Final Review Flashcards

1
Q

Source of blood for head of femur

A

medial femoral circumflex

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2
Q

Fascia of what muscle’s inferior edge thickened to form inguinal ligament

A

external oblique

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3
Q

femoral sheath is a continuation of….

A

transversalis fascia

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4
Q

site of inguinal hernia

A

superficial inguinal ring

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5
Q

What type of joint is the ankle

A

hinge type

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6
Q

hing type joint in ankle permits…

A

permits dorsiflexion and plantar flexion (not inversion or eversion)

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7
Q

Two joints inversion/eversion movements occur

A

1) subtalar joint (talus and calcaneus)

2) transverse tarsal joint (between talus and navicular medially, calcaneus and cuboid bones laterally)

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8
Q

Result of excessive eversion

A

Pott’s Fracture. Medial malleolus and shaft of the fibula fractured

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9
Q

Three ligaments, all attaching to lateral malleolus of fibula, which permit free dorsi/plantarflexion but limit inversion of foot

A

1) anterior talofibular ligament
2) posterior talofibular ligament
3) calcaneofibular ligament

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10
Q

Ligaments stretch or torn in ankle sprain

A

1) anterior talofibular ligament

2) calcaneofibular ligament

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11
Q

Origin of all hamstrings

A

ischial tuberosity

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12
Q

Easy way to identify semitendinosus

A

long distal tendon

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13
Q

Easy way to idenfity semimembranosus

A

flattened tendon

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14
Q

Action of hamstrings

A

All extend thigh and flex leg. Biceps short head only flexes leg though

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15
Q

Pulled hamstrings

A

tear or avulsion part of origin of muscles ischial tuberosity

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16
Q

Pulled groin

A

tear or strech of adductor group at PUBIS

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17
Q

Quick way to identify great saphenous vein

A

it’s anterior to the medial malleolus

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18
Q

Start of great saphenous vein

A

dorsal venous arch of foot (ascends medially)

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19
Q

Hip pointer

A

contusion of muscles at anterior superior iliac spine (origin of sartorius)

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20
Q

Weaver’s Bottom

A

Iflammation of ischial bursae

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21
Q

Test for congenital hip dislocation

A

Barlow Maneuver - adduct hip while applying posterior forces to knee

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22
Q

Direction of congenital dislocation of hip

A

superior

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23
Q

Direction of traumatic dislocation of hip

A

posterior

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24
Q

appearance of dislocated hip

A

leg is rotated medially and appears to be shorter

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25
Q

Appearance of leg after fracture of neck of femur

A

rotated laterally

26
Q

Innervation of superior gluteal nerve

A

1) gluteus medius
2) gluteus minimus
3) tensor fascia lata

27
Q

Innervation of inferior gluteal nerve

A

Gluteus maximus

28
Q

Large sensory nerve to posterior thigh and gluteal region, medial to sciatic nerve

A

posterior cutaneous nerve of thigh

29
Q

What can an injury to the superior gluteal nerve cause?

A

gluteal gait

30
Q

Positive Trendelenburg sign

A

When lifting opposite leg, pelvis tilts down on non-paralyzed side

31
Q

Piriformis and muscles below it mostly insert…

A

greater trochanter

32
Q

Actions of piriformis and nearby muscles

A

1) laterally rotate femur

2) act like rotator cuff and hold head of femur in acetabulum

33
Q

Piriformis syndrome

A

sciatic nerve or branches can sometimes pass through piriformis and get compressed when standing or walking

34
Q

Nerve winding around neck of fibula (palpatable)

A

common peroneal nerve

35
Q

Bursa posterior to quadriceps tendon

A

suprapatellar bursa

36
Q

Bursa in subcutaneous tissue between skin and patella

A

prepatellar bursa

37
Q

Bursa between skin and patellar ligament

A

Superficial infrapatellar ligament

38
Q

Swelling of prepatellar bursa

A

Housemaid’s knee

39
Q

Swelling of superficial infrapatellar bursa

A

Clergyman’s Knee

40
Q

Prevents movement of tibia medially

A

lateral collateral ligament

41
Q

Prevents movement of tibia laterally

A

medial collateral ligament

42
Q

Most dangerous blow to the knee (terrible triad)

A

blow to lateral side of knee when the leg is flexed. Triad is MCL, ACL, medial meniscus

43
Q

Test for torn anterior cruciate ligament

A

Anterior Drawer Sign (draw tibia anteriorly)

44
Q

Test for town posterior cruciate ligament

A

Posterior Drawer Sign (can push tibia posteriorly)

45
Q

Action of popliteus muscle

A

rotates the femur laterally to unlock it. (Rotates medially during last 30 degrees of extension so it needs to be unlocked)

46
Q

Knock-kneed. Distal bone at joint is deviated laterally away from midline of body

A

Genu Valgus

47
Q

Bow-legged. Distal bone at joint is deviated towards midline.

A

Genu Varus

48
Q

Source for the plantar arterial arch

A

lateral plantar artery

49
Q

Location of pulse of dorsalis pedis artery

A

between medial and lateral malleoli

50
Q

Location of pulse of posterior tibial artery

A

taken between medial malleolus and tendo calcaneus

51
Q

Location of pulse of femoral artery

A

taken in femoral triangle

52
Q

Can ligate femoral artery anywhere between…

A

internal iliac and profunda femoris arteries

53
Q

Ordered Superior-Lateral-Inferior-Medial, name the cruciate arterial anastomoses

A

Inferior gluteal, lateral femoral circumflex, first perforating, medial femoral circumflex arteries

54
Q

Intermittent Claudification

A

narrowing of posterior tibial artery due to arteriosclerosis

55
Q

Tarsal Tunnel Syndrome

A

swelling of synovial sheaths can compress tibial nerveS

56
Q

Medial/Lateral plantar are branched off which nerve

A

tibial nerve

57
Q

Sensory branch to medial 3.5 digits and medial part of sole

A

medial plantar nerve

58
Q

Sensory branch to lateral 1.5 digits and lateral sole

A

lateral plantar nerve

59
Q

There are sesamoid bones in the tendons of which intrinsic muscle of the foot

A

flexor hallucis brevis

60
Q

All except four of the intrinsic muscles of the sole of the foot are innervated by the lateral plantar nerve. What are the four?

A

1) flexor hallucis brevis
2) abductor hallucis
3) flexor digitorum brevis
4) first lumbrical

61
Q

Arch and ligament giving out to give way to Pes Planus

A

Medial Longitudinal Arch. Plantar Calcaneonavicular Ligament weakens.

62
Q

Muscles that evert the foot support which arch?

A

lateral arch