reflex & palpation

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Questions and Answers

Which reflex is tested by striking the patellar tendon directly?

  • Lateral hamstring
  • Patellar (correct)
  • Posterior tibial
  • Medial hamstring

Which position can be used to test the Achilles reflex?

  • Kneeling
  • Sitting
  • Supine lying
  • Prone (correct)

What should the examiner ensure before testing the Achilles reflex?

  • Patient's knee is flexed
  • Patient's plantar flexors are relaxed
  • Patient's dorsiflexors are relaxed (correct)
  • Patient's ankle is dorsiflexed

Which reflex is tested by tapping the thumbnail over the appropriate tendon?

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

What may cause the reflexes to be absent soon after exercise?

<p>Neurogenic intermittent claudication (D)</p> Signup and view all the answers

When should the reflexes be tested if neurogenic intermittent claudication is suspected?

<p>Immediately after exercise (A)</p> Signup and view all the answers

Which area is located between the ASIS and the symphysis pubis?

<p>Inguinal area (A)</p> Signup and view all the answers

What is palpated by the examiner when moving posteriorly from the ASIS?

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

What is the caudal portion of the sacral canal called?

<p>Sacral hiatus (C)</p> Signup and view all the answers

Which structure is palpated for symptoms of a hernia, abscess, infection, or other pathological conditions?

<p>Inguinal area (A)</p> Signup and view all the answers

What is the level of the S2 spinous process?

<p>Line joining the two PSISs (C)</p> Signup and view all the answers

What should the examiner do to properly palpate the coccyx?

<p>Insert the index finger into the anus (A)</p> Signup and view all the answers

Which reflex occurs in males only?

<p>Superficial cremasteric reflex (A)</p> Signup and view all the answers

What does a negative test result of the superficial cremasteric reflex indicate?

<p>Normal situation (D)</p> Signup and view all the answers

What does a unilateral absence of the superficial abdominal reflex suggest?

<p>Lower motor neuron lesion from T7 to L2 (A)</p> Signup and view all the answers

What does a normal result of the superficial anal reflex indicate?

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

Which muscle should be palpated for potential pathology, and where is it located?

<p>Piriformis muscle, located between the PSIS of the pelvis and the greater trochanter of the femur (B)</p> Signup and view all the answers

Which view should the examiner use to assess the shape of the vertebrae and disc spaces?

<p>Anteroposterior view (D)</p> Signup and view all the answers

What does the presence of the Babinski or Oppenheim tests indicate?

<p>Possible presence of disease or upper motor neuron lesion (A)</p> Signup and view all the answers

What should the examiner check if neurological symptoms are found?

<p>Both A and B (C)</p> Signup and view all the answers

What does the presence of a bamboo spine indicate?

<p>Ankylosing spondylitis (C)</p> Signup and view all the answers

What percentage of the population has lumbarization of S1?

<p>2% to 8% (A)</p> Signup and view all the answers

What condition occurs in 6% to 10% of the population and is characterized by incomplete fusion of the vertebrae?

<p>Spina bifida occulta (C)</p> Signup and view all the answers

What does the presence of traction spurs indicate in the lumbar intervertebral segment?

<p>Spinal instability (C)</p> Signup and view all the answers

Which movement is used to test for hypomobility or hypermobility of the spine?

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

Which movement is used to test for hypomobility or hypermobility of the spine in a prone position?

<p>Extension (C)</p> Signup and view all the answers

Which movement is used to test for hypomobility or hypermobility of the spine with the patient's leg rotated upward?

<p>Side flexion (A)</p> Signup and view all the answers

What are the movements sometimes called passive accessory intervertebral movements (PAIVMs)?

<p>Extension, side flexion, and rotation (B)</p> Signup and view all the answers

Which movement involves applying pressure through the thumbs to push the vertebrae anteriorly?

<p>Central vertebral pressure (A)</p> Signup and view all the answers

Which movement involves applying pressure to the muscles overlying the lamina or the transverse process of the lumbar vertebra?

<p>Unilateral vertebral pressure (B)</p> Signup and view all the answers

Which reflex is tested by striking the patellar tendon directly?

