Practical Exam 2

Question 1

PSIS*

Answer 1

start at iliac crest, come medial until a bony step

Question 2

ASIS*

Answer 2

Supine

Question 3

LV1*

Answer 3

Follow 12th rib up to attachment and count 1 downwards or find L4 at level of iliac crest and count up

Question 4

LV5*

Answer 4

2 thumb widths above S2

Question 5

SV2*

Answer 5

find PSIS, S2 is between both

Question 6

Greater Trochanter*

Answer 6

PRONE
start at midpoint of lateral aspect of iliac crest, palpate inferiorly until bony prominence
ER and IR

Question 7

Ischial Tuberosity

Answer 7

PRONE
gluteal folds

Question 8

Adductor Longus

Answer 8

hip in slight flexion, neutral rotation, and slight knee flexion
palpate at pubic tubercle while performing isometric hip adduction
O: body of pubis inferior to pubic crest
I: middle 1/3 of the linea aspera

Question 9

Gracilis

Answer 9

Perform isometric hip abduction while performing isometric knee flexion
O: body and inferior ramus of the pubis
I: pes anserine, superior/middle aspect of the tibia

Question 10

Sartorius

Answer 10

flexion and ER of hip
ASIS to proximal tibia
O: ASIS and superior part of the notch inferior to it
I: pes anserine, superior/middle aspect of tibia

Question 11

TFL

Answer 11

flexion, abduction, and IR of the hip
O: ASIS and anterior part of the iliac crest
I: iliotibial tract to the lateral tibial condyle

Question 12

Rectus Femoris

Answer 12

extend knee, follow attachment to ASIS
O: ASIS and ilium superior to the acetabulum
I: base of patella via the quadriceps tendon and patellar ligament to the tibial tuberosity

Question 13

Piriformis

Answer 13

O: anterior sacrum and sacrotuberous ligament
I: superior border of greater trochanter

Question 14

Sciatic Nerve

Question 15

Femoral Artery

Answer 15

midway between pubic tubercle and ASIS

Question 16

Medial and Lateral Femoral Condyles*

Answer 16

Medial: from apex of patella palpate medially
Lateral: from apex of patella, palpate laterally

Question 17

Head of Fibula*

Answer 17

Lateral and distal to the lateral femoral condyle

Question 18

Tibial Tuberosity*

Answer 18

Start at patellar apex, follow inferior/distally with patellar ligament to distal attachment

Question 19

Patellar Tendon/Ligament

Answer 19

Firm tissue distal to apex of patella

Question 20

Biceps Femoris Tendon

Answer 20

Seated, knee in flexion with slight IR
Follow posteriorly and ask to resist flexion
O: ischial tuberosity
I: lateral head of fibula

Question 21

Semitendinosis tendon

Answer 21

Palpate convexity of medial hamstring group, continue posterior and ask to resist knee flexion
O: ischial tuberosity
I: medial surface of superior tibia, pes anserine

Question 22

Common Peroneal N

Answer 22

Palpate posteriorly from head of fibula and deep/medial to biceps femoris tendon
Apply anterior force and you’ll feel a soft rubbery structure
Also in prone, medial to biceps femoris tendon

Question 23

Popliteal Artery

Answer 23

Prone
Ask to resist knee flexion, medial to tibial n and lateral to semitendinosis tendon

Question 24

MCL

Answer 24

Palpate along medial joint line until finger is pressed out of the space slightly by the anterior edge of the ligament, continue palpation along joint line posteriorly until you feel posterior edge

Question 25

LCL

Answer 25

Continue palpation along joint line laterally, ask to cross leg into a figure four Pencil like structure, follow proximal to attachment at lateral femoral condyle and distal to attachment at head of fibula

Question 26

Medial Malleolus*

Answer 26

Distal end of tibia

Question 27

Lateral Malleolus*

Answer 27

Distal end of fibula

Question 28

Tuberosity of the Navicular Bone*

Answer 28

Resist plantar flexion and inversion, you’ll see post tib tendon Most prominent part on medial aspect of foot

Question 29

Sustentaculum Tali*

Answer 29

Plantar medial edge of foot, palpate proximally until the first hard bony structure

Question 30

Tibialis Posterior Tendon

Answer 30

Resist plantar flexion and inversion O: interosseous membrane, posterior surface of tibia inferior to the soleal line, posterior surface of fibula I: tuberosity of navicular, all cuneiforms, sustentaculum tali, cuboid, base of 2-4 MT

Question 31

Anterior Tibialis Tendon

Answer 31

Resist inversion and dorsiflexion Inserts to plantar aspect of 1st cuneiform and 1st MT O: lateral condyle and superior half of lateral surface of tibia and interosseous membrane I: medial/plantar surface of middle cuneiform, base of 1st MT

Question 32

Tibial N

Question 33

Anterior Talofibular Ligament

Answer 33

Anterior on lateral malleolus, follow attachment to talus

Question 34

Plantar Calcaneonavicular Ligament

Answer 34

Laterally from the distal aspect of the lateral malleolus

Question 35

Peroneus Brevis Tendon

Answer 35

Start at lateral malleolus and palpate distal until you find a small projection of calcaneus Ask to perform isometric contraction of ankle plantar flexion and eversion Tendon will course superior to peroneal trochlea as it runs towards base of 5th MT O: distal 2/3rds of lateral surface of fibula I: dorsal surface of tuberosity on lateral side of 5th MT

Question 36

Dorsalis Pedis A

Answer 36

Between first and second MT, lateral to tendon of EHL