Hip and thigh

Question 1

1. Femoral nerve
   a. is less subject to damage by penetrating injuries of the lower abdomen than of the lower limb b. Damage may cause anaesthesia of the foot c. Is contained within the femoral sheath d. Is formed by the anterior divisions of L2,3,4 e. Gives a single muscular branch to iliacus

Answer 1

e

Question 2

2. With respect to the hip joint
   a. The fibrous capsule is strengthened by 2 ligaments b. Anteriorly the psoas major tendon separates the capsule from the femoral vein c. It is least stable when flexed and adducted d. Ligament of Bigelow is the weakest ligament e. Ischiofemoral ligament is the strongest ligament

Answer 2

c

Question 3

3. Femoral nerve
   a. Is formed from the anterior divisions of the anterior primary rami of L2-4 b. Is formed from the same spinal segments as the obturator nerve c. Divides after passing through the femoral triangle d. Has no cutaneous branches other than the saphenous nerve e. Enters the thigh in the femoral sheath

Answer 3

b

Question 4

4. Which of the following does not pass through the greater sciatic foramen
   a. The sciatic nerve b. The pudendal nerve and vessels c. The posterior cutaneous nerve of the thigh d. Inferior gluteal vessels and nerve e. Nerve to obturator externus

Answer 4

e

Question 5

5. Which of the following are not found in the adductor (subsartorial) canal
   a. Femoral artery b. Femoral vein c. Femoral nerve d. Saphenous nerve e. Nerve to vastus medialis

Answer 5

c

Question 6

6. A 30 y.o. man presents with adenopathy of the medial group of superficial inguinal lymph nodes on the right side. Which of the following is the primary site resulting in this finding?
   a. Right testis b. Right buttock c. Skin of lower limb d. Anal canal e. None of the above

Answer 6

d

Question 7

7. Following a subcapital fracture of the neck of femur, an 80 y.o. man sustains avascular necrosis of the femoral head. This is most likely to be the consequence of interruption to the blood supply to the head from which of the following sources?
   a. Arteries from the trochanteric anastomoses in the retinacula b. Artery of the ligament of the head from the obturator artery c. Branches from the profunda femoris artery d. Branches from the pudendal artery e. Branches from the inferior gluteal artery

Answer 7

a

Question 8

8. The muscle which provides the most control of hip joint movement during the act of sitting is
   a. Iliacus b. Semitendonosis c. Semimembranosis d. Gluteus maximus e. Gluteus minimis

Answer 8

d

Question 9

9. Which of the following are correctly paired?
   a. Adductor brevis – femoral nerve b. Adductor longus – sciatic nerve c. Adductor magnus – saphenous nerve d. Adductor longus – obturator nerve e. Adductor magnus – femoral nerve

Answer 9

d

Question 10

10. The great saphenous vein
    a. Is a continuation of the lateral marginal vein of the foot b. Runs between the 2 heads of gastrocnemius c. Pierces the cribriform fascia in the upper thigh d. Can be found immediately below and lateral to the pubic tubercle e. Does not communicate with varicosities in the superficial veins

Answer 10

c

Question 11

11. With regard to the femoral triangle
    a. It is bounded by adductor longus and magnus b. It has the fascia lata lining it s floor c. The femoral artery lies between the femoral vein and nerve d. It is bounded superficially by the lacunar ligament e. The femoral sheath contains only the femoral nerve and artery

Answer 11

c

Question 12

12. the femoral artery
    a. Is separated from the hip joint capsule by fat only b. Is crossed by the femoral vein from medial to lateral as it descends c. Is found at the mid-inguinal point d. Gives off the medial circumflex femoral artery as its major branch

Answer 12

c

Question 13

13. Gluteus maximus
    a. Is the deepest of the gluteal muscles b. Forms the skin crease of the gluteal fold c. Is supplied by L5, S1 d. Medially rotates and extends the hip joint e. All of the above

Answer 13

c

Question 14

14. Regarding the lymphatic drainage of the lower limb
    a. It is predominantly along the route of the small saphenous vein b. Apart from a small area of skin over the heel it drains via the popliteal lymph nodes from below the knee c. From the superficial inguinal lymph nodes it passes through the cribriform fascia to the deep inguinal nodes d. Deep lymphatics follow veins e. None of the above

