Anatomy
Name this muscle based on its description:
Origin: lateral condyle of the femur
Insertion: posterior surface of the tibia above the soleus
Action:flexion and internal rotation of the knee ("unlocking" the knee from extension)
Popliteus
Your patient presents with significant scapular winging on one side. Which peripheral nerve is most likely affected?
Long Thoracic Nerve
What are the 2 components of a vertebral disc?
Nucleus pulposus and annulus fibrosis
What are the 3 areas broken in a trimallolar fracture?
Medial, lateral and posterior malleolus (posterior aspect of tibia)
During open chain shoulder abduction, please describe the arthrokinematics (roll and glide) of the ball and socket joint.
Superior roll, inferior glide
BONUS 100:
Name all 7 tarsal bones
Calcaneus, talus, cuboid, navicular, medial, lateral, and middle (intermediate) cuneiform
Which 2 movements of the ankle would you add to a SLR test to bias the peroneal nerve?
Ankle iversion and plantarflexion
Show the movements you would test for an ulnar upper limb nerve tension test
depressing the shoulder, abducting and externally rotating the arm, pronating the forearm, extending the wrist and fingers, flexing the elbow.
Which test below would be the most appropriate to assess for an acute ACL rupture in our clinic? – and why:
Lachmans, pivot shift, anterior drawer
Lachmans- has the best sensitivity for acute cases not under anesthesia
Shockwave was first used in the 1980s for what purpose?
To break up kidney stones
Name all 8 carpal bones.
BONUS 100 if you can name them in order starting from most proximal/lateral and moving to most distal/medial
Scaphoid, lunate, triquetrum, pisiform, trapezium, trapezoid, capitate, hamate
Name at least 1 muscle that is innervated by the dorsal scapular nerve
rhomboid major, rhomboid minor, levator scapula
Which nerve roots are mainly tested with a patellar reflex
L3, L4
Per the NICE guidelines, what are the 3 factors listed for a clinical diagnosis of OA?
Are over 45, have activity related joint pain, and either no morning joint related stiffness or morning stiffness that lasts no longer than 30 minutes
True or false: If you have a patient who starts crying, you should immediately start making fun of them for being a baby.
Please don't be a jerk
Anatomy of a vertebra:**Will pull up picture
What is the green area?
BONUS 100: what is the purple area
Green: pedicles
Purple: lamina
What nerve passes through the quadrilateral space?
Bonus 100 points: Name at least one of the borders of the quadrilateral space.
Axial nerve
Borders: teres minor, teres major, long head triceps, surgical neck humerus
Name at least 1 out of the 4 components to the cluster of Wainner (used for assessing for cervical radiculopathy)
Positive spurlings, ULNTT, reduced cervical rotation (less than 60 degrees), cervical distraction test
Name and demonstrate at least 1 test used to assess for thoracic outlet syndrome
Roos, Asdon maneuver, Wright test, will accept spurlings
The femoral nerve arises from which 3 nerve roots in the lumbar plexus?
L2, L3, L4
Which muscle is notable for its frequent absence? It is missing in about 15% of the population (congenital variant) and does not affect hand strength/function.
Palmaris Longus
Patient comes in with foot drop.
True (peroneal nerve palsy is usually a weakness in DF and EV while L4 is more likely weakness in ankle DF and IV)
Spinal MRI: **Will pull up photo
Is this a T1 or T2 weighted MRI image?
Bonus 100: How do you know?
T2- fluid appears bright
What blood test would you expect to be elevated in diagnoses such as proximal myositis and rhabdomyolysis?
Creatine Kinase (CK)
Which cranial nerve supplies the motor function for muscles of mastication/chewing?
BONUS 100: What number cranial nerve is this?
Trigeminal, 5th cranial nerve