Upper Extremity Normal

Question 1

Name the heads of triceps brachii

Answer 1

• long head
• Lateral head
• Medial head

Question 2

identify this muscle

Answer 2

coracobrachialis

Question 3

identify this muscle

Answer 3

brachialis

Question 4

identify

Answer 4

brachioradialis

Question 5

Name the biceps brachii muscles: origin and insertion

Answer 5

Long head:

• Origin: supraglenoid tubercle
• Insertion: radial tuberosity

Short head

• Origin: coracoid process of scapula
• insertion: radialy tuberosity

Question 6

Upper extremity inspection includes:

Answer 6

1. symmetry
2. size: edema; atrophy
3. alignment
4. deformity
5. color: skin, nail beds
6. masses

Question 7

During palpation of upper extremity, what are you paying attention to?

Answer 7

1. muscle tone
2. warmth
3. edema
4. crepitus
5. tendernesss

Question 8

when testing for neurologic muscle strength, when would you give a Grade 0

Answer 8

no contraction

Question 9

when testing for neurologic muscle strength, when would you give a Grade 1

Answer 9

if I feel slight contraction without movement

Question 10

when testing for neurologic muscle strength, when would you give a Grade 2

Answer 10

movement possible, but not against gravity

Question 11

when testing for neurologic muscle strength, when would you give a Grade 3

Answer 11

movement possible against gravity but not against resistance

Question 12

when testing for neurologic muscle strength, when would you give a Grade 4

Answer 12

movement possible against some resistance

Question 13

when testing for neurologic muscle strength, when would you give a Grade 5

Answer 13

FROM against full resistance

Question 14

what bony landmarks of the shoulder are you palpating for

Answer 14

• clavicle
• coracoid process
• acromioclavicular joint
• bicipital groove
• rotator cuff muscles

Question 15

what landmarks are you palpating for on elbow

Answer 15

• olecranon
• medial and lateral epicondyle
• radial head
• brachial pulse

Question 16

what landmarks are you palpating for in the wrist

Answer 16

• radial and ulnar styloid
• carpals and metacarpals

Question 17

what landmarks/signs are you palpating for in the hand

Answer 17

check for swelling and tenderness

• metacarpophalangeal joints
• proximal and distal interphalangeal joints

nails, check for cap refill

Question 18

how do you test for flexion of shoulder

Answer 18

place arms in front of body and tell the patient to” not let me push them down” as you try to push down on distal upper arm

Question 19

how would you test for extension of shoulder

Answer 19

place arms in front of body and ask patient to “not let me push them up” as I try to push the arms up

Question 20

how would you test for abduction of shoulder

Answer 20

raise arms to side of body and tell patient “dont let me push them down” as you try to push down on the distal upper arm

Question 21

how would you test for adduction of shoulder

Answer 21

place arms to side of body and tell the patient “don’t let me push them up” as you try to push the arms up

Question 22

how would you test for internal rotation of shoulder

Answer 22

place hands behind hips

Question 23

how would you test for external rotation of shoulder

Answer 23

place hands behind head

Question 24

how would you test for flexion of elbow (strenth testing)

Answer 24

• have patient flex arms halfway to shoulders
• grab arm and ask patient to “don’t let me pull your arm down”

Question 25

how would you test extension of elbow (strength test)

Answer 25

* have patient flex arms halfway to shoulders * ask patient " push you arms down against my resistance"

Question 26

how would you test for pronation and supination of wrist

Answer 26

pronation: turn your palms down supination: turn you palms up

Question 27

how would you test for radial and ulnar deviation

Answer 27

* have patient put arms bent at elbows, hands out straight with palms down * ulnar deviation: keep forearms still and move hands laterally * radial deviation: keep forearms still and move hands medially (towards eachother)

Question 28

how do you test for grip strength

Answer 28

ask patient to grasp your two finger and squeeze

Question 29

how would you test flexion/extension of wrist

Answer 29

* one hand at a time * use hold hand to hold patients forearm * use other hand to test for strength of wrist