Answer 14

c

Question 15

15. The femoral nerve
    a. Has superficial branches, one of which supplies the hip joint b. Supplies psoas major c. Lies within the femoral sheath d. Emerges from the medial side of psoas major e. Is formed from the posterior divisions of the ventral rami of L2,3,4

Answer 15

ee

Question 16

17. Contents of the femoral triangle include all except
    a. Genital branch of the genitofemoral nerve b. Great saphenous vein c. Pectineus d. Profunda femoris artery e. Anterior division of the obturator nerve

Answer 16

a

Question 17

18. The adductor canal
    a. Is bounded by adductor brevis b. Lies behind sartorius c. Contains the femoral nerve d. Commences just below the inguinal ligament e. Contains the femoral artery which lies inferolaterally to the femoral vein in the lower part

Answer 17

b

Question 18

19. The obturator nerve
    a. Emerges on the lateral border of psoas b. Supplies obturator externus, adductor longus and the knee joint c. Supplies obturator internus, adductor magnus abd the hip joint d. Runs inferior to the obturator artery in the obturator canal e. All of the above

Answer 18

b

Question 19

20. The femoral nerve
    a. Has an anterior division which supplies skin on the antero-medial surface of the thigh b. Runs medial to the femoral artery at the level of the inguinal canal c. Has the sural nerve as the terminal branch d. Supplies the posterior half of adductor magnus e. Supplies pectineus via its posterior division

Answer 19

a

Question 20

21. With regard to the head of the femur
    a. The arterial supply comes mainly from the inferior gluteal artery b. The artery to the head assumes importance after age of 7 years c. Psoas lies posterior to the hip joint d. The anterior division of the obturator nerve gives partial supply to the hip joint e. None of the above

Answer 20

d

Question 21

22. Regarding the bony pelvis
    a. The obturator groove is in the ischial bone b. The greater sciatic foramen transmits the obturator internus c. The pectineal line lies superior to the acetabulum d. The inguinal ligament inserts medially into the iliopubic eminence e. None of the above

Answer 21

e

Question 22

23. The hip joint
    a. Is directed slightly forward along the axis of the femoral neck b. Is supplied by the femoral and obturator nerves only c. Has an articular surface which does not reach the rim of the acetabulum d. Bears weight mainly through the ischial bone e. Has a capsule which is strengthened anteriorly by the ischiofemoral ligament

Answer 22

c

Question 23

24. The femoral triangle
    a. Has sartorius as its medial border b. Contains the posterior division of the obturator nerve c. Contains femoral nerve and vessels d. Has the lateral border of adductor longus laterally e. All of the above

Answer 23

c

Question 24

25. The muscles supplied by the femoral nerve include all except
    a. Sartorius b. Iliacus c. Psoas major d. Pectineus e. Rectus femoris

Answer 24

c

Question 25

26. Concerning the origins of the quadriceps femoris
    a. All 4 component muscles have an origin from the femur b. Vastus lateralis arises from the femur above intertrochanteric line and acetabulum c. Vastus medialis arises from femur and tendon of adductor longus d. Rectus femoris arises from 3 heads e. Vastus intermedius arises from shaft of femur and greater trochanter

Answer 25

e

Question 26

27. The floor of the femoral triangle consists of all of the following except
    a. Psoas b. Iliacus c. Pectineus d. Adductor brevis e. Adductor magnus

Answer 26

e

Question 27

28. Concerning iliacus
    a. It inserts into the greater trochanter of the femur b. It occupies and is attached to the whole of the iliac fossa c. Nerve supply is femoral nerve d. It acts to flex and laterally rotate the hip e. It has the femoral vein as its intermediate anterior relation

Answer 27

c

Question 28

29. Psoas major
    a. Has a proximal attachment to the bodies discs and transverse processes of lumbar vertebrae b. Has the lumbar plexus embedded within it c. Has the lumbar arterie sand veins running behind it d. Inserts into the lesser trochanter e. All of the above

Answer 28

e

Question 29

30. Sartorius
    a. Arises from the ilium below the ASIS b. Is pierced by the lateral cutaneous nerve of the thigh c. Inserts into the styloid of the fibula d. Is supplied by the obturator nerve e. Flexes and medially rotates the thigh

