Neuromusculoskeletal Tests - Lower Extremity (Msq Drill 169)

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

Yes

No

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

Schober's

Homan's

Anterior drawer

Pivot shift

3. A positive babinski is indicative of:

A lower motor lesion

An upper motor lesion

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

Yes

No

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

Positive

Negative

6. Complete active range of motion against gravity with full resistance.

1

2

3

4

5

7. No evidence of muscle contractility or function?

0

1

2

3

4

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

Talus

Calcaneus

Navicular

Cuboid

9. What is the most common type of ankle sprain?

Inversion

Eversion

10. What is the innervation for the gastrocnemius muscle?

L4-5

S1-S2

S-1

L5

L4-5-S1

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

Superior

Inferior

12. 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.

Anterior tibialis

Posterior tibialis

Gastrocnemius

Extensor digitorum brevis

13. What is the innervation for the anterior tibialis?

L4-5

L4

L5

L3-4-5

S1

Peroneal nerve - L4,5

Explanation

Peroneal nerve - L4,5

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

20-30

30-50

30-70

45-70

20-55

15. What nerve is mainly assessed by the patellar reflex?

L1

L2

L3

L4

L5

16. What is the innervation for the gastrocnemius?

L4

L5

S1

S2

S3

17. 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:

Anterior tibialis

Posterior tibialis

Peroneus longu

Extensor hallucis longus and brevis

Extensor digitorum brevis

18. What is the innervation of the tibialis anterior?

L2-3-4

L3-4

L4-5

S1-S2

S1-2--3

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

ACL

PCL

LCL

MCL

20. 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?

0

15

30

45

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

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

Injury to the collateral ligament only

Injury to the cruciate ligament only

22. What is the innervation for the femoral nerve?

L2-3

L2-3-4

L-3-4-5

L2-3-4-5

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

30

40

50

60

70

24. 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.

Lachman's test

Mcmurray's test

Straight leg raise test

Patrick's test

Schober's test

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

Yes

No

26. What test can you use to test for an achilles tendon rupture?

Anterior drawer sign

Thomas test

Thompson test

Lachman's test

27. What test can be usedto assess for ankylosing spndylitis?

Homan's sign

Femoral nerve stretch

Mcmurray test

Allen's test

Schober's test

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

Grade 1

Grade 2

Grade 3

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

Ipsilateral

Contralateral

30. What does the pivot shift test evaluate?

LCL

ATFL

MCL

ACL

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

Yes

No

32. 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.

Tibialis anterior

Tibialis posterior

Gastrocnemius

Extensor digitorum brevis

33. What test can you use to test for tight iliopsoas?

Straight leg raise test

Femoral nerve stretch test

Lachman's test

Pivot shift test

34. In addition to Patrick's test what other test can you use to test for SI joint pain?

Talar tilt

Milgram's maneouvre

Gaenslen's test

Mcmurray

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

L4

L5

S1

S2

S3

36. What nerve innervates the anterior tibialis?

Anterior tibialis nerve

Peroneal nerve

Femoral nerve

Sciaatic nerve

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

5

10

15

20

38. Name the manual muscle testing grade:

COMPLETE ACTIVE RANGE OF MOTION AGAINST GRAVITY WITH SOME/NOT FULL RESISTANCE?

2

3

4

5

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

10

20

30

40

50

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

Plantar flexion

Dorsiflexion

41. What is the most commonly injured ligament in the ankle?

ATFL

CFL

PTFL

Deltoid ligament

42. What is the innervation for the quadriceps?

L4-5

S-1

L-3,4,5

L2-3-4

L5

43. What is Mcmurray's test testing for?

Lateral meniscal

Medial meniscal

Medial collateral ligament

Anterior cruciate ligament

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

In the anterior thigh

In the posterior thigh

In the lower back

In the posterior knee

Submit

45. What test can you use to test for restriction flexion of the lower lumbar spine?

Femoral nerve stretch test

Milgram's maneouvre

Schober's test

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

The leg on the symptomatic side is raised

The leg on the asymptomatic side is raised.

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

Ipsilateral

Contralateral

The contralateral iliac crest will drop lower than the ipsilateral (standing side) iliac crest.

Explanation

The contralateral iliac crest will drop lower than the ipsilateral (standing side) iliac crest.

48. 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

Mcmurrays

Pivot test

Patrick's test

Collateral ligament testing

Thompsons'; test

49. What is the innervation for the gluteue medius?

L2-3-4

L2-3

L4

L5

L4-5

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

Schober's

Femoral nerve stretch

Straight leg raising

Mcmurray's test

Patrick's test

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.

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.

51. If a femoral nerve stretch test is positive, where does the patient feel the pain?

Anterior thigh

Posterior thigh

Lower back

Submit

52. 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?

Straight legt test

FABER"S

Lachman test

Femoral nerve stretch

Mcmurray test

53. What nerve roots are tested by Gaenslen's test?

L1-2

L2-3-4

L3-4-5-

L4

L5

54. The talar tilt test evaluates the ______ ligament?

ATFL

CFL

PTFL

AITFL

55. Milgram';s meneouve indicates increased:

Intracranial pressure

Blood pressure

Intrathecal pressure

Intraveous pressure

Glomerular filtration pressure

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

MCL tear

Medial meniscal test

Lateral meniscal tear

LCL tear

ACL tear

Submit

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

Back

Buttock

Posterior thigh

Anterior thigh

Below the knee

Submit

Neuromusculoskeletal Tests - Lower Extremity (Msq Drill 169)

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

2.

What first name or nickname would you like us to use?

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

3. A positive babinski is indicative of:

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

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

6. Complete active range of motion against gravity with full resistance.

7. No evidence of muscle contractility or function?

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

9. What is the most common type of ankle sprain?

10. What is the innervation for the gastrocnemius muscle?

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

12. 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.

13. What is the innervation for the anterior tibialis?

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

15. What nerve is mainly assessed by the patellar reflex?

16. What is the innervation for the gastrocnemius?

17. 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:

18. What is the innervation of the tibialis anterior?

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

20. 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?

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

22. What is the innervation for the femoral nerve?

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

24. 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.

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

26. What test can you use to test for an achilles tendon rupture?

27. What test can be usedto assess for ankylosing spndylitis?

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

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

30. What does the pivot shift test evaluate?

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

32. 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.

33. What test can you use to test for tight iliopsoas?

34. In addition to Patrick's test what other test can you use to test for SI joint pain?

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

36. What nerve innervates the anterior tibialis?

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

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

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

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

41. What is the most commonly injured ligament in the ankle?

42. What is the innervation for the quadriceps?

43. What is Mcmurray's test testing for?

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

45. What test can you use to test for restriction flexion of the lower lumbar spine?

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

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

49. What is the innervation for the gluteue medius?

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

51. If a femoral nerve stretch test is positive, where does the patient feel the pain?

52. 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?

53. What nerve roots are tested by Gaenslen's test?

54. The talar tilt test evaluates the ______ ligament?

55. Milgram';s meneouve indicates increased:

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

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

12. 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.

24. 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.

32. 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.

38. Name the manual muscle testing grade:

COMPLETE ACTIVE RANGE OF MOTION AGAINST GRAVITY WITH SOME/NOT FULL RESISTANCE?