Clinical Skills Final Exam Practical|Complete Questions
with A+ Graded Answers
what are the contents of the cubital fossa?
radial nerve, biceps tendon, brachial artery, median nerve, lymph nodes
what are the bear claw landmarks?
thumb = adductor tubercle
index = pes anserine
middle = tibial tuberosity
ring = gerdy's tubercle
pinky = fibular head
how do you find the mastoid process?
bony prominence behind the ear
how do you find the external occipital protuberance?
starting on the posterior side and center of the skull, slide your finger down until you feel it
how do you find C2?
start at the external occipital protuberance and slide down the center of the skull until you feel a deep
indent
how do you confirm the location of C2?
turn the patient's head side to side -- you should feel the spinous process of C2 move
how do you find the thyroid cartilage?
move down the trachea until you feel the first notch on the anterior neck
how do you find the jugular notch?
u-shaped indention above the sternum
how do you find the spinous process of C7?
follow the spine down from C2 until you reach the protruding bone
how can you confirm the location of C7?
have the patient flex and extend their head -- the spinous process should not move
how do you find the SCJ?
start at the jugular notch and trace laterally
how do you find the ACJ?
follow the clavicle all the way to the shoulder until you feel a u-shaped notch on the superior shoulder
,how do you find the coracoid process?
place your hand on the patient's shoulder and press your index finger into the superior armpit area
(soft/sensitive)
how can you confirm the location of the coracoid process?
have the patient rotate their arm -- the coracoid process should not move
how do you find the humeral head?
place your hand on the patient's shoulder and press your middle finger slightly lateral of the coracoid
process
how can you confirm the location of the humeral head?
have the patient rotate their arm -- the humeral head should move
how do you find the acromion?
find the spine of the scapula and follow it to the superior shoulder -- you should feel a bump just
before the ACJ
how do you find the medial epicondyle of the elbow?
bony prominence on the medial side of the elbow
how do you find the lateral epicondyle of the elbow?
bony prominence on the lateral side of the elbow
how do you find the radial head?
start from the lateral epicondyle and move distally
how can you confirm the location of the radial head?
have the patient pronate and supinate their arm -- you should feel the radial head rotate
how do you find the radial styloid process?
bony prominence on the lateral side of the wrist
how do you find the ulnar styloid process?
bony prominence on the medial side of the wrist
how do you find lister's tubercle?
seed-shaped bone on the posterior radial side of the wrist -- slightly medial from the styloid process
what muscle attaches at lister's tubercle?
extensor pollicis longus
what are the contents of the anatomic snuffbox?
scaphoid, radial artery, 1st CMC, trapezium
, what are the borders of the anatomical snuffbox?
extensor pollicis longus, extensor pollicis brevis, abductor pollicis
how do you find the 1st CMC joint?
start at the 1st CMC and trace proximally until a small grove is felt
what bones make up the 1st CMC joint?
trapezium and 1st metacarpal
how do you find the capitate?
start on the posterior side of the hand on the 3rd metacarpal -- trace proximally until a bump is felt
how do you find the pisiform?
start on the anterior side of the hand near the ulnar side -- relax and extend the wrist and feel for a
small ball-shaped prominence
how can you confirm the location of the pisiform?
move the bone back and forth
what muscle attaches to the pisiform?
flexor carpi ulnaris
how do you find the iliac crest?
start under the patient's ribs -- push in on the stomach and slide hands down until a bony prominence
is felt
how do you find the ASIS?
start at the iliac crest and move anteriorly until bony prominence is felt
how do you find the PSIS?
start from the iliac crest and move thumbs posteriorly and medially until bony prominence is felt
how do you find the greater trochanter?
have the patient lie on their back and feel along the lateral side of their thigh until a bony prominence
is felt
how can you confirm the location of the greater trochanter?
have the patient internally and externally rotate their leg -- the greater trochanter should move
how do you find the tibial tuberosity?
