Patient Management 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 Patient Management flashcards as text
A patient with a suspected scaphoid fracture has a negative initial X-ray. What is the most appropriate next step in management?
Answer: Immobilize and order advanced imaging (MRI or CT)
Scaphoid fractures are frequently occult on initial X-ray, so immobilization and advanced imaging (MRI or CT) are indicated to avoid missing the diagnosis.
When documenting a CCEP patient encounter, which element is LEAST likely to be required in a SOAP note?
Answer: Patient's insurance billing preferences
Insurance billing preferences are administrative and not a clinical component of a SOAP note.
A chiropractor is treating a patient for lateral ankle sprain and notices signs of deep vein thrombosis (DVT) in the calf. The appropriate response is to:
Answer: Immediately refer the patient to emergency care
DVT is a medical emergency requiring immediate referral, as manipulation or compression could dislodge a clot and cause pulmonary embolism.
In the management of chronic Achilles tendinopathy, which rehabilitation approach has the strongest evidence base?
Answer: Eccentric loading exercise program
Eccentric loading protocols (e.g., Alfredson's protocol) have the strongest evidence for improving outcomes in chronic Achilles tendinopathy.
Which informed consent principle requires the chiropractor to disclose alternatives to the proposed treatment?
Answer: Autonomy
Autonomy requires that patients be given enough information, including treatment alternatives, to make an informed decision about their care.
A patient presents with a positive Finkelstein's test. Which condition does this finding most strongly suggest?
Answer: De Quervain's tenosynovitis
A positive Finkelstein's test, which reproduces pain along the radial styloid with ulnar deviation of the wrist, is pathognomonic for De Quervain's tenosynovitis.
Which outcome measure is most appropriate for tracking functional progress in a patient recovering from a rotator cuff injury?
Answer: DASH (Disabilities of the Arm, Shoulder and Hand) questionnaire
The DASH questionnaire is a validated upper-extremity-specific outcome measure ideal for monitoring functional recovery in shoulder and arm conditions.