CCSP - Certified Chiropractic Sports Physician Sports Injury Diagnosis Questions and Answers

Question 1

A 19-year-old soccer player presents with acute knee pain after a valgus force and external rotation of the tibia while their foot was planted.
The athlete reports hearing a 'pop' and describes significant swelling and instability.
Based on this mechanism of injury, which combination of structures, known as the 'unhappy triad,' is most likely injured?

Accepted Answer

Anterior cruciate ligament, medial collateral ligament, and medial meniscus

Answer

Anterior cruciate ligament, lateral collateral ligament, and lateral meniscus

Answer

Posterior cruciate ligament, medial collateral ligament, and medial meniscus

Answer

Posterior cruciate ligament, lateral collateral ligament, and medial meniscus

Question 2

A 14-year-old gymnast presents with severe wrist pain after a fall onto an outstretched hand. Radiographs reveal a fracture that extends through the physis (growth plate) and exits through the metaphysis. According to the Salter-Harris classification, what type of fracture is this?

Accepted Answer

Type II

Answer

Type I

Answer

Type IV

Answer

Type III

Question 3

A 28-year-old baseball pitcher complains of deep, anterior shoulder pain and a 'clicking' sensation during the late cocking phase of throwing. Which of the following orthopedic tests is most specific for diagnosing a Superior Labral Anterior-Posterior (SLAP) lesion?

Accepted Answer

Biceps Load II Test

Answer

Neer's Test

Answer

Hawkins-Kennedy Test

Answer

Empty Can Test

Question 4

A track and field sprinter pulls up suddenly during a 100-meter dash, grabbing the back of their thigh. They report a sharp, tearing sensation. A clinical examination reveals significant ecchymosis, a palpable defect in the hamstring muscle belly, and a considerable loss of strength in knee flexion. What is the most appropriate grade for this muscle strain?

Accepted Answer

Grade III

Answer

Grade I

Answer

Grade II

Answer

Grade IV

Question 5

Which of the following findings would mandate immediate referral for ankle radiographs according to the Ottawa Ankle Rules?

Accepted Answer

Inability to bear weight for four consecutive steps immediately after the injury and in the clinic

Answer

Significant swelling and discoloration around the lateral malleolus

Answer

Pain rated as 8/10 on the visual analog scale

Answer

A positive anterior drawer test indicating ligamentous laxity

Question 6

A high school hockey player is 'checked' into the boards and appears dazed. As a Certified Chiropractic Sports Physician on the sideline, your initial on-field assessment for a suspected concussion should include all of the following EXCEPT:

Accepted Answer

Performing a detailed cranial nerve examination

Answer

Asking orientation questions (e.g., 'Where are we?', 'What period is it?')

Answer

Observing for any focal neurological deficits like slurred speech or ataxia

Answer

Assessing for gross motor instability and balance