Palpation Exam Flashcards

(115 cards)

1
Q

ACTION: RHOMBOID MAJOR

A

· Adduct the scapula

· Elevate the scapula

· Downwardly rotate the scapula

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2
Q

ORIGIN: RHOMBOID MAJOR

A

· Spinous processes of T-2 through T-5

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3
Q

INSERTION: RHOMBOID MAJOR

A

· Medial border or scapula, between spine of

scapula and inferior angle

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4
Q

ACTION: GLUTEUS MAXIMUS

A

All fibers: · Extend the hip · Laterally rotate the hip · Abduct the hip Lower fibers: · Adduct the hip

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5
Q

ORIGIN: GLUTEUS MAXIMUS

A

· Coccyx · Edge of sacrum · Posterior iliac crest · Sacrotuberous ligament · Sacroiliac ligament

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6
Q

INSERTION: GLUTEUS MAXIMUS

A

Upper fibers: · Iliotibial tract
Lower fibers: · Gluteal tuberosity (of femur)

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7
Q

ACTION: EXTERNAL OBLIQUE

A

Unilaterally:

· Laterally flex vertebral column to the same side

· Rotate vertebral column to the opposite side

Bilaterally:

· Flex the vertebral column

· Compress the abdominal contents

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8
Q

ORIGIN: EXTERNAL OBLIQUE

A

· External surfaces of lower eight ribs

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9
Q

INSERTION: EXTERNAL OBLIQUE

A

· Anterior part of iliac crest · Rectus sheath to linea alba

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10
Q

ACTION: MEDIAL PTERYGOID

A

Unilaterally: · Laterally deviate the mandible to the opposite side Bilaterally: · Elevate the mandible · Protract the mandible

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11
Q

ORIGIN: MEDIAL PTERYGOID

A

· Medial surface of lateral pterygoid plate of sphenoid bone · Tuberosity of maxilla

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12
Q

INSERTION: MEDIAL PTERYGOID

A

· Medial surface of ramus of mandible

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13
Q

ACTION: FLEXOR DIGITORUM SUPERFICIALIS

A

· Flex the second through fifth fingers (metacarpophalangeal and proximal interphalangeal joints) · Flex the wrist

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14
Q

ORIGIN: FLEXOR DIGITORUM SUPERFICIALIS

A

· Common flexor tendon from medial epicondyle of humerus · Ulnar collateral ligament · Coronoid process of ulna · Interosseous membrane · Proximal shaft of radius

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14
Q

INSERTION: FLEXOR DIGITORUM SUPERFICIALIS

A

· Sides of middle phalanges of second through fifth fingers

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15
Q

ACTION: LATERAL PTERYGOID

A

Unilaterally:

· Laterally deviate the mandible to the opposite side

Bilaterally:

· Protract the mandible

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16
Q

ORIGIN: LATERAL PTERYGOID

A

Superior head:

· Infratemporal surface of sphenoid bone

· Crest of greater wing of sphenoid bone

Inferior head:

· Lateral surface of lateral pterygoid plate of sphenoid bone

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17
Q

INSERTION: LATERAL PTERYGOID

A

· Articular disc and capsule of temporomandibular joint · Neck of mandible

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18
Q

ACTION: FIBULARIS LONGUS

A

· Evert the foot · Assist to plantar flex the ankle

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19
Q

ORIGIN: FIBULARIS LONGUS

A

· Head of fibula

· Proximal 2/3 of lateral fibula

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20
Q

INSERTION: FIBULARIS LONGUS

A

· Base of first metatarsal

· Medial cuneiform

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21
Q

ACTION: STERNOCLEIDOMASTOID

A

Unilaterally:

· Laterally flex the head and neck to the same side

· Rotate the head and neck to the opposite side

Bilaterally:

· Flex the neck

· Assist to elevate the ribcage during inhalation

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22
Q

ORIGIN: STERNOCLEIDOMASTOID

A

Sternal head:

· Top of manubrium

Clavicular head:

