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Musculoskeletal II
physical exam lower extremity
| Question | Answer |
|---|---|
| Gaenslen's Test | checks for pathology of SI joint |
| Fabere's test | checks for hip pathology, aka figure 4 test |
| Ballottment test | tests for knee effusion |
| Bulge test | *best test for detecting small amounts of fluid, milk medially, shift fluid laterally |
| most patellar dislocations are ____ | lateral |
| McMurray's test | tests for meniscus tears, circumduct leg at knee, abduct knee, extend, adduct knee, extend |
| Clarke's sign is aka | patellar inhibition test |
| positive anterior drawer | ACL tear |
| positive posterior drawer | PCL tear |
| to test the medial collateral ligament ______, lateral collateral ligament ____ | valgus stress, varus stress |
| what is the most reliable test of ACL? | Lachman's test |
| pivot shift test | tests for ACL tear |
| a normal q angle | <15 degrees |
| how is q angle measured? | line through ASIS and mid patella/ line through tibial tuberosity and mid patella |
| a wide q angle might indicate____ | chondromalacia patellae |
| what are the lower extremity deep tendon reflexes? | L4- patellar tendon reflex, S1 achillles tendon reflex |
| to test for a herniated disc or pinched nerve .... | try straight leg test or "well" straight leg test |
| EHL strength evaluates _____nerve root | L5 |
| Anterior tibialis strength evaluates ____ | L4 nerve root - do foot inversion and dorsiflexion |
| peroneus strength evaluates ___ | S1 nerve root |
| a diminished knee jerk indicates | L4 root damage |
| foot inversion and dorsiflexion tests ___ | EHL strength - L5 |
| Morton's neuroma is found ____ | between distal metatarsal heads |
| a positive apley's compression test indicates ____ | meniscal tear |
| a positive apley's distraction test indicates | ligament injury |
| What tests can you do to check for ACL tear? | lachmans, anterior drawer sign, pivot shift test |
| to assess PCL tear? | posterior drawer sign, pcl sag sign |
| to check for peroneus strength: | check eversion of foot |
| The babinski sign is positive if ____ | Toe 1 extends negative if all toes curl |
| anterior drawer sign of the ankle tests for ____ | intactness of anterior talofibular ligament |
| Thompson test is for____ | achilles tendon rupture |
| numbness between toe 1 and 2 | L5 root |
| weakness upon foot eversion | S1 root |
| damage to ____ will leave reflexes intact | L5 root |
| numbness in the distal anterior thigh | L4 root |
| diminshed ankle jerk | S1 root |
| diminshed knee jerk | L4 root |
| numbness along central posterior thigh | S1 root |
| weakness with big toe dorsiflexion | L5 root |
| numbness along lateral foot | S1 root |
| the root of L4 is ____ | between disc L3 and 4 |
Created by:
sarahpa
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