Functional Anatomy practical exam Flashcards

1
Q

tensor fascia latae

A

anterior iliac crest
iliotibial band
hip abduction, flexion, medial rotation, knee extension

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2
Q

tensor fascia latae palpation

A

lie in supine
knee bent medially rotated
Flex hip
pt push leg down feel between greater trochanter and iliac crest

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3
Q

sartorius

A

ASIS
pes anserinus
hip flexion, knee flexion, knee lateral rotation

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4
Q

sartorius palpation

A
in supine
flex hip and knee
laterally rotate knee
pt push down on inside of knee 
palpate near knee
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5
Q

gluteus maximus

A

posterior ilium, sacrum, coccyx
gluteal tuberosity and iliotibial band
hip extension, lateral rotation

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6
Q

glut max palpation

A

lie on front
bend knee
extend hip
pt push down on leg

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7
Q

gluteus medius

A

lateral ilium
greater trochanter
hip abduction
rotation

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8
Q

glut med palpation

A
side lying
bottom knee bent 
lift leg up and externally rotate
pt push down on leg 
palpate above greater trochanter
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9
Q

adductor longus

A

pubis
linea aspera
hip adduction

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10
Q

adductor longus palpation

A

lit on back, other leg off bed on chair
try and bring leg across
pt pull leg outwards
palpate down medial side of leg

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11
Q

gracilis

A

pubis
pes anserinus
hip flexion, hip adduction, knee flexion, knee medial rotation

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12
Q

gracilis palpation

A

lie on back, bend knee, (resist adduction)

palpate near knee

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13
Q

rectus femoris

A

AIIS
superior boarder of patella
hip flexion
knee extension

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14
Q

rec fem palpation

A

on back
lift leg with straight knee
pt push down on lower leg
palpate down front of thigh

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15
Q

vastus medialis

A

medial side of linea aspera
quadriceps tendon and medial patella
knee extension

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16
Q

vastus medialis palpation

A

lie on back
laterally rotate knee
pt push down
palpate medially of patella

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17
Q

vastus lateralis

A

lateral to linea aspera
lateral boarder of patella and rec fem tendon
knee extension

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18
Q

vastus lateralis palpation

A

lie on back
extend knee
pt push down on lower leg
palpate lateral and superior to patella

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19
Q

semitendinosus

A

ischial tuberosity
pes anserinus
hip extension, knee flexion, knee medial rotation

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20
Q

semitendinosus palpation

A

lie on front
bend knee up
pt push down on leg
palpate medial tendon

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21
Q

biceps femoris

A

ischial tuberosity and linea aspera
head of fibula
hip extension, knee flexion, knee lateral rotation

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22
Q

biceps femoris palpation

A

lie on front
bend knee up
pt push down on leg
palpate lateral tendon

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23
Q

gastrocnemius

A

medial head from media condyle on the femur lateral head from lateral condyle
achilles tendon
knee flexion, plantar flexion

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24
Q

gastrocnemius palpation

A

lie on front, bend knee up slightly and point toes

see both heads near knee lie

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25
Q

tibialis anterior

A

lateral tibial condyle
base of 1st metatarsal and medial cuneiform
dorsiflexion, inversion

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26
Q

tibialis anterior palpation

A

flex foot, invert foot

see most medial tendon sticking out

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27
Q

extensor digitorum longus

A

lateral tibial condyle
distal & middle phalanx of toes 2-5
dorsiflexion
extends toes 2-5

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28
Q

extensor digitorum longus palpation

A

dorsiflex foot
extend toes 2-5
pt resist toe extension
palpate most lateral tendon

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29
Q

extensor hallucis longus

A

medial surface of fibula
distal phalanx of big toe
dorsiflexion, toe extenion

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30
Q

extensor hallucis longus palpation

A

dorsiflex
extend big toe
pt resist big toe extension
palpate middle tendon

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31
Q

peroneus longus

A

head of fibula
base of 1st metatarsal and medial cuneiform
plantar flexion, eversion

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32
Q

peroneus longus palpation

A

evert foot, pt pull foot back inwards

palpate muscle belly near top of fibula

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33
Q

peroneus brevis

A

lateral surface of fibula
tuberosity of 5th metatarsal
plantar flexion, eversion

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34
Q

peroneus brevis palpation

A

evert foot
plantar flex
pt pull foot back inwards
palpate muscle belly at bottom of fibula

