Unit 1: Quiz 1

Question 1

Patient Position

Scapula

Answer 1

• Prone (except coracoid process)
• can put pt arm to side or hand behind back

Question 2

Inferior angle

Answer 2

serves as home base for scap palpation

Question 3

Medial border

Answer 3

palpate from inferior angle to superior angle

Question 4

Superior angle

Answer 4

palpate from inferior angle superiorly along medial border

Question 5

Root of Spine of Scapula

ROSOS

Answer 5

where the spine of the scapula meets the medial border

Question 6

Acromion process

Answer 6

• lateral/distal most aspect of spine of scapula
• Sits on top of shoulder
• little shelf/table you can rest your fingers on

Question 7

Lateral border

Answer 7

from inferior angle, move laterally and superiorly toward axilla until lose border under muscles

Question 8

Infraspinous Fossa

Answer 8

bordered by inferior angle, spine of scapula, medial border & lateral border

Question 9

Supraspinous Fossa

Answer 9

bordered by spine of scapula, superior angle, and medial border

Question 10

subscapular fossa

Answer 10

entire ventral/anterior surface of scapula

Question 11

Patient position

Anterior shoulder girdle & prox. humerous palpation

Answer 11

seated

Question 12

Dr. position

Anterior shoulder girdle & prox. humerous palpation

Answer 12

stand behind patient, off to side being palpated

Question 13

Palpation

clavicle

Answer 13

follow spine of scapula to acromion, palpate from distal end at AC jt to proximal end at SC jt.

Question 14

palpation

jugular notch of sternum

Answer 14

follow spine of scapula to acromion, palpate medially along clavicle to pt’s midline to feel notch

Question 15

palpation

manubrium

Answer 15

palpate jugular notch then drop inferiorly onto the flat surface of manubrium

Question 16

Palpation

AC joint

Answer 16

• follow spine of scapula laterally to acromion
• as you slide slightly medial you will feel a step or a ledge - this is the distal end of clavicle
• with one finger on step and one on acromion, middle finger falls on AC jt
• have pt shrug shoulder

Question 17

palpation

SC joint

Answer 17

• follow spine of scapula laterally to acromion, then palpate medially along clavicle to manubrium
• with one finger on manubrium and one on proximal clavicle, middle finger will be on SC jt
• have pt shrug or circle motion w shoulder

Question 18

Patient position

Coracoid process

Answer 18

seated

Question 19

Palpation

coracoid process

Answer 19

• drape fingers of outside hand over pt’s acromion with fingers pointing inferiorly amd slightly medial
• gently press posteriorly just below the clavicle
• should feel like a pencil eraser underneath muscle

Question 20

patient position

greater tubercle, lesser tubercle, intertubercular groove

Answer 20

seated

Question 21

Palpation

greater tubercle, lesser tubercle, intertubercular groove

Answer 21

• drape fingers of inside hand over acromion so fingertips fall on anterolateral surface of head of humerus
• using outside hand to turn humerus into external rotation, the first most lateral bump is greater tubercle
• followed by the groove
• followed by smaller more medial bump of lesser tubercle
• index finger will be on greater tubercle, middle finger in groove, ring finger on lesser tubercle

Question 22

palpation

deltoid tuberosity

Answer 22

• from acromion, slide fingers laterally and drop inferiorly along lateral aspect of humerus and feel for small, low bump about 1/2 way along shaft of humerus
• pt can resist adbuction of shoulder to contract deltoid muscle

Question 23

Landmark

acromion process

Answer 23

T2 SP

Question 24

Landmark

ROSOS

Answer 24

interspinous space of T3/4

Question 25

# Landmark inferior angle

Answer 25

T7 SP

Question 26

Upper section of T-spine

Answer 26

T1-4

Question 27

Middle section of T-spine

Answer 27

T5-8

Question 28

Lower section of T-spine

Answer 28

T9-12

Question 29

# palpation laminae

Answer 29

slide finger slightly lateral and superior from SP in diagonal direction 1 finger away from SP

Question 30

# palpation laminae/laminae junction | facet joints

Answer 30

palpate superiorly to interspinous space above the more superior segment listed then directly lateral into lamina groove

Question 31

# palpation transverse process | upper & lower section

Answer 31

palpate superiorly one level to SP above then laterally past lamina groove or 2 fingers lateral to SP (up 1 and out)

Question 32

# palpation transverse process | middle section

Answer 32

- palpate superiorly to SP above and continue superiorly to interspinous space above that SP (up 1 1/2 and out) - confirm by pressing on it with thumb while keeping finger on SP and feeling for motion of SP under finger

Question 33

# palpation costotransverse joint

Answer 33

- palpate superiorly to SP above and continue superiorly to interspinous space above that SP (up 1 1/2 and out) - confirm TP by pressing on it with thumb while keeping finger on SP and feeling for motion of SP under finger - slide lateral from TP (finger width) to be on costotransverse joint (3 fingers from SP)

Question 34

Rotator cuff muscles | SITS

Answer 34

- S= Supraspinatus - I= Infraspinatus - T= Teres minor - S= Subscapularis

Question 35

# Patient/Dr position Supraspinatus

Answer 35

- Pt. seated - Dr. standing behind palpated shoulder

Question 36

# Origin/insertion supraspinatus

Answer 36

O: supraspinatus fossa of scapula I: greater tubercle of humerus

Question 37

# Fiber direction Supraspinatus

Answer 37

medial to lateral, passing beneath acromion process

Question 38

# Patient/Dr position Infraspinatus

Answer 38

Pt: seated Dr: standing behind palpated shoulder

Question 39

# Origin/insertion Infraspinatus

Answer 39

O: infraspinatus fossa of scapula I: greater tubercle of humerus

Question 40

# Fiber direction Infraspinatus

Answer 40

Medial to lateral and inferior to superior

Question 41

# Patient/Dr position Teres minor

Answer 41

Pt: seated Dr: standing behind palpated shoulder

Question 42

# orgin/insertion teres minor

Answer 42

O: upper 2/3 of lateral border of scapula I: greater tubercle of humerus

Question 43

# fiber direction teres minor

Answer 43

medial to lateral and inferior to superior

Question 44

# Patient/Dr position subscapularis

Answer 44

Pt: supine Dr: seated/kneeling at pt's side between arm and thorax

Question 45

# origin/insertion subscapularis

Answer 45

O: subscapular fossa of scapula I: lesser tubercle of humerus

Question 46

# fiber direction subscapularis

Answer 46

medial to lateral and posterior to anterior, through the axilla

Question 47

# Patient/Dr position deltoid muscle group

Answer 47

Pt: seated Dr: standing behind palpated shoulder

Question 48

# orgin/insertion deltoid group

Answer 48

O: lateral 1/3 of clavicle, acromion, spine of scap I: deltoid tuberosity of humerus

Question 49

# fiber direction deltoid group

Answer 49

proximal to distal