Exam 1- MRS, ROM, Vascular Exam

Question 1

Muscle testing for C5

Answer 1

Shoulder Abduction test- Deltoid

Question 2

muscle test for C6

Answer 2

Wrist extension

Question 3

Muscle test for C7

Answer 3

Wrist flexion

Question 4

muscle test for C8

Answer 4

Finger flexion

Question 5

Muscle test for T1

Answer 5

Finger adduction

Question 6

What are you checking for with muscle testing

Answer 6

Strength

Speed of contraction

Question 7

DTR (Deep tendon reflex) for C5

Answer 7

Biceps

Question 8

DTR for C6

Answer 8

Brachioradialis

Question 9

DTR for C7

Answer 9

Triceps

Question 10

DTR for C8

Answer 10

Trick question. None

Question 11

DTR for T1

Answer 11

Pectoralis

Question 12

Sensory screening for c5

Answer 12

Lateral half of the humerus, shoulder to elbow

Question 13

Sensory screening for C6

Answer 13

Lateral half of forearm, A & P digits 1 and 2

Question 14

Sensory screening for C7

Answer 14

A and P digit 3 and hand

Question 15

Sensory screening for C8

Answer 15

Medial half of forearm,

A and P digits 4 and 5

Question 16

Sensory screening for T1

Answer 16

Medial half of the humerus

Elbow to axilla

Question 17

What is the purpose of MS screening tests

Answer 17

To locate the tissue causing the pts complaint

Ask if this procedure causes or reproduces your symptoms?

Localize and characterize

Question 18

Purpose of active ROM

Answer 18

To determine if the pt has limitations to motion due to their symptoms. Pt performs this procedure

Question 19

Purpose of passive ROM

Answer 19

Check ligaments

Question 20

Purpose of resistive ROM

Answer 20

Checks muscles and tendons

If symptoms are not recreated in a neural position, the process may be repeated w/ the muscle in a position of stretch

Question 21

How many degrees in the cervical spine for:

Flexion:

Extension

Lateral flexion:

Rotation:

Answer 21

Flexion- 45 degrees

Extension: 55 degrees

Lateral flexion: 40 degrees

Rotation: 70-90 degrees

Question 22

Compression is on the -____ side of bending and rotation of the spine, while stretching is on the _____ side.

Answer 22

Ipsilateral

Contralateral

Question 23

how many degrees in the lumbar spine for:

Flexion:

Extension:

Lateral flexion:

Rotation:

Answer 23

Flexion: 90-105 degrees

Extension: 20 degrees

Lateral flexion: 25 degrees

Rotation: 30 degrees

Question 24

lumbar flexion is initiated by what muscles

Answer 24

psoas muscle

rectus abdominus muscle

Question 25

the psoas muscle is innervated by what

Answer 25

L1-L3 branches of the anterior rami of the spinal nerves

Question 26

rectus abdominus is innervated by what

Answer 26

upper rectus- T7-T10 Lower rectus- T11-L1

Question 27

Lubar extension is performed by what muscles

Answer 27

erector spinae and QL

Question 28

what innervates the erector spinae

Answer 28

post rami of the spinal nerve roots

Question 29

Lumbar lateral flexion is performed by what

Answer 29

ipsilaterally by the erector spinae and external oblique muscles working together, as well as QL

Question 30

Primary rotation of the spine is done by what

Answer 30

Rotatores spinae Multifidus spinae *these only work when the pt is standing*

Question 31

all spinal muscles are innervated by what

Answer 31

posterior rami of the spinal nerves

Question 32

How is resistive lumbar ROM performed?

Answer 32

seated

Question 33

Muscle test for L4

Answer 33

Foot inversion

Question 34

Muscle test for L5

Answer 34

Toe dorsi-flexion Great toe extension hip abduction

Question 35

Muscle test for S1

Answer 35

Foot eversion

Question 36

DTR for L4

Answer 36

Patellar tendon

Question 37

DTR for L5

Answer 37

Medial hamstring tendon

Question 38

DTR for S1

Answer 38

Achilles tendon

Question 39

Dermatomal test for L1

Answer 39

From spinal origin, over upper buttock and around to upper 1/3 of ant thigh to medial thigh

Question 40

Dermatomal test for L2

Answer 40

from spinal origin, over medial buttock and around to the middle third or ant thigh to the medial thigh

Question 41

Dermatomal test for L3

Answer 41

from spinal origin, over lower buttock and around to the lower part of ant thigh to the medial thigh

Question 42

Dermatomal test for L4

Answer 42

medial knee and down the anteromedial lower leg to the medial foot

Question 43

Dermatomal test for L5

Answer 43

anterolateral knee and down the anterolateral leg onto the top of the foot

Question 44

Dermatomal test for S1

Answer 44

from posterolateral knee down the posterolateral leg to the lateral foot

Question 45

What is the purpose of checking peripheral pulses?

Answer 45

to rule out vascular problems arterial probs to the lower extremeties can cause intermittent claudication in older adults (due to fatty deposits/atherosclerosis)

Question 46

How to check femoral artery pulse

Answer 46

pt is supine artery is located inf and medial to the inguinal ligament, midway between the ASIS and pubic tubercle

Question 47

How to check popliteal artery

Answer 47

Pt is prone with knee slightly flexed palpate firmly in popliteal fossa

Question 48

how to check dorsal pedis artery

Answer 48

pt is supine on dorsum of the foot halfway between the ankle and toes generally between digits 1 and 2. fairly easy to palpate w/ light pressure

Question 49

How to check post tibial artery

Answer 49

post and slightly inf to the medial malleolus of the ankle

Question 50

when doing a vascular screening, you should auscultate for:

Answer 50

Bruits (swishing sound) should also palpate to assess for pulse amplitude

Question 51

read slides 44 and 45 for pulse locations

Answer 51

don't feel like typing fight me

Question 52

vertebrobasilar circulation signs/tests test for what?

Answer 52

occlusion of the vascular supply to the circle of willis. *do not do if you have a bruit*

Question 53

What test is this: Pt is seated. Instruct pt to rotate head all the way in one direction, then all the way in the other, then back to neutral

Answer 53

Barre-Lieou sign

Question 54

pathomechanics of barre-leou sign

Answer 54

when in rotation, the contralateral vertebral artery is compressed and occluded in the transverse foramen of c1. Therefore, the other arteries supplying the circle of willis are being tested for CV dz **AKA, You are testing the side you are turning!**

Question 55

Indications of Barre-Lieou sign

Answer 55

lightheadedness, nausea, vertigo, hearing and visual disturbances indicate occlusion of the vertebreal and internal carotid arteries

Question 56

Which test is this? Pt is supine, so head is off the end of the table. Pt hyperextends neck and rotates to one side, hold 15-45 seconds, while keeping eyes open and fixed on a point

Answer 56

Dekleyn’s Test

Question 57

Pathomechanics of Dekleyn’s test

Answer 57

Same as Barre-Lieu..... if turning to the rt, testing rt side. If turning to the left, testing the left side.

Question 58

Indications of dekleyn’s test

Answer 58

Same as barre-lieou

Question 59

Which test is this: Pt is seated. Pt hyperextends the head and rotates.

Answer 59

Maigne’s test

Question 60

Pathomechanics and indications for Maigne’s test

Answer 60

Same as Dekleyn’s.