Practice Test Geeks(CCEP) Certified Chiropractic Extremity Practitioner Practice Test
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Clinical Decision Making Flashcards

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

Read the first 7 Clinical Decision Making flashcards as text

  1. A patient with knee pain has a positive McMurray's test with a palpable click on external tibial rotation. Which meniscus is most likely torn?

    Answer: Medial meniscus

    McMurray's test with external tibial rotation stresses the medial meniscus; a click or pain at the medial joint line indicates a medial meniscal tear.

  2. During examination of the wrist, which provocative test is used to identify de Quervain's tenosynovitis?

    Answer: Finkelstein's test

    Finkelstein's test (thumb in fist with ulnar deviation) stretches the APL and EPB tendons through their sheath, reproducing pain in de Quervain's tenosynovitis.

  3. A CCEP practitioner is assessing gait and notes the patient's ipsilateral pelvis drops during the mid-stance phase. This Trendelenburg sign indicates weakness of which muscle?

    Answer: Ipsilateral gluteus medius

    A positive Trendelenburg sign indicates weakness of the ipsilateral gluteus medius, which normally prevents pelvic drop during single-leg stance.

  4. Which imaging modality is most appropriate as a first-line study for evaluating a suspected rotator cuff tear in an acute setting?

    Answer: MRI without contrast

    MRI without contrast is the gold standard for evaluating rotator cuff pathology, providing excellent soft tissue contrast for both partial and full-thickness tears.

  5. A runner presents with lateral knee pain that increases around the 2-km mark and resolves with rest. Noble compression test is positive. What is the most likely diagnosis?

    Answer: Iliotibial band syndrome

    IT band syndrome presents with predictable onset at a specific running distance and a positive Noble compression test at 30° knee flexion (2 cm proximal to the lateral epicondyle).

  6. When determining the need for orthotic intervention in a patient with plantar fasciitis, which biomechanical finding most strongly supports custom orthotic prescription?

    Answer: Excessive rearfoot pronation with reduced subtalar joint motion

    Excessive rearfoot pronation increases tension on the plantar fascia during midstance; custom orthotics that control rearfoot pronation reduce this pathological load.

  7. A 35-year-old female presents with shoulder pain and positive Speed's test (resisted shoulder flexion with elbow extended and forearm supinated). Which structure is most likely involved?

    Answer: Long head of the biceps tendon

    Speed's test resists the long head of the biceps tendon as it courses through the bicipital groove; a positive test (pain in the groove) indicates bicipital tendinopathy.