Lower Limb Lab

Question 1

What are red flags for the lower limb exam

Answer 1

acute pain with ROM testing
spinal crepitus with ROM testing
grossly limiting ROM
spinal instability
neurological symptoms with ROM resting

Question 2

0/5 muscle grading

Answer 2

no movement

Question 3

1/5 muscle grading

Answer 3

trace movement

Question 4

2/5 muscle grading

Answer 4

full motion, but not against gravity

Question 5

3/5 muscle grading

Answer 5

full motion against gravity but not resistant

Question 6

4/5 muscle grading

Answer 6

full motino against gravity and some resistance, but weak

Question 7

5/5 muscle grading

Answer 7

full motion against gravity and resistance

Question 8

What should teh angle between the femur and tibia be

Answer 8

10-15 degrees

Question 9

What might happen if the pt has a quadricep weakness

Answer 9

may stumble or need to use the hand to push knee into extension during the hell strick of gait

Question 10

swelling over areas of knee is indicative of what

Answer 10

bursitis

Question 11

genu valgum

Answer 11

knock knees

Question 12

genu varum

Answer 12

bow legs

Question 13

tenderness of the bony ridges along the knee joint margins may indicate what

Answer 13

osteoarthritis

Question 14

what are the symptoms of a tear of the paterllar tendon

Answer 14

tenderness over teh tendon, inability to extend leg

Question 15

pain or crepitus with extension of leg could mean

Answer 15

roughening of teh undersurface of the patella

Question 16

swelling of the knee may be indicative of what

Answer 16

synovial thickening, joint effusion, bursisits

Question 17

normal knee flexion

Answer 17

130 degrees

Question 18

normal extension of leg

Answer 18

full extension, 15 degree hyperextension

Question 19

normal internal rotation of leg

Answer 19

20-30 degrees

Question 20

normal external rotation of leg

Answer 20

30-40 degrees

Question 21

What does ballottement test assess for

Answer 21

large effusion or excess fluid in knee

Question 22

what does bulge sign assess for

Answer 22

minor effusion o fknee

Question 23

what does McMurray test for

Answer 23

torn meniscus in knee on posterior side

Question 24

what does anterior drawer test for

Answer 24

ACL

Question 25

what does posterior drawer evaluate for

Answer 25

PCL

Question 26

what does Lachman test for evaluate for

Answer 26

ACL

Question 27

What does pivot shift test evaluate for

Answer 27

ACL

Question 28

results of abnormal pivot shift test

Answer 28

0-30 degrees tibia does nothing, but at 40-50 knee subluxes posteriorly, feels like it’s giving away

Question 29

varus stress test evaluates what

Answer 29

instability in lateral collateral ligament

Question 30

valgus stress tests evaluates waht

Answer 30

medial collateral ligament instability

Question 31

When do you do Apley test

Answer 31

when pt complains of knee locking. tests for torn medial or lateral meniscus, ligamentous injury

Question 32

metatarsalgia

Answer 32

pain with palpation of plantar forefoot

Question 33

Morton’s neuoma

Answer 33

causes tenderness between plantar aspects of the heads of 3rd-4th metatarsal

Question 34

normal dorsiflexion

Answer 34

> 10 degrees

Question 35

normal plantarflexion

Answer 35

45 degrees

Question 36

normal inversion

Answer 36

20 degress

Question 37

normal eversion

Answer 37

10 degrees

Question 38

normal aBduction

Answer 38

10 degrees

Question 39

normal aDduction

Answer 39

20 degrees