start at the patella and move distally until the first bony prominence is felt
with A+ Graded Answers
what are the contents of the cubital fossa?
radial nerve, biceps tendon, brachial artery, median nerve, lymph nodes
what are the bear claw landmarks?
thumb = adductor tubercle
index = pes anserine
middle = tibial tuberosity
ring = gerdy's tubercle
pinky = fibular head
how do you find the mastoid process?
bony prominence behind the ear
how do you find the external occipital protuberance?
starting on the posterior side and center of the skull, slide your finger down until you feel it
how do you find C2?
start at the external occipital protuberance and slide down the center of the skull until you feel a deep
indent
how do you confirm the location of C2?
turn the patient's head side to side -- you should feel the spinous process of C2 move
how do you find the thyroid cartilage?
move down the trachea until you feel the first notch on the anterior neck
how do you find the jugular notch?
u-shaped indention above the sternum
how do you find the spinous process of C7?
follow the spine down from C2 until you reach the protruding bone
how can you confirm the location of C7?
have the patient flex and extend their head -- the spinous process should not move
how do you find the SCJ?
start at the jugular notch and trace laterally
how do you find the ACJ?
follow the clavicle all the way to the shoulder until you feel a u-shaped notch on the superior shoulder
,how do you find the coracoid process?
place your hand on the patient's shoulder and press your index finger into the superior armpit area
(soft/sensitive)
how can you confirm the location of the coracoid process?
have the patient rotate their arm -- the coracoid process should not move
how do you find the humeral head?
place your hand on the patient's shoulder and press your middle finger slightly lateral of the coracoid
process
how can you confirm the location of the humeral head?
have the patient rotate their arm -- the humeral head should move
how do you find the acromion?
find the spine of the scapula and follow it to the superior shoulder -- you should feel a bump just
before the ACJ
how do you find the medial epicondyle of the elbow?
bony prominence on the medial side of the elbow
how do you find the lateral epicondyle of the elbow?
bony prominence on the lateral side of the elbow
how do you find the radial head?
start from the lateral epicondyle and move distally
how can you confirm the location of the radial head?
have the patient pronate and supinate their arm -- you should feel the radial head rotate
how do you find the radial styloid process?
bony prominence on the lateral side of the wrist
how do you find the ulnar styloid process?
bony prominence on the medial side of the wrist
how do you find lister's tubercle?
seed-shaped bone on the posterior radial side of the wrist -- slightly medial from the styloid process
what muscle attaches at lister's tubercle?
extensor pollicis longus
what are the contents of the anatomic snuffbox?
scaphoid, radial artery, 1st CMC, trapezium
, what are the borders of the anatomical snuffbox?
extensor pollicis longus, extensor pollicis brevis, abductor pollicis
how do you find the 1st CMC joint?
start at the 1st CMC and trace proximally until a small grove is felt
what bones make up the 1st CMC joint?
trapezium and 1st metacarpal
how do you find the capitate?
start on the posterior side of the hand on the 3rd metacarpal -- trace proximally until a bump is felt
how do you find the pisiform?
start on the anterior side of the hand near the ulnar side -- relax and extend the wrist and feel for a
small ball-shaped prominence
how can you confirm the location of the pisiform?
move the bone back and forth
what muscle attaches to the pisiform?
flexor carpi ulnaris
how do you find the iliac crest?
start under the patient's ribs -- push in on the stomach and slide hands down until a bony prominence
is felt
how do you find the ASIS?
start at the iliac crest and move anteriorly until bony prominence is felt
how do you find the PSIS?
start from the iliac crest and move thumbs posteriorly and medially until bony prominence is felt
how do you find the greater trochanter?
have the patient lie on their back and feel along the lateral side of their thigh until a bony prominence
is felt
how can you confirm the location of the greater trochanter?
have the patient internally and externally rotate their leg -- the greater trochanter should move
how do you find the tibial tuberosity?
start at the patella and move distally until the first bony prominence is felt
