NPTE_ MSK Extra Practice exam with complete solutions.
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Course
NPTE
Institution
NPTE
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,...
NPTE: MSK Extra Practice exam with
complete solutions
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
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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