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35
Q

soleus

A

head and posterior fibula
achilles tendon and calcaneous
plantar flexion

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36
Q

soleus palpation

A

lie on front
plantar flex
pt push down on sole of foot
palpate below gastrocnemius

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37
Q

tibialis posterior

A

posterior surface of tibia and fibula
navicular tuberosity and cuneiforms
plantar flexion
inversion

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38
Q

tibialis posterior palpation

A

invert foot and slightly plantar flex
push down of sole of foot
palpate tendon behind medial malleolus posteriorly
middle belly

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39
Q

flexor digitorum longus

A

posterior surface of tibia
base of distal phalanx of toes 2-5
plantar flexion, toe flexion

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40
Q

flexor digitorum longus palpation

A

lie on front
resist flexion of toes
can palpate tendons on base of the foot or muscle belly on distal medial leg, most medial belly

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41
Q

flexor hallucis longus

A

distal 2/3rd of posterior tibia
base of distal phalanx of big toe
plantar flexion, big toe flexion

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42
Q

flexor hallucis longus palpation

A

lie on front
resist big toe flexion
deep muscle belly, can feel tendon on sole of foot
most lateral belly

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43
Q

upper trapezius + palpation

A

occipital protuberance, spinous processes C7
clavicle and acromion process
elevation, lateral rotation, neck extension, neck lateral flexion
in sitting, extend neck or elevate scapula, feel muscle at top

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44
Q

middle trapezius + palpation

A

spinous processes C7-T4
acromion medial half of scapula spine
retraction
in sitting, retract scapula and abduct arm, pt push down arm

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45
Q

lower trap + palpation

A

spinous processes T5-T12
medial half of scapula spine
depression, abduction, lateral rotation
in sitting, abduct arm, pt push down

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46
Q

levator scapulae

A

transverse processes of c1&c2 and posterior tubercles of transverse processes of c3&c4
superior angle of scapula and above scapula spine
elevation, cervical lateral flexion, neck extension

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47
Q

levator scapulae palpation

A

in sitting
put hand behind back
elevate scapula and palpate posterior neck triangle lateral and anterior to trapezius

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48
Q

serratus anterior

A

external surfaces of ribs 1-9
medial boarder of scapula
protraction, scapula lateral rotation

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49
Q

serratus anterior palpation

A

lie on back
arm directly in the air
resist reaching upwards
palpate rib cage below axilla

50
Q

anterior deltoid + palpation

A

lateral 1/3 of clavicle
deltoid tuberosity
shoulder flexion, medial rotation, transverse adduction
try lift arm up infront pt push down

51
Q

middle deltoid + palpation

A

acromion
deltoid tuberosity
abduction
try lift arm up to the side pt push down

52
Q

posterior deltoid + palpation

A

scapula spine
deltoid tuberosity
extension, lateral rotation
try bring arm down, pt push up

53
Q

pec major

A

manubrium, superior 6 costal cartilages, medial half of clavicle
greater tubercle crest
depression, flexion, adduction, transverse adduction, medial rotation

54
Q

pec maj palpation

A

lie on back
Clavicular head - resist reaching arm to opposite ear
Sternal - resist reaching arm to opposite pocket

55
Q

supraspinatus

A

supraspinous fossa
greater tuberosity
shoulder abduction

56
Q

supraspinatus palpation

A

in sitting
get patient to abduct
pt push down on arm
palpate superior to scapula spine in supraspinous fossa

57
Q

infraspinatus

A

infraspinous fossa
greater tuberosity
lateral rotation

58
Q

infraspinatus palpation

A

lying on front on elbows
laterally rotate arm out
palpate just below scapula spine
put hand under scapula spine and finger tips would be on tendon

59
Q

subscapularis

A

subscapula fossa
lesser tuberosity
medial rotation

60
Q

subscapularis palpation

A

in sitting
stand behind
externally rotate arm
feel across tendon fires medially to humerus and below clavicle in the space at front of shoulder

61
Q

teres minor

A

lateral scapula boarder
greater tubercle
transverse abduction, lateral rotation

62
Q

teres minor palpation

A

on front on elbows
laterally rotate arm out
palpate just below scapula spine and below infraspinatus

