CCEP Upper Extremity Treatment 4

Question 1

During assessment of finger MCP joints, which end-feel is normal for MCP flexion?

Accepted Answer

Firm/capsular

Answer

Normal MCP flexion end-feel is firm or capsular due to tension in the joint capsule and collateral ligaments.

Question 2

A CCEP practitioner uses the 'long-axis distraction' technique for the glenohumeral joint primarily to:

Accepted Answer

Decompress the joint space and restore joint play

Answer

Long-axis distraction of the glenohumeral joint decompresses the joint surfaces and restores normal joint play, which is essential before applying other mobilization techniques.

Question 3

Pronator teres syndrome differs from carpal tunnel syndrome in that paresthesias typically:

Accepted Answer

Include the thenar eminence and proximal palm, not just distal digits

Answer

In pronator teres syndrome, median nerve compression is proximal to the palmar cutaneous branch, so symptoms include the thenar eminence and proximal palm — areas spared in carpal tunnel syndrome.

Question 4

When performing an HVLA manipulation to the radiocarpal joint for a restricted extension restriction, the line of drive should be directed:

Accepted Answer

Volar to dorsal with a slight ulnar deviation component

Answer

For a radiocarpal extension restriction, the manipulative thrust is directed from volar to dorsal (pushing the carpals dorsally) to gap the restricted extension direction.

Question 5

The 'drawer test' for the shoulder evaluates stability in which direction when performed with the arm at 90° abduction?

Accepted Answer

Anterior-posterior translation

Answer

The load-and-shift (drawer) test with the arm at 90° abduction evaluates anterior and posterior glenohumeral translation by loading the humeral head and shifting it on the glenoid.

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

CCEP Upper Extremity Treatment 4