Clinical Assessment Level 1

Question 1

List the mandatory questions in a subjective assessment for the lower quadrant

Answer 1

• Bladder, bowel, genital dysfunction
• Saddle paraesthesia
• rectal, scrotal, testicular, penile, vaginal, or perineal pain
• groin and medial thigh pain
• medication usage: steroids, anticoagulants, NSAIDs
• special tests: x-rays, bone scans, CT scans, MRI, MRA, blood work

Question 2

Hip flexion tests which nerve root level

Answer 2

L1-L2

Question 3

Knee Extension tests which nerve root level?

Answer 3

L3

Question 4

Ankle dorsiflexion tests which nerve root level

Answer 4

L4

Question 5

Great toe extension and hip abduction test which nerve root level

Answer 5

L5

Question 6

Plantarflexion, eversion and knee flexion test which nerve root level

Answer 6

S1

Question 7

Hip extension tests which nerve root level

Answer 7

S2

Question 8

The quadricep reflex tests which nerve root level

Answer 8

L3

Question 9

The hamstring reflex tests which nerve root level

Answer 9

L5

Question 10

The achilles tendon reflex tests which nerve root level

Answer 10

S1

Question 11

List the cord and upper motor neuron signs

Answer 11

Plantar response

Clonus

Oppenheimer

Question 12

How do you perform an Oppenheimer

Answer 12

Stroke the anteromedial tibia

Question 13

What is a positive response on oppenheimer

Answer 13

Great toe extension and 4 small toes fanning

Question 14

Which neural mobility tests should be performed in a lower quadrant scan

Answer 14

SLR

Slump

PKB

Question 15

What should you assess in a vascular assessment in a lower quadrant scan

Answer 15

Femoral Pulse

Popliteal pulse

Tibial pulse

Dorsalis pedis pulse

Question 16

What joint specific questions should be asked in a lumbar spine assessment?

Answer 16

• Effects of sitting, standing, walking
• Effects of fast and slow walking
• Cough, sneeze, valsalva
• Bed type (hard or soft)
• Sleeping position

Question 17

What is the course of the inguinal ligament

Answer 17

From ASIS to pubic tubercles

Question 18

What are the borders of the femoral triangle?

Answer 18

• Inguinal ligament
• Sartorius muscle
• Adductor longus muscle

Question 19

Where is the femoral artery?

Answer 19

Runs under the inguinal ligament at the midway point

Question 20

The femoral nerve is _______ to the femoral artery

Answer 20

lateral

Question 21

The femoral vein is _______ to the femoral artery

Answer 21

medial

Question 22

The lumbar facet joints face _______

Answer 22

mediolaterally

Question 23

A palpable depression medial to the PSIS

Answer 23

Sacral sulcus

Question 24

5-6 cm caudal and slightly lateral to the PSIS

Answer 24

posterior inferior illiac spine

Question 25

Lies slightly higher than a horizontal line joining the upper tips of the greater trochanters

Answer 25

Sacrococcygeal joint

Question 26

Lies near the highest point of the buttock (in young people) attaches along the lateral border of the sacrum to the ischial tuberosity

Answer 26

Sacrotuberous ligament

Question 27

Passes halfway between sacral apex and the greater trochanter; easiest to feel with the hip flexed in side lying

Answer 27

Sciatic nerve

Question 28

What should you palpate for in a lumbar spine assessment?

Answer 28

* signs of facilitated segment * pallor or redness * skin thickening or altered texture * sweating * warmth * peau d'orange effect

Question 29

What are the joint stability tests that should be conducted as part of a lumbar spine assessment?

Answer 29

* Anterior translation * Posterior translation * Lateral translation * Torsion * Compression * Traction * Farfan's torsion test (facet joint irritation or pars interarticularis)

Question 30

What are joint specific questions in a hip assessment?

Answer 30

* Reports of clicking or giving way * Morning stiffness and duration * Pain on squats, stairs * History of “W” sitting, in-toeing * footwear

Question 31

What should you observe in a hip assessment?

Answer 31

* Lower extremity posture * Angulation of the femur * Position of the greater trochanter * Hip flexor deformity * Contour of the buttock * Congenital variations * Pelvic obliquity * Leg length discrepancy * Muscle wasting * Symmetry of weight bearing * Balance * Quality of the skin * Willingness to move * Swelling

Question 32

Which neural mobility tests should be performed as part of a hip assessment?

Answer 32

* SLR * Prone knee bend * Slump

Question 33

What should be tested in a vascular assessment of the hip?

Answer 33

Femoral pulse

Question 34

What joint stability tests should be performed in a hip assessment?

Answer 34

* Torque Test * Traction/Compression

Question 35

How is a torque test performed?

Answer 35

Patient supine at side of bed, extend leg and internally rotate femur, slowly apply posterolateral pressure along line of neck of femur to reproduce symptoms