81 Questions
Which part of the body is covered in Axial Body Bone Palpation and Ligaments Chapter 8?
Face, cranium, neck, and trunk
What is the recommended order for palpating the landmarks in Chapter 8 on Axial Body Bone Palpation?
Follow the order presented in the chapter
Where are the ligaments of the axial body presented in Chapter 8?
At the end of the chapter
What is the coverage of Chapter 7 in relation to ligaments?
Ligaments of the upper extremity
Where is the zygomatic bone commonly referred to as?
Cheek bone
Which muscle attaches onto the maxilla according to the text?
Orbicularis oris
What muscles attach onto the zygomatic bone?
Zygomaticus major and minor
How can you palpate the coronoid process of the mandible from inside the mouth?
Continue palpating along the anterior border of the ramus
Which bone is easily palpable at the superior end of the nose?
Nasal bone
What overlies the temporal bone making it more difficult to palpate directly?
Temporalis muscle
Which muscle attaches to the external surface of the body of the mandible?
Mentalis
At which point does the body of the mandible become the ramus of the mandible?
Angle of the mandible
Which muscle attaches to the internal surface of the body of the mandible?
Medial pterygoid
What muscle attaches onto the condyle of the mandible?
Lateral pterygoid
Where is the coronoid process located on the mandible?
Anterior border
Which muscle does NOT attach to the angle of the mandible?
Orbicularis oris
What is another term for the transition area where the body of the mandible becomes the ramus?
Angle of Louis
Which structure is palpable for its entire course along the posterior border of the ramus of the mandible?
Mandibular condyle
What muscle has attachments onto both internal and external surfaces of the body of the mandible?
Mylohyoid
Which muscle attaches to both the angle of the mandible and external occipital protuberance?
Occipitalis
What structure in the cervical region is located anterior to C6 and palpable?
Carotid tubercle (of C6)
Which structure is subcutaneous and easily palpable on the face just under the cheekbone?
Zygomatic arch of temporal bone
When palpating the ribs in the interscapular region, how should you palpate each rib?
By placing one finger pad on the rib and another finger pad on the adjacent intercostal space
Which muscles attach onto the rib cage posteriorly?
Erector spinae group, Quadratus lumborum, External obliques
Which muscle attaches to the internal side of the posterior rib cage?
Internal oblique
Why might it be difficult to discern all the ribs when palpating in the interscapular region?
Due to the presence of the scapulae
Why should palpation of the thyroid cartilage be done gently and carefully?
To prevent damage to the thyroid gland
How can the first cricoid cartilage be located during palpation?
By continuing to palpate along the thyroid cartilage interiorly
What must be considered when palpating the cricoid cartilages?
Gentle and careful palpation due to overlying muscles
Where is the carotid tubercle located in relation to the first cricoid cartilage?
Laterally approximately V2 inch (1 cm)
Why is gentle pressure advised when palpating the transverse processes of C2 through C7?
To avoid tender points from pointy tubercles
How can the transverse process of C1 (the atlas) be located for palpation?
Directly posterior to the ramus of the mandible
Why are not all cervical spinous processes always palpable?
Due to lordotic curve of the neck spine
Which cervical vertebrae have their spinous processes always palpable?
C2 and C7
Why should gentle pressure be applied when palpating transverse processes of C2 through C7?
To prevent hurting nearby structures
What is a characteristic of the transverse process of C1 (the atlas)?
Widest transverse process among cervical vertebrae
What is a common challenge when palpating cervical vertebrae spinous processes?
Their deep placement in surrounding muscles
Where is the xiphoid process located?
At the inferior end of the sternum
How can the angle of Louis be located?
By palpating vertically along the manubrium
Which muscle attaches to the external surface of the xiphoid process?
Rectus abdominis
Why is it challenging to palpate the first rib?
It is surrounded by muscles
What is unique about ribs eleven and twelve?
They are floating ribs
How do you locate ribs two through ten?
By strumming across them vertically
What is the function of the xiphoid process in CPR?
To mark the proper hand position
Why is it recommended to strum across ribs two through ten?
'To feel the intercostal spaces better'
How can you locate ribs eleven and twelve?
By pressing gently at the bottom of the rib cage
What characterizes the C2 spinous process (SP)?
It is bifid (has two points).
Which vertebral landmark in the cervical spine is known as vertebra prominens?
C7
Which muscle group attaches onto the spinous process of C7?
Rhomboid minor and serratus posterior superior
Where is the articular pillar in the cervical spine located?
Approximately one inch lateral to the spinous processes
Which structure does not have a spinous process among the cervical vertebrae?
CI (atlas)
Where should you palpate to locate the posterior tubercle of C1?
Between the SP of C2 and the occiput
Which muscles attach into the laminar groove of the cervical spine?
Transversospinalis group
What will you find between the laminae of the vertebrae in the cervical spine?
Laminar groove
What structures create the facet joints of the cervical spine?
Articular processes
Which muscle group attaches onto the articular processes of the cervical spine?
Transversospinalis group
What is another name for the suprasternal notch of the sternum?
Jugular notch
What forms the angle of Louis on the sternum?
Manubrium and body of sternum
Where do the sternocleidomastoid, splenius capitis, and longissimus capitis muscles attach?
Temporal bone
What is the external occipital protuberance and where is it located?
Midline bump on the superior nuchal line of the occiput
What is the only bone in the human body that does not articulate with another bone?
Hyoid bone
Where is the thyroid cartilage located?
Below the hyoid bone at the level of the fourth and fifth cervical vertebrae
Why is it recommended to palpate the anterior neck unilaterally?
To check for carotid reflexes
Which muscle attaches to both the occipital bone and superior nuchal line?
Sternocleidomastoid
What is palpated first before attempting to locate the inferior nuchal line of the occiput?
Superior nuchal line
What type of touch is necessary for palpations in the anterior neck?
Careful and sensitive touch
What will be felt upon palpating both sides of the thyroid cartilage?
A joint space followed by thyroid cartilage
What is found at the back of the skull and is subcutaneous and easily palpable?
The occipital bone
What is located inferior to the mandible in the anterior neck and doesn't articulate with any other bone?
The hyoid bone
What does a raised ridge of bone running horizontally feel like when palpating in the posterior neck region?
A bony ridge
What is the method described in the text to determine the location of the spinous process (SP) of C7?
Passively flex and extend the client's head and neck
Which muscle group attaches to the laminar groove of the trunk according to the text?
Quadratus lumborum
How can you determine the exact vertebral level of a transverse process (TP) that is being palpated?
Press down on TPs until you feel one move the SP below
Which muscle group is mentioned to be challenging to discern due to its location not being at the same level as the spinous process of the same vertebra?
Erector spinae group
What should be done when there is confusion about which spinous process (SP) is C7 when a client is prone?
Palpate lower cervical SPs with fingers on prominent ones
How does the text recommend determining the vertebral level of a palpated transverse process (TP)?
Press down onto TPs until you feel one move a SP
What method does the text suggest to identify C7's SP from other cervical SPs when a client is prone?
Passively flex and extend the client's head and neck
What should be done if there is confusion about which TP is being palpated on a thoracic vertebra according to the text?
Press down on each TP until one moves a SP nearby
What is a challenge highlighted in palpating lumbar transverse processes (TPs) as compared to thoracic TPs according to the text?
The deeper position of lumbar TPs under muscles and fascia
What role does deeper pressure play in palpating lumbar spinous processes (SPs) according to the text?
It assists in overcoming challenges posed by lordotic lumbar curve
What is an effective way described in the text for determining which thoracic vertebra a transverse process (TP) belongs to?
Lateral movement of TPs relative to their SPs when palpated
Test your knowledge about the attachment points of the transversus thoracis and diaphragm to the internal surface of the anterior rib cage. This quiz covers information from Chapter 8 on axial body bone palpation and ligaments, including details on spinous processes and rib palpation.
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