Neuromusculoskeletal Tests - Lower Extremity (Msq Drill 169)


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Questions and Answers
  • 1. 

    What test can be usedto assess for ankylosing spndylitis?

    • A.

      Homan's sign

    • B.

      Femoral nerve stretch

    • C.

      Mcmurray test

    • D.

      Allen's test

    • E.

      Schober's test

    Correct Answer
    E. Schober's test
  • 2. 

    What is the innervation for the quadriceps?

    • A.

      L4-5

    • B.

      S-1

    • C.

      L-3,4,5

    • D.

      L2-3-4

    • E.

      L5

    Correct Answer
    D. L2-3-4
  • 3. 

    What nerve is mainly assessed by the patellar reflex?

    • A.

      L1

    • B.

      L2

    • C.

      L3

    • D.

      L4

    • E.

      L5

    Correct Answer
    D. L4
  • 4. 

    A positive babinski is indicative of:

    • A.

      A lower motor lesion

    • B.

      An upper motor lesion

    Correct Answer
    B. An upper motor lesion
  • 5. 

    What is the innervation for the gastrocnemius?

    • A.

      L4

    • B.

      L5

    • C.

      S1

    • D.

      S2

    • E.

      S3

    Correct Answer
    C. S1
  • 6. 

    By asking the patient to extend the metatarsophalangeal (MTP) joint of their great toe, and you the examiner applying pressure on the proximal phalanx, you are testing the:

    • A.

      Anterior tibialis

    • B.

      Posterior tibialis

    • C.

      Peroneus longu

    • D.

      Extensor hallucis longus and brevis

    • E.

      Extensor digitorum brevis

    Correct Answer
    D. Extensor hallucis longus and brevis
  • 7. 

    What is the innervation of the extensor hallucis longus and brevis?

    • A.

      L4

    • B.

      L5

    • C.

      S1

    • D.

      S2

    • E.

      S3

    Correct Answer
    B. L5
  • 8. 

    What nerve innervates the anterior tibialis?

    • A.

      Anterior tibialis nerve

    • B.

      Peroneal nerve

    • C.

      Femoral nerve

    • D.

      Sciaatic nerve

    Correct Answer
    B. Peroneal nerve
  • 9. 

    What is the innervation of the tibialis anterior?

    • A.

      L2-3-4

    • B.

      L3-4

    • C.

      L4-5

    • D.

      S1-S2

    • E.

      S1-2--3

    Correct Answer
    C. L4-5
  • 10. 

    When testing the collateral ligament, you place a varus stress on the knee. What ligament are you testing for?

    • A.

      ACL

    • B.

      PCL

    • C.

      LCL

    • D.

      MCL

    Correct Answer
    C. LCL
  • 11. 

    A valgus stress is placed on the knee for MCL testing. Isolating LCL and MCL is done when the knee is flexed to how many degrees in  collateral ligament testing?

    • A.

      0

    • B.

      15

    • C.

      30

    • D.

      45

    Correct Answer
    C. 30
  • 12. 

    Laxity in full extension of the knee on varus stress to the knee suggests:

    • A.

      A combination of injury involving the collateral ligament and possible cruciate ligament as well.

    • B.

      Injury to the collateral ligament only

    • C.

      Injury to the cruciate ligament only

    Correct Answer
    A. A combination of injury involving the collateral ligament and possible cruciate ligament as well.
  • 13. 

    In collateral ligament testing if the laxity exhibits a 5mm opening what is the grade assigned?

    • A.

      Grade 1

    • B.

      Grade 2

    • C.

      Grade 3

    Correct Answer
    A. Grade 1
  • 14. 

    A grade 3 is assigned in collateral ligament testing if the laxity is above ______ degrees.

    • A.

      5

    • B.

      10

    • C.

      15

    • D.

      20

    Correct Answer
    B. 10
  • 15. 

    What test can you perform to test for lumbar radiculopathjy, lumbar disc herniation with femoral neuropathy, hip pathology, tight iliopsoas and or rectus femoris muscles?

    • A.

      Straight legt test

    • B.

      FABER"S

    • C.

      Lachman test

    • D.

      Femoral nerve stretch

    • E.

      Mcmurray test

    Correct Answer
    D. Femoral nerve stretch
  • 16. 

    What is the innervation for the femoral nerve?

    • A.

      L2-3

    • B.

      L2-3-4

    • C.

      L-3-4-5

    • D.

      L2-3-4-5

    Correct Answer
    B. L2-3-4
  • 17. 

    In a straight leg raising test pain beyond how many degrees of leg elevation is NOT believed to be due to nerve tension?

    • A.

      30

    • B.

      40

    • C.

