CCEP Upper Extremity Treatment 2

Question 1

Which manipulation technique is most appropriate for a restricted acromioclavicular joint with superior glide limitation?

Accepted Answer

Inferior glide mobilization with the arm adducted

Answer

An AC joint with superior glide limitation responds best to inferior glide mobilization performed with the arm in an adducted, relaxed position.

Question 2

A patient presents with lateral epicondylalgia. Which soft tissue technique targets the common extensor tendon most directly?

Accepted Answer

Cross-friction massage perpendicular to the tendon fibers at the lateral epicondyle

Answer

Cross-friction massage applied perpendicular to the common extensor tendon fibers at the lateral epicondyle is the standard soft tissue approach for lateral epicondylalgia.

Question 3

During chiropractic manipulation of the wrist, the pisiform glides on which bone?

Accepted Answer

Triquetrum

Answer

The pisiform is a sesamoid bone that articulates solely with the triquetrum, forming the pisotriquetral joint.

Question 4

When rehabilitating rotator cuff tendinopathy, which exercise progression principle should guide treatment loading?

Accepted Answer

Start with pain-free isometric loading, then progress to isotonic and functional loading

Answer

Current evidence supports beginning with isometric exercises for pain modulation and tendon loading, then progressing to isotonic and functional/sport-specific activities.

Question 5

A Grade II Maitland mobilization applied to the glenohumeral joint is best described as:

Accepted Answer

Large-amplitude movement that does not reach end range

Answer

Maitland Grade II mobilizations are large-amplitude movements that move through the range but do not reach the end of available motion.

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

CCEP Upper Extremity Treatment 2