Block 2: Practice Exam #1 Flashcards
Coxa vara refers to:
A) an abnormal decrease in the angle between the shaft of the femur and the tibia.
B) an abnormal decrease in the angle between the head and neck of the femur and its
shaft (angle of inclination).
C) an abnormally short distance between the anterior superior iliac spine and the center
of the acetabulum.
D) an abnormally short distance between the iliac crest and the greater trochanter.
E) an abnormally short femur.
an abnormal decrease in the angle between the head and neck of the femur and its
shaft (angle of inclination)
A patient describes that his foot was forced into an excessively inverted and plantar flexed position. Which of the following is the most likely injured first?
A) anterior talo-fibular ligament
B) anterior tibio-talor ligament
C) calcaneo-fibular ligament
D) calcaneo-tibial ligament
anterior talo-fibular ligament
The talus articulates with all of the following bones except:
A) cuboid.
B) navicular.
C) calcaneus.
D) tibia.
E) fibula.
cuboid
The iliotibial tract is the conjoint distal aponeurotic attachment of which of the following pairs of muscles?
A) gluteus medius and minimus
B) gluteus medius and maximus
C) gluteus maximus and the tensor of the fascia lata
D) the tensor of the fascia lata and rectus femoris
gluteus maximus and the tensor of the fascia late
Which of the following would you do to test the function of the femoral nerve?
A) Have the patient do a sit-up while you hold and resist his thigh.
B) Have the patient extend his thigh against your resistance.
C) Have the patient extend his knee against your resistance.
D) Have the patient flex his knee against your resistance.
Have the patient extend his knee against your resistance
Which of the following is incorrect pertaining to the patella?
A) It increases the mechanical advantage of the quadriceps femoris for extending the
knee.
B) Its apex indicates the level of the knee joint when the leg is extended.
C) Pain felt deep to it may be associated with a condition known as chondromalacia
patella.
D) It is the smallest sesmoid bone in the body.
It is the smallest sesmoid bone in the body
Which of the following is incorrect pertaining to the femoral triangle?
A) The femoral sheath and its contents enter the triangle by passing posterior to the
inguinal ligament.
B) The femoral nerve enters the triangle by passing deep to the inguinal ligament.
C) The pectineus muscle forms the lateral boundary of the triangle.
D) It contains the femoral vein.
The pectineus muscle forms the lateral boundary of the triangle
The adductor canal is:
A) an opening in the adductor magnus muscle.
B) a mid-thigh intermuscular passageway that conducts the femoral vessels.
C) the space between the adductor longus and brevis that transmits the anterior
divisions of the obturator vessels.
D) the passageway used by the obturator internus muscle to exit the pelvis.
a mid-thigh intermuscular passageway that conducts the femoral vessels
Your friend is diagnosed with trochanteric bursitis. You explain to him that this bursa is between the:
A) iliopsoas tendon and the lesser trochanter, allowing the muscle to move freely
across the neck of the femur.
B) obturator externus and the lesser trochanter, allowing the muscle to move freely
across the trochanter.
C) gluteus maximus and medius at the site of the greater trochanter, allowing the
muscles to move freely across one another.
D) gluteus maximus and the greater trochanter, allowing the muscle to smoothly slide
over the trochanter.
gluteus maximus and the greater trochanter, allowing the muscle to smoothly slide
over the trochanter
The piriformis muscle:
A) is innervated by the superior gluteal nerve.
B) is innervated by the inferior gluteal nerve.
C) may compress the sciatic nerve, a condition called piriformis syndrome.
D) medially rotates the thigh.
may compress the sciatic nerve, a condition called piriformis syndrome
Which of the following is incorrect pertaining to the hamstrings?
A) They all attach to the tibia.
B) They all attach to the ischial tuberosity.
C) They all can produce both hip extension and knee flexion.
D) One of them is part of the “pes anserinus.”
they all attach to the tibia
Following an argument with his wife in which a man backed through a glass storm door resulting in deep laceration of his buttocks, he is having great difficulty walking. To better understand the nature of his disability, you ask him to stand on one foot. By doing
so, you are doing all of the following EXCEPT:
A) using a Trendelenburg test.