· Medial 1/3 of clavicle

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23
Q

INSERTION: STERNOCLEIDOMASTOID

A

· Mastoid process

· Lateral portion of superior nuchal line of occiput

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24
ACTION: LEVATOR SCAPULA
Unilaterally: · Elevate the scapula · Downwardly rotate the scapula · Laterally flex the head and neck · Rotate the head and neck to the same side Bilaterally: · Extend the head and neck
25
ORIGIN: LEVATOR SCAPULA
· Transverse processes of C-1 through C-4
26
INSERTION: LEVATOR SCAPULA
· Medial border of scapula, between superior angle and superior portion of spine of scapula
27
ACTION: GLUTEUS MEDIUS
All fibers: · Abduct the hip Anterior fibers: · Flex the hip · Medially rotate the hip Posterior fibers: · Extend the hip · Laterally rotate the hip
28
ORIGIN: GLUTEUS MEDIUS
· Gluteal surface of ilium, between posterior and anterior gluteal lines, just inferior to iliac crest
29
INSERTION: GLUTEUS MEDIUS
· Lateral aspect of greater trochanter
30
ACTION: INTERNAL OBLIQUE
Unilaterally: · Laterally flex vertebral column to the same side · Rotate vertebral column to the same side Bilaterally: · Flex the vertebral column · Compress the abdominal contents
31
ORIGIN: INTERNAL OBLIQUE
· Lateral inguinal ligament · Iliac crest · Thoracolumbar fascia
32
INSERTION: INTERNAL OBLIQUE
· Internal surface of lower three ribs · Rectus sheath to linea alba
33
ORIGIN: FLEXOR DIGITORUM LONGUS
· Posterior surface of the middle of the tibia
34
INSERTION: FLEXOR DIGITORUM LONGUS
· Distal phalanges of second through fifth toes
35
ACTION: FLEXOR DIGITORUM LONGUS
· Flex the second through fifth toes · Weak plantar flexion of the ankle · Invert the foot
36
ACTION: FIBULARIS BREVIS
· Evert the foot · Assist to plantar flex the ankle
37
ORIGIN: FIBULARIS BREVIS
· Distal 2/3 of lateral fibula
38
INSERTION: FIBULARIS BREVIS
· Tuberosity of fifth metatarsal
39
ACTION: ADDUCTOR LONGUS
· Adduct the hip · Medially rotate the hip · Assist to flex the hip
40
ORIGIN: ADDUCTOR LONGUS
· Pubic tubercle
41
INSERTION: ADDUCTOR LONGUS
· Medial lip of linea aspera
42
ACTION: ADDUCTOR MAGNUS
· Adduct the hip · Medially rotate the hip · Assist to flex the hip Posterior fibers: · Extend the hip
43
ORIGIN: ADDUCTOR MAGNUS
· Inferior ramus of pubis · Ramus of ischium · Ischial tuberosity --
44
INSERTION: ADDUCTOR MAGNUS
· Medial lip of linea aspera · Adductor tubercle
45
ACTION: BRACHIORADIALIS
· Flex the elbow · Assist to pronate and supinate the forearm when these movements are resisted
46
ORIGIN: BRACHIORADIALIS
· Proximal 2/3 of lateral supracondylar ridge of humerus
47
INSERTION: BRACHIORADIALIS
· Styloid process of radius
48
ACTION: PSOAS MAJOR
With the origin fixed: · Flex the hip · May laterally rotate the hip With the insertion fixed: · Flex the trunk toward the thigh · Tilt the pelvis anteriorly Unilaterally: · Assist to laterally flex the lumbar spine
49
ORIGIN: PSOAS MAJOR
· Bodies and transverse processes of lumbar vertebrae
50
INSERTION: PSOAS MAJOR
· Lesser trochanter
51
ACTION: ILIACUS
With the origin fixed: · Flex the hip · May laterally rotate the hip With the insertion fixed: · Flex the trunk toward the thigh · Tilt the pelvis anteriorly
52
ORIGIN: ILIACUS
· Iliac fossa
53
INSERTION: ILIACUS
· Lesser trochanter
54
ACTION: LATISSIMUS DORSI
· Extend the shoulder · Adduct the shoulder · Medially rotate the shoulder
55
ORIGIN: LATISSIMUS DORSI
· Inferior angle of scapula · Spinous processes of last six thoracic vertebrae · Last three or four ribs · Thoracolumbar fascia · Posterior iliac crest
56
INSERTION: LATISSIMUS DORSI
· Intertubercular groove of humerus
57
ACTION: TRAPEZIUS
Upper fibers: Bilaterally: · Extend the head and neck Unilaterally: · Laterally flex the head and neck to the same side · Rotate the head and neck to the opposite side · Elevate the scapula · Upwardly rotate the scapula Middle fibers: · Adduct the scapula · Stabilize the scapula Lower fibers: · Depress the scapula
58
ORIGIN: TRAPEZIUS
· External occipital protuberance · Medial portion of superior nuchal line of occiput · Ligamentum nuchae · Spinous processes of C-7 through T-12
59
INSERTION: TRAPEZIUS
· Lateral 1/3 of clavicle · Acromion · Spine of scapula
