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Yr 2 - Movement > Leg, Ankle and Foot MCQs > Flashcards

Leg, Ankle and Foot MCQs Flashcards

1
Q

Is this tibia right/left anterior/posterior?

A

Posterior surface of the right tibia

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2
Q

Identify the muscle indicated by the letter C.

A

Soleus

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3
Q

a) where does the patella tendon insert?
b) where does the small saphenous vein travel behind?
c) where is the posterior tibial pulse palpable?
d) where does biceps femoris insert?
e) where does the common fibular nerve lie close to?

A

a) 3
b) 4
c) 5
d) 1
e) 2

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4
Q

Identify the muscle indicated by the letter B.

A

Lateral head of gastrocnemius

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5
Q

The muscle indicated by the letter C:

a) action?
b) innervation

A

a) plantarflexion of ankle, aids venous return from lower limb
b) innervated by tibial nerve

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6
Q

The artery indicated by the letter C is the:

A

Anterior tibial artery

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7
Q

What is bone G?

A

Calcaneum

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8
Q

The tendons of fibularis longus and brevis travel posterior to which one of the following bony landmarks?

A

B

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9
Q

Rupture of structure D would result in:

A
  • weak plantarflexion of the ankle
  • an abnormal gait
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10
Q

What is the prime action of muscle B?

A

Plantarflexion of the foot ??

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11
Q

Tendon A belongs to which one of the following muscles?

A

Extensor digitorum longus

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12
Q

Identify muscle A.

A

Tibialis anterior

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13
Q

The prime action of tibialis anterior is:

A

Dorsiflexion of the ankle

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14
Q

Which of the following muscles are innervated by the superficial fibular nerve?

A

C and D –> these are fibularis longus and fibularis brevis

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15
Q

What is the action of muscle B?

A

B is gastrocnemius:

  • Flexes the knee
  • Plantarflexes the ankle
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16
Q

What is C? Action? Innervation?

A

C is EDL:

  • Dorsiflexion of ankle
  • Extension of digits
  • Innervated by the deep fibular nerve
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17
Q

Identify muscle B.

A

Extensor hallucis longus

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18
Q

What is vessel B? What does it terminate as?

A
  • Vessel B is the anterior tibial artery (after leaving the popliteal fossa, it travels into the anterior compartment via the IOM)
  • Terminates as dorsalis pedis artery
  • Runs with the deep fibular nerve for most of its course
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19
Q

What landark do the posterior tibials veins pass?

A

Posterior to the medial malleolus

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20
Q

This reflex tests which spinal nerves and cord segments?

A

S1, S2

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21
Q

Regarding tendon 5 and its muscle: what is it? Where does it insert? What is its action? What is it innervated by?

A
  • tendon of fibularis brevis
  • inserts on base of 5th metatarsal
  • everts the foot
  • innervated by superficial fibular nerve
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22
Q

Identify muscle A.

A

Gastrocnemius

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23
Q

Tendon A belongs to which muscle?

A

Flexor hallucis longus (as in sole of foot)

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24
Q

Which nerve innervates the skin over region 1?

A

Saphenous nerve

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25
Q

Landmark A is the soleal line. Is this statement true or false?

A
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26
Q

Which structures travel behind the medial malleolus?

A
  • Posterior tibial artery and veins
  • Tendon of tibialis posterior
  • Tendon of flexor digitorum longus
  • Tendon of flexor hallucis longus
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27
Q

Where does vessel A travel?

A

Anterior to the medial malleolus

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28
Q

Which nerve innervates the skin over region 6?

A

Deep fibular

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29
Q

The injury seen in this X-ray could result in foot drop. Is this statement true or false?

A

Fibular neck fracture - true

30
Q

Which bone articulates with the tibia and fibula at the ankle joint?

A

Talus

31
Q

Where does the deltoid ligament lie?

A

On the medial aspect of the ankle

32
Q

Which ligament would be most at risk of injury by a forced / excessive movement in direction B?

A

Deltoid

33
Q

What is movement A? What is B?

A

A - inversion

B - eversion

34
Q

The radiological feature highlighted in this X-ray is the:

A

Ankle mortice

35
Q

The ankle joint is most stable in position A.

Is this true or false?

A

True

36
Q

Which muscles move the ankle joint in direction A?

A

Extensor digitorum longus, extensor hallucis longus, tibialis anterior

37
Q

Identify bone number 4.

A

Cuboid

38
Q

A patient presented with sudden onset pain of the big toe, with no history of trauma. The toe appeared as shown below, and was extremely painful.

What is the most likely diagnosis, given the history and examination?

A

Gout

39
Q

Which muscle inserts on region 5?

A

Fibularis brevis

40
Q

Identify bone 6.

A

Lateral cuneiform

41
Q

Tendon A belongs to which lateral compartment muscle?

A

Tendon fibularis longus

42
Q

The skin in regions 1-3 is innervated by which nerve and its branches?

A

Tibial

43
Q

The structures circled in the image are the deep fibular nerve and the dorsalis pedis artery.

Is this statement true or false?

A

True

44
Q

What is the medical name for this condition?

A

Hallux valgus

45
Q

Identify muscle 1.

A

Extensor digitorum brevis

46
Q

Joint 3 is flexed by which muscle?

A

Flexor hallucis longus

47
Q

Identify bone 2.

A

Navicular

48
Q

Which of the following is the most likely diagnosis in a patient with this X-ray but no pain in the foot?

A

Sensory neuropathy –> Charcot’s foot

49
Q

Identify muscle 1.

A

Abductor digiti minimi

50
Q

Tendon 7 belongs to which muscle?

A

Flexor digitorum longus

51
Q

Muscle 1 assists which other muscle?

A

FDL

52
Q

Movement in the direction of A is a normal response to tactile stimulation of the skin on the sole of the foot.

Is this statement true or false?

A

True

53
Q

Structure 4 is the remains of what?

A

Plantar aponeurosis (fascia)

54
Q

How do the plantar interossei move the toes?

A

Adduct

55
Q

Muscle 3 and the overlying region of skin are innervated by the:

A

Medial plantar nerve

56
Q

The skin over the dorsum of the foot in region 2 is innervated by the:

A

Deep fibular nerve

57
Q

Muscles 1 and 2 comprise the:

A

Adductor hallucis

58
Q

The vessel circled is the:

A

Deep plantar arch

59
Q

Is the medial longitudinal arch more or less pronounced than the lateral?

A

More pronounced

60
Q

Muscle 3 is:

A

Flexor hallucis brevis

61
Q

What are the circled structures?

A

terminal branches of the posterior tibial artery and the tibial nerve

62
Q

This injury is most likely to occur as a result of:

A

Fall from a height onto the foot

63
Q

In the foot, the artery that is being palpated in the image terminates as the:

A

this is the posterior tibial artery pulse - terminates as the medial and lateral plantar arteries

64
Q

Identify muscle 3.

A

Flexor hallucis brevis

65
Q

How does muscle A move the little toe?

A

This is flexor digiti minimi - flexes

66
Q

The pathological changes seen in these X-rays are characteristic of which of the following conditions?

A

Gout

67
Q

Identify muscle 2.

A

Flexor digitorum brevis

68
Q

Identify muscle 4.

A

1st lumbrical

69
Q

What is the action of muscle 1?

A

Abducts the 2nd toe

70
Q

Tendon 6 belongs to which muscle?

A

Flexor hallucis longus

71
Q

Most of the intrinsic muscles of the foot are innervated by which nerve?

A

Lateral plantar

Yr 2 - Movement (39 decks)

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