ART Nerve Entrapment & Neurological Assessment 2

Question 1

Tarsal tunnel syndrome involves entrapment of which nerve as it passes behind the medial malleolus?

Accepted Answer

Posterior tibial nerve

Answer

The posterior tibial nerve passes through the tarsal tunnel posterior to the medial malleolus and can be entrapped, causing pain and paresthesia on the plantar surface of the foot.

Question 2

In ART assessment, a positive Tinel's sign is produced by:

Accepted Answer

Light percussion over a superficial nerve

Answer

Tinel's sign is elicited by lightly tapping (percussing) over the course of a nerve; reproduction of tingling or shooting pain distally is a positive response indicating nerve irritation or entrapment.

Question 3

Which muscle in the wrist/forearm region is a common site of median nerve entrapment known as pronator syndrome?

Accepted Answer

Pronator teres

Answer

The median nerve can be compressed as it passes between the two heads of the pronator teres muscle, producing pronator syndrome with forearm pain and numbness in the median nerve distribution.

Question 4

When assessing for radiculopathy in ART practice, which test compresses the neural foramen by laterally flexing and rotating the head toward the affected side?

Accepted Answer

Spurling's test

Answer

Spurling's test (or foraminal compression test) involves extending, rotating, and laterally flexing the head toward the symptomatic side while applying downward pressure to narrow the foramen and reproduce radicular symptoms.

Question 5

The thoracic outlet syndrome cluster includes all of the following structures EXCEPT:

Accepted Answer

Supraspinatus tendon

Answer

Thoracic outlet syndrome involves compression of the brachial plexus and/or subclavian vessels by the scalene muscles, first rib, clavicle, or pectoralis minor; the supraspinatus is not part of this outlet.

(ART) Certified Art Provider Practice Test

(ART) Certified Art Provider Practice Test

ART Nerve Entrapment & Neurological Assessment 2