CCEP Peripheral Nerve Entrapments & Neurological Conditions 2

Question 1

Tinel's sign, when positive at a site of nerve compression, indicates:

Accepted Answer

Nerve irritability or regeneration at a point of compression

Answer

Tinel's sign is positive when percussion over a compressed or regenerating nerve elicits distal paresthesia, indicating nerve irritability or regeneration at that site.

Question 2

Suprascapular nerve entrapment most commonly occurs at which site?

Accepted Answer

The suprascapular notch

Answer

The suprascapular nerve most commonly becomes entrapped at the suprascapular notch, where it passes beneath the superior transverse scapular ligament.

Question 3

Ulnar nerve entrapment at Guyon's canal most commonly affects which structures?

Accepted Answer

Hypothenar muscles and ulnar-innervated intrinsics

Answer

Guyon's canal syndrome affects the ulnar nerve at the wrist, producing weakness of the hypothenar muscles, ulnar-innervated intrinsics, and sensory changes in the ulnar digits.

Question 4

The concept of 'double crush syndrome' refers to:

Accepted Answer

A nerve being entrapped at two separate anatomical sites simultaneously

Answer

Double crush syndrome describes a condition where a nerve is compressed at two locations along its course, with the proximal lesion making the distal nerve segment more susceptible to entrapment.

Question 5

Radial tunnel syndrome is best differentiated from lateral epicondylitis by the location of maximal tenderness, which in radial tunnel syndrome is found:

Accepted Answer

Approximately 4–5 cm distal to the lateral epicondyle

Answer

In radial tunnel syndrome, maximal tenderness is found over the radial tunnel (4–5 cm distal to the lateral epicondyle), whereas in lateral epicondylitis tenderness is at the epicondyle.

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

CCEP Peripheral Nerve Entrapments & Neurological Conditions 2