Palpatable Flashcards

Question

Obliquus capitis inferior

Answer 1

Supine SP of C2 --> TVP of C1 Ipsilateral rotation of atlas Suboccipital nerve Occipital and vertebral arteries

Answer 2

Prone TVP of c1 --> in between nuchal lines Prostration and contralateral rotation of head Suboccipital nerve Occipital and vertebral arteries

Answer 3

Seated or supine Subcutaneous fascia of pectoralis and deltoid --> mandible and subcutaneous fascia of lower face Draws up skin of superior chest and neck; creates ridges of neck; depresses mandible Facial nerve Facial artery

Answer 4

Supine. Rotate head contra laterally. Lift head and neck air. Two head: Sternal (manubrium) and clavicular (medial 1/3 clavicle). Inserts into mastoid process and lateral 1/2 of superior nuchal line. Flexion of lower neck. Extension of upper neck. Lateral flexion and contralateral rotation. Spinal accessory nerve (CN XI) Occipital and auricular arteries.

Answer 5

Supine. Sternum (manubrium and part of clavicle) --> hyoid Depresses the hyoid. Flexion of neck and head ``` Cervical plexus (ansa cervicalis) Superior thyroid artery. ```

Answer 6

Supine. Sternum (posterior manubrium and clavicle) --> thyroid Depresses thyroid cartilage. Flexion of neck and head. ``` Cervical plexus (ansa cervicalis) Superior thyroid artery, ```

Answer 7

Supine Thyroid cartilage --> hyoid Depresses hyoid. Flexion of neck and head ``` Cervical plexus (ansa cervicalis) Superior thyroid artery ```

Answer 8

Supine. Start lateral to SCM. Feel for horizontal fibres Two bellies: Inferior: Superior border of scapula --> clavicle via central tendon Superior: Clavicle via central tendon --> hyoid Depresses hyoid. Flexion of head and neck ``` Cervical plexus (ansa cervicalis) Superior thyroid artery AND transverse cervical. ```

Answer 9

Supine. Start in between SCM and ramus of mandible. Depress mandible with resistance. Two bellies. Posterior: mastoid notch of temporal bone Anterior: Digastric fossa of mandible Insert into hyoid bone via central tendon Elevates hyoid Depresses mandible Flexion of head and neck Posterior: Facial nerve (CN VII) Anterior: trigeminal nerve Occipital, posterior auricular and facial arteries

Answer 10

Supine. Fingers between SCM and posterior ramus of mandible. Swallow. Styloid process of temporal bone --> hyoid Elevates hyoid ``` Facial nerve (CN VII) Occipital, posterior auricular and facial arteries. ```

Answer 11

Supine. Fingers under chin. Depress mandible with resistance. Inner surface of mandible (mylohyoid line) --> hyoid Elevates hyoid Depresses mandible Flexion of head and neck ``` Trigeminal nerve (CN V) Inferior alveolar artery ```

Answer 12

Supine. Depress mandible. Deep to mylohyoid Inner surface of mandible (inferior mental spine) --> hyoid elevates the hyoid Depresses mandible Flexion of head and neck ``` Hypoglossal nerve (CN 12) Lingual artery ```

Answer 13

Seated or supine. Palpate superior to clavicle and lateral to clavicular head of SCM. Sniff. Anterior tubercles C3-6 --> R1 flexion, lateral flexion elevation of R1 Cervical spinal nerves (ventral rami) Ascending cervical artery

Answer 14

Seated or supine. Palpate superior to clavicle, in middle of posterior triangle (in between SCM and upper traps). Sniff Posterior tubercles C2-7 --> R1 flexion, lateral flexion elevation of R1 Cervical spinal nerves (ventral rami) Transverse cervical artery

Answer 15

Seated. Palpate superior to clavicle, medial to clavicular attachment of trapezius. sniff Posterior tubercles c5-7 --> R2 Lateral flexion of neck Elevation of R2 Cervical spinal nervers (ventral rami) Transverse cervical artery.

Answer 16

Standing. Client's hand on examiner's shoulder. Extend and adduct. SPs of T7-L5. Posterior Iliac crest. Sacrum. Lower four ribs. Maybe inferior angle of scapula. --> medial lip of bicipital groove Adducts, extends, medially rotates, APT Thoraco dorsal nerve Thoraco dorsal and posterior intercostal arteries.

Answer 17

Seated or prone SPs T2-5 --> medial border of scapula (inferior portion) Elevates and retracts scapula. Dorsal scapular nerve Dorsal scapular artery

Answer 18

Seated or prone SPs C7-T1 --> medial border of scapula (superior portion) Elevates and retracts scapula Dorsal scapular nerve Dorsal scapular artery.

