ACL and PCL Assessment Quiz

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Questions and Answers

What is the origin of the Anterior Cruciate Ligament (ACL)?

  • Anterior part of lateral surface of medial femoral condyle
  • Medial wall of femoral epicondyle (correct)
  • Posterior intercondylar area of tibia
  • Lateral wall of femoral epicondyle

Which test is primarily used to assess the ACL before the PCL?

  • CT scan
  • Anterior drawer test
  • Lachmans test
  • Posterior drawer test (correct)

What area corresponds to the C6 nerve root?

  • Tip of little finger
  • Posterior aspect of head
  • Medial elbow
  • Tip of thumb / radial side of wrist (correct)

Which reflex score indicates an absent reflex?

<p>0 (C)</p> Signup and view all the answers

What is the specificity range for the Lachman's test?

<p>81 - 100% (D)</p> Signup and view all the answers

Which ligament has its insertion at the middle of the intercondylar area of the tibia?

<p>Anterior Cruciate Ligament (ACL) (A)</p> Signup and view all the answers

What is the dermatome area for the L4 nerve root?

<p>Big toe (D)</p> Signup and view all the answers

Which reflex score is classified as 'Brisk'?

<p>3+ (B)</p> Signup and view all the answers

What is the combined sensitivity for the PCL tests in the general population?

<p>86% (C)</p> Signup and view all the answers

Which of the following describes the dermatome for C3?

<p>Lateral aspect of neck (C)</p> Signup and view all the answers

What is the insertion point for the Extensor Pollicis Brevis?

<p>Base of the proximal phalanx of the thumb (D)</p> Signup and view all the answers

Which ligament inserts between the scaphoid and lunate bones?

<p>Scapho-Lunate ligament (A)</p> Signup and view all the answers

Which neurological test assesses L2, L3, and L4?

<p>Knee reflex (A)</p> Signup and view all the answers

What is the origin of the Abductor Pollicis Longus?

<p>Posterior surface of the proximal half of the radius (A)</p> Signup and view all the answers

What does the Phalan Test primarily assess?

<p>Carpal tunnel syndrome (D)</p> Signup and view all the answers

What does informed consent include according to the example provided?

<p>An explanation of the assessment and the option to stop (D)</p> Signup and view all the answers

Which test has a sensitivity of 100% and specificity of 100%?

<p>Funkerstein's Test (A)</p> Signup and view all the answers

Which of the following tests is conducted to evaluate scapholunate interosseous ligament instability?

<p>Scaphoid Shift Test (C)</p> Signup and view all the answers

What should be considered when testing healthy individuals in relation to these tests?

<p>Their results can be invalid due to lax connective tissue. (D)</p> Signup and view all the answers

Which of the following is true regarding the Scaphoid Shift Test's sensitivity and specificity?

<p>Sensitivity of 69% and specificity of 66% (A)</p> Signup and view all the answers

Flashcards

What is the ACL?

The Anterior Cruciate Ligament (ACL) is a key ligament in the knee joint that helps to stabilize the knee and prevent excessive forward movement of the tibia (shinbone). This ligament originates on the inner side of the femur (thighbone) and attaches to the top of the tibia.

What is the PCL?

The Posterior Cruciate Ligament (PCL) is another crucial ligament in the knee joint. It helps to stabilize the knee and prevent excessive backward movement of the tibia. The PCL attaches to the back of the tibia and inserts onto the front of the femur.

What is the Posterior Drawer test?

The Posterior Drawer test checks for PCL tears. It's done by pulling the tibia backwards while the knee is bent at a 90-degree angle. This test has a high specificity, meaning a positive test strongly suggests a PCL tear (but it's not foolproof).

What is the Lachman's test?

The Lachman's test is used to check for ACL tears. It involves gently pulling the tibia forward while the knee is lightly bent. This test is highly sensitive, meaning a positive result is likely an ACL tear.

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What is the Anterior Drawer test?

The Anterior Drawer test checks for ACL tears by pulling the tibia forward at a 90-degree angle. While it has a lower sensitivity than the Lachman's test, it remains a valuable assessment tool.

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Phalan Test

A special test used to diagnose carpal tunnel syndrome by pressing on the median nerve in the wrist.

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Funkenstein's Test

Evaluates De Quervain's tenosynovitis by stretching the tendons on the thumb side of the wrist.

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Scaphoid Shift Test

A special test that checks for instability between two bones in the wrist, the scaphoid and lunate bones.

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Test Limitations

A limitation of special tests for wrist and hand conditions.

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Carpal Tunnel Syndrome

A condition in which the median nerve in the wrist gets compressed, causing pain, numbness, and tingling.

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What is the origin AND insertion of the Extensor Pollicis Brevis?

The Extensor Pollicis Brevis originates on the posterior surface of the lower third of the radius, below the origin of the Extensor Pollicis Longus, and inserts on the base of the thumb's proximal phalanx.

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Where does the Abductor Pollicis Longus originate and insert?

The Abductor Pollicis Longus originates on the posterior surface of the upper half of the radius and inserts on the medial aspect of the thumb's proximal phalanx, as well as the extensor hood.

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What does the Scapho-Lunate Ligament connect?

The Scapho-Lunate Ligament connects the scaphoid and lunate bones, attaching to the most proximal and superior part of the articular surface between them.

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What spinal nerves does the knee reflex test?

This test evaluates the knee reflex, which checks the function of the L2, L3, and L4 spinal nerves. A more forceful knee kick indicates hyperflexion.

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What is Informed Consent?

Informed consent involves informing a patient about a procedure, obtaining their permission to proceed, and allowing them to withdraw consent at any time.

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What's a Dermatome?

A dermatome is an area of skin supplied by a single spinal nerve root. It's like a map showing which nerve root controls which part of your body.

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What does the C6 nerve root supply?

The C6 nerve root supplies sensation to the tip of the thumb and the radial side of the wrist.

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What is the Walker Reflex Scale?

The Walker Reflex Scale quantifies the strength of reflexes on a scale from 0 to 5, 0 being absent and 5 being sustained clonus. It's used to assess nerve function.

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Is a brisk reflex always abnormal?

A brisk reflex (3+) could be normal or abnormal depending on the individual's history.

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What is Westphal's Sign?

Westphal's Sign indicates a weak knee-jerk reflex, suggesting a potential issue with the L2, L3, or L4 nerve roots.

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