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

Which reflex may be tested in prone, sitting, or kneeling position?

<p>Achilles reflex (C)</p> Signup and view all the answers

What should the examiner ensure before testing the Achilles reflex?

<p>The patient's dorsiflexors are relaxed (A)</p> Signup and view all the answers

When should the reflexes be tested if neurogenic intermittent claudication is suspected?

<p>Immediately after exercise (D)</p> Signup and view all the answers

Which reflex is tested by tapping the thumbnail over the appropriate tendon?

<p>Medial hamstring reflex (C)</p> Signup and view all the answers

What does the presence of traction spurs indicate in the lumbar intervertebral segment?

<p>Hypermobility (D)</p> Signup and view all the answers

Which reflex occurs in males only?

<p>Superficial cremasteric reflex (B)</p> Signup and view all the answers

What does a unilateral absence of the superficial cremasteric reflex suggest?

<p>A lower motor neuron lesion between L1 and L2 (C)</p> Signup and view all the answers

What does the absence of the superficial abdominal reflex indicate?

<p>An upper motor neuron lesion (A)</p> Signup and view all the answers

What is the purpose of the Babinski or Oppenheim tests?

<p>To determine upper motor neuron lesions or pyramidal tract disease (C)</p> Signup and view all the answers

What should the examiner do if neurological symptoms are found during the examination?

<p>Check the dermatome patterns of the nerve roots (B)</p> Signup and view all the answers

How should the examiner test for sensation in the lower limbs?

<p>By running relaxed hands over the back, abdomen, and lower limbs (B)</p> Signup and view all the answers

Which movement should the examiner use to test for hypomobility or hypermobility of the spine with the patient's leg rotated upward?

<p>Lateral flexion (D)</p> Signup and view all the answers

What does a unilateral absence of the superficial abdominal reflex suggest?

<p>Spinal cord injury (B)</p> Signup and view all the answers

What should the examiner ensure before testing the Achilles reflex?

<p>The patient's foot is dorsiflexed (C)</p> Signup and view all the answers

What does a negative test result of the superficial cremasteric reflex indicate?

<p>Sciatic nerve impingement (B)</p> Signup and view all the answers

What does the presence of the Babinski or Oppenheim tests indicate?

<p>Upper motor neuron lesion (C)</p> Signup and view all the answers

Which structure is palpated for symptoms of a hernia, abscess, infection, or other pathological conditions?

<p>Greater trochanter of the femur (C)</p> Signup and view all the answers

Which movement is used to test for hypomobility or hypermobility of the spine in a prone position?

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

What is the level of the L4 spinous process?

<p>Between L3 and L4 (B)</p> Signup and view all the answers

What is the purpose of posteroanterior central vertebral pressure (PACVP)?

<p>To push the vertebrae anteriorly (B)</p> Signup and view all the answers

What is the purpose of posteroanterior unilateral vertebral pressure (PAUVP)?

<p>To apply lateral springing pressure (B)</p> Signup and view all the answers

What is the purpose of transverse vertebral pressure (TVP)?

<p>To rotate the vertebrae (D)</p> Signup and view all the answers

What should be noted during palpation of the lumbar spine?

<p>All of the above (D)</p> Signup and view all the answers

Which area should the examiner palpate to assess for symptoms of a hernia, abscess, infection, or other pathological conditions?

<p>Left upper quadrant (D)</p> Signup and view all the answers

What is the caudal portion of the sacral canal called?

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

Which structure should the examiner palpate by moving along the iliac crest and palpating for signs of pathology?

<p>Iliac crest (A)</p> Signup and view all the answers

What is the level of the S2 spinous process?

<p>Line joining the two PSISs (D)</p> Signup and view all the answers

What is the proper way to palpate the coccyx?

<p>Insert the index finger into the anus (A)</p> Signup and view all the answers

Which structure is palpated between the ASIS and the symphysis pubis?

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

Which reflex is tested by tapping the tendon directly with a reflex hammer?

