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DPT: PT Exam > Skills Check 1 > Flashcards

Skills Check 1 Flashcards

1
Q

Dermatome:Upper Quarter

A 
C4=lateral acromion
C5= medial deltoid
C6= radial forearm/thumb
C7 = distal mid finger
C8= fifth finger/ulnar forearm
T1= medial arm
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2
Q

Myotome: Upper Quarter

A 
C1-2= neck flexion 
C3= lateral flexion
C4= shoulder shrug
C5= shoulder abduction
C6= elbow flexion
C7= elbow extension
C8= thumb abduction
T1= finger abduction
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3
Q

Scanning Exam: Upper Quarter: Mobility Testing

A

cervical=flexion, extension, lateral flexion, rotation
shoulder=flexion, extension, abduction, int/ext rotation
elbow
elbow= flexion,extension
wrist= wrist flexion, extension, rad/uln deviation

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4
Q

Scanning:Upper Quarter:Functional

A

hands behind neck, hands behind back, drink a glass of water, comb hair

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5
Q

Dermatome: Lower Quarter

A 
L2=anterior mid thigh
L3=medial knee
L4= medial malleolus
L5= medial dorsum of foot
S1= lateral foot
S2= medial calcaneus
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6
Q

Myotome: Lower Quarter

A 
L2-3= hip flexion
L3-4= knee extension
L4-5= walking on heels
L5= big toe extension
L5-S1= walking on toes
S1-S2= ankle plantarflexion and eversion
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7
Q

Scanning: Lower Quarter: Mobility

A

lumbar= flexion, extension, lateral flexion, rotation, quadrant
hip= flexion, abduction, int/ext rotation
knee=flexion, extension
ankle= dorsiflexion, plantarflexion, eversion, inversion

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8
Q

Normal Posture: Lateral

A

plumb line falls through ear lobe to acromion, bisects the chest symmetrically, midway b/w abdomen, back, and slightly anterior to SI; posterior to hip joint through greater trochanter; anterior to knee joint and lateral malleolus

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9
Q

Normal Posture: Posterior

A

plumb line bisects through ext. occipital protuberance, midway between shoulders, bisects SP of thoracic/lumbar vertebrae; bisects gluteal cleft, iliac crests, greater trochanters level; equidistant between knees and malleoli

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10
Q

Normal Posture: Anterior

A

assess carrying angle (men=5-10 degrees, women= 10-15 degrees); assess if ASIS are level, patellas are straight, toeing out

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11
Q

Gonio: Hip Flexion

A

supine;
SA= midline of trunk
F= greater trochanter
MA= lateral femoral condyle

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12
Q

Gonio: Hip Abduction

A

supine;
SA=contralateral ASIS
F= ipsilateral ASIS
MA=midline of patella

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13
Q

Gonio: Knee Flexion

A

supine
SA=greater trochanter
F=lateral epicondyle
MA=lateral malleolus

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14
Q

Gonio: Hip Extension

A

prone
SA= midline of trunk
F=greater trochanter
MA=lateral femoral epicondyle

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15
Q

Gonio: Hip Internal Rotation

A

prone; foot out
SA= perpendicular to floor
F=patella
MA=anterior tibial crest

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16
Q

Gonio: Hip Ext Rotation

A

prone; foot in
SA=perpendicular to floor
F=patella
MA=ant. tibial crest

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17
Q

Gonio: Dorsiflexion (leg straight)

A

prone;
SA=fibular head
F=lateral malleolus
MA= fifth metatarsal

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18
Q

Gonio: Dorsiflexion (leg bent)

A

prone;
SA=fibular head
F= lateral malleolus
MA= fifth metatarsal

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19
Q

Gonio: Foot Inversion

A

sitting
SA=anterior tibial crest
F= midline between malleoli
MA=second metatarsal

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20
Q

Gonio: Foot Eversion

A

sitting
SA=anterior tibial crest
F= midway beween malleoli
MA= second metatarsal

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21
Q

Gonio: First MTP Joint

A

sitting; both flexion and extension
SA=first metatarsal
M= first MCP joint
MA=proximal phalanx of big toe

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22
Q

Gonio: Shoulder Flexion

A

supine
SA= midline of trunk
M= lateral acromion
MA=lateral epicondyle of humerus

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23
Q

Gonio: Shoulder Abduction

A

supine
SA=midline of trunk
F= acromion (may need to move off to the side)
MA= medial epicondyle of humerus