60
ACTION: PECTORALIS MAJOR
All fibers: · Adduct the shoulder · Medially rotate the shoulder · Assist to elevate the thorax during forced inhalation (with the arm fixed) Upper fibers: · Flex the shoulder · Horizontally adduct the shoulder Lower fibers: · Extend the shoulder
61
ORIGIN: PECTORALIS MAJOR
· Medial ½ of clavicle · Sternum · Cartilage of first through sixth ribs
62
INSERTION: PECTORALIS MAJOR
· Crest of greater tubercle of humerus
63
ACTION: PECTORALIS MINOR
· Depress the scapula · Abduct the scapula · Downwardly rotate the scapula With the scapula fixed: · Assist to elevate the thorax during forced inhalation
64
ORIGIN: PECTORALIS MINOR
· Third, fourth, and fifth ribs
65
INSERTION: PECTORALIS MINOR
· Medial surface of coracoid process of scapula
66
ACTION: RECTUS FEMORIS
· Extend the knee · Flex the hip
67
ORIGIN: RECTUS FEMORIS
· Anterior inferior iliac spine (AIIS)
68
INSERTION: RECTUS FEMORIS
· Tibial tuberosity, via the patella and patellar ligament
69
ACTION: BICEPS FEMORIS
· Flex the knee · Laterally rotate the flexed knee Long head: · Extend the hip · Assist to laterally rotate the hip · Tilt the pelvis posteriorly
70
ORIGIN: BICEPS FEMORIS
Long head: · Ischial tuberosity Short head: · Lateral lip of linea aspera
71
INSERTION: BICEPS FEMORIS
· Head of the fibula
72
ORIGIN: GASTROCNEMIUS
· Posterior surfaces of condyles of femur
73
INSERTION: GASTROCNEMIUS
· Calcaneus, via the calcaneal tendon
74
ACTION: GASTROCNEMIUS
· Flex the knee · Plantar flex the ankle
75
ACTION: SUPINATOR
· Supinate the forearm
76
ORIGIN: SUPINATOR
· Lateral epicondyle of humerus · Radial collateral ligament · Annular ligament · Supinator crest of ulna
77
INSERTION: SUPINATOR
· Anterior, lateral surface of proximal 1/3 of radial shaft
78
ACTION: SUBSCAPULARIS
· Medially rotate the shoulder · Stabilize the head of the humerus in the glenoid cavity
79
ORIGIN: SUBSCAPULARIS
· Subscapular fossa of scapula
80
INSERTION: SUBSCAPULARIS
· Lesser tubercle of humerus
81
ACTION: TERES MINOR
· Laterally rotate the shoulder · Adduct the shoulder · Stabilize the head of the humerus in the glenoid cavity
82
ORIGIN: TERES MINOR
· Upper 2/3 of lateral border of scapula
83
INSERTION: TERES MINOR
Greater tubercle of humerus
84
ACTION: SARTORIUS
· Flex the hip · Laterally rotate the hip · Abduct the hip · Flex the knee · Medially rotate the flexed knee
85
ORIGIN: SARTORIUS
· Anterior superior iliac spine (ASIS)
86
INSERTION: SARTORIUS
· Medial surface of proximal shaft of tibia, at pes anserinus tendon
87
ACTION: EXTENSOR CARPI RADIALIS LONGUS
· Extend the wrist · Abduct the wrist · Assist to flex the elbow
88
ORIGIN: EXTENSOR CARPI RADIALIS LONGUS
· Distal 1/3 of lateral supracondylar ridge of humerus
89
INSERTION: EXTENSOR CARPI RADIALIS LONGUS
· Base of second metacarpal
90
ACTION: MIDDLE SCALENE
Unilaterally: · Rotate the head and neck to the opposite side · With the ribs fixed, laterally flex the head and neck to the same side Bilaterally: · Elevate the ribs during inhalation · Flex the head and neck
91
ORIGIN: MIDDLE SCALENE
· Posterior tubercles of transverse processes of C-2 through C-7
92
INSERTION: MIDDLE SCALENE
· First rib
93
ACTION: DELTOID
All fibers: · Abduct the shoulder Anterior fibers: · Flex the shoulder · Medially rotate the shoulder · Horizontally adduct the shoulder Posterior fibers: · Extend the shoulder · Laterally rotate the shoulder · Horizontally abduct the shoulder
94
ORIGIN: DELTOID
· Lateral 1/3 of clavicle · Acromion · Spine of scapula
95
INSERTION: DELTOID
Deltoid tuberosity
96
ORIGIN: FLEXOR CARPI RADIALIS
· Common flexor tendon from the medial epicondyle of humerus
97
INSERTION: FLEXOR CARPI RADIALIS
· Bases of second and third metacarpals
98
ACTION: FLEXOR CARPI RADIALIS
· Flex the wrist · Abduct the wrist · May assist to flex the elbow
99
ACTION: SERRATUS ANTERIOR
With the origin fixed: · Abduct the scapula · Upwardly rotate the scapula · Depress the scapula · Hold the medial border of the scapula against the ribcage With the scapula fixed: · May act to elevate the thorax during forced inhalation
100
ORIGIN: SERRATUS ANTERIOR
· External surfaces of first eight or nine ribs
101
INSERTION: SERRATUS ANTERIOR
· Anterior surface of medial border of scapula
