Mixed Deck — All CCEP Topics Flashcards

The 'Farfan torsion' or rotational thrust applied at the hip most effectively restores which restricted motion?

Answer: Internal rotation in flexion

The Farfan rotational technique specifically targets internal rotation restriction in the flexed hip by applying a rotational thrust in that direction.

Which manipulation technique is most appropriate for a hypomobile subtalar joint with calcaneal varus positioning?

Answer: High-velocity low-amplitude thrust into eversion

A calcaneal varus with subtalar hypomobility responds best to an HVLA thrust directed into eversion to restore pronation motion.

A Bankart lesion is best characterized on shoulder MRI as which finding?

Answer: Detachment of the anterior inferior glenoid labrum

A Bankart lesion is a detachment of the anterior inferior glenoid labrum from the glenoid rim, typically resulting from anterior shoulder dislocation.

Which elbow test assesses for lateral epicondylitis (tennis elbow) by resisting wrist extension with the elbow extended?

Answer: Cozen's Test

Cozen's Test resists wrist extension with the elbow in extension, stressing the ECRB origin at the lateral epicondyle and reproducing lateral elbow pain in tennis elbow.

What is the role of informed consent in lower extremity treatment?

Answer: It ensures the patient understands and agrees to the plan

Informed consent ensures patients understand the proposed interventions, alternatives, risks, and benefits before agreeing to proceed.

When performing the anterior drawer test of the ankle, the examiner stabilizes the distal tibia and draws the calcaneus anteriorly at which ankle position?

Answer: 10–15 degrees of plantarflexion

Slight plantarflexion (10–15 degrees) positions the ATFL perpendicular to the tibia, maximizing its contribution to ankle stability and test sensitivity.

In CCEP practice, reliability in assessment refers to:

Answer: The consistency and reproducibility of results

Reliability refers to the consistency and reproducibility of assessment results when the test is repeated under similar conditions.

Which extremity condition benefits most from real-time dynamic ultrasound evaluation?

Answer: Tendon tears and dynamic tendon instability

Ultrasound allows dynamic real-time imaging of tendons during movement, revealing tears, subluxation, and tendon instability not apparent on static imaging.

Tension in the plantar fascia increases with which motion and protects the medial longitudinal arch through the 'windlass mechanism'?

Answer: Dorsiflexion of the first MTP joint

Dorsiflexion of the first MTP joint tightens the plantar fascia like a windlass, raising the medial longitudinal arch and supinating the foot for push-off.

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.

What is the primary clinical purpose of assessing joint play (accessory motion) prior to performing joint mobilization?

Answer: To identify the direction and degree of hypomobility

Assessing joint play identifies the specific direction and degree of hypomobility so that the mobilization can be precisely targeted.

Which of the following BEST describes the therapeutic goal of joint mobilization as a precursor to therapeutic exercise in extremity rehabilitation?

Answer: To restore arthrokinematic motion and reduce pain, facilitating exercise participation

Joint mobilization restores normal arthrokinematic motion and reduces pain through neurophysiological and mechanical mechanisms, creating a window of opportunity for therapeutic exercise.

During talocrural joint mobilization for restricted dorsiflexion, the talus should be glided in which direction?

Answer: Posteriorly on the tibia

A posterior glide of the talus on the tibia is used to restore dorsiflexion at the talocrural joint.

Posterior interosseous nerve (PIN) syndrome produces which characteristic clinical finding?

Answer: Inability to extend the fingers and thumb with preserved wrist extension

The PIN supplies the finger and thumb extensors but not the extensor carpi radialis longus (innervated proximal to PIN branching), so wrist extension is preserved while finger and thumb extension are lost.

A Grade II Maitland mobilization applied to the glenohumeral joint is best described as:

Answer: Large-amplitude movement that does not reach end range

Maitland Grade II mobilizations are large-amplitude movements that move through the range but do not reach the end of available motion.

Which factor should CCEP professionals consider first when choosing an assessment method?

Answer: Appropriateness for the target population

The most important consideration is whether the assessment method is appropriate and validated for the specific population being assessed.

Which accessory movement at the acromioclavicular joint is used to restore restricted horizontal adduction of the shoulder?

Answer: Posterior glide of the clavicle

A posterior glide of the clavicle at the acromioclavicular joint helps restore restricted horizontal adduction.

Bohler's tuber joint angle on a lateral calcaneus X-ray normally measures which range?

Answer: 20–40°

Bohler's angle normally measures 20–40°; a decrease below 20° suggests a calcaneal compression fracture with collapse of the posterior facet.

The 'empty can' test for supraspinatus integrity is performed with the shoulder in which position?

Answer: 90° abduction in the scapular plane, full internal rotation, thumb pointing down

The empty can test is performed at 90° abduction in the scapular plane (30° anterior to the coronal plane) with full internal rotation so the thumb points toward the floor.

Which test for rotator cuff integrity assesses the infraspinatus by resisting external rotation with the arm adducted and elbow at 90°?

Answer: External Rotation Resistance Test

Resisting external rotation with the arm adducted isolates the infraspinatus; weakness or pain indicates infraspinatus pathology.