63
Q

teres major

A

inferior angle of scapula
lesser tubercle
shoulder adduction, medial rotation

64
Q

teres major palpation

A

just above fibres of lat dorsi

in sitting medially rotate arm and adduct arm, pt push upwards palpate back of axilla

65
Q

latissimus dorsi

A

spinous processes T7-L5, ribs 9-12 iliac crest
intertubucular sulcus of humerus / bicipital groove
extension, adduction, medial rotation

66
Q

lat dorsi palpation

A

in sitting, extend arm backwards, pt push against, feel back of axilla
or lying on back, arm up in the air, extend arm, pt push arm up and feel posterior axilla

67
Q

biceps brachii

A

supraglenoid tubercle, coracoid process
radial tuberosity
shoulder flexion, elbow flexion, supination

68
Q

biceps brachii palpation

A

flex elbow in supinated position

pt pull downwards

69
Q

brachialis

A

distal half of humerus
coronoid process of ulna
elbow flexion

70
Q

brachialis palpation

A

flex elbow in pronated position
pt pull arm downwards
palpate under biceps

71
Q

brachioradialis

A

supracondylar ridge of humerus
distal part of radius
elbow flexion
supination/ pronation to neutral

72
Q

brachioradialis palpation

A

flex arm in a neutral positon

pt pull downwards palpate just below elbow joint

73
Q

triceps brachii

A

infraglenoid tubercle, posterior surface of humerus, under lateral head
olecranon
shoulder extension (long head) elbow extension

74
Q

triceps brachii palpation

A

try and extend arm
pt pushes upwards on arm
palpate back of arm

75
Q

pronator teres

A

supracondylar ridge, coronoid process
middle 1/3rd of radius
pronation

76
Q

pronator teres palpation

A

sit with forearm flexed in neutral, resist pronation,
pt push arm outwards
palpate medially to brachioradialis

77
Q

supinator

A

lateral epicondyle, supinator fossa
proximal 1/3rd of radius apart from medial aspect
supination

78
Q

supinator palpation

A

forearm flexed in neutral
resist supination
pt push arm inwards
palpate laterally to brachioradialis, down the arm deep

79
Q

flexor carpi radialis

A

medial epicondyle
base of metacarpal 2
wrist flexion, radial deviation

80
Q

flexor carpi radialis palpation

A

fully supinated wrist
pt push down on hand
flex wrist
tendon closest to thumb

81
Q

palmaris longus

A

medial epicondyle
palmar fascia
weak wrist flexor

82
Q

palmaris longus palpation

A

fully supinated
flex wrist
pt push down on hand
tendon in the middle

83
Q

flexor carpi ulnaris

A

medial epicondyle, olecranon
pisiform, hamate, 5th metacarpal
flexes wrist, ulna deviation

84
Q

flexor carpi ulnaris palpation

A

fully supinated
flex wrist, ulnar deviate
pt push down on hand, tendon on edge of rist above ulna

85
Q

flexor digitorum superficialis

A

Medial epicondyle
middle phalanx of fingers
flexes fingers not last joint

86
Q

flexor digitorum superficialis palpation

A

fully supinated arm
flex fingers at mcp joint
palpate proximal medial forearm on ulnar side distal and anterior

87
Q

flexor digitorum profundus

A

coronoid process and ulna
distal phalanx of fingers
flexes fingers

88
Q

flexor digitorum profundus palpation

A

fully supinated
flex fingers at IP joint
palpate proximal medial forearm near medial epicondyle distal and posterior

89
Q

flexor pollicis longus

A

anterior radius
distal phalanx of thumb
flexes thumb

90
Q

flexor pollicis longus palpation

A

fully supinated arm
flex thumb at last joint
feel tendon in joint crack or palpate body near wrist on radial side

91
Q

extensor carpi ulnaris

A

lateral epicondyle
base of 5th metacarpal
extends wrist
ulnar deviation

92
Q

extensor carpi ulnaris palpation

A

flex arm
ulnar deviation and extend wrist
palpate body near elbow joint near olecranon

