spine-LE nml

Question 1

superficial inguinal nodes are subdivided into what two groups?

Answer 1

• horizontal group
• vertical group

Question 2

lower extremitiy arterial supply

Answer 2

1. femoral artery
   
   1. popliteal artery
      
      1. anterior tibial artery
         
         1. dorsalis pedis
      2. posterior tibial artery
         
         1. fibular artery (peroneal artery)

Question 3

venous system lower extremity

Answer 3

• Popliteal vein drains into femoral vein
  
  • small saphenous vein drains into popliteal vein
• great saphenous vein drains into femoral vein

Question 4

the ankle is what two hinge joints?

Answer 4

• tibiotalar joint
• subtalar joint (talocalcaneal)

Question 5

examination of the inguinal region: what are you inspecting?

Answer 5

• nodes
• pulses
• hernias

Question 6

what are the anterior landmarks of the hip

Answer 6

• iliac crest
• anterior superior iliac spine
• pubic symphysis

Question 7

posterior-lateral landmarks of the hip

Answer 7

• greater trochanter
• ischial tuberosity

Question 8

What are you palpating for in the popliteal fossa

Answer 8

• masses: cyst or aneurysm
• politeal pulse
  
  • knee should be flexed
  • may need to press deeply

Question 9

what landmarks are you palpating for in the knee

Answer 9

• patella
• patellar tendon
• medial and lateral epicondyles (of femur)
• medial and lateral condyles (of tibia)
• tibial tuberosity

Question 10

when palpating the calf, palpating a firm “cord” is suggestive of what?

Answer 10

thrombosed vein

Question 11

what are you palpating for in the calf

Answer 11

• tenderness
• swelling
• achilles tendon

Question 12

what are the palpation landmarks of the ankle and foot?

Answer 12

• medial and lateral malleoli
• heel
• calcaneus
• plantar fascia
• metatarsophalangeal joints
• heads of five metatarsals

Question 13

where are places to check for edema?

Answer 13

• dorsum of foot
• behind medial malleolus
• shins

Question 14

edema is graded how?

Answer 14

grade 0 to 4+

Question 15

where is the dorsalis pedis pulse located

Answer 15

• dorsum of foot
• approximately over the 1st and 2nd metatarsals

Question 16

where is the posterior tibial pulse located

Answer 16

behing and slightly below medial malleolus

Question 17

a diminished, weaker than expected pulse is given what grade?

Answer 17

1+

Question 18

a brisk, normal pulse is given what grade?

Answer 18

2+

Question 19

an increased pulse is given what grade?

Answer 19

3+

Question 20

a bounding pulse is given what grade?

Answer 20

4+

Question 21

how do you test internal rotation of the hip

Answer 21

1. patient supine
2. flex leg to 90 deg at hip and knee
3. hold knee with one hand
4. grasp ankle with other
5. swing leg laterally

Question 22

how do you test for external rotation of hip?

Answer 22

figure four with leg

Question 23

inversion of ankles

Answer 23

turn soles of feet together

*keep knees together

Question 24

which hip ROM are you doing strength testing for?

Answer 24

• abduction and adduction (supine)
• flexion (sitting)

Question 25

which knee ROM are you doing strength testing for?

Answer 25

• flexion
• extension

Question 26

which ankle ROM are you doing strength testing for?

Answer 26

dorsiflexion and plantar flexion

Question 27

numbered distribution of vertebrae

Answer 27

• cervical: 7
• thoracic: 12
• lumber: 5
• sacrum: 5
• coccyx: 5

Question 28

how do you inspect the spine

Answer 28

• expose entire back
• inspect from back
• inspect from side
  
  • evaulate spinal curvature
  • evaluate cervical and lumbar concavity and thoracic convexity

Question 29

inferior angle of scapula falls at what spinous level?

Answer 29

spine of T7

Question 30

iliac crest falls at what spinous level?

Answer 30

spine of L4

Question 31

what are the ROM testing for spine

Answer 31

• flexion
• extension
• rotation
• lateral bending

Question 32

what do you need to remember to do when checking spine ROM

Answer 32

stabilize the patient