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24
Q

Gonio: Elbow Flexion

A

supine; prop up on towel
SA= acromion process
F=lateral epicondyle of humerus
MA=radial styloid process

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25
Q

Gonio: Elbow Hyperextension

A

supine; prop up on towel
SA= acromion process
F= lateral epicondyle of humerus
MA=radial styloid process

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26
Q

Gonio: Shoulder Extension

A

prone
SA=midline of trunk
F=lateral acromion
MA= lateral epicondyle of humerus

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27
Q

Gonio: Forearm Pronation

A

sitting
SA= midline of humerus
F=ulnar styloid process(lateral side)
MA= carpals/volar wrist

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28
Q

Gonio: Forearm Supination

A

sitting
SA= midline of humerus
F=ulnar styloid (medial)
MA=carpals/volar wrist

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29
Q

Gonio: Wrist Flexion

A

sitting; ABDUCT to 70
SA=olecranon process
F=triquetrum
MA= fifth metacarpal

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30
Q

Gonio:Wrist Hyperextension

A

sitting; ABDUCT to 70
SA= olecranon process
F=triquetrum
MA=fifth metacarpal

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31
Q

Gonio: radial deviation

A

sitting; ABDUCT to 70
SA= lateral epicondyle of humerus
F=capitate
MA=third metacarpal

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32
Q

Gonio: ulnar deviation

A

sitting; ABDUCT to 70
SA= lateral epicondyle
F=capitate
MA=third metacarpal

33
Q

Gonio: finger flexion

A

test MCP, PIP, DIP; PIP has the most motion;

34
Q

MMT: Hip Flexors

A

sitting

palpate: rectus femoris
stabilize: pelvis

35
Q

MMT: Sartorius

A

sitting
palpate: at ASIS
Stabilize: on lateral thigh of leg being tested (push into A44)
*pull at a 45 degree angle

36
Q

MMT: Internal Rotators

A

sitting

palpate: TFL; ASIS inf and posterior
stabilize: medial thigh of leg being tested

37
Q

MMT: External Rotators

A

sitting

palpate: glue max; iliac crest and move inferiorly
stabilize: lateral thigh of leg being tested

38
Q

MMT: Knee Extension

A

sitting

palpate: quads/vastii
stabilize: pelvis
* make sure they are out of the screw home mechanism

39
Q

MMT: Ankle Dorsiflexion/Inversion (Tibialis Anterior)

A

sitting

palpate: tibialis anterior
stabilize: behind ankle above maleoli
* push mostly down rather than out

40
Q

MMT: Toe Extensors

A

sitting

palpate: tendons
stabilize: bottom of foot
* tests toes and greater toe separately

41
Q

MMT: Toe Flexors

A

sitting

palpate: ??
stabilize: top of foot
* test toes and greater toe separately

42
Q

MMT: Hip Abduction

A

side lying

palpate: gluteus maximus (iliac crest, move inferiorly)
stabilize: pelvis
* leg in line with body

43
Q

MMT: TFL

A

side lying

palpate: TFL; ASIS anterior and inferior
stabilize: pelvis
* hip slightly flexed and internally rotated

44
Q

MMT: Hip Adduction

A

side lying

palpate: medial bottom thigh (adductors)
stabilize: lift top leg up and support it

45
Q

MMT: Plantarflexion/Eversion (Peroneus Longus)

A

side lying

palpate: peroneus longus; posterior to lateral malleolus
stabilize: under leg being tested
* ask toes to point and evert; press down

46
Q

MMT: Tibialis Posterior

A

side lying

palpate: posterior to medial malleolus
stabilize: under leg being tested
* ask toes to point and invert

47
Q

MMT: general hip extension

A

prone

palpate: all hip extensors (glute max/med/hamstrings)
stabilize: pelvis
* don’t bend knee; leg stays straight

48
Q

MMT: gluteus maximus

A

prone

palpation: palpate glutes; knee is bent
stabilize: pelvis
* knee is bent and lift leg up

49
Q

MMT: hamstrings

A

prone

palpation: palpate hamstrings as foot is brought to butt
stabilize: pelvis

50
Q

MMT: Lower Trapezius

A

prone

palpation: under scapular angle; shoulder abducted 130 degrees with thumb to ceiling
stabilize: opposite shoulder of that being tested
* Do not pass scapula; stand on opposite side

