnosis is:

Accepted Answer

Snapping hip syndrome (coxa saltans)

Answer

Snapping hip syndrome (coxa saltans) is characterized by a reproducible snap or click during hip movement, caused by tendons sliding over bony prominences.

Question 2

When co-managing an extremity patient with a medical physician, the chiropractor's primary responsibility is to:

Accepted Answer

Communicate relevant findings and collaborate within their scope of practice

Answer

Effective co-management requires clear communication of clinical findings and collaborative decision-making within each provider's scope of practice.

Question 3

A 17-year-old athlete presents with knee pain after a jump landing. Imaging reveals a tibial tubercle avulsion fracture. Management should include:

Accepted Answer

Immobilization and urgent orthopedic referral

Answer

Avulsion fractures in skeletally immature patients require immobilization and orthopedic referral to assess the need for surgical fixation.

Question 4

Which clinical feature differentiates medial epicondylitis (golfer's elbow) from lateral epicondylitis (tennis elbow)?

Accepted Answer

Pain with resisted wrist flexion vs. wrist extension

Answer

Medial epicondylitis causes pain with resisted wrist flexion and pronation, while lateral epicondylitis causes pain with resisted wrist extension.

Question 5

Which reassessment interval is most consistent with evidence-based chiropractic extremity practice for an acute soft tissue injury?

Accepted Answer

Formal reassessment at 4–6 visits or when a treatment goal is reached

Answer

Formal reassessment at 4–6 visits allows the clinician to modify the treatment plan based on objective outcome data and progress toward stated goals.

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

CCEP Patient Management 4