Unit 2 Exam

Question 1

Palpate the Spinous process of L3

Answer 1

Patient position: prone
1. follow iliac crest to L4, down 1 level to L5
2. Follow iliac crest to PSIS, to S2, then up to L5
3. Confirm with pelvic tilt
4. Move up to L3 level

Question 2

Palpate mamillary process of L2

Answer 2

Patient position: prone
1. follow iliac crest to L4, down 1 level to L5
2. Follow iliac crest to PSIS, to S2, then up to L5
3. Confirm with pelvic tilt
4. Move up to SP of L3 (1 up)
5. Move out 1 1/2 fingers away from SP

Question 3

Palpate facet joint of L3/L4

Answer 3

Patient position: prone
1. follow iliac crest to L4, down 1 level to L5
2. Follow iliac crest to PSIS, to S2, then up to L5
3. Confirm with pelvic tilt
4. Move up to L3 (more superior segment)
5. Move into lamina groove (out 1 finger)

Question 4

Palpate interspinous space of L2/L3

Answer 4

Patient position: prone
1. follow iliac crest to L4, down 1 level to L5
2. Follow iliac crest to PSIS, to S2, then up to L5
3. Confirm with pelvic tilt
4. Move up to space between L2 and L3 SPs

Question 5

Palpate sacroiliac joint

Answer 5

Doctor: contralateral
Patient: prone
1. Follow iliac crest to PSIS
2. use thenar/hypothenar of inferior hand to contact PSIS
3. reinforce with superior hand, spring into joint P-A, I-S, M-L
do not need to confirm L5

Question 6

Lumbo sacral joint/junction

Answer 6

patient: prone
1. follow iliac crest to PSIS, to S2
2. use calcaneal contact of inferior hand to contact sacral base, fingers point superior
3. reinforce with superior hand, spring into joint P-A
do not need to confirm L5