51
Q

MMT: Middle Trapezius

A

prone

palpation: medial to scapula; shoulder abducted 90 deg; thumb to ceiling
stabilize: opposite shoulder of that being tested
* do not pass scapula; stand on opposite side

52
Q

MMT: Rhomboids

A

prone

palpation: along medial border of scapula; hand behind back; ask patient to raise shoulder off table
stabilize: opposite shoulder of that being tested; stand on opposite side

53
Q

MMT: Latissimus Dorsi

A

prone

palpation: teres major and lats; hand by side and palm to ceiling; have patient raise hand to ceiling
stabilize: along midline of torso

54
Q

MMT: Posterior Delotid

A

prone

palpation: along deltoid; forearm dangling off table at 90 degree angle(maybe with towel); ask patient to bring elbow towards ceiling
stabilization: stabilize scapula of same side being tested

55
Q

MMT: Internal Rotators

A

prone

palpation: teres major; ask patient to bring palm to ceiling; forearm off table
stabilization: along superior humerus

56
Q

MMT: External Rotators

A

prone

palpation: supraspinatus; ask patient to bring back of hand to ceiling; forearm off table
stabilization: along inferior humerus

57
Q

MMT: Pec Major-Clavicular

A

supine

palpation: bring arm straight across chest; palpate under clavicle
stabilization: shoulder, while pulling arm straight out (bend at elbow)

58
Q

MMT: Pec Major-Sternal

A

supine

palpation: arm diagonally across to the opposite pocket; bring humerus back to 90; palpate near armpit
stabilize: contralateral ASIS;
* pull in the direction of action

59
Q

MMT: Triceps

A

supine

palpation: bend elbow and palpate triceps (humerus at 90)
stabilize: block along biceps with back of hand

60
Q

MMT: Levator Scapula

A

sitting

palpation: have patient turn head to opposite side and look up; bend ear to shoulder; palpate neck
stabilize: one hand on side of head, one hand on top of shoulder; press down more than on head

61
Q

MMT: Serratus Anterior

A

sitting

palpation: ask patient to bring arm out and punch; side of ribs
stabilize: hold humerus and press back on arm while pressing scapula out of A24
* press back instead of down

62
Q

MMT: shoulder abduction

A

sitting

palpation: middle deltoid and supraspinatus
stabilize: stabilize contralateral shoulder; be in front of patient; shoulder at 90

63
Q

MMT: shoulder flexion

A

sitting

palpation: anterior deltoid; coracobrachialis; bring shoulder to 90
stabilize: top of shoulder

64
Q

MMT: Elbow flexion

A

sitting

palpation: biceps
stabilize: anterior shoulder; pull against flexion

65
Q

MMT: Brachio-Radialis

A

sitting

palpation: thumb towards ceiling; elbow flexion
stabilize: anterior shoulder

66
Q

MMT: Brachialis

A

sitting
palpation: palm to floor
elbow flexion
stabilize: anterior shoulder

67
Q

MMT: Supination

A

sitting

palpation: biceps brachii
stabilize: lateral humerus; cup forearm in hand with thumb to thumb; pull up with thenar eminence

68
Q

MMT: Pronation

A

sitting

palpation: pronator teres
stabilize: cup forearm in hand with thumb to htumb; pull up with thenar eminence

69
Q

MMT: Extensor Carpi Ulnaris

A

sitting

palpation: at the tendon; extension and ulnar deviation
stabilize: under forearm; forearm also supported on table

70
Q

MMT Grade= 0

A

no evidence of contraction by vision or palpation

71
Q

MMT Grade = 1

A

trace; slight contraction; NO movement

72
Q

MMT Grade= 2-

A

poor minus; movement through partial ROM in gravity lessened position

73
Q

MMT Grade = 2

A

poor; movement through full ROM in gravity lessened position

74
Q

MMT Grade = 2+

A

poor +; movement through full ROM in gravity lessened position and up to 1/2 ROM against gravity

75
Q

MMT Grade = 3-

A

movement through full ROM in gravity lessened position and more than 1/2 ROM against gravity

76
Q

MMT Grade = 3

A

fair; movement through the full ROM against gravity

77
Q

MMT Grade= 3+

A

movement through the full ROM against gravity and able to hold against minimum resistance

78
Q

MMT Grade = 4

A

good; movement through the full ROM against gravity and able to hold against moderate resistance

79
Q

MMT Grade = 5

A

normal; movement through full ROM against gravity and against maximal resistance

DPT: PT Exam (2 decks)

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