      50

    • D.

      60

    • E.

      70

    Correct Answer
    E. 70
  • 18. 

    The straight leg raising test tests for lumbar disc herniation. The symptomatic side is painful when:

    • A.

      The leg on the symptomatic side is raised

    • B.

      The leg on the asymptomatic side is raised.

    Correct Answer
    B. The leg on the asymptomatic side is raised.
  • 19. 

    What is this test:The patient is supine, the knee is flexed to its maximum capability (at least 90 degrees if possible); the foot is held by grasping the heel; the foot is then externally rotated and the knee is gradually extended while maintaining the tibia in external rotation.

    • A.

      Lachman's test

    • B.

      Mcmurray's test

    • C.

      Straight leg raise test

    • D.

      Patrick's test

    • E.

      Schober's test

    Correct Answer
    B. Mcmurray's test
  • 20. 

    What is Mcmurray's test testing for?

    • A.

      Lateral meniscal

    • B.

      Medial meniscal

    • C.

      Medial collateral ligament

    • D.

      Anterior cruciate ligament

    Correct Answer
    B. Medial meniscal
  • 21. 

    In the trendelenburg test  the test is positive if the contralateral or ipsilateral iliac crst drops lower?

    • A.

      Ipsilateral

    • B.

      Contralateral

    Correct Answer
    B. Contralateral
    Explanation
    The contralateral iliac crest will drop lower than the ipsilateral (standing side) iliac crest.

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  • 22. 

    A positive test on the trendelenburg indicates a weak ipsilateral or contralateral gluteus medius?

    • A.

      Ipsilateral

    • B.

      Contralateral

    Correct Answer
    A. Ipsilateral
  • 23. 

    Name the manual muscle testing grade:COMPLETE ACTIVE RANGE OF MOTION AGAINST GRAVITY WITH SOME/NOT FULL RESISTANCE?

    • A.

      2

    • B.

      3

    • C.

      4

    • D.

      5

    Correct Answer
    C. 4
  • 24. 

    When you are manual muscle testing the quadriceps muscle in normal circumstances should you be able to break this muscle contraction?

    • A.

      Yes

    • B.

      No

    Correct Answer
    B. No
  • 25. 

    What is this test?in the supine position; the student will pick up the patient’s leg at the ankle, the knee will then be flexed by placing the heel of the other hand behind the fibula over the lateral head of the gastrocnemius. As the knee is extended, the tibia is supported on the lateral side with a slight varus strain applied. A strong valgus force is placed on the knee by the upper/superior hand

    • A.

      Mcmurrays

    • B.

      Pivot test

    • C.

      Patrick's test

    • D.

      Collateral ligament testing

    • E.

      Thompsons'; test

    Correct Answer
    B. Pivot test
  • 26. 

    What does the pivot shift test evaluate?

    • A.

      LCL

    • B.

      ATFL

    • C.

      MCL

    • D.

      ACL

    Correct Answer
    D. ACL
  • 27. 

    If the pivot shift test is positive the tibial plateau will suddenly reduce at how many degree of flexion?

    • A.

      10

    • B.

      20

    • C.

      30

    • D.

      40

    • E.

      50

    Correct Answer
    C. 30
  • 28. 

    Is a psotive Pivot shift test usually indicative of an ACL tear?

    • A.

      Yes

    • B.

      No

    Correct Answer
    A. Yes
  • 29. 

    In the thompson's test is a negative test pasive plantar or dorsiflexion?

    • A.

      Plantar flexion

    • B.

      Dorsiflexion

    Correct Answer
    A. Plantar flexion
  • 30. 

    What is the most commonly injured ligament in the ankle?

    • A.

      ATFL

    • B.

      CFL

    • C.

      PTFL

    • D.

      Deltoid ligament

    Correct Answer
    A. ATFL
  • 31. 

    Does the anterior drawer test for the ankle evaluate ATFL integrity ot anterior stability of the knee?

    • A.

      Yes

    • B.

      No

    Correct Answer
    A. Yes
  • 32. 

    If you squeeze the calf and plantar felxion occurs, is this a positive or neative thompson's test?

    • A.

      Positive

    • B.

      Negative

    Correct Answer
    B. Negative
  • 33. 

    In the femoral nerve stretch test, where does the patient feel pain in a positive test?

    • A.

      In the anterior thigh

    • B.

      In the posterior thigh

    • C.

      In the lower back

    • D.

      In the posterior knee

    Correct Answer(s)
    A. In the anterior thigh
    C. In the lower back
  • 34. 

    You are performing a mcmurray test and you hear a click. What could this be indicative of?

    • A.

      MCL tear

    • B.

      Medial meniscal test

    • C.

