Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Anatomy Test Block IV > Gluteal Region and Hip > Flashcards

Gluteal Region and Hip Flashcards

1
Q

The ball of the femur only articulates w/ what?

A

lunate surface of ischium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What general nerves supply the lower extremity?

A

lumbar nerves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

sensation to back of leg is from?

A

sural n.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What 3 nerves make it to the foot that need to be tested individually w/ sims weinstein filament?

A

deep peroneal n: small triangle on top
Superificial peroneal: lateral foot
plantar: sole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

how does great saphenous v. travel?

A

starts on dorsal surface of foot and runs medially all the way up the limb

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

how does small saphenous drain?

A

starts on lateral foot and drains into back of popliteal fossa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is clinically significant about the great saphenous v. ?

A

historically used for bypass; needs turned upside down if using in the heart to avoid valves blocking the blood flow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

incompetent valves in saphenous veins cause what?

A

varicose veins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What n runs with the sciatic n.?

A

posterior cutaneous n of the thigh - it surfaces at the posterior thigh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What nerves supply th buttock region?

A

cluneal nerves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the two parts of the sciatic n?

A

common fib/peroneal. and tibial n. They usualy split in popliteal fossa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the most commonly injured n. in the body?

A

common fibular / peroneal - when it splits it wraps around head of fibula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the deep fascia of the lower extremity?

A

fascia lata - attaches to inguinal ligament and melds w/ pelvis in back

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What muscle is embedded laterally w/i the fascia lata

A

tensor fascia lata

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

action of tensor fascia lata

A

anteriorly located so helps w/ flexion of hip

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

gluteus maximus OI and action

A

inserts on linea aspera of femur and the IT band. lateral rotation and extension of hip

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

gluteus medius OI and action

A

iliac crest to greater trochanter; abductor of lower extremity, keeps pelvisover top of femur

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

If there is a lesion around the gluteus medius or it is weak, what will result?

A

trandelenburg gait - pelvis will tilt away when opposite foot is raised

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What nerve supplies gluteus maximus?

A

inferior gluteal n

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What nerve supplies gluteus medius and minimus?

A

superior gluteal nerves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

OI of gluteus minimus?

A

from iliac fossa to greater trochanter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is the landmark muscle that divides the inferior and superior gluteal nerves/arteries?

A

piriformis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

tensor fascia lata action

A

flexion of hip and knee and can adduct

24
Q

What do the gluteus medius, minimus and tensor fascia lata all do?

A

adduct; medially rotate thigh; keep pelvis steady

25
Q

gemellis OI

A

superior: spinous process to femur
inferior: ischial tuberosity to femur

26
Q

obturator OI

A

goes through lesser sciatic foramen to insert on femur

27
Q

The obturator internus, piriformis, and gemellis all have what action?

A

lateral rotators;also abduct

28
Q

piriformis muscle OI

A

from sacrum, through greater sciatic foramen, to greater trochanter (also a lateral rotator)

29
Q

Where does the sciatic n. usually come out? and what are some anomalies?

A

Usuaully under piriformis. sometimes will come out above it or through the muscle itself

30
Q

quadratus femoris OI and action

A

ischial tuberosity to intertrochanteric crest. lateral rotator

31
Q

How do the gluteal VANs travel in terms of the piriformis?

A

superior gluteal VANs come out greater sciatic foramen above piriformis and inferior gluteal VANs come out greater sciatic foramen below piriformis

32
Q

What all passes through greater sciatic foramen?

A

piriformis muscle, superior and inferior gluteal VANs, and pudendal VANs.

33
Q

What passes through both the lesser and greater sciatic foramen?

A

pudendal VANs

34
Q

What muscle is below the obturator muscles deep to the sciatic n. ?

A

quadratus femoris

35
Q

What 3 ligaments surround the capsule that covers the synovial membrane of the hip?

A

iliofemoral, pubofemoral and ischiofemoral

36
Q

Why is the hip an easy joing to tap or inject?

A

it has several bursa around it which are continuous w/ the synovial sac

37
Q

Blood supply to the head of the femur is from what main a. ?

A

deep femoral / profunda femorus a.

38
Q

What are the two main branches of the deep femoral a?

A

lateral circumflex femoral a. and medial circumflex femoral a.

39
Q

What are the 3 branches of the lateral circumflex femoral a. ? and what do they supply?

A

ascending, transverse and descending branches - supply the head of femur from below

40
Q

What gives blood supply to the tip of the head of the femur?

A

the obturator a. gives off a. of the ligament of the head of the femur

41
Q

Where does the a. of the ligament of the head of the femur run?

A

the round ligament which arises from the transverse acetabular ligament

42
Q

How do you get avascular necrosis in head of femur?

A

a fx of the head in hip dislocation for ex. would cut off the blood supply

43
Q

Where does the round ligament travel?

A

it enters the head of the femur in the fovea

44
Q

SCFE

A

slipped capitis femoral epiphysis - typical in teenage overweight AA males

45
Q

What are the differences in characteristics b/w normal joints and arthritic joints?

A

normal: smooth weight bearing surfaces; smooth cartilag
arthritic: rough bone, bones spurs, irregular weight bearing surfaces, worn cartilage, narrow joint space

46
Q

Legg-Calve-Perthe’s disease

A

osteochondritis from decreased blood flow leading to eventual collapse/necrosis of femoral head - typical in 4-8 y/o males

47
Q

What are the exams for congential hip displasia?

A

Barlow test: push hip up and rotate it

Ortolani test: grab legs and lift up then rotate their legs laterally - if displasia is present will feel a clunk

48
Q

hip dislocations

A

usually posterior due to sitting in front seat and getting jammed into dashboard so hip gets driven out of back of acetabulum (has a labrum like shoulder)

49
Q

trochanteric bursitis

A

(located under muscle) repetitive movements have inflame bursa - test by placing hand over it and have them move hip -will be painful. inject w/ steroids.

50
Q

If giving an IM injection in the gluteal region, where is it done?

A

upper outer quadrant. put thumb on ASIS and shoot b/w index and middle finger to not hit sciatic n

51
Q

What would produce swollen inguinal lymph nodes?

A

shingles along a dermatome in the gluteal region

52
Q

Why will 50% of people w/ fx of pelvis die from hemorrhagic shock?

A

internal iliac crosses the arcuate line of pelvis so will bleed out

53
Q

What do you do to test for the presence of piriformis syndrome and sciatica?

A

pt sitting, push fingers into buttocks

54
Q

How do you determine if it’s sciatic or piriformis syndrome?

A

straight leg raised test sitting and supine. wont’ hurt if piriformis syndrome

55
Q

How do you distinguish from sciatia or drug seeking?

A

sciata will be painful in straight leg raised test sitting and supine - drug seeker will say pain in supine but not to same degree sitting

Anatomy Test Block IV (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions