Musculoskeletal Exam NPTE Review

Questions and Answers

What is the best position to test the middle trapezius?

prone

Which of the following muscles cannot be tested with the patient in a supine position during an upper extremity manual muscle test in adhesive capsulitis? (Select all that apply)

Middle trapezius

Serratus anterior (correct)

Pec major

Subscapularis (correct)

What does the popliteus muscle do?

externally rotates the femur, internally rotates the tibia, assists with knee flexion

Which muscles produce plantarflexion? (Select all that apply)

Plantaris Signup and view all the answers

What three bony landmarks are used to measure the Q-angle?

ASIS, midpoint of patella, tibial tuberosity Signup and view all the answers

What condition is referred to when the patella is located medially relative to the ipsilateral hip and ankle?

genu valgum (knock knees) Signup and view all the answers

What is the typical standing posture of a patient with ankylosing spondylitis?

Exaggerated thoracic curve Signup and view all the answers

Where should the fulcrum be positioned when measuring internal rotation of the shoulder?

over the olecranon process Signup and view all the answers

Which bone articulates with the second cuneiform?

navicular Signup and view all the answers

How should you record the patient's elbow range of motion post left radial head fracture?

10-86 degrees Signup and view all the answers

What positions should the proximal radioulnar joint be in for loose-packed position?

70 degrees flexion, 35 degrees supination Signup and view all the answers

Which structures provide anterolateral stability to the tibiofemoral joint? (Select all that apply)

Iliotibial band Signup and view all the answers

What muscle is primarily responsible for elevating the body during stair climbing?

quadriceps femoris Signup and view all the answers

What combined motion stretches the left thoracic facet joints more than others?

lumbar flexion and right trunk rotation Signup and view all the answers

What actions does the patient demonstrate when substituting with the sartorius muscle during iliopsoas testing?

external rotation and abduction of the hip Signup and view all the answers

What muscle produces hip flexion, external rotation, and abduction of the hip?

sartorius muscle Signup and view all the answers

What grade of mobilization are you performing when using large amplitude rhythmic oscillation?

Grade III Signup and view all the answers

What part of the limb should be stabilized to isolate elbow flexion during goniometric measurements?

distal end of humerus Signup and view all the answers

Which ligament is likely affected in a grade I ankle sprain from inversion and plantarflexion? (Select all that apply)

Anterior talofibular ligament Signup and view all the answers

Study Notes

Musculoskeletal Exam Key Points

Middle Trapezius Testing: Best tested in prone position; important for assessing adhesive capsulitis in upper extremity manual muscle tests.
Popliteus Muscle Function: Externally rotates the femur, internally rotates the tibia, assists in knee flexion, and does not cross the tibiotalar joint.
Q-Angle Measurement: Measured using ASIS (anterior superior iliac spine), midpoint of patella, and tibial tuberosity; critical in assessing patellofemoral syndrome.
Genu Valgum (Knock Knees): Condition where the patella is medially located relative to the ipsilateral hip and ankle, significant in athletic examinations.
Ankylosing Spondylitis Posture: Results in flattened lumbar curve and exaggerated thoracic curve; displays gradual loss of spinal extension and rib expansion.
Shoulder Internal Rotation Measurement: Fulcrum should be positioned over the olecranon process when measuring with the patient in supine.
Navicular Bone Articulation: Articulates with the second cuneiform bone; key for foot palpation and assessment.
Elbow Range of Motion: Recorded as 10-86 degrees of flexion post-left radial head fracture, indicating functional status.
Proximal Radioulnar Joint Positioning: The loose-packed position is characterized by 70 degrees of flexion and 35 degrees of supination.
Anterolateral Stability Structures: ACL, LCL, and iliotibial band/tract provide stability to the tibiofemoral joint.
Quadriceps Femoris Function: Primary muscle responsible for elevating the body during stair climbing, crucial for patient mobility.
Thoracic Joint Mobilization Exercise: Combined motion of lumbar flexion and right trunk rotation specifically stretches left thoracic facet joints.
Sartorius Muscle Substitution: Demonstrates external rotation and hip abduction during iliopsoas muscle testing at a grade 3 level.
Sartorius Muscle Actions: Responsible for hip flexion, external rotation, and abduction, vital for functional hip movement.
Maitland Grade III Mobilization: Involves large amplitude rhythmic oscillations moving in and out of tissue resistance during shoulder mobilization.
Elbow Flexion Stabilization: Stabilize the distal end of the humerus during goniometric measurements for accurate elbow flexion assessment.
Anterior Talofibular Ligament Injury: Most likely affected in grade I ankle sprains due to inversion and plantarflexion mechanisms.
Hip Mechanics in Total Hip Replacement: Focus on internal rotation, adduction, and flexion past 90 degrees in patient education for rehabilitation.

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Description

This quiz focuses on key concepts related to the musculoskeletal system as part of the NPTE review module. It includes questions on muscle testing positions and the functions of specific muscles. Perfect for students preparing for their NPTE examinations.