Anterior & Medial Thigh Flashcards

1
Q

The Great Saphenous V. starts at the dorsal venous arch, travels up the medial leg and thigh, and terminates in the Fermoal V. on the anterior side of the Saphenous Hiatus. On the way, there are 3 tributaries to the Great Saphenous V. What are their names?

Ep Sci Se

A

External Pudendal V.

Superficial Circumflex Iliac V.

Superficial Epigastric V.

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2
Q

The Superficial Inguinal Lymph Nodes have two groups the Horizontal Group and the Vertical Group. What is the location of the groups relative to each other?

A

Superior Horizontal Group

Inferior Vertical Group

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3
Q

Is it the Horizontal or Vertical group of Superficial Inguinal Lymph Nodes drains to the following:

Anterior abdominal wall inferior to the umbilicus, penis, scrotum, vulva, lower vagina, lower anal canal, lateral thigh?

A

Horizontal Group

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4
Q

Superficial Inguinal Nodes drain all superficial strucutres in the lower extremity, EXCEPT?

A. Anterior abdominal wall inferior to umbilicus

B. Penis, scrotum, vulva, lower vagina

C. Lateral Thigh

D. Dorsolateral foot and Posterior Calf

E. Lower anal canal

A

Dorsolateral foot and Posterior Calf

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5
Q

What lymph nodes drain the dorsolateral foot and posterior calf?

A. Horizontal Superficial Inguinal Lymph Nodes

B. Vertcial Superficial Inguinal Lymph Nodes

C. Popliteal Lymph Nodes

D. All of the above

A

Popliteal Lymph Nodes

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6
Q

What is the clinical relevance of Superficial Inguinal Lymph Nodes?

A

Pathology association with:

Medial Foot and Leg Cellulitis

Skin Cancer

STI’s

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7
Q

Which of the following nerves associated with cutaneous innervation, is sensory for the anterior and lateral thigh?

A. Lateral Femoral Cutaneous N.

B. Genital Branch of Genitofemoral N.

C. Obturator N.

D. None of the Above

A

Lateral Femoral Cutaneous N.

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8
Q

Which of the following nerves associated with cutaneous innervation, is sensory for scrotum, labia majora, and medial thigh? Bonus, what is it’s motor innervation?

A. Lateral Femoral Cutaneous N.

B. Genital Branch of Genitofemoral N.

C. Obturator N.

D. None of the Above

A

Genital Branch of Genitofemoral N.

Cremaster M.

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9
Q

Which of the following nerves associated with cutaneous innervation medial thigh?

A. Lateral Femoral Cutaneous N.

B. Genital Branch of Genitofemoral N.

C. Obturator N.

D. None of the Above

A

Obturator N.

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10
Q

The Obturator N. supplies motor innervation to what 6 muscles?

A

Obturator Externus M.

Adductor Longus M.

Adductor Magnus M.

Adductor Brevis M.

Gracilis M.

Pectineus M.

Remember: Obturators Externally, Add, Add, Add, Gracious Pecs

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11
Q

Impingement of the Lateral Femoral Cutaneus N. gives rise to tingling numbness in the lateral thigh called what?

What’s another name for this pathology?

A

Meralgia Paresthetica

“Gun Belt Palsy” - when your belt is too tight

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12
Q

Fibers that make up the Fascia Lata are horizontal, except for what vertical traveling structure?

A

Iliotibial Tract (IT Band)

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13
Q

What two muscles aponeuros with the Iliotibial Tract?

Where does the Iliotibial Tract Attach?

A. Lateral Tibial Condyle

B. Medial Malleolus

C. Anterolateral Tibial Tubercle

D. Fibular Articular Facet of the Tibia

A

Gluteus Maximus M. & Tensor Fascia Lata M.

Anterolateral Tibial Tubercle

also known as Gerdy’s Tubercle

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14
Q

What is the name of the extensions of the fascia lata that attach to the femur and form 3 muscular compartments?

A. IntRAmuscular Septa

B. IntERmuscular Septa

C. Femoral Sheath

D. Fascia Lata Septa

A

IntERmuscular Septa

Intermuscular Septa: forms Anterior, Medial, and Posterior msucular compartments

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15
Q

Anterior Compartment of the Thigh includes 3 flexors of the hip, and 4 extensors of the knee. Name these muscles

A

Flexors of the Hip: Sartorius, Iliopsoas, Pectineus

Extensor of Knee: Rectus Femoris, Vastus Medialis, Vastus Lateralis, Vastus Intermedius

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16
Q

All of the following muscles associated with the anterior compartment are innervated by the Femoral N., EXCEPT for which of the following that is innervated by the Lumbar Plexus L1-L3?

A. Psoas Major M.

B. Iliacus M.

C. Sartorius M.

D. Quadriceps Femoris Ms.

A

Psoas Major M.

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17
Q

The psoas major originates from which of the following locations? What M. comes off the other options?

