LL MCQ Flashcards
- What is the sensory innervation of the heel?
a. L1
b. L3
c. S1
d. S3
e. S5
c. S1
- Inversion of the foot involves which of the following:
a. Peroneus Longus
b. Sub talar joint
c. Ankle joint
d. Metatarso phalangeal joint
e. Flexor digitorum brevis
b. Sub talar joint
- A patient’s knee showed abnormal abduction. which ligament is likely to be injured?
a. Lateral collateral ligament
b. Medial collateral ligament
c. Anterior cruciate Ligament
d. Posterior cruciate ligament
e. Oblique popliteal ligament
b. Medial collateral ligament
- The most likely site of blunt injury resulting in a foot drop is over the:
a. Inguinal region
b. Popliteal fossa
c. Front of the ankle joint
d. Upper end of the fibula
e. Gluteal region
d. Upper end of the fibula
- Eliciting a knee jerk involves the following structures except:
a. Ligamentum patellae
b. Muscle spindles
c. Obturator nerve
d. Quadriceps femoris
e. L3, L4 spinal segment
c. Obturator nerve
- Normal venous flow in the lower limb is:
a. Mainly through the long and short saphenous vein
b. Perforating veins drain from deep veins to superficial vein
c. Assisted by inactivity of calf muscle
d. Mainly deep veins
e. Long saphenous to popliteal vein
f. Femoral vein lies in between the femoral artery and femoral nerve.
g. The popliteal vein is superficial to the tibial nerve in the popliteal fossa.
h. The great saphenous vein drains into the femoral vein
i. The small saphenous vein runs posterior to the medial mallelous
d. Mainly deep veins
h. The great saphenous vein drains into the femoral vein
- The blood supply of the head of femur is mainly from the:
a. Obturator artery
b. Deep external pudendal artery
c. Superficial circumflex artery
d. Trochanteric anastomosis
e. Inferior epigastric artery
d. Trochanteric anastomosis
- For stability in the hip joint, the most important ligament is the:
a. Ischiofemoral ligament
b. Iliofemoral ligament
c. Pubofemoral ligament
d. Ligament of head of femur
e. Transverse acetabular ligament
b. Iliofemoral ligament
note: iliofemoral is main ligament that resists hyperextension of hip joint
- Intramuscular injection into the gluteal region (buttock) is best given over the:
a. Upper inner quadrant
b. Lower inner quadrant
c. Upper outer quadrant
d. Lower outer quadrant
e. Posterior inferior iliac spine
c. Upper outer quadrant
- The following statement regarding the hamstring muscles are true except:
a. The long head of biceps femoris originates from the ischial tuberosity
b. The semitendinosus is inserted into the head of fibula
c. The hamstring muscles flex at the knee joint
d. The hamstring muscles extend at hip joint
e. The tibial portion of the sciatic nerve innervates the hamstring muscles
b. The semitendinosus is inserted into the head of fibula
- Which of the following is true for menisci?
a. The medial collateral ligament is attached to the medial meniscus
b. The menisci are made of hyaline cartilage
c. The medial meniscus is more mobile than the lateral meniscus
d. The lateral meniscus is connected to the posterior cruciate ligament
e. The lateral meniscus is attached to the head of the fibula
a. The medial collateral ligament is attached to the medial meniscus
- When a patient stands on the left foot and his right pelvis tilts downward, there is a weakness of the
a. Left Gluteus Maximus
b. Right Gluteus Maximus
c. Right Gluteus Medius and Minimus
d. Left Gluteus Medius and Minimus
e. Both obturator externus muscles - A patient whose pelvis tilts downwards on the left, while standing on the right lower limb has a weakness of the :
a. left gluteus medius and minimus
b. right gluteus medius and minimus
c. right gluteus maximus
d. left gluteus maximus
e. left adductor magnus
d. Left Gluteus Medius and Minimus
b. right gluteus medius and minimus
- Which of these bones does not form the medial arch of the foot?
