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)
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)
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What three bony landmarks are used to measure the Q-angle?
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What condition is referred to when the patella is located medially relative to the ipsilateral hip and ankle?
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What is the typical standing posture of a patient with ankylosing spondylitis?
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Where should the fulcrum be positioned when measuring internal rotation of the shoulder?
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Which bone articulates with the second cuneiform?
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How should you record the patient's elbow range of motion post left radial head fracture?
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What positions should the proximal radioulnar joint be in for loose-packed position?
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Which structures provide anterolateral stability to the tibiofemoral joint? (Select all that apply)
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What muscle is primarily responsible for elevating the body during stair climbing?
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What combined motion stretches the left thoracic facet joints more than others?
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What actions does the patient demonstrate when substituting with the sartorius muscle during iliopsoas testing?
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What muscle produces hip flexion, external rotation, and abduction of the hip?
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What grade of mobilization are you performing when using large amplitude rhythmic oscillation?
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What part of the limb should be stabilized to isolate elbow flexion during goniometric measurements?
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Which ligament is likely affected in a grade I ankle sprain from inversion and plantarflexion? (Select all that apply)
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Study Notes
Musculoskeletal Exam Key Points
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Middle Trapezius Testing: Best tested in prone position; important for assessing adhesive capsulitis in upper extremity manual muscle tests.
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Popliteus Muscle Function: Externally rotates the femur, internally rotates the tibia, assists in knee flexion, and does not cross the tibiotalar joint.
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Q-Angle Measurement: Measured using ASIS (anterior superior iliac spine), midpoint of patella, and tibial tuberosity; critical in assessing patellofemoral syndrome.
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Genu Valgum (Knock Knees): Condition where the patella is medially located relative to the ipsilateral hip and ankle, significant in athletic examinations.
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Ankylosing Spondylitis Posture: Results in flattened lumbar curve and exaggerated thoracic curve; displays gradual loss of spinal extension and rib expansion.
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Shoulder Internal Rotation Measurement: Fulcrum should be positioned over the olecranon process when measuring with the patient in supine.
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Navicular Bone Articulation: Articulates with the second cuneiform bone; key for foot palpation and assessment.
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Elbow Range of Motion: Recorded as 10-86 degrees of flexion post-left radial head fracture, indicating functional status.
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Proximal Radioulnar Joint Positioning: The loose-packed position is characterized by 70 degrees of flexion and 35 degrees of supination.
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Anterolateral Stability Structures: ACL, LCL, and iliotibial band/tract provide stability to the tibiofemoral joint.
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Quadriceps Femoris Function: Primary muscle responsible for elevating the body during stair climbing, crucial for patient mobility.
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Thoracic Joint Mobilization Exercise: Combined motion of lumbar flexion and right trunk rotation specifically stretches left thoracic facet joints.
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Sartorius Muscle Substitution: Demonstrates external rotation and hip abduction during iliopsoas muscle testing at a grade 3 level.
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Sartorius Muscle Actions: Responsible for hip flexion, external rotation, and abduction, vital for functional hip movement.
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Maitland Grade III Mobilization: Involves large amplitude rhythmic oscillations moving in and out of tissue resistance during shoulder mobilization.
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Elbow Flexion Stabilization: Stabilize the distal end of the humerus during goniometric measurements for accurate elbow flexion assessment.
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Anterior Talofibular Ligament Injury: Most likely affected in grade I ankle sprains due to inversion and plantarflexion mechanisms.
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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.