A. Superior Iliac Fossa

B. Sacral Ala

C. Anterior Sacroiliac L.

D. TP of L1-L5

E. T12-L5

F. All except D and E

G. D and E

A

TP of L1-L5

T12-L5

The Iliacus comes off the other structures

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18
Q

Although the Iliopsoas M. is comprisde of 2 muscles, the Iliacus M. is innervated by the ________ and the Psoas Major M. is innervated by ________.

A

Femoral N.

Muscular Branches of L1-L2(3)

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19
Q

Which of the following actions is performed by both the Iliacus and the Psoas Major M.?

A. Flex Trunk and Vertebral Column

B. Stabilize Acetabulofemoral Joint

C. Flex Thigh

D. All of the Above

A

Both: Flex Thigh

Psoas Major: Flexes Trunk and Vertebral Column

Iliacus: Stabilizes Acetabulofemoral Joint

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20
Q

All of the following muscles that make up the Quadriceps Femoris M. extend the leg, EXCEPT which of the following that extends the leg and assists the iliopsoas with thigh flexion?

A. Rectus Femoris M.

B. Vastus Medialis M

C. Vastus Intermedius M

D. Vastus Lateralis M

A

Rectus Femoris M.

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21
Q

T/F: The muscles that make up the quadriceps femoris are innervated by the Femoral N.

A

True

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22
Q

All of the muscles that make up the Quadriceps Femoris Ms. insert somewhere on the base of the patella and onto the tibial tuberosity via the patellar ligament. HOWEVER, one of the muscles only inserts on the tibial tuberosity via the patellar ligament. Which muscle is this?

A. Rectis Femoris

B. Vastus Medialis

C. Vastus Intermedius

D. Vastus Lateralis

A

Vastus Medialis

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23
Q

The Rectus Femoris M. Originates from:

A. AIIS and Ilium above acetabulum

B. Greater Trochanter and Lateral Lip of Linea Aspera

C. Anterior & Lateral Surface of the Femur

D. Intertrochanteric Line to medial line of Linea Aspera

A

AIIS and Ilium above acetabulum

24
Q

The Vastus Lateralis M. Originates from:

A. AIIS and Ilium above acetabulum

B. Greater Trochanter and Lateral Lip of Linea Aspera

C. Anterior & Lateral Surface of the Femur

D. Intertrochanteric Line to medial line of Linea Aspera

A

Greater Trochanter and Lateral Lip of Linea Aspera

25
Q

The Vastus Medialis M. Originates from:

A. AIIS and Ilium above acetabulum

B. Greater Trochanter and Lateral Lip of Linea Aspera

C. Anterior & Lateral Surface of the Femur

D. Intertrochanteric Line to medial line of Linea Aspera

A

Intertrochanteric Line to medial line of Linea Aspera

26
Q

Sartorius M. has what origin and insertion?

A. AIIS to Base of Patella

B. ASIS to Medial aspect proximal end of Tibia B.

C. Anterior Surface of Femur to articular capsule of knee

D. ASIS to Lateral aspect of proximal end of Tibia B.

A

ASIS to Medial aspect proximal end of Tibia B.

27
Q

Articularis Genu M. has what origin and insertion?

A. AIIS to Base of Patella

B. ASIS to Medial aspect proximal end of Tibia B.

C. Anterior Surface of Femur to articular capsule of knee

D. ASIS to Lateral aspect of proximal end of Tibia B.

A

Anterior Surface of Femur to articular capsule of knee

28
Q

Pes Anserinus is on the medial aspect of the proximal end of the Tibia, and is the insertion point for the tendons of what 3 muscles?

A

Sartorius M.

Gracilis M.

Semitendinosus M.

29
Q

Sartorius is the longest muscle in the ody, so it makes sense that it would have a lot of functions. What are the 4 functions of the sartorius M.?

Hint: 3 for the thigh and 1 for the leg

A

Thigh: Flex, ABduct, and LAterally Rotate

Leg: Flex

30
Q

What weird action does the Articularis Genu M. perform that makes sense if you think about its weird, random, distal location on the femur deep to the Vastus Intermedius M.?

A

Tighten knee capsule during leg extension

31
Q

What is the spinal root origin of the Femoral N. ?

A

L2-L4

32
Q

What are the main feeder arteries that come off the medial femoral circumflex A. to supply the head and neck of femur?

A. Posterior Retinacular A.

B. Anterior REtinacular A.

C. Acetabular branch of Obturator A.

D. None of the above

A

Posterior Retinacular A.

involved in avascular necrosis

33
Q

What is the name of the artery that provides blood supply to the ligament of head of femur?

A. Posterior Retinacular A.

B. Anterior REtinacular A.

C. Acetabular branch of Obturator A.

D. None of the above

A

Acetabular branch of Obturator A.

34
Q

All of the following muscles are part of the medial compartment of the thigh, and will perform at minimum what one action?

Pectineus M.

Adductor Longus M.

Adductor Brevis M.

Adductor Magnus M.

Gracilis M.

A

Adduction of the thigh

35
Q

Which of the following locations does both the Gracilis M. and the Adductor Brevis M. originate?

