MSK Comp Exam 1

Question 1

C5

Question 2

C6

Question 3

C7

Question 4

C8

Question 5

T1

Question 6

Erector Spinae Group

Question 7

Sub Occipitals

Question 8

Sternocleidomastoid

Question 9

Rectus Abdominis

Answer 9

Muscles in your abdominal area (“abs”); flex vertebrae, ask patient to crunch and feel to make sure they are bilaterally activated

Question 10

External Oblique

Answer 10

Muscles on the side of your abdomen that contract to hold your organs in place; ask client to bring elbow to opposite knee for activation

Question 11

T2

Answer 11

Anterior: manubrium of sternum, Posterior: superior angle of scapula

Question 12

T4

Answer 12

Anterior: sternal angle

Question 13

T6

Answer 13

Anterior: xiphoid process of sternum

Question 14

T7

Answer 14

Posterior: inferior angle of scapula

Question 15

T12

Answer 15

Anterior: Umbilicus (belly button), Posterior: 12th rib

Question 16

L4

Answer 16

Posterior; Top of iliac crest (top of hip bone)

Question 17

Masseter

Answer 17

Muscle that runs from your cheek bone to your jaw and helps with chewing; elevate the mandible - clench jaw (or chew)

Question 18

Temporalis

Answer 18

Muscles that help you with chewing; Ask patient to open and close their mouth. Feel on the sides of temples (temporalis) to palpate (“I’m going to touch right here (temples) and I want you to pretend like you’re chewing”)

Question 19

Supra/Infra Hyoids

Answer 19

Ask client to swallow and feel above hyoid bone for suprahyoids and below hyoid bone for infrahyoids

Question 20

Platysma

Answer 20

Muscles that help tighten the skin on your neck; ask client to express rage/terror or pretend like they are shaving their neck in the mirror

Question 21

Orbicularis Oris

Answer 21

Muscles around your mouth that help you pucker your lips; ask client to pucker their lips/pretend like they’re blowing a kiss

Question 22

Buccinator

Answer 22

Muscles that help you suck in your cheeks and keep food in your mouth; ask client to blow their cheeks up and act like you’re blowing up a balloon

Question 23

Procerus

Answer 23

Muscles that allow you to furrow your eyebrows and show expression; ask client to squint and palpate between eyebrows

Question 24

Occipitofrontalis

Answer 24

Muscles that allow you to show expression and raise your eyebrows; ask client to raise eyebrows or make a surprised face. Feel on forehead and base of skull

Question 25

Eye Movements

Answer 25

Tell patient “we’ll be doing a quick vision screening today to make sure your eye muscles are working correctly, if you could please keep your head stable and follow my finger with your eyes”, then perform a visual scanning test with plus sign and x

Question 26

Scapular Landmarks

Answer 26

Spine, Lateral Border, Medial Border; “I’m going to feel for a landmark in your shoulder to make sure it’s in the right position”

Question 27

Clavicular Landmarks

Answer 27

Sternal end, Acromial end; “I’m going to feel for a landmark on your clavicle to make sure it’s in the correct position”

Question 28

Trapezius

Answer 28

Muscles that help you shrug/pull your shoulders; ask client to shrug shoulder to palpate upper traps, ask client to round shoulders and pull them back and palpate along the spines of the scapulae for middle traps

Question 29

Rhomboids

Answer 29

muscle running between shoulder blades and spine; put your fingers between spine and shoulder blade. Ask client to pinch your fingers

Question 30

Infra/Supraspinatus

Answer 30

ask client to abduct and adduct arm with arm bent. Feel for both above and below the spine of the scapula

Question 31

Deltoid

Answer 31

Arm Muscle; find acromion and feel beneath it while client is pushing against your hand (abducting) feel posterior, anterior, and middle while cupping the deltoid

Question 32

Pectoralis Major

Answer 32

Chest muscles; press fisted hand on hip and lift elbow the abduct. To lengthen abduct arm upwards over head. To shorten adduct arm towards/across midline of body. For females, have partner shift breast towards midline to access.