Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

CODO II > MSK Lower Extremity > Flashcards

MSK Lower Extremity Flashcards

1
Q

Joint evaluation steps

A

HIPROT

History 
Inspection 
Palpation 
Range of Motion 
O
T other tests ( muscle strength testing, deep tendon reflexes, sensory testing, special tests
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What tests are included in “other tests” in MSK lower extremity

A

muscle strength testing, deep tendon reflexes, sensory testing, special tests

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Crepitus

A

grinding feeling in a joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

importance of mechanism of injury

A

can lead you down a certain path of diagnosis

did it turn inward? outward? what happened?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

MSK exam starts with ____

A

watching patient get up on table

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Fasciculation

A

worming of the muscle

sign of deinervation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

bruising is indicative of what

A

indicates you tore something (connective tissue, joint capsule, ligament, bone, etc)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Active range of motion

A

the patient does it

limited by pain, weakness, severing, impingement in the joint

if it is limited we should move to evaluating passive motion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are we looking at in Muscle strength testing

A

note bulk and tone
compare bilaterally
test against resistance

look for atrophy and asymmetry

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Muscle strength grading

0

A

no muscle contraction (eg: nerve severed)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Muscle Strength Grading

1

A

Muscle belly moves but can not move the limb

even without resistance and gravity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Muscle Strength Grading

2

A

Movement of the body part with gravity eliminated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Muscle Strength Grading

3

A

Movement against gravity but nothing more

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Muscular Strength Grading

4

A

Decreased strength bit able to move against resistance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Muscular Strength Grading

5

A

Normal Tissue Strength

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

In muscle strength grading were do we see the largest decrease in strength

A

between 5 and 4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Reflex Response

+4

A

hyperactive with clonus (instead of firing once it keeps jerking)

indicative of disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Reflex Response

+3

A

Brisker than average

may indicate disease - compare to the other side if the same its not pathologic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Reflex Response

+2

A

Average, Normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Reflex Response

+1

A

Diminished, low normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Reflex Response

0

A

No response

22
Q

Patellar Nerve level

23
Q

Achilles Nerve level

24
Q

What do we look at in Sensory Testing

A

General Screening
Compare bilaterlly
Compare proximal to distal
Dermatomes

25
Sciatic nevre
L4-S3 Herniated disc Radiculopathy
26
Peroneal nerve
L5-S2 FIbular head/Foot drop
27
Lateral Femoral Cutaneous Nerve
L2-L3 Meralgia parasthetica
28
Straight leg raise
Special testing for hip Tests for herniated disc How to: passively flex at the hip with leg straight Positive test: pain radiates BELOW the knee
29
Ober Test
Tests Iliotibial band tightness How to: lift leg and bend at the knee and let it drop Positive test= thigh dies not quickly fall to touch the opposite leg ( kind of hangs)
30
Piriformis test
Aduct knee across midline positive test= causes pain in sciatic distribution - pain down the leg
31
Trendelenburg test
Testing Gluteus Muscle weakness Have patient stand and lift their foot off the ground positive test = trunk leans towards the side with the foot raised (lean opposite of the weak gluteus muscle)
32
Patrick's Faber Test
Hip/Sacroiliac How to: Figure 4 with leg- place one hand on ASIS an one hand on the opposite knee and push to cause gaping if it causes pain in the hip = Hip Issue if it causes pain in sacroilicac = SI Issue
33
Motion of the knee
Primarily Flexion
34
valgus
away from midline
35
Varis
toward midline
36
Varus/Valgus testing
Medial and Lateral Collateral Ligaments done with a little bit of knee flexion No MCL= gaps open on valgus Postive test = pain on gapping
37
Anterior Drawer test
Tests ACL Bend knee to 90 degrees and fix the foot grab the tibia and pull it forward Positive= lack of tight endpoint - pulls forward a lot Remember to compare to opposite side
38
Posterior Drawer test
Test PCL Bend knee to 90 degrees and fix the foot. Grab the tibia and push backwards Positive = lack of tight endpoint- push backwards a lot Remember to compare to other side
39
McMurray Test
Tests Meniscus positive test = palpable or audible click at jointline
40
Apley Grind
Test Meniscus Patient prone, bend their knee- load and twist "pepper grinder" Positive test = pain
41
Patellar Apprehension test
Subluxation positive test = fear/apprehension with patellar movement
42
Lachman test
ACL 15-30 degree angle hold the femur and pull up on the fibula positive test = excessive anterior translation
43
Fist ligament to go in ankle injury
Anterior talofibular ligament
44
Which ligament anchors the tibia and fibula
anterior tibiofibular ligament
45
Ankle anterior drawer
tests talofibular ligament How to: grab tibia and calcanius try and pull foot straight off tibia
46
Inversion ankle test
tests calcaneofibular ligament and anterior talofibular ligament how to: rock the talus out of the mortise
47
Squeeze test
High ankle sprain test How to: squeeze mid tibia/fibula together causes hinging positive test results in pain at the ankle
48
Thompson Test
Tests for Achilles Rupture How to: squueze calf muscle - in normal condition foot should plantar flex Positive test: foot does not move when squeezing calf
49
Homan's Sign
DVT test Positive test = pain with dorsiflexion
50
Squeeze test for Nortons Neuroma
squeeze foot (compress between metatarsals) positive test = pain in foot and toes

CODO II (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions