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  • Question 1 - A 16 year old girl fractured a bone in her left foot. Upon...

    Correct

    • A 16 year old girl fractured a bone in her left foot. Upon examination the clinician discovered that the fracture affected the insertion of the peroneus brevis muscle. Which of the following bones was most likely affected?

      Your Answer: Base of the fifth metatarsal

      Explanation:

      The peroneus brevis muscle originates from the lower two-thirds of the lateral body of the fibula and has inserts at the base of the fifth metatarsal. Fractures to this bone are common and can be due to infection, trauma, overuse and repetitive use.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      12
      Seconds
  • Question 2 - A man was stabbed in the thigh following a bar brawl. A superficial...

    Correct

    • A man was stabbed in the thigh following a bar brawl. A superficial vein was injured which terminates in the femoral vein. This superficial vein is?

      Your Answer: Great saphenous

      Explanation:

      The great saphenous vein is considered the longest vein in the body. It terminates in the femoral vein nearly 3cm below the inguinal ligament. It begins at the dorsum of the foot in the medial marginal vein and ascends at the medial side of the leg in relation with the saphenous nerve.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      21.4
      Seconds
  • Question 3 - In which of the following compartments of the femoral sheath is the femoral...

    Incorrect

    • In which of the following compartments of the femoral sheath is the femoral artery located?

      Your Answer: Medial compartment

      Correct Answer: Lateral compartment

      Explanation:

      The femoral sheath also known as the crural sheath is made up of three compartments; lateral, intermediate and the medial. The femoral artery is contained in the lateral compartment of the femoral sheath while the femoral vein is in the intermediate compartment.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      169.5
      Seconds
  • Question 4 - A teacher had varicosities in the region of the small saphenous vein. Which...

    Incorrect

    • A teacher had varicosities in the region of the small saphenous vein. Which of the following is true about that vein?

      Your Answer: Ends in the great saphenous vein

      Correct Answer: Has nine to twelve valves

      Explanation:

      It is known that the small saphenous vein has nine to twelve valves along its course. This vein begins as a direct continuation of the lateral marginal vein posterior to the lateral malleolus. It is superficially situated but closer to its termination, perforates the deep fascia in the lower part of the popliteal fossa to end in the popliteal vein.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      34.7
      Seconds
  • Question 5 - Choose the most correct answer regarding the obturator internus muscle. ...

    Incorrect

    • Choose the most correct answer regarding the obturator internus muscle.

      Your Answer: It adducts the thigh

      Correct Answer: It emerges from the pelvis through the lesser sciatic foramen

      Explanation:

      The obturator internus arises from the inner surface of the anterolateral wall of the pelvis and the pelvic surface of the obturator membrane. The fibres converge rapidly towards the lesser sciatic foramen and end in four or five tendinous bands and leave the pelvis through the lesser sciatic foramen.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      20.2
      Seconds
  • Question 6 - What best describes the muscles of the posterior compartment of the leg? ...

    Incorrect

    • What best describes the muscles of the posterior compartment of the leg?

      Your Answer: A-It crosses two joints

      Correct Answer: One of the posterior compartment leg muscles laterally rotates the femur

      Explanation:

      The muscles of the back of the leg are subdivided into two groups: superficial and deep. Superficial muscles include gastrocnemius, soleus and plantaris and are the chief extensors of the foot at the ankle joint. Deep muscles include the tibialis posterior, flexor hallucis longus, flexor digitorum longus and popliteus

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      69
      Seconds
  • Question 7 - Regarding the posterior compartment of the leg, which is correct? ...

    Incorrect

    • Regarding the posterior compartment of the leg, which is correct?

      Your Answer: The muscles dorsiflex the foot and are innervated by the deep fibular nerve

      Correct Answer: The muscles plantarflex the foot and are innervated by the tibial nerve

      Explanation:

      The muscles of the back of the leg are subdivided into two groups: superficial and deep. Superficial muscles include gastrocnemius, soleus and plantaris. Deep muscles include tibialis posterior, flexor hallucis longus, flexor digitorum longus and popliteus. The superficial ( calf muscles) which are responsible for plantarflexion of the foot are supplied by the tibial nerve as follows: the gastrocnemius and soleus muscles are supplied by the first and second sacral nerves and the plantaris by the fourth and fifth lumbar and first sacral nerve (the tibial nerve).

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      31.6
      Seconds
  • Question 8 - Identify which of the following muscles acts on two joints? ...

    Incorrect

    • Identify which of the following muscles acts on two joints?

