Lower Limb

Question 1

How would test the gluteus medius or minimus?

Answer 1

Lie on side
Abduct against resistance at distal end of thigh
Palpate contraction inferior to iliac crest

Question 2

Which nerve innervates the gluteus medius and minimus?

Answer 2

SUPERIOR gluteal nerve L5-S1

Question 3

How do you test the gluteus maximus?

Answer 3

Ask patient to lie faced down with knee flexed
Extend the thigh against resistance
Palpate contour of buttock for contraction

FLEX KNEE to get rid of action of hamstrings

Question 4

Which nerve innervates the gluteus maximus?

Answer 4

Inferior gluteal nerve L5-S2

Question 5

How would you test the iliopsoas muscles?

Answer 5

Ask patient to lie down and flex hip whilst applying resistance

Ilacus - femoral never
Psoas - directly from lumbar plexus

Question 6

Which side would the lesion be for positive trendelenberg test?

Answer 6

Contralateral pelvic drop to weakness

Question 7

How would test quads?

Answer 7

Extend knee whilst patient is sitting

Question 8

How would you test hamstrings?

Answer 8

Flex knee whilst patient is lying faced down against resistance

Question 9

Which nerve innervates hamstrings?

Answer 9

Sciatic

Question 10

Which nerve innervates the adductor group?

Answer 10

Obturator nerve

Question 11

Tibialis anterior test

Answer 11

Dorsiflex foot

Question 12

Tibialis anterior nerve?

Answer 12

Deep peroneal nerve (foot drop)

Question 13

How would you test the adductors?

Answer 13

Resist medial thigh as patient lies like they’re giving birth

Question 14

Fibular compartment nerve

Answer 14

Superficial peroneal nerve

Question 15

Fibular compartment test

Answer 15

Eversion

Question 16

Calf muscles nerve

Answer 16

Tibial nerve

Question 17

Calf muscle test

Answer 17

Plantar flexion

Question 18

Movements of the knee joint?

Answer 18

Flexion
Extension
Limited rotation

Question 19

Which joint is involved in inversion and eversion?

Answer 19

Talo-calcaneo-navicular joint

Question 20

Boundaries of the popliteal fossa

Answer 20

Superolateral border - biceps femoris
Superomedial border - semimembranosus
Lateral and medial border of gastrocnemius

Question 21

Boundaries of the femoral triangle

Answer 21

Adductor longus
Sarotoris
Inguinal ligament

Question 22

Gluteal safe area

Answer 22

Index finger of ASIS
Middle finger on iliac tubercle

Between index and middle finger

Question 23

Patella tendon reflex nerve

Answer 23

L4

Question 24

Ankle jerk reflex nerve

Answer 24

S1

Question 25

Surface mark the long saphenous vein

Answer 25

Arises from medial part of dorsal venous arch Travels anterior to medial malleolus Posterior to medial malleolus and then up to saphenous opening in femoral triangle

Question 26

Surface mark the long saphenous vein

Answer 26

Posterior to Lateral malleolus

Question 27

Where would you palpate the dorsalis pedis artery?

Answer 27

Lateral to extensor hallucis longus tendon against the metacarpals

Question 28

Tibialis posterior pulse palpation

Answer 28

Palpate behind medial malleolus