93
Q

extensor digiti minimi

A

lateral epicondyle
5th dorsal digital expansion
extends 5th finger

94
Q

extensor digiti minimi palpation

A

arm flexed
fully pronated
extend finger
palpate body on posterior proximal forearm near elbow joint, more laterally than digitorum

95
Q

extensor digitorum

A

lateral epicondyle
distal and middle phalanx of fingers via digital dorsal expansion
extends fingers

96
Q

extensor digitorum palpation

A
arm flexed
fully pronated
extend fingers
palpate body on posterior proximal forearm near elbow joint
can see tendons on back of hand
97
Q

extensor carpi radialis brevis

A

lateral epicondyle
base of metacarpal 3
extends wrist, ulnar deviation

98
Q

extensor carpi radialis brevis palpation

A

arm flex in neutral
radially deviate
palpate posterior to supinator

99
Q

extensor carpi radialis longus

A

lateral supracondylar ridge
base of metacarpal 2
extends wrist, radial deviation

100
Q

extensor carpi radialis longus palpation

A

arm flexed in neutral
radially deviate, extend wrist
palpate posterior to brachioradialis / supinator

101
Q

extensor indicis

A

posterior surface of distal 1/3 of ulna
dorsal digital expansion of 1st finger
extends 1st finger

102
Q

extensor indicis palpation

A

extend index finger

feel tendon on back of finger, more central tendon

103
Q

extensor pollicis longus

A

posterior surface of middle 1/3rd of ulna
base of distal phalanx of thumb
extends thumb

104
Q

extensor pollicis longus palpation

A

extend thumb
find anatomical snuffbox
tendon closest to fingers is pollicis longus

105
Q

extensor pollicis brevis

A

posterior surface of distal half of radius
base of proximal phalanx of thumb
extends thumb

106
Q

extensor pollicis brevis palpation

A

extend thumb
find anatomical snuffbox
tendon closest to pollicis longus on medial boarder is brevis

107
Q

abductor pollicis longus

A

middle 1/3rd of radius and posterior of ulna
base of metacarpal 1
abducts thumb
extends thumb

108
Q

abductor pollicis longus palpation

A

extend thumb
find anatomical snuffbox
outer most tendon on medial boarder is abductor (next to brevis)

109
Q

sternocleidomastoid

A

mastoid, posterior mastoid
sternum, clavicle
flexes neck, lateral flexion of neck to same side, rotates neck to opposite side

110
Q

sternocleidomastoid palpation

A

flex neck
can feel it working in sitting or lying
in lying, rotate neck to other side, palpate superior to SCV joint

111
Q

longus colli

A

anterior aspects of vertebral bodies of c5-t3, vertebral bodies of t1-t3
anterior aspects of vertebral bodies of c2-c4, anterior tubercles of transverse processes of c5-c6
C3-t3 c1-c6
maintain cervical stability and lordosis

112
Q

longus colli palpation

A

flex neck
drop off medially from medial boarder of sternocleidomastoid onto anterior neck
down middle pipe

113
Q

erector spinae

A

group of muscles down middle of the back either side of spine
maintain posture, trunk and neck extensors, trunk lateral flexion

114
Q

erector spinae palpation

A

lie in prone
extend trunk and neck
feel muscles laterally either side of spine

115
Q

rectus abdominis

A

pubic crest
xiphoid process and ribs 5-7
main trunk flexor

116
Q

rectus abdominis palpation

A

legs bent
lying down
crunch up towards legs

117
Q

internal obliques

A

thoracolumbar fascia, iliac crest
ribs 10-12, pubis
flexes laterally, flexion, rotation to same side

118
Q

internal obliques palpation

A

legs up
reach to same side
lower part of muscles between ribs and iliac crest

119
Q

external obliques

A
external surfaces of ribs 5-12
ASIS, iliac crest, pubic crest
rotates body to opposite side
flexion
lateral flexion
120
Q

external oblique palpation

A

legs up
reach to opposite side
upper part of muscles between ribs and iliac crest

121
Q

quadratus lumborum

A

posterior half of iliac crest
inferior boarder of 12th rib, transverse processes of 1-4 lumbar vertebrae
pelvic stability
ipsilateral flexion

122
Q

quadratus lumborum palpation

A

lie in prone, elevate pelvis, hitch up pelvis to one side

palpate medially toward 12th rib and near iliac crest