Answer 19

Prone. Palpate superior to iliac crest, lateral to erector spinae. Hike hip Posterior portion of the iliac crest --> R12 and TVPs of L1-4 Extension, lateral flexion, hip hike. APT Lumbar plexus Subcostal intercostal and Iliolumbar

Answer 20

Prone. Most lateral erector spinae. Palpate from pelvis to ribs Medial sacral and iliac crests and angles of ribs 3-12 --> Angles of ribs plus TVPs of C4-7 Extension, lateral flexion, ipsilateral rotation, APT Spinal nerves Posterior intercostal and lumbar arteries

Answer 21

Prone. Runs from pelvis (medial iliac crest, sacrum), following Ribs 3-12, TVPS and APs of C4-7, to mastoid process, Extension, lateral flexion, ipsilateral rotation, APT Spinal nerves Posterior intercostal and lumbar arteries

Answer 22

Really two discrete sections. Palpate prone. Difficult to distinguish. Thoracis: Connecting the SP of inferior Thoracic spine to mid Thoracic spine. (T11-L2 --> T4-8) Cervicis: Runs from inferior Nuchal ligament and SP of C7 --> SP of C2 Extension, lateral flexion. APT ``` Spinal nerves (thoracic and cervical) Posterior intercostal and lumbar arteries. ```

Answer 23

Supine, arm flexed to 90 at GHjt, hand toward ceiling. Palpate lateral rib cage. Push hand toward ceiling. Anterio-lateral portion of R1-9 --> medial scapula Protraction and upward rotation of scapula ``` Long thoracic nerve Dorsal scapular (subclavian) and lateral thoracic (axillary) arteries. ```

Answer 24

Supine, arm abducted to 90. Two heads: Clavicular: medial 1/3 of clavicle Sternal: sternum and costal cartilage 1-7 Inserts into lateral lip of bicipital groove. Flexion, adduction and medial rotation. Horizontal adduction. Medial and lateral pectoral nerves. Thoraco-acromial artery (branch of axillary)

Answer 25

Seated, hand behind back. Palpate inferior to coracoid process. elevate hand. Ribs 3-5 --> coracoid process Protraction and depression of scapula. Elevates R3-5. Medial and lateral pectoral nerves Thoraco-acomial artery (branch of axillary)

Answer 26

Supine, arm medially rotated. Palpate inferior to middle third of clavicle. Depress scapula. R1 --> middle of inferior surface of clavicle Depresses clavicle. Elevates R1 Brachial plexus Suprascapular and axillary arteries.

Answer 27

Supine, pillow beneath knees. Palpate xiphoid process and ribs, and pubis. Flex trunk just a wee bit. Pubis (symphysis and crest) --> xiphoid process and costal cartilage 5-7 Flexion, PPT Intercostal nerves Superior and inferior epigastric, and posterior intercostal arteries

Answer 28

Supine, pillow under knees. Palpate abdomen between iliac crest and lower ribs. Exhale forcefully. Inguinal ligament, iliac crest, thoracolumbar fascia, costal cartilage --> abdominal aponeurosis. Intercostal nerves Posterior intercostal, subcostal, inferior epigastric and deep circumflex arteries.

Answer 29

Supine, pillow under knees. Palpate anterolateral abdomen between iliac crest and lower ribs. flex obliquely Pubic bone (crest and tubercle), anterior iliac crest and abdominal aponeurosis --> inferior border of lowest 8 ribs (5-12) Flexion, lateral flexion, contralateral rotation, PPT Intercostal nerves Posterior intercostal, subcostal, inferior epigastric, deep circumflex arteries.

Answer 30

Supine, pillow under knees. Palpate anterolateral abdomen between iliac crest and ribs. Flex to same side. Inguinal ligament, pelvic crest, thoracolumbar fascia --> abdominal aponeurosis and R10-12 Flexion, lateral flexion, ipsilateral rotation. Intercostal nerves Posterior intercostal, subcostal, deep circumflex and inferior epigastric arteries.

Answer 31

Supine with pillow under knees. Palpate inferior margin of anterior ribs. Breathe. On exhalation, curl fingers under. ``` Lumbar spine (L1-3), Internal surfaces of R7-12 and their costal cartilages, and Xiphoid process. --> central tendon of diaphragm ``` Increases volume of thoracic cavity Phrenic nerve Branches of aorta and internal thoracic arteries.