Examination of the Lower Extremities - Lee Scott, MD, FAAP

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30 Questions

What is the first step in the inspection of the lower extremities?

Assessing the patient's gait

Which of the following is NOT a part of the lower extremity inspection?

Evaluating muscle strength

What is one of the findings that should be verbalized during inspection of the lower extremities?

Noting the presence of pigmentation

During lower extremity palpation, what should be checked near the patella?

Scars

What is one crucial aspect to assess when examining the lower extremities' alignment?

Symmetry

Which of the following is a key element to evaluate when inspecting the hip?

Gait abnormalities

What percentage of the walking cycle is considered the Swing phase?

40%

Which muscle group contracts to stabilize the pelvis during the gait cycle?

Abductors

What gait abnormality may result from lack of knee flexion during the stance phase?

Circumduction

What does a wide base suggest during a gait inspection?

Cerebellar disease

What condition can cause the pelvis to drop on the opposite side during gait?

Leg length discrepancy

What should be assessed for symmetry when inspecting the legs in a supine patient?

Leg length

How is muscle strength graded on a 0 to 5 scale?

Using a scale of active movement against different levels of resistance

Which joint is primarily involved in ankle inversion and eversion?

Tibiotalar (ankle) joint

In strength testing, what does a grade of '2' mean?

Active movement with gravity eliminated

Which muscle group is primarily responsible for hip flexion?

Iliopsoas

What action should be performed to test hip flexion?

Place hand on the patient's mid-thigh and ask them to raise the leg against it

During strength testing, what does a grade of '4' indicate?

'Active movement against gravity and some resistance'

Where should you look for pitting edema on the feet?

Over the dorsum of each foot

What is the severity of edema graded on?

Four-point scale

Which of the following is NOT a motion of the hip?

Supination

How should you test the range of motion for hip flexion?

With the patient supine

How can you stabilize the pelvis during hip abduction?

Pressing down on the opposite anterior–superior iliac spine with one hand

What does the movement of the iliac spine mark during hip abduction?

The limit of hip abduction

What is the recommended technique for palpating the femoral pulse?

Press deeply below the inguinal ligament with both hands.

What is the typical size of nontender, discrete inguinal nodes in normal people?

Up to 1 cm or even 2 cm in diameter

Where is the recommended location for palpating the DP pulse?

The dorsum of the foot just lateral to the extensor tendon of the great toe

What is the difficulty level of finding the popliteal pulse compared to other pulses?

More difficult to find than other pulses

What is the recommended technique for palpating for pitting edema?

Press firmly but gently for at least 2 seconds

Where is the recommended location for palpating the PT pulse?

Curve your fingers behind and slightly below the medial malleolus of the ankle

Learn about the basic anatomy of the lower extremities, techniques for inspection and palpation, and how to test range of motion. This quiz covers what can be found through inspection and palpation, along with how to verbalize findings effectively.

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