A. Inferior Pubic Ramus and Body of the Pubis

B. Superior Pubic Ramus

C. Body of the Pubic ramus

D. Ischiopubic Ramus and Ischial Tuberosity

A

Inferior Pubic Ramus and Body of the Pubis

36
Q

Which of the following locations does the Pectineus M. originate?

A. Inferior Pubic Ramus and Body of the Pubis

B. Superior Pubic Ramus

C. Body of the Pubic ramus

D. Ischiopubic Ramus and Ischial Tuberosity

A

Superior Pubic Ramus

37
Q

Which of the following locations does the Adductor Longus M. originate?

A. Inferior Pubic Ramus and Body of the Pubis

B. Superior Pubic Ramus

C. Body of the Pubic ramus

D. Ischiopubic Ramus and Ischial Tuberosity

A

Body of the Pubic ramus

38
Q

Which of the following locations does the Adductor Magnus M. originate?

A. Inferior Pubic Ramus and Body of the Pubis

B. Superior Pubic Ramus

C. Body of the Pubic ramus

D. Ischiopubic Ramus and Ischial Tuberosity

A

Ischiopubic Ramus and Ischial Tuberosity

39
Q

All of the following muscles are innervated by the Anterior Division of the Obturator N., EXCEPT for which of the following that is innervated by the Femoral N.?

A. Adductor Brevis M. and Adductor Longus

B. Gracilis M.

C. Pectineus M.

D. Obturator Externus M.

A

Pectineus M.

40
Q

The Pectineus M. inserts on the pectineal line of the femur with all of the following Adductors, EXCEPT? Where does it attach instead?

A. Adductor Longus M.

B. Adductor Magnus M.

C. Adductor Brevis M.

A

Adductor Longus M.

attaches to the middle 1/3rd of the linea aspera

NOTE: the Adductor brevis also somewhat insets on the proximal linea aspera

41
Q

T/F: The Obturator Externus M originates on the external surface of the obturator membrane and margins of the obturator foramen, and passes the ANTERIOR neck of the femur to the TROCHANTERIC FOSSA

If wrong change it to make it right

A

FALSE

passes Posterior to the neck of the femur to the Trochanteric Fossa

42
Q

How do the actions of the Gracilis and Obterator Externus Ms. differ in terms of thigh rotation?

A

Gracilis M. MEDIALLY rotates thigh

Obturator Externus LATERALLY rotates thigh

43
Q

T/F: The Pectineus muscle adducts and flexes the thigh

A

True

44
Q

What muscle is responsible for holding the head of the femur in the acetabulum?

A. Adductor Magnus

B. Pectinues

C. Obturator Externus

D. None of the above

A

Obturator Externus

45
Q

The Adductor Magnus is a big muscle that when working as a whole performs ____________, and when working on the hamstring side performs __________.

A

Thigh Adduction

Thigh Extension

46
Q

Which of the following nerves innervates the upper fibers of the Adductor Magnus M., and the lower fibers of the Adductor M. ?

A. Anterior Division of Obturator N. and Tibial Division of Sciatic N.

B. Posterior Division of Obturator N. and Tibial Divison of Sciatc N.

C. Femoral N. and Tibial Division of Sciatic N.

D. Anterior and Posterior Division of Obturator N.

A

Posterior Division of Obturator N. and Tibial Divison of Sciatc N.

47
Q

Which of the following muscles makes the anteromedial boundary of the Adductor Canal?

A. Sartorius M.

B. Vastus Medialis M.

C. Adductor Longus M and Adductor Magnus M.

D. None of the above

A

Sartorius M.

48
Q

Which of the following muscles makes the lateral boundary of the Adductor Canal?

A. Sartorius M.

B. Vastus Medialis M.

C. Adductor Longus M and Adductor Magnus M.

D. None of the above

A

Vastus Medialis M.

49
Q

Which of the following muscles makes the posterior boundary of the Adductor Canal?

A. Sartorius M.

B. Vastus Medialis M.

C. Adductor Longus M and Adductor Magnus M. (hastring portion)

D. None of the above

A

Adductor Longus M and Adductor Magnus M.

50
Q

The adductor canal runs from the apex of the _________ to the _________.

A

Femoral Triangle (where Sartorius M. meets the Adductor Longus M.)

Adductor Hiatus

51
Q

The Adductor Hiatus is the gap between what muscle?

A

Adductor Magnus M.

b/w its adductor and hamstring attachments

52
Q

The Femoral A and V enter the Adductor Canal, but exit as what structures?

A

Popliteal A and V

53
Q

What are the 5 contents of the Adductor Canal?

A

Femoral A.

Femoral V.

Saphenous A.

Saphenous N.

N. to Vastus Medialis M.

  • Remember: Adductor Canal takes A VANN to Vastus Medialis*
  • (feminist saphho loves canals)*
54
Q

What is a groin pull?

think of the muscles involved and where they originate

A

A Groin Pull is the strain or stretching of proximal attachments of anteromedial thigh muscles, which originate in the inguinal region at the junction of the thigh and trunk

55
Q

What is another name of the Adductor Canal?

A

Hunter’s Canal

56
Q

What is the root origin of the Femoral N. ?

A

L2-L4