<p>Patellar reflex (D)</p> Signup and view all the answers

In which position can the Achilles reflex be tested?

<p>All of the above (D)</p> Signup and view all the answers

What is the proper position of the knee to test the patellar reflex?

<p>30° flexion in supine lying (B)</p> Signup and view all the answers

How should the ankle be positioned to test the Achilles reflex?

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

What should the examiner do to ensure the patient's dorsiflexors are relaxed before testing the Achilles reflex?

<p>Passively dorsiflex the foot (B)</p> Signup and view all the answers

Which reflex is tested by tapping the thumbnail over the appropriate tendon?

<p>Medial hamstring reflex (A)</p> Signup and view all the answers

Which reflex is used to test for an upper motor neuron lesion in males only?

<p>Superficial cremasteric reflex (B)</p> Signup and view all the answers

What does a unilateral absence of the superficial cremasteric reflex suggest?

<p>A lower motor neuron lesion between L1 and L2 (B)</p> Signup and view all the answers

Which superficial reflex indicates an upper motor neuron lesion when absent?

<p>Superficial abdominal reflex (A)</p> Signup and view all the answers

What does the absence or reduction of the superficial cremasteric reflex bilaterally suggest?

<p>An upper motor neuron lesion (D)</p> Signup and view all the answers

Which reflex should the examiner perform to determine upper motor neuron lesions or pyramidal tract disease?

<p>Pathological reflex tests (e.g., Babinski or Oppenheim tests) (A)</p> Signup and view all the answers

When should the examiner check the dermatome patterns of the nerve roots and the peripheral sensory distribution of the peripheral nerves?

<p>If neurological symptoms are found (A)</p> Signup and view all the answers

Which muscle is often easier to palpate if the hip is flexed to 90°?

<p>Piriformis muscle (D)</p> Signup and view all the answers

What is the percentage of the population that experiences lumbarization of S1?

<p>2% to 8% (C)</p> Signup and view all the answers

What anomaly occurs in 3% to 6% of the population, making the L4–L5 level the first mobile segment rather than L5–S1?

<p>Sacralization of L5 (B)</p> Signup and view all the answers

What is the percentage of the population that experiences sacralization of L5?

<p>3% to 6% (A)</p> Signup and view all the answers

What is the percentage of the population that experiences spina bifida occulta?

<p>6% to 10% (B)</p> Signup and view all the answers

What is the percentage of the population that experiences spondylosis or spondylolisthesis?

<p>2% to 4% (C)</p> Signup and view all the answers

Which structure is palpated between the ASIS and the symphysis pubis?

<p>The inguinal area (A)</p> Signup and view all the answers

Which structure is found in the left upper quadrant?

<p>The spleen (A)</p> Signup and view all the answers

Which structure is palpated by moving posteriorly from the ASIS?

<p>The iliac crest (D)</p> Signup and view all the answers

Which structure is palpated by pushing both thumbs down onto the superior aspect of the pubic bones?

<p>The symphysis pubis (C)</p> Signup and view all the answers

Which structure is palpated by moving laterally 2 to 3 cm from the spinous processes?

<p>The lumbar facet joints (C)</p> Signup and view all the answers

Which structure requires a rectal examination to be properly palpated?

<p>The coccyx (A)</p> Signup and view all the answers

Which movement is used to test for hypomobility or hypermobility of the spine with the patient's leg rotated upward?

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

What is the purpose of posteroanterior central vertebral pressure (PACVP)?

<p>To test for hypomobility or hypermobility of the spine (B)</p> Signup and view all the answers

Which movement involves applying pressure to the muscles overlying the lamina or the transverse process of the lumbar vertebra?

<p>Posteroanterior unilateral vertebral pressure (PAUVP) (A)</p> Signup and view all the answers

What is the purpose of transverse vertebral pressure (TVP)?

<p>To palpate for potential pathology in the lumbar spine (A)</p> Signup and view all the answers

Which structure is palpated at the level of the L3-L4 disc space?

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

What should the examiner ensure before testing the Achilles reflex?

<p>There is no hip pathology (C)</p> Signup and view all the answers

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