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Adjusting Techniques for Extremities Flashcards

7 cards from real CCEP practice questions. Tap to flip, then mark Knew It or Still Learning โ€” missed cards come back until you master them.

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  1. The 'gun-stock' deformity after a supracondylar fracture contraindicates which elbow adjustment?

    Answer: Valgus stress mobilization

    A gun-stock deformity indicates malunion with cubitus varus; valgus stress mobilization is contraindicated because it stresses compromised medial structures.

  2. Which carpal bone is most commonly restricted in an anterior (palmar) direction and adjusted with a posterior-to-anterior thrust?

    Answer: Lunate

    The lunate commonly subluxates anteriorly; an anterior lunate adjustment uses a P-to-A thrust to restore it toward its anatomic position.

  3. A 'pinch-roll' or 'facet' adjustment to the interphalangeal joint of the finger primarily restores which motion?

    Answer: Lateral glide (shear)

    The pinch-roll technique applies a lateral (shear) glide to gap the IP joint and restore restricted lateral motion.

  4. When performing a posterior fibular head adjustment, excessive force risks injury to which structure?

    Answer: Common peroneal nerve

    The common peroneal nerve wraps around the fibular neck just below the fibular head, making it vulnerable to compression or traction during adjustment.

  5. In a Gonstead-style knee adjustment for a lateral-restricted tibia, the patient is prone and the tibial contact is:

    Answer: Medial tibial plateau with medial-to-lateral thrust

    For a lateral tibial restriction, contact is on the medial tibial plateau and the thrust is medial-to-lateral to restore the restricted lateral glide.

  6. A spring test on the first tarsometatarsal joint that reproduces dorsal pain with absent springiness indicates which listing?

    Answer: Dorsal fixation of the 1st TMT

    Absent dorsal springiness with pain during a dorsal spring test at the 1st TMT indicates a dorsal fixation (restricted plantar glide) at that joint.

  7. The 'scapular-thoracic' adjustment performed with the patient seated and the arm draped over the practitioner's thigh primarily mobilizes which joint?

    Answer: Scapulothoracic articulation

    This technique levers the scapula away from the thorax to mobilize the scapulothoracic articulation, improving dyskinesis.