CCEP Upper Extremity Treatment 5

Question 1

The 'clunk test' for the shoulder is designed to detect:

Accepted Answer

Glenohumeral labral tears

Answer

The clunk test is performed by rotating the humerus while applying axial load in full abduction; a clunk sound or sensation indicates a labral tear.

Question 2

In chiropractic extremity care, 'joint play' refers to:

Accepted Answer

The passive accessory movement within a joint beyond active control, necessary for normal function

Answer

Joint play is the small passive accessory movement (roll, glide, spin, distraction) that occurs within a joint beyond the patient's voluntary control and is prerequisite to pain-free physiologic movement.

Question 3

Coracoclavicular ligament integrity is best assessed by which finding on stress radiograph?

Accepted Answer

Increased coracoclavicular distance compared to the unaffected side

Answer

Disruption of the coracoclavicular ligaments (trapezoid and conoid) causes the clavicle to ride superiorly, increasing the coracoclavicular distance on stress or weighted radiographs.

Question 4

When treating a restricted first carpometacarpal (CMC) joint of the thumb, the primary motion limitation in osteoarthritis typically involves:

Accepted Answer

Abduction and opposition due to dorsal capsule contracture

Answer

Thumb CMC osteoarthritis characteristically restricts abduction and opposition as the dorsal capsule tightens and the joint subluxes radially-dorsal.

Question 5

Which rehabilitative exercise specifically targets the lower trapezius to improve scapular upward rotation and posterior tilting?

Accepted Answer

Prone Y-exercise (arm elevation at 135° in the scapular plane with thumbs up)

Answer

The prone Y-exercise targets the lower trapezius by positioning the arm at 135° (Y-shape) in the scapular plane, which specifically demands lower trapezius force production for upward rotation and posterior tilt.

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

CCEP Upper Extremity Treatment 5