102
ACTION: POSTERIOR SCALENE
Unilaterally: · Rotate the head and neck to the opposite side · With the ribs fixed, laterally flex the head and neck to the same side Bilaterally: · Elevate the ribs during inhalation · Flex the head and neck
103
ORIGIN: POSTERIOR SCALENE
· Posterior tubercles of transverse processes of C-6 and C-7
104
INSERTION: POSTERIOR SCALENE
· Second rib
105
Radial Nerve Pathway
from the brachial plexus (C5 – T1) between anterior and middle scalenes dives under the clavicle, under pectoralis minor, and through the axilla takes a path along the lateral/posterior aspect of the arm, forearm, and hand winds around the spiral groove of the humerus, deep to lateral head of triceps brachii, to the anterior arm becomes superficial as it travels between brachialis and brachioradialis passes extensor carpi radialis longus and brevis crosses elbow to supinator divides into posterior and superficial branches posterior branch travels laterally and ends at the wrist superficial branch continues down the dorsal surface of the hand, between the 4th digit and thenar eminence
106
Median Nerve Pathway
from the brachial plexus (C5 – T1) between anterior and middle scalenes dives under the clavicle, under pectoralis minor, and through the axilla as part of a neurovascular bundle follows medial aspect of arm from axilla to cubital fossa leaves cubital fossa, and runs between heads of pronator teres goes deep to forearm flexors emerges superficial at the wrist, and travels through carpal tunnel, branching into the hand before the wrist, the palmar cutaneous branch travels superior to the carpal tunnel and innervates the skin of the thenar eminence
107
median nerve innervated muscles
pronator teres pronator quadratus flexor carpi radialis palmaris longus flexor digitorum superficialis flexor digitorum profundus (radial or lateral half) flexor pollicis longus thenar muscles
108
Ulnar Nerve Pathway
from brachial plexus (C8 – T1) * between anterior and middle scalenes * dives under clavicle, under pectoralis minor * follows posterior wall of axilla, then along medial triceps brachii * at the elbow, goes between medial epicondyle and olecranon process, through the ulnar groove * goes between heads of flexor carpi ulnaris, then follows deep to flexor carpi ulnaris to the wrist * continues over carpal tunnel, between pisiform and hook of hamate (Guyon’s canal) * divides into superficial and deep, and continues into hand and fingers
109
Ulnar nerve innervated muscles
flexor carpi ulnaris flexor digitorum profundus (ulnar or medial half) hypothenar muscles 3rd and 4th lumbricals palmar interossei dorsal interossei adductor pollicis flexor pollicis brevis
110
Radial nerve innervated muscles
triceps brachii anconeus brachioradialis supinator Extensors of forearm and hand: * extensor carpi radialis longus * extensor carpi radialis brevis * extensor digitorum * extensor carpi ulnaris * extensor indicis * extensor digiti minimi * extensor pollicis longus * extensor pollicis brevis * abductor pollicis longus * superficial branch innervates skin of dorsal hand
111
Sciatic Nerve Pathway
The sciatic nerve is two independent nerves which travel together as the sciatic nerve until reaching the popliteal fossa. * from lumbosacral plexus (L4 - S1) * passes throuh greater sciatic foramen and under piriformis * passes between ischial tuberosity and greater trochanter * follows adductor magnus down posterior leg * splits at popliteal fossa into tibial and common peroneal nerves * tibial nerves travels posteriorly between heads of gastrocnemius * continues to ankle and around medial malleolus and divides into medial and lateral plantar nerves * common peroneal travels around and below the head of the fibula * divides into superficial and deep * both travel laterally and anteriorly to the dorsal surface of the foot
112
Sciatic nerve innervated muscles (proximal to knee)
Tibial division * hamstrings * one half adductor magnus Peroneal division * biceps femoris (short head)
113
Peroneal Nerve innervated muscles
peroneal muscles ankle and digit extensors
114
Tibial nerve innervated muscles
gastrocnemius soleus popliteus plantaris ankle and digit flexors intrinsic foot muscles (plantar)