Palpation mod 2

Question 1

The 2 “bulges” at the knee, “widening of the femur” are called

Answer 1

Epicondyle - medial and lateral

Question 2

With the patients knee slightly bent, move hand medially from the epicondyle. Your hand will land on top of the _____

Answer 2

Patella

Question 3

The lateral aspect of the tibial condyle is where you would find the ____

Answer 3

fibular head

Question 4

Put your hands on the knee while your knee is bent. Have your fingers drop off of the front. What structure are your fingers on?

Answer 4

Tubercle of tibia

Question 5

What is the most forward facing prominence distal to the patella on the shaft of the tibia?

Answer 5

Tibia tuberosity

Question 6

The fibular head moves best when this structure moves.

Answer 6

foot

Question 7

Where would you find the calcaneus? What movement can confirm your placement?

Answer 7

The back of the foot. Dorsi/plantar flex

Question 8

Calcaneus meets cuboid bone, which meets with the _ and _ metatarsal

Answer 8

4 and 5

Question 9

On the medial aspect of the foot, name the bones going proximal to distal.

Answer 9

Calcaneus, Talus, navicular, medial cuneiform, first metatarsal, phalanges

Question 10

What is the largest synovial joint in the body?

Answer 10

Tibiofemoral (knee) joint. A modified hinge joint.

Question 11

What is the thinnest bone in the body in proportion to its length?

Answer 11

Fibula

Question 12

The patella is the largest ____ bone in the body

Answer 12

Sesamoid

Question 13

The patella is an attachment site and junction point for the _____ tendon and _____ligament.

Answer 13

quadricep femoris tendon and patellar ligament.

Question 14

When the knee is flexed, the patella seems to disappear, sinking into the space between the ____ and _____.

Answer 14

proximal tibia and femoral condyles

Question 15

The tibial tuberosity is an attachment point for which ligament?

Answer 15

Patellar ligament

Question 16

The head of the fibula is the attachment site for which muscles and ligament?

Answer 16

bicep femoris muscle and a portion of the soleus muscle, and the fibular collateral ligament.

Question 17

Which 3 tendons of the thigh converge at the medial knee to form the larger pes anserinus tendon, which attaches to the proximal, medial shaft of the tibia?

Answer 17

sartorius, gracilis, and semitendinosus.

Question 18

The edges of the ______ ______ play an important role in the tracking of the patella when the knee is flexed and extended.

Answer 18

femoral condyles

Question 19

The medial epicondyle is deep to the tendon of the ______, distal to the ________ muscle, and serves as an attachment site for the ________ ______ ligament.

Answer 19

sartorius
vastus medialis muscle
tibial collateral ligament

Question 20

This small tip sticks out from the top of the medial epicondyle and is an attachment site for the adductor magnus tendon.

Answer 20

Adductor tubercle - located proximal to the medial epicondyle, between the belly of the vastus medialis and the hamstring tendons.

Question 21

The foot contains ___ bones

a) 18
b) 24
c) 26
d) 27

Answer 21

c) 26 bones

Question 22

The hind foot is the union of which 2 bones?

Answer 22

talus and calcaneus

Question 23

What bone articulates with the tibia and fibula to form the ankle joint?

a) calcaneus
b) talus
c) cuboid
d) navicular

Answer 23

b) talus - ankle joint is the talocrural joint.

Question 24

The midfoot is composed of ____ tarsals?

a) 5
b) 10
c) 4
d) 8

Answer 24

a) 5
- cuboid, navicular,
medial, middle and lateral cuneiforms

Question 25

T/F
The forefoot is formed by the long, superficial metatarsals and phalanges. Similar to a metacarpal, each metatarsal consists of a proximal base, a shaft, and a distal head.

Answer 25

True

Question 26

The first toe is formed by ___ phalanges, and the remaining toes have ___ phalanges each.

Answer 26

2, 3

Question 27

What does the sustentaculum tali support?

Answer 27

talus on the calcaneus.

It is also an attachment site for the deltoid ligament.

Question 28

How many landmarks does the talus have?

a) 1
b) 2
c) 3
d) 4

Answer 28

c) 3
1. The head is a round anterior portion that articulates with the navicular. The medial aspect of the head is accessible posterior to the navicular tubercle.
2. The trochlea, the large, superior prominence of the body of the talus. Anterior part is between malleoli.
3. Medial tubercle - posterior to the medial malleolus and serves as an attachment site for the deltoid ligament.

Question 29

The first metatarsophalangeal joint is located at the ______

Answer 29

ball of the foot.

It is an ellipsoid joint with a large, bulbous shape.

Question 30

The proximal end of the first metatarsal flares to articulate with the

a) medial cuneiform
b) middle cuneiform
c) lateral cuneiform

Answer 30

a) medial cuneiform

This forms a visible crest on the top of the foot that can be irritated by wearing tight shoes.

Question 31

T/F

All of the metatarsals have similar shapes and sizes

Answer 31

False. The first metatarsal is short and stocky, while 2-5 are long and slender.

Question 32

In metatarsals 2-5, there are 2 articulations, the “pip” joint and the “dip” joint. What does pip and dip stand for?

Answer 32

Pip - Proximal InterPhalangeal

Dip - Distal InterPhalangeal

Question 33

The tuberosity of the 5th metatarsal is a superficial knob that extends laterally off the base of the metatarsal and is the attachment site for the ________

Answer 33

fibularis brevis

Question 34

The medial cuneiform serves as an attachment site for which 2 muscles?

Answer 34

Tibialis anterior and tibialis posterior.

Question 35

The middle and lateral cuneiforms, sandwiched between the medial cuneiform and the cuboid, are accessible on which surfaces?

Answer 35

dorsal

Question 36

Which bone is sandwiched between the medial and middle cuneiforms and the talus?

Answer 36

Navicular

Question 37

The cuboid is surrounded on 3 of its 4 sides by which structures?

Answer 37

4 and 5 metatarsals, lateral cuneiform and calcaneus.

This makes the cuboid only partially accessible.