PRACTICE QUESTIONS
WITH 2024 SOLVED
SOLUTIONS!!
MSK3
Evatee 9/20/24 MSK3
,MSK3 ORAL EXAM PRACTICE QUESTIONS
WITH 2024 SOLVED SOLUTIONS!!
List the 14 steps of spinal examination and evaluation Answer - - Pain
assessment
- Initial observation
- History & interview
- Structural inspection
- Active movements
- Neurovascular assessment
- Palpation for condition
- Palpation for position
- Palpation for mobility
- Upper/lower quarter assessment
- Radiological and other medical data
- Summary of findings
- intervention /Rx. Plan
- Explanation and prognosis
Tell me everything you know about the multifidus Answer - - Consists of a
number of tendinous fasciculi that fill up the groove on either side of the
spinous processes of the vertebrae, from the sacrum to the axis.
- Dysfunction is related to low back pain 3-4 weeks or longer which can result in
atrophy of the muscle leads to fatty deposits in the muscle.
- Innervation= posterior branches/dorsal rami of the spinal nerve
- Supply=
,- Action= proprioceptive feedback and input due to high muscle spindle
density; Bilateral backward extension, unilateral ipsilateral side-bending and
contralateral rotation.
- Origin=
in sacral region: from the back of the sacrum, medial surface of the posterior
superior iliac spine, and from the posterior sacroiliac ligaments.
in lumbar region: from all the mamillary processes.
in thoracic region: from all the transverse processes.
in cervical region: from the articular processes of the lower four vertebrae.
- Insertion= spinous process of vertebrae above and capsule
-Explain how the multifidus isometric contraction works? What structures
prevent the capsule from being pinched on a regular basis? Answer - attaches
to the capsule and therefore could potentially act as a lever to pull the capsular
tissue out of the joint space
Tell me everything you know about the quadratus lumborum Answer - -
located on both sides of the low back. Attaches on the 12th rib and the
transverse processes of L1-L5 and to the thoracolumbar fascia and tethers into
the abdominal corset creating the stabilization feature
- Originates at the iliac crest.
- Innervated by the ventral rami of L1-4.
- Blood supply from the lumbar branch of the iliolumbar artery
- Actions include unilateral Lateral trunk flexion/Hip Hike, eccentric control for
contralateral side bend, pelvic stabilization during gait and bilateral depression
of the rib cage
- clinically, Good lumbar stabilizer due to the depth of the muscle and close to
the joints, more likely to be hypertonic causing pain or as result of pain, Very
difficult to length test, palpate in side lying
, Tell me everything you know about the levator scapulae. Answer - - Located in
the back on the side of the neck. Lies deep to the sternocleidomastoid and
trapezius muscles.
- Function is to lift the scapula or to sidebend and rotate neck to the same side
of the neck.
- Innervated by dorsal scapular nerve.
- Inserts on medial border of the scapula and originates Posterior tubercles of
C1-C4.
- Vascular supply by dorsal scapular artery.
Tell me everything you know about longus colli Answer - - Located in the
anterior portion of the neck. 1 of the 4 deep neck flexors.
- Originates C1 to T3 and Inserts Anterior arch of atlas, anterior tubercles of C5-
6, anterior surfaces of bodies of vertebrae C2-4.
- Innervated by the ventral rami of C2-C6.
- Blood supply from the ascending cervical artery.
- Function is to Cervical flexion, ipsilateral flexion and some cervical rotation.
Tell me everything you know about longus capitis. Answer - - Located in the
anterior neck. One of the 4 deep neck flexors.
- Originates at the anterior tubercles of the transverse process of C3-C6.
- Inserts on the basilar portion of the occipital bone.
- Innervated by muscular branches of C1-C4.
- Action is to flex the head, sidebending and rotation of the head to the same
side.
- Blood supply from the ascending cervical artery.