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OSPE > Lower Limb > Flashcards

Lower Limb Flashcards

1
Q

How would test the gluteus medius or minimus?

A

Lie on side
Abduct against resistance at distal end of thigh
Palpate contraction inferior to iliac crest

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2
Q

Which nerve innervates the gluteus medius and minimus?

A

SUPERIOR gluteal nerve L5-S1

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3
Q

How do you test the gluteus maximus?

A

Ask patient to lie faced down with knee flexed
Extend the thigh against resistance
Palpate contour of buttock for contraction

FLEX KNEE to get rid of action of hamstrings

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4
Q

Which nerve innervates the gluteus maximus?

A

Inferior gluteal nerve L5-S2

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5
Q

How would you test the iliopsoas muscles?

A

Ask patient to lie down and flex hip whilst applying resistance

Ilacus - femoral never
Psoas - directly from lumbar plexus

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6
Q

Which side would the lesion be for positive trendelenberg test?

A

Contralateral pelvic drop to weakness

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7
Q

How would test quads?

A

Extend knee whilst patient is sitting

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8
Q

How would you test hamstrings?

A

Flex knee whilst patient is lying faced down against resistance

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9
Q

Which nerve innervates hamstrings?

A

Sciatic

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10
Q

Which nerve innervates the adductor group?

A

Obturator nerve

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11
Q

Tibialis anterior test

A

Dorsiflex foot

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12
Q

Tibialis anterior nerve?

A

Deep peroneal nerve (foot drop)

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13
Q

How would you test the adductors?

A

Resist medial thigh as patient lies like they’re giving birth

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14
Q

Fibular compartment nerve

A

Superficial peroneal nerve

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15
Q

Fibular compartment test

A

Eversion

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16
Q

Calf muscles nerve

A

Tibial nerve

17
Q

Calf muscle test

A

Plantar flexion

18
Q

Movements of the knee joint?

A

Flexion
Extension
Limited rotation

19
Q

Which joint is involved in inversion and eversion?

A

Talo-calcaneo-navicular joint

20
Q

Boundaries of the popliteal fossa

A

Superolateral border - biceps femoris
Superomedial border - semimembranosus
Lateral and medial border of gastrocnemius

21
Q

Boundaries of the femoral triangle

A

Adductor longus
Sarotoris
Inguinal ligament

22
Q

Gluteal safe area

A

Index finger of ASIS
Middle finger on iliac tubercle

Between index and middle finger

23
Q

Patella tendon reflex nerve

A

L4

24
Q

Ankle jerk reflex nerve

A

S1

25
Q

Surface mark the long saphenous vein

A

Arises from medial part of dorsal venous arch
Travels anterior to medial malleolus
Posterior to medial malleolus and then up to saphenous opening in femoral triangle

26
Q

Surface mark the long saphenous vein

A

Posterior to Lateral malleolus

27
Q

Where would you palpate the dorsalis pedis artery?

A

Lateral to extensor hallucis longus tendon against the metacarpals

28
Q

Tibialis posterior pulse palpation

A

Palpate behind medial malleolus

OSPE (8 decks)

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