B) evaluating the function of the abductors of the thigh.
C) evaluating the function of the gluteus medius and minimus.
D) evaluating the function of the gluteus maximus.
E) evaluating the function of the superior gluteal nerve.
evaluating the function of the gluteus maximus
While assisting in a surgery to repair the middle portion of a torn semitendinosus muscle, the surgeon points to an artery supplying that portion of the muscle and asks you to name it. You reply:
A) deep artery of the thigh (profunda femoris).
B) superior gluteal artery.
C) obturator artery.
D) femoral artery.
deep artery of the thigh (profunda femoris)
Which of the following is not correct pertaining to the popliteal artery?
A) It begins at the adductor hiatus.
B) It is the continuation of the femoral artery.
C) It is located superficial to the tibial nerve in
the popliteal fossa.
D) It is located deep to the popliteal vein in the popliteal fossa.
It is located superficial to the tibial nerve in the popliteal fossa
Inability to dorsiflex the ankle and invert the foot is do to damage of which of the following nerves?
A) anterior tibial nerve
B) posterior tibial nerve
C) superficial peroneal nerve
D) deep peroneal nerve
deep peroneal nerve
You examine a mildly obese sedentary patient who is complaining of pain in the distal two-thirds of her tibia after participating in a 10-mile walk for cerebral palsy. When you exert pressure on her tibialis anterior, she winces in pain. Your most likely diagnosis is:
A) venous compression of the muscle due to inadequate venous return.
B) shin splints.
C) lymphedema due to sedentary lifestyle.
D) anterior tibial artery hemorrhage.
E) tibialis anterior atrophy.
shin splints
Which of the following is not true of the peroneal longus, brevis, or tertius?
A) innervated by deep peroneal nerve
B) plantarflexes ankle
C) attaches to the first metatarsal
D) attaches to the calcaneus
attaches to the calcaneus
Fracture of the femoral neck which of the following nerves will most likely be injured?
A) common peroneal
B) tibial
C) superficial peroneal
D) deep peroneal
common peroneal
Which of the following is incorrect pertaining to the calcaneal (Achilles) tendon?
A) It is the common distal attachment of the gastrocnemius, soleus, and plantaris
muscles.
B) It continues into the foot as the long plantar ligament.
C) It is used to test S1and S2 nerve function.
D) It is separated from the superior part of the posterior surface of the calcaneus by a
bursa.
It continues into the foot as the long plantar ligament
The tibialis posterior:
A) everts the foot.
B) attaches to the femur.
C) supports the medial longitudinal arch of the foot.
D) is innervated by the deep fibular nerve.
supports the medial longitudinal arch of the foot
Which of the following is incorrect pertaining to the dorsalis pedis artery?
A) It enters the foot superficial to the extensor retinaculum.
B) It supplements the arterial supply to the plantar surface of the foot.
C) It gives rise to the arcuate artery.
D) It runs between the extensor hallucis longus and extensor digitorum longus tendons on the dorsum of the foot.
It enters the foot superficial to the extensor retinaculum
You examine a patient after an automobile accident that resulted in a posterior dislocation of the hip joint. Which nerve are you most concerned might have been injured by such an accident?
A) sciatic
B) femoral
C) obturator
D) lumbosacral trunk
sciatic
Genu valgum and genu varum refer to a knee that:
A) can be hyper-rotated medially and laterally, respectively.
B) can be hyperflexed and extended, respectively.
C) has a large Q-angle (knock-knees) and a small Q-angle (bow-legged), respectively.
D) can be displaced posteriorly and anteriorly, respectively.
has a large Q-angle (knock-knees) and a small Q-angle (bow-legged), respectively
The medial meniscus is injured much more frequently than the lateral meniscus because it is:
A) more mobile.
B) thinner.
C) attached to the medial collateral ligament.
D) attached to the popliteus.
attached to the medial collateral ligament