a. Lateral cuneiform
b. Cuboid
c. 3rd metaltarsal
d. Talus
e. Calcaneum
b. Cuboid
- The structures which can be visualized during an arthoscope of the knee joint include the following, EXCEPT:
a. Femoral condyles
b. Tibial condyles (plateaus)
c. Head of fibula
d. Anterior and posterior cruciate ligaments
e. Lateral and medial menisci
f. Adductor tubercle
c. Head of fibula
f. Adductor tubercle
- This part of the quadriceps femoris acts on both the knee and the hip joint
a. Vastus medius
b. vastus intermedius
c. vastus lateralis
d. rectus femoris
e. Sartorius
d. rectus femoris
- The femoral nerve supplies muscles which act on
a. Hip joint only
b. hip and knee joint
c. knee joint only
d. knee and ankle joint
e. ankle joint only
b. hip and knee joint
- injury to the common peroneal nerve is more likely to occur at the level of
a. Lateral condyle of femur
b. lateral condyle of tibia
c. patella
d. head of fibula
e. neck of fibula
e. neck of fibula
- The head of the femur in the adult is mainly supplied by the;
a. superior gluteal artery
b. inferior gluteal artery
c. profunda femoris
d. medial circumflex femoral artery
e. lateral circumflex femoral artery
d. medial circumflex femoral artery
- Which of the following is not a content of the femoral triangle?
a. Femoral artery
b. Femoral vein
c. Femoral nerve
d. Obturator nerve
e. Deep inguinal lymph nodes
d. Obturator nerve
- In the popliteal fossa,
a. The popliteal artery is deeper than the tibial nerve
b. The long saphenous vein drains into the popliteal vein
c. Popliteus is innervated by the common peroneal/fibular nerve
d. The popliteal vein is a continuation of the femoral vein
e. The inferior borders are formed by the two heads of the biceps femoris. / Biceps femoris forms its medial border.
f. The tibial nerve is the most superficial to the popliteal vein.
g. Popliteal vein lies deep to popliteus
h. Floor is formed by gastrocnemius
i. Sciatic nerve gives off superficial fibular/peroneal nerve
j. Tendon of semimembranosus strengthens capsule of knee
a. The popliteal artery is deeper than the tibial nerve.
f. The tibial nerve is the most superficial to the popliteal vein.
j. Tendon of semimembranosus strengthens capsule of knee
- Which of the following lowers the tendency for dislocation of the patella.
a. Medial meniscus
b. Anterior cruciate ligament
c. Vastus intermedius
d. Lateral collateral ligament
e. Vastus medius
e. Vastus medius
- The spinal cord segments that are tested by tapping the patella ligament to elicit a knee jerk reflex are.
a. L1, L2
b. L3, L4
c. L5, S1
d. S2, S3
e. S4, S5
b. L3, L4
- The muscles of the anterior compartment of the leg are innervated by.
a. femoral nerve
b. obturator nerve
c. saphenous nerve
d. tibial nerve
e. deep peroneal nerve
e. deep peroneal nerve
- Which muscle is used most when standing from a squatting position.
a. Hamstrings
b. Quadriceps Femoris
c. Gastrocnemius
d. Illopsoas
e. Gluteus medius
b. Quadriceps Femoris
- Which of the following does not contribute to the stability of the ankle joint.
a. Dorsiflexion
b. Plantarflexion
c. Shape of talus
d. Talocalcaneum ligament
e. Deltoid ligament
f. Lateral ligament
b. Plantarflexion
- Long saphenous vein
a. begins at the lateral dorsal venous arch
b. passes posterior to the medial malleolus
c. joins short saphenous vein
d. accompanied by saphenous nerve
e. carries most blood from LL
d. accompanied by saphenous nerve
- All of the following help in supporting the medial longitudinal arch of the foot except
a. Sustenaculum tali
b. Plantar aponeurosis
c. Tibialis anterior
d. Peroneus brevis
e. Spring ligament
d. Peroneus brevis
- Which of the following joints is NOT involved in inversion and eversion of the foot?