      Your Answer: Vastus medialis

      Correct Answer: Sartorius

      Explanation:

      The sartorius muscle, the longest muscle in the body, is one of the two jointed or biarticular muscles. It originates from the anterior superior iliac spine and part of the notch between the anterior superior iliac spine and anterior inferior iliac spine and crosses both the hip joint and the knee joint. At the hip joint the sartorius flexes and rotates the thigh at the hip joint and flexes the leg at the knee joint.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      44.5
      Seconds
  • Question 9 - A football player sustained an injury to his ankle. The wound went through...

    Incorrect

    • A football player sustained an injury to his ankle. The wound went through the skin, subcutaneous tissue and flexor retinaculum. Which other structure passing under the retinaculum may be injured?

      Your Answer: Anterior tibial artery

      Correct Answer: Tibial nerve

      Explanation:

      The flexor retinaculum is immediately posterior to the medial malleolus. The structures that pass under the flexor retinaculum from anterior to posterior are: tendon of the tibialis posterior, flexor digitorum longus, posterior tibial artery (and vein), tibial nerve and tendon of flexor hallucis longus. The tibial nerve is the only one which lies behind the flexor retinaculum.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      19.2
      Seconds
  • Question 10 - Which of the following statements regarding the femoral artery is CORRECT? ...

    Incorrect

    • Which of the following statements regarding the femoral artery is CORRECT?

      Your Answer: It pierces the adductor longus muscle

      Correct Answer: It has the femoral nerve lying lateral to it

      Explanation:

      The femoral artery begins immediately behind the inguinal ligament, midway between the anterior superior spine of the ilium and the symphysis pubis. The first 4 cm of the vessel is enclosed, together with the femoral vein, in a fibrous sheath (the femoral sheath). The femoral nerve lies lateral to this.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      74
      Seconds
  • Question 11 - Blood supply to the posterior compartment of the thigh is supplied by which...

    Correct

    • Blood supply to the posterior compartment of the thigh is supplied by which artery?

      Your Answer: Perforating

      Explanation:

      There are usually 3 perforating arteries:

      The first gives branches to the adductor brevis and magnus, biceps femoris and gluteus maximus and anastomoses with the inferior gluteal, medial and lateral femoral circumflex.

      The second artery supplies the posterior femoral muscles and anastomose with the first and third perforating vessels.

      The third supplies the posterior femoral muscles.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      17.3
      Seconds
  • Question 12 - Choose the most correct answer regarding the common peroneal nerve. ...

    Incorrect

    • Choose the most correct answer regarding the common peroneal nerve.

      Your Answer: It innervates the muscles that plantarflex the foot

      Correct Answer: It gives rise to the nerve that supplies the anterior compartment leg muscles

      Explanation:

      The common peroneal nerve divides beneath the peroneus longus muscle and gives off articular and lateral sural cutaneous nerves which supply muscular branches to the muscles of the anterior compartment of the leg which are the tibialis anterior, extensor digitorum, peroneus tertius and extensor hallucis longus.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      66.3
      Seconds
  • Question 13 - An intern is attempting to put in an arterial line in an ICU...

    Correct

    • An intern is attempting to put in an arterial line in an ICU patients left foot. Which is the best site to feel for the pulsation of the dorsalis pedis artery in the foot?

      Your Answer: Just lateral to the tendon of extensor hallucis longus

      Explanation:

      The dorsalis pedis artery is the continuation of the anterior tibial artery. The pulse of the posterior tibial artery, which comes from the posterior compartment of the leg, may be felt behind the medial malleolus just lateral to the tendon of the extensor hallucis longus.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      20.6
      Seconds
  • Question 14 - One of the following structures is contained in the anterior compartment of the...

    Incorrect

    • One of the following structures is contained in the anterior compartment of the lower leg. Which is it?

      Your Answer: Flexor digitorum longus muscle

      Correct Answer: Extensor hallucis muscle

      Explanation:

      The lower leg is made up of four fascial compartments separated from one another by septa that contain the muscles of the lower leg. The four compartments are ; anterior, lateral, deep posterior and superficial posterior compartments.

      These are the compartments and there contents:

      i) Anterior compartment: Tibialis anterior muscle, extensor hallucis longus muscle, extensor digitorum longus muscle, peroneus tertius muscles, deep fibular nerve and anterior tibial blood vessels

      ii) Lateral compartment: Fibularis longus muscle, brevis muscles and superficial fibular nerve

      iii) Deep posterior compartment: Tibialis posterior m., flexor hallucis longus m., flexor digitorum longus m. ,popliteus m. , tibial nerve, posterior tibial artery and posterior tibial vessels such as the fibular artery.

      iv) Superficial posterior compartment: Gastrocnemius m., soleus m., plantaris m., medial sural cutaneous nerve

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      31.9
      Seconds
  • Question 15 - What is the linea aspera: ...

