LE MRS Flashcards
What nerve root is compressed by the L4/L5 disc?
L4
What nerve root is compressed by the L5/S1 disc?
L5
What ligaments in the lumbar spine often result in nerve root adhesions?
Transforaminal ligmaments
What muscle is tested for an L1 MRS?
Iliopsoas
What muscle is tested for an L2 MRS?
Iliopsoas
What muscle is tested for an L1 or L2 MRS?
Iliopsoas
What muscle group is tested for an L3 MRS?
Adductors
What muscle is tested for an L4 MRS primarily?
Tibialis anterior
What muscle is tested for an L4 MRS secondarily?
Quadriceps
What muscle is tested for an L5 MRS primarily?
Extensor hallicus longus and brevis
What muscle(s) is(are) tested for an L5 MRS secondarily?
Extensor digitorum longus and brevis and abductors
What muscle is tested for an S1 MRS primarily?
Fibularis longus and brevis
What muscle(s) is(are) tested for an S1 MRS secondarily?
Gastrocnemius, soleus, and gluteus maximus
Your patient has lateral elbow pain. What exam procedures are best to assess the soft tissue structures associated with plausible causes?
A. Varus Test
B. Valgus Test
C. Golfer’s Test
D. Cozen’s Test
E. Mill’s Test
ADE
A 30 year old woman complains of tingling and numbness in the medial portion of her hand extending into her little finger. Select all plausible differential diagnosis for this patient?
A C6 root.
B. C8 root
C. Nerve root entrapment in the cubital tunnel
D. Nerve entrapment in the cubital fossa
E. Carpal tunnel syndrome
BC
What nerve runs in the cubital fossa?
Median
What nerve runs in the cubital tunnel?
Ulnar
What history questions can be asked for a lower extremity motor evaluation?
Troubles with gait/difficulty walking
What are the actions of iliopsoas?
Hip flexion
Flexes the spine when seated
Where is the L1 dermatome?
Top of the thigh just distal to the inguinal ligament
How is an iliopsoas test formed for an L1-L2 nerve root MRS?
Patient supine, doctor flexes, abducts, and externally rotates the hip. Doctor presses leg into abduction and extension and stabilizes the opposite thigh
What is the open packed position for the hip?
30 degrees of flexion and abduction/external rotation
What is the L2 dermatome?
Middle of the thigh
If a patient is leaning to the left side and has pain on their right. Where is the disc lesion?
Lateral to the nerve root
If a patient is leaning to the right and has pain on their right. Where is the disc lesion?
Medial to the nerve root
What is the L1 MRS reflex?
NONE
What is the L2 MRS primary reflex?
NONE
What is the L2 MRS secondary reflex?
Patellar tendon
What is the L3 MRS primary reflex?
NONE
What is the L3 MRS secondary reflex?
Patellar tendon
Where is the L3 dermatome?
Above/across the knee (and just proximal to the kneecap)