Answer 29

a

Question 30

31. Following Hiltons law, which nerve does not supply the hip joint
    a. Sciatic b. Obturator c. Inferior gluteal d. Nerve to rectus femoris e. Femoral

Answer 30

c

Question 31

33. Superficial inguinal lymph nodes drain all of the following except
    a. Anterior thigh b. Base of preroi CRM now c. Testis

Answer 31

c

Question 32

34. What goes through the lesser sciatic foramen?

a. Piriformis b. Pudendal nerve d. Superior gluteal artery e. Inferior gluteal artery

Answer 32

b

Question 33

35. Adductor magnus is
    a. A bipennate muscle b. A component of the femoral triangle c. Supplied by the femoral nerve d. A composite muscle e. Attached by point of origin to the pectineal line of the pubic bone

Answer 33

d

Question 34

36. Regarding the femoral artery and its branches
    a. Lies lateral to femoral sheath b. Femoral artery has three branches c. Profunda femoris artery lies anterior to the profunda vein d. The 4 perforating arteries supply all thigh muscles e. The profunda femoris artery supplies all anterior thigh muscles

Answer 34

e

Question 35

37. Regarding the inguinal canal
    a. It has a roof formed by lower edges of internal oblique and transversus muscles b. The ilioinguinal nerve enters the canal through the deep ring c. Its posterior wall is formed by the external oblique aponeurosis d. Its conjoint tendon lies anterior to the superficial inguinal ring e. The superior epigastric artery crosses the posterior wall medial to the deep inguinal ring

Answer 35

a

Question 36

38. Which of the following muscles is not in the floor of the femoral triangle
    a. Pectineus b. Adductor longus c. Sartorius d. Psoas e. Iliacus

Answer 36

c

Question 37

39. Regarding movements of the hip joint
    a. Stability is reduced by the presence of the long femoral neck b. Medial rotation is achieved by obturator externus c. Sartorius is a lateral rotator d. Medial rotation is resisted by the iliotibial tract e. Abduction is not usually required in normal walking

Answer 37

c

Question 38

40. Pectineus
    a. Arises from part of the obturator membrane b. Is inserted into the greater trochanter c. Lies posterior to the anterior division of the obturator nerve d. Forms one wall of the femoral ring e. Is a lateral rotator of the femur

Answer 38

d

Question 39

41. The femoral nerve
    a. Supplies the skin over the lateral thigh b. Lies between the pectineus and psoas in the femoral triangle c. Is formed by the posterior divisions of the anterior rami of lumbar nerves 2,3 and 4 d. Breaks into superficial and deep branches, separated by the medial circumflex femoral artery e. Supplies the adductor muscles

Answer 39

c

Question 40

42. The sciatic nerve
    a. Lies on the ischial tuberosity b. Lies on the obturator internus c. Passes upper quadratus femoris d. Emerges from above piriformis e. Is comprised of L4, L5, S1, S2

Answer 40

b

Question 41

43. The medial compartment of the thigh contains all of the following except
    a. The obturator nerve b. Obturator artery c. Gracilis muscle d. Obturator internus e. Obturator externus

Answer 41

d

Question 42

44. Adductor magnus
    a. Is a composite muscle b. Has a hamstring part arising from ischiopubic ramus c. Has an adductor part arising from ischial tuberosity d. Has a tendinous attachment only onto adductor tubercle of femur e. Has a nerve supply including the sciatic and anterior division of obturator nerves

Answer 42

a

Question 43

45. The skin over the femoral triangle is supplied by
    a. Ilioinguinal nerve b. Obturator nerve c. Medial femoral cutaneous nerve d. Lateral femoral cutaneous nerve e. Genitofemoral nerve

Answer 43

e

Question 44

46. The great saphenous vein
    a. Is a continuation of the lateral marginal vein of the foot b. Runs between the 2 heads of gastrocnemius c. Pierces the cribriform fascia in the upper thigh d. Can be found immediately below and lateral to the pubic tubercle e. Does not communicate with varicosities in the superficial veins

Answer 44

c

Question 45

47. The hip joint
    a. Derives its stability largely from the shape of its articular surfaces b. Has the ischiofemoral as its strongest ligament c. Is only supplied by the obturator and sciatic nerves d. Is limited in full extension by the pubofemoral ligament e. Is flexed largely by sartorius and rectus femoris

Answer 45

a