    Correct

    • What is the linea aspera:

      Your Answer: Serves as an attachment for adductors of the thigh

      Explanation:

      The linea aspera is a prominent longitudinal ridge or crest on the middle third of the femur. It has a medial and a lateral lip and a narrow, rough, intermediate line. The vastus medialis arises from the medial lip of the linea aspera and has superior and inferior prolongations. The vastus lateralis takes origin from the lateral lip . The adductor magnus is inserted into the linea aspera. Two muscles are attached between the vastus lateralis and the adductor magnus: the gluteus maximus is inserted above and the short head of the biceps femoris arises below. Four muscles are inserted between the adductor magnus and the vastus medialis: the iliacus and pectineus superiorly, and the adductor brevis and adductor longus inferiorly.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      8
      Seconds
  • Question 16 - The muscles of the superficial posterior compartment of the leg insert into the:...

    Correct

    • The muscles of the superficial posterior compartment of the leg insert into the:

      Your Answer: Calcaneus

      Explanation:

      The muscles of the superficial posterior compartment of the leg form the characteristic ‘calf’ shape of the posterior leg and include the gastrocnemius, soleus and plantaris. The gastrocnemius and soleus together form a muscular mass which is occasionally described as the triceps surae; its tendon of insertion is the tendo calcaneus. The tendo calcaneus is the thickest and strongest in the body and together with the tendon of the plantaris muscle is inserted into the posterior part of the calcaneus.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      8.3
      Seconds
  • Question 17 - A 25 year old male patient who had sustained a stab wound in...

    Correct

    • A 25 year old male patient who had sustained a stab wound in the middle of the posterior aspect of the left thigh, was discharged from hospital after dressing and antibiotic prophylaxis. Later on the patient developed bleeding through the wound and upon review, the source was discovered to be an artery that is the direct source of the medial and lateral circumflex arteries. Which is this artery that was injured?

      Your Answer: Profunda femoris artery

      Explanation:

      The medial and lateral circumflex arteries are direct branches of the Profunda femoris artery otherwise also known as the deep artery of the thigh. The Profunda femoris artery arises from the femoral artery just below the inguinal ligament (approximately 2-5cm below it).

      The following are the branches of the deep artery of the thigh:

      Lateral circumflex femoral artery

      Medial circumflex femoral artery

      Perforating arteries

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      22.6
      Seconds
  • Question 18 - Which of the following is the source of blood supply to the artery...

    Incorrect

    • Which of the following is the source of blood supply to the artery of the round ligament at the head of the femur?

      Your Answer: Lateral femoral circumflex artery

      Correct Answer: Obturator artery

      Explanation:

      The posterior branch of the obturator artery provides an articular branch to the head of the femur.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      22.4
      Seconds
  • Question 19 - Infection to all of the following will lead to enlargement of the superficial...

    Incorrect

    • Infection to all of the following will lead to enlargement of the superficial inguinal lymph nodes, except for:

      Your Answer: Dorsum of the foot

      Correct Answer: Ampulla of the rectum

      Explanation:

      The superficial inguinal lymph nodes form a chain immediately below the inguinal ligament. They receive lymphatic supply from the skin of the penis, scrotum, perineum, buttock and abdominal wall below the level of the umbilicus.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      50.2
      Seconds
  • Question 20 - What is the chief ligament preventing posterior sliding of the tibia on the...

    Incorrect

    • What is the chief ligament preventing posterior sliding of the tibia on the femur ?

      Your Answer: Tibial collateral

      Correct Answer: Posterior cruciate

      Explanation:

      The posterior cruciate ligament is attached to the posterior intercondyloid fossa of the tibia and the lateral and front part of the medial condyle of the femur. It resists sliding of the tibia posteriorly.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      33.5
      Seconds
  • Question 21 - the action of the semimembranosus muscle is: ...

    Incorrect

    • the action of the semimembranosus muscle is:

      Your Answer: Flexion of the hip and extension of the knee

      Correct Answer: Extension of the hip and flexion of the knee

      Explanation:

      the semimembranosus is situated at the back and medial side of the thigh. It arises from the upper and outer impression on the tuberosity of the ischium, above and lateral to the biceps femoris and semitendinosus. It is inserted mainly into the horizontal groove on the posterior medial aspect of the medial condyle of the tibia. it flexes the knee and assists in extension of the hip.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      39.9
      Seconds
  • Question 22 - The sciatic nerve does NOT supply which of the following muscles? ...

    Incorrect

    • The sciatic nerve does NOT supply which of the following muscles?

      Your Answer: Semimembranosus

      Correct Answer: Obturator externus

      Explanation:

      The sciatic nerve supplies both gemellae, quadratus femoris, semitendinosus, semimembranosus, both heads of the biceps femoris, the hamstring half of abductor magnus and obturator internus. Obturator externus is supplied by the obturator nerve.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      23.6
      Seconds
  • Question 23 - Which best describes the sartorius muscle? ...

