Muscle Anatomy Quiz

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Questions and Answers

What is the origin of the ACL?

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

Which test is primarily used to assess the ACL?

  • Anterior Drawer
  • Lachman's test (correct)
  • Booch test
  • Posterior Drawer

What is the sensitivity range of the Posterior Drawer test?

  • 40 - 50%
  • 54 - 92% (correct)
  • 60 - 75%
  • 80 - 90%

Where does the PCL insert?

<p>Anterior part of the lateral surface of the medial femoral condyle (A)</p> Signup and view all the answers

Which test has the highest specificity range according to the given data?

<p>Booch test (A)</p> Signup and view all the answers

What does Westphal's sign indicate?

<p>Weak knee jerk reflex (D)</p> Signup and view all the answers

Which dermatome corresponds to the lateral aspect of the neck?

<p>C3 (B)</p> Signup and view all the answers

What score indicates a brisk reflex that could depend on history?

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

In reflex quantification, which score represents an absent reflex?

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

Where is the C4 dermatome located?

<p>Over deltoid (B)</p> Signup and view all the answers

What condition does the Phalanx Test primarily assess?

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

Which test demonstrates both 100% sensitivity and specificity?

<p>Finkelstein's Test (B)</p> Signup and view all the answers

What should be done according to Som, Wermun, and Singh (2020) if the initial test result is positive?

<p>Only move onto the next step if there is no positive result (A)</p> Signup and view all the answers

What does the Scaphoid Shift Test assess?

<p>Scaphounate interosseous ligament instability (B)</p> Signup and view all the answers

Which statement is true regarding healthy individuals with naturally lax connective tissue according to Shmauss et al (2022)?

<p>Lower grade lesions do not indicate a positive test (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 (A)</p> Signup and view all the answers

Which of the following is NOT an origin point for the Abductor Pollicis Longus?

<p>Posterior surface of the ulnar bone (C)</p> Signup and view all the answers

Where does the Scapho-lunate ligament insert?

<p>Most proximal part of the articular surface between the scaphoid and lunate bones (A)</p> Signup and view all the answers

What is the main purpose of the informed consent process described by Katie?

<p>To obtain permission to provide treatment and touch the patient (D)</p> Signup and view all the answers

Which neurological tests correspond to the locations indicated for knee reflex testing?

<p>L2, L3, L4 (A)</p> Signup and view all the answers

Flashcards

Extensor Pollicis Brevis

The Extensor Pollicis Brevis muscle originates on the lower third of the radius and attaches to the thumb's first bone (proximal phalanx).

Abductor Pollicis Longus

The Abductor Pollicis Longus muscle originates on the upper half of the radius, near the thumb side, and attaches to the thumb's first bone (proximal phalanx) and the extensor hood.

Scapho-lunate Ligament

This ligament connects the scaphoid and lunate bones in the wrist, stabilizing the wrist joint.

Knee Reflex Test

The knee reflex test involves tapping the patellar tendon, which should cause the lower leg to extend. Nerve roots L2, L3, and L4 are responsible for this reflex.

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Hyperflexion

Hyperflexion is a special test used to assess nerve or muscle function. It involves bending the knee as far as possible, which can cause the knee to suddenly kick out forcefully.

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Westphal's Sign

Absence of the knee reflex, indicating a potential neurological problem.

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Sharp + Dull Test

A test using sharp and dull objects to assess a patient's ability to perceive different sensations. Used to evaluate sensory function of specific spinal nerves.

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Dermatomes

A system for mapping the areas of skin supplied by specific spinal nerves. Each dermatome corresponds to a specific spinal nerve root.

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Quantifying Reflexes (Walker 1990)

A scoring system used to quantify the strength of reflexes.

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Briské Reflex

A reflex that is abnormally brisk or exaggerated, indicating potential nerve damage or disruption.

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What is the ACL?

The ACL connects the femur (thigh bone) to the tibia (shin bone) and prevents the tibia from sliding forward under the femur.

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Where does the ACL originate?

It originates from the inside of your femur, specifically at the medial epicondyle.

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Where does the ACL insert?

The ACL inserts at the middle of the intracondylar area of the tibia.

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What is the Posterior Drawer Test?

The Posterior Drawer test is commonly used to check for ACL tears. It involves pulling the tibia backward. A positive test means there's excess movement, suggesting an ACL tear.

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What is the PCL?

The PCL connects the femur (thigh bone) to the tibia (shin bone) and prevents the tibia from sliding backwards under the femur.

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Phalanx Test

A test used to diagnose carpal tunnel syndrome by assessing how well the wrist bends back (extension).

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Finkelstein's Test

A test used to diagnose De Quervain's disease by bending the thumb across the palm and then tilting the wrist.

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Scaphoid Shift Test

This test assesses the stability of the scaphoid bone in the wrist.

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De Quervain's Disease

A condition affecting the tendons on the thumb side of the wrist.

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Scaphoid Interosseous Ligament Instability

An injury to the ligament connecting the scaphoid bone to other wrist bones.

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Study Notes

Extensor Pollicis Brevis

  • Origin - posterior surface of the distal third of the radius, inferior to the origin of the extensor pollicis longus
  • Insertion - the base of the proximal phalanx of the thumb

Abductor Pollicis Longus

  • Origin - posterior surface of the radius
  • Insertion - medial aspect of the proximal phalanx of the thumb, as well as the extensor hood

Scaphoidunate Ligament

  • Inserts to the most proximal and superior part of the articular surface between the scaphoid and lunate bones.

Neurological Tests

  • Knee Reflex
    • Tests L2, L3, and L4
    • Hyperflexion → knee kick out more forcefully

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