      Lateral meniscal tear

    • D.

      LCL tear

    • E.

      ACL tear

    Correct Answer(s)
    B. Medial meniscal test
    C. Lateral meniscal tear
  • 35. 

    Complete active range of motion against gravity with full resistance.

    • A.

      1

    • B.

      2

    • C.

      3

    • D.

      4

    • E.

      5

    Correct Answer
    E. 5
  • 36. 

    No evidence of muscle contractility or function?

    • A.

      0

    • B.

      1

    • C.

      2

    • D.

      3

    • E.

      4

    Correct Answer
    A. 0
  • 37. 

    Is the Homan's sign classically described as being positive in patients with deep vein thrombosis?

    • A.

      Yes

    • B.

      No

    Correct Answer
    A. Yes
  • 38. 

    When testing the ankle and for, what does the examiner stabilize when testing forefoot supination and pronation?

    • A.

      Talus

    • B.

      Calcaneus

    • C.

      Navicular

    • D.

      Cuboid

    Correct Answer
    B. Calcaneus
  • 39. 

    What is the most common type of ankle sprain?

    • A.

      Inversion

    • B.

      Eversion

    Correct Answer
    A. Inversion
  • 40. 

    What muscle are you testing?Standing on one leg, the patient will place one finger on a table to balance, stand on one leg, keep their knee straight, and then go up on their toes (plantar flex) ten (10) times.

    • A.

      Tibialis anterior

    • B.

      Tibialis posterior

    • C.

      Gastrocnemius

    • D.

      Extensor digitorum brevis

    Correct Answer
    C. Gastrocnemius
  • 41. 

    What is the innervation for the gastrocnemius muscle?

    • A.

      L4-5

    • B.

      S1-S2

    • C.

      S-1

    • D.

      L5

    • E.

      L4-5-S1

    Correct Answer
    C. S-1
  • 42. 

    What is the innervation for the gluteue medius?

    • A.

      L2-3-4

    • B.

      L2-3

    • C.

      L4

    • D.

      L5

    • E.

      L4-5

    Correct Answer
    D. L5
  • 43. 

    Is the glueteus medius innervated by the superior or inferior gluteal nerve?

    • A.

      Superior

    • B.

      Inferior

    Correct Answer
    A. Superior
  • 44. 

    What muscle is being tested?In the standing position, the student will ask the patient to stand on their heel and dorsiflex their ankle. The student will apply pressure to the dorsum of the foot and push the foot to the ground.

    • A.

      Anterior tibialis

    • B.

      Posterior tibialis

    • C.

      Gastrocnemius

    • D.

      Extensor digitorum brevis

    Correct Answer
    A. Anterior tibialis
  • 45. 

    What is the innervation for the anterior tibialis?

    • A.

      L4-5

    • B.

      L4

    • C.

      L5

    • D.

      L3-4-5

    • E.

      S1

    Correct Answer
    A. L4-5
    Explanation
    Peroneal nerve - L4,5

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  • 46. 

    In a straight leg raise test, the test is positve when the patient reports pain in which areas?

    • A.

      Back

    • B.

      Buttock

    • C.

      Posterior thigh

    • D.

      Anterior thigh

    • E.

      Below the knee

    Correct Answer(s)
    A. Back
    B. Buttock
    C. Posterior thigh
    E. Below the knee
  • 47. 

    The pain should be felt betwee ________________ degrees in a patient with a psotive straight leg raise test?

    • A.

      20-30

    • B.

      30-50

    • C.

      30-70

    • D.

      45-70

    • E.

      20-55

    Correct Answer
    C. 30-70
  • 48. 

    What test can you use to test for deep vein thrombosis?

    • A.

      Schober's

    • B.

      Homan's

    • C.

      Anterior drawer

    • D.

      Pivot shift

    Correct Answer
    B. Homan's
  • 49. 

    What test can you use to test for hip or surrounding soft tissue pathology?

    • A.

      Schober's

    • B.

      Femoral nerve stretch

    • C.

      Straight leg raising

    • D.

      Mcmurray's test

    • E.

      Patrick's test

    Correct Answer
    E. Patrick's test
    Explanation
    In addition to testing for sacroiliac joint dysfunction. If the pain in in the lower back then it is indicative of SI dysfunction. If the pain is in the inguinal area then it is indicative of hip of surrounding soft tissue pathology.

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  • 50. 

    What test can you use to test for tight iliopsoas?

    • A.

      Straight leg raise test

    • B.

      Femoral nerve stretch test

    • C.

      Lachman's test

    • D.

      Pivot shift test

    Correct Answer
    B. Femoral nerve stretch test

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  • Feb 16, 2019
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