    Incorrect

    • Which best describes the sartorius muscle?

      Your Answer: Is innervated by the same nerve as the tensor fascia lata

      Correct Answer: Will flex the leg at the knee joint

      Explanation:

      The sartorius muscle arises from tendinous fibres from the superior iliac spine. It passes obliquely across the thigh from lateral to medial and is inserted into the upper part of the medial side of the tibia. When the sartorius muscle contracts it will flex the leg at the knee joint.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      60.9
      Seconds
  • Question 24 - Following a fracture in the fibula, an artery contained in a fibrous canal...

    Correct

    • Following a fracture in the fibula, an artery contained in a fibrous canal between tibialis posterior and flexor hallucis longus was lacerated. Which of the following arteries was injured?

      Your Answer: Peroneal

      Explanation:

      The peroneal artery is deeply seated at the back of the fibular side of the leg, contained in a fibrous canal between the tibialis posterior and the flexor hallucis longus.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      27.8
      Seconds
  • Question 25 - Gastrocnemius, semimembranosus and semitendinosus together with which other muscle form the boundaries of...

    Correct

    • Gastrocnemius, semimembranosus and semitendinosus together with which other muscle form the boundaries of the popliteal fossa?

      Your Answer: Biceps femoris

      Explanation:

      The popliteal fossa is located at the back of the knee. It is bounded laterally by the biceps femoris above and the plantaris and lateral head of the gastrocnemius below and medially by the semitendinosus and semimembranosus above and by the medial head of the gastrocnemius below.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      22.3
      Seconds
  • Question 26 - A pedestrian sustained a left fibula fractured following a hit-and-run. X-rays showed that...

    Incorrect

    • A pedestrian sustained a left fibula fractured following a hit-and-run. X-rays showed that there was a transverse fracture of the upper end of the fibula. It was manifested clinically by inability to flex his foot at the ankle joint plus weak extension of the phalanges. What nerve is suspected to be injured in such a case?

      Your Answer: Tibial

      Correct Answer: Deep peroneal

      Explanation:

      The deep peroneal nerve supplies the muscles allowing for flexion of the foot at the ankle joint, namely the tibialis anterior and peroneus tertius muscles. The peroneus tertius, peroneus brevis, and peroneus longus evert the foot, whereas the tibialis anterior and tibialis posterior invert the foot. Fibres of the deep peroneal nerve originate from L4, L5, and S1.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      73.8
      Seconds
  • Question 27 - All the following arteries contribute to the blood supply of the hip joint...

    Incorrect

    • All the following arteries contribute to the blood supply of the hip joint except:

      Your Answer: Femoral

      Correct Answer: Pudendal

      Explanation:

      The blood supply to the hip joint is from two main arteries, the medial circumflex femoral and lateral circumflex femoral arteries. These are branches of the deep artery of the thigh, which itself is a branch of the femoral artery. There is contribution of blood supply from the inferior gluteals, foveal and obturator arteries.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      16.3
      Seconds
  • Question 28 - What is the nerve supply to the muscles of the lateral compartment of...

    Incorrect

    • What is the nerve supply to the muscles of the lateral compartment of the leg ?

      Your Answer: Tibial nerve

      Correct Answer: Superficial peroneal nerve

      Explanation:

      The peroneus longus and peroneus brevis in the lateral compartment of the leg take nerve supply from the superficial peroneal nerve.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      32
      Seconds
  • Question 29 - A patients sciatic nerve has been severed following a stab injury. What would...

    Correct

    • A patients sciatic nerve has been severed following a stab injury. What would be affected?

      Your Answer: There would still be cutaneous sensation over the anteromedial surface of the thigh

      Explanation:

      The sciatic nerve supplies nearly all of the sensation of the skin of the leg and the muscles of the back of the thigh, leg and foot. A transection of the sciatic nerve at its exit from the pelvis will affect all the above-mentioned functions except cutaneous sensation over the anteromedial surface of the thigh, which comes from the femoral nerve.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      30.1
      Seconds
  • Question 30 - In the case of an injury to the sub sartorial canal, which of...

    Incorrect

    • In the case of an injury to the sub sartorial canal, which of the following structures is most likely to be injured?

      Your Answer: Great saphenous vein

      Correct Answer: Nerve to vastus medialis

      Explanation:

      The adductor canal (sub sartorial canal) is situated in the middle third of the thigh.

    • This question is part of the following fields:

      • Anatomy
      • Lower Limb
      71.6
      Seconds

SESSION STATS - PERFORMANCE PER SPECIALTY

Anatomy (10/30) 33%
Lower Limb (10/30) 33%
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