a. Talocalcaneonavicular joint
b. Calcaneocuboid joint
c. Transverse tarsal joint
d. Ankle joint
e. Subtalar joint
d. Ankle joint
- The small (short) saphenous vein
a. Receives venous blood from the posterior tibial vein
b. Lies behind the medial malleolus
c. Drains into the popliteal vein
d. Is closely related to the saphenous nerve
e. Has no valves
c. Drains into the popliteal vein
- The superficial fibular (peroneal) nerve innervates muscles that
a. Extend thigh and leg
b. Flex thigh and leg
c. Flex leg and foot
d. Dorsiflex and invert foot
e. Plantarflex and evert foot
e. Plantarflex and evert foot
- The long (or great) saphenous vein
a. Lies behind the lateral malleolus
b. Is closely related to the tibial nerve
c. Drains into the popliteal vein
d. Travels through the subsartorial (adductor) canal
e. Drains into the femoral vein
e. Drains into the femoral vein
- A fall from a height that damages the lateral longitudinal arch, is most likely to injure which of the following bones?
a. Talus
b. Navicular
c. Lateral Cuneiform
d. Cuboid
e. First metatarsal
d. Cuboid
- A stab wound involving the adductor (subsartorial) canal would most likely affect which of the following?
a. Obturator nerve
b. Saphenous nerve
c. Great saphenous vein
d. Profunda femoris
e. First perforating artery
b. Saphenous nerve
- A patient has difficulty walking. On examination, there is weakness in dorsiflexion and inversion of the foot. The most likely muscle to be affected is
a. Peroneus Longus
b. Gastrocnemius
c. Tibialis Anterior
d. Tibialis Posterior
e. Soleus
c. Tibialis Anterior
- A doctor palpating dorsalis pedis is determining blood flow from
a. Anterior tibial artery
b. Posterior tibial artery
c. Medial plantar artery
d. Lateral plantar artery
e. Genicular artery
a. Anterior tibial artery
- A person with difficulties in climbing stairs is most likely to have injury of which of the following muscles:
a. Piriformis
b. Gluteus maximus
c. Gluteus minimus
d. Gracilis
e. Sartorius
b. Gluteus maximus
- The muscle that ‘unlocks’ the knee is supplied by the
a. Femoral nerve
b. Obturator nerve
c. Inferior gluteal nerve
d. Tibial nerve
e. Common fibular (peroneal) nerve
d. Tibial nerve
- When an ankle tendon jerk is elicited, the least likely event is
a. Plantarflexion of foot
b. A stretching of muscle spindle in triceps surae
c. Efferent impulses travelling in tibial nerve
d. Activation of ventral horn cells
e. Participation of interneurons
e. Participation of interneurons
- In helping to stabilize the knee joint,
a. Medical collateral ligament prevents adduction
b. Vastus medialis helps to stabilize the patella
c. Anterior cruciate ligament limits backward movement of tibia on femur
d. The fibula assists in preventing lateral dislocation of the femur
e. Soleus helps in locking of joint
b. Vastus medialis helps to stabilize the patella
- When standing straight with both feet on the ground, forward tilting of the body will cause the centre of gravity to move forwards. This can be countered by the action of:
a. Quadratus femoris
b. Psoas major
c. Gluteus maximus
d. Triceps surae
e. Hamstrings
d. Triceps surae
- In children, the head of the femur is also supplied by:
a. External iliac artery
b. Popliteal artery
c. Superior gluteal artery
d. Inferior gluteal artery
e. Obturator artery
Obturator artery
- The doctor examines a soldier with flat foot and finds that the head of the talus does not have its normal support due to the stretching of a ligament, which is MOST LIKELY to be the
a. Calcaneocuboid (short plantar) ligament
b. Calcaneofibular ligament
c. Calcaneonavicular (spring) ligament
d. Talofibular ligament
e. Deltoid ligament
c. Calcaneonavicular (spring) ligament