CCEP Upper Extremity Treatment 3

Question 1

Cubital tunnel syndrome involves compression of which nerve at the elbow, and which test most specifically provokes symptoms?

Accepted Answer

Ulnar nerve; elbow flexion test with wrist extension

Answer

Cubital tunnel syndrome involves ulnar nerve compression at the medial elbow, and the elbow flexion test (sustained elbow flexion with wrist extension) is the most sensitive provocative test.

Question 2

When treating a frozen shoulder (adhesive capsulitis) in the freezing phase, the primary chiropractic goal should be:

Accepted Answer

Pain management, gentle AROM within pain-free range, and patient education

Answer

In the painful freezing phase of adhesive capsulitis, treatment focuses on pain control and gentle range-of-motion exercises while avoiding aggressive techniques that can worsen inflammation.

Question 3

The normal end-feel for elbow extension is best described as:

Accepted Answer

Bony (bone-on-bone)

Answer

Normal elbow extension end-feel is bony due to the olecranon process seating into the olecranon fossa of the humerus.

Question 4

De Quervain's tenosynovitis involves inflammation of tendons in which extensor compartment of the wrist?

Accepted Answer

First dorsal compartment (APL/EPB)

Answer

De Quervain's tenosynovitis affects the abductor pollicis longus and extensor pollicis brevis within the first dorsal compartment of the wrist.

Question 5

Scapular dyskinesis most commonly involves which dysfunctional movement pattern?

Accepted Answer

Excessive anterior tilting and internal rotation of the scapula

Answer

Scapular dyskinesis most commonly presents as excessive anterior tilting and internal rotation, often with reduced upward rotation, collectively reducing subacromial space.

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

CCEP Upper Extremity Treatment 3