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NPTE_ MSK Extra Practice exam with complete solutions. $11.49   Add to cart

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NPTE_ MSK Extra Practice exam with complete solutions.

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1. Heel raises check what myotome? 2. What is the nerve that supplies the gastroc? 3. What is the test that checks for the integrity of the achilles tendon? 1. S1 2. Tibial Nerve 3. Thompson test 1. What are the nerve roots for heel walking and what nerve supplies the anterior tib? L4,...

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  • September 9, 2024
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  • 2024/2025
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NPTE: MSK Extra Practice exam with
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1. Heel raises check what myotome?
2. What is the nerve that supplies the gastroc?
3. What is the test that checks for the integrity of the achilles tendon? - ANSWER-
1. S1
2. Tibial Nerve
3. Thompson test

1. What are the nerve roots for heel walking and what nerve supplies the anterior
tib? - ANSWER- L4, L5, Deep fibular nerve

Name the myotomes in O'sullivan from L2-S1. (Page 14) - ANSWER- L2- (Hip
flexion) Iliopsoas and sartorius

L3- (Knee extension) Quadriceps femoris

L4- (DF) Tibalis anterior (Reflex - Iliopsoas)

L5-(Hip AB, Flexion, IR) Glut med, (Great toe ext) Extensor hallucis longus (Reflex
- Semitendionsus)

S1- (Foot eversion) Peroneals (Foot inversion) Posterior Tibalis

Reflexes of the LE in O'sullivan from L2-S1 (Page 14) - ANSWER- L4- Iliopsoas
L5- Semitendinosus
S1- Posterior Tib & Gastroc/soleus complex

Myotomes:

,C4-C7 - ANSWER- C4- Shoulder shrug, upper trapezius
C5- Shoulder abduction, Deltoid
C6- Elbow flexion
C7- Wrist Ulnar flexion*

Myotomes:
C8, T1 - ANSWER- C8- Thumb MCP abduction
T1- Finger abduction, Interossei

Strong and painful - ANSWER- minor structural lesion the muscle-tendon junction

Weak and painless muscle causes? - ANSWER- Complete rupture, or nerve
deficit.

Weak and painful - ANSWER- Partial disruption of the junction, or pain response
due to serious pathology, or concurrent neuro deficit.

What is active insufficiency - ANSWER- A 2 joint muscle can not contract
maximally across both joints at the same time.

(Ex. Make a fist (finger flexors) you can make a strong fist when your wrist is in a
neutral of slightly extended position. But when you flex your wrist with a
clenched fist you loose some of the grip. This is because the finger flexors are
unable to shorten any more than they have and so begin to extend and lose grip
strength)

Poor+ muscle grade - ANSWER- Can move against gravity in a small range of
motion

If someone can move their limb against gravity but then has gradual release of
the position against gravity, what muscle grade do they get? - ANSWER- Fair -

Passive insufficiency definition - ANSWER- Occurs with 2 joint muscles and
refers to the fact that these muscles cannot stretch maximally across both joints
at the same time!

SLR testing: How do you bias the tibial nerve - ANSWER- SLR with DF and
eversion

SLR testing: How do you bias the peroneal nerve? - ANSWER- SLR with PF and
inversion

, SLR testing with DF and inversion will bias what nerve? - ANSWER- Sural

What portion of the LE does the sural nerve supply? - ANSWER- Lateral aspect of
the leg

What cutaneous nerve supplies the medial aspect of the leg ? - ANSWER-
saphenous nerve

When checking for clonus do you want the knee to be in flexion or extension? -
ANSWER- Slight flexion

What test should be performed prior to manual therapy treatment of the cervical
spine - ANSWER- Vertebral artery test

How to maximally close the foramen versus maximal approximation of the facet. -
ANSWER- Foramen- Extend, Ipsilateral SB and rotation
Facet joint- Extend, Ipsilateral SB, Contralateral rotation

How many pounds of force should be applied during cervical traction to rule out
neck involvement? - ANSWER- 14 lbs

What is the standing flexion test for the lumbar spine - ANSWER- Palpate both
PSIS in standing.
Patient bends forward.
The PSIS that moves cranially first or that moves the farthest is the Positive or
"blocked side".

(False positives could be caused by an ipsilateral tight QL or a contralateral tight
hamstring)

Gillets test, what is the positive? - ANSWER- Gillets assesses posterior
movement of the ileum relative to the sacrum.

When the knee is brought to the chest, the PSIS should move inferiorly.

Positive test is no movement of the PSIS.

Long-sitted test positives - ANSWER- ALPS

Anterior -> long to short

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