Lower Limb ( 25% ) Flashcards
5) The adductor canal:
- a) contains the femoral artery and nerve
- b) ends distally in the adductor longus hiatus
- c) contains no muscular nerves
- d) has adductor longus forming the root
- e) always has the femoral artery lying between the saphenous nerve and the femoral vein
e) always has the femoral artery lying between the saphenous nerve and the femoral vein
- a) contains the femoral artery, vein, nerve to vastus medialis, and saphenous nerve
- Femoral nerve splits into terminal branches in femoral triangle
- b) ends distally in the adductor magnus hiatus
- c) contains 1 muscular nerve - to vastus medialis

7) Regarding the femoral artery:
- a) adductor magnus lies between it and the profunda femoris artery
- b) the profunda femoris vein lies behind the profunda femoris artery
- c) profunda femoris artery arises from its posterior surface
- d) the lateral circumflex femoral artery separates the superficial and deep branches of the femoral nerve
- e) the femoral vein is always on its medial side
d) the lateral circumflex femoral artery separates the superficial and deep branches of the femoral nerve
- a) adductor longus lies between it and the profunda femoris artery
- b) the profunda femoris vein lies behind the profunda femoris artery
- ??
- c) profunda femoris artery arises from its lateral or posterior surface
- e) the femoral vein is medial at the inguinal ligament, posterior at the apex of triangle, posterolateral in the adductor canal
9) Regarding the adductor compartment:
- a) adductor magnus lies between the anterior and posterior divisions of the obturator nerve
- b) adductor longus inserts into the upper two thirds of the linear aspect of the femur
- c) the hamstring part of adductor magnus is supplied by the tibial part of the sciatic nerve
- d) the medial intermuscular septum separates the adductor compartment from the posterior compartment
- e) obturator externus medially rotates the hip
c) the hamstring part of adductor magnus is supplied by the tibial part of the sciatic nerve
- a) adductor brevis lies between the anterior and posterior divisions of the obturator nerve
- b) adductor longus inserts into the middle third of the linea aspera of the femur
- d) the (???posterior or lateral - TBD) intermuscular septum separates the adductor compartment from the posterior compartment
- e) obturator externus laterally rotates the hip
- Origin at margins of obturator membrane, inserts into trochanteric fossa (on posterior aspect of greater trochanter) of femur
18) The following are branches of the femoral artery except:
- a) superficial circumflex iliac artery
- b) superficial epigastric artery
- c) superficial external pudendal artery
- d) deep external pudendal artery
e) middle genicular artery
branch of popliteal artery

24) Which of the following muscles is not found in the floor of the femoral triangle?
- a) iliacus
- b) psoas
- c) pectineus
- d) adductor magnus
- e) adductor longus
d) adductor magnus

25) Which of the following is not found within the femoral sheath?
- a) femoral artery
- b) femoral canal
- c) femoral hernia
- d) femoral nerve
- e) lymph node of Cloquet
d) femoral nerve

26) The profunda femoris artery does not:
- a) normally supply all the thigh muscles
- b) arise from the lateral side of the femoral artery, 3-4cm distal to the inguinal ligament
- c) give off the deep external pudendal artery
- d) lie behind the profunda vein
- e) lie directly anterior to adductor brevis and magnus
c) give off the deep external pudendal artery
This is a branch of the femoral artery

27) Which of the following is INCORRECT regarding the femoral nerve?
- a) is formed from the anterior divisions of the anterior rami of the lumbar nerves 2, 3 and 4
- b) supplies iliacus in the abdomen
- c) lies in the iliac fossa between psoas and iliacus
- d) gives a branch to pectineus as it enters the femoral triangle
- e) divides into several branches just distal to the inguinal ligament
a) is formed from the anterior divisions of the anterior rami of the lumbar nerves 2, 3 and 4
Not sure why this is wrong - is definitely off the anterior rami of L2-4. ?not from anterior divisionsa
28) All the following are branches of the femoral nerve except:
- a) medial femoral cutaneous nerve
- b) saphenous nerve
- c) nerve to vastus medialis
- d) lateral femoral cutaneous nerve
- e) nerve to sartorius
d) lateral femoral cutaneous nerve
From lumbar plexus L2-3
29) Which factor is most important in preventing lateral displacement of the patella during quadriceps contraction?
- a) the forward prominence of the lateral condyle of the femur
- b) the action of articularis genu
- c) the action of vastus medialis
- d) the action of rectus femoris
- e) the tension of the medial patellar retinaculum
c) the action of vastus medialis
Prominent medial epicondyle presents medial dislocation.
Vastus medialis prevents lateral dislocation
30) The adductor canal is not:
- a) roofed by fascia containing the subsartorial plexus
- b) occupied by the sciatic nerve
- c) also known as Hunter’s canal
- d) occupied by the femoral artery
- e) a gutter shaped groove between vastus medialis and the front of the adductor muscles
b) occupied by the sciatic nerve
Contains femoral artery, femoral vein, saphenous nerve, and nerve to vastus medialis
31) Which of the following is INCORRECT regarding the adductor canal?
- a) sartorius lies on the fascial roof
- b) in the distal part of the canal, the femoral vein is posterolateral to the artery
- c) at all levels, the artery lies between saphenous nerve and femoral vein
- d) the subsartorial plexus supplies overlying fascia lata and an area of skin above medial side of the knee
- e) the adductors in the floor of the canal are the adductor brevis above and the adductor longus below
e) the adductors in the floor of the canal are the adductor magnus and the adductor longus
From apex of femoral triangle to the adductor hiatus
Carries femoral artery, vein, saphenous nerve, and nerve to vastus medialis
Boundaries:
Ant + lat - vastus medialis
Post - adductors longus + magnus
Med/roof - sartorius
32) In the medial compartment of the thigh:
- a) adductor magnus consists of adductor and hamstring muscle masses
- b) the contents are separated from the posterior compartment by the posterior intermuscular septum
- c) adductor longus is the most superficial muscle of the medial side of the thigh
- d) the anterior division of the obturator nerve passes through obturator externus
- e) the posterior division of the obturator nerve is the prime motor supply
a) adductor magnus consists of adductor and hamstring muscle masses
36) Muscles in the floor of the femoral triangle include all EXCEPT:
- a) adductor magnus
- b) pectineus
- c) psoas
- d) ilacus
- e) adductor longus
a) adductor magnus
Boundries:
- Superior - inguinal ligament
- Medial - lateral border of adductor longs
- Lateral - sartorius; apex is where sartorius crosses over adductor longus
- Floor - iliopsoas laterally, pectineus medially
- Roof - fascia lata and cribiform fascia
9) Which of the following structures is NOT found in the adductor (subsartorial) canal?
- a) femoral artery
- b) femoral vein
- c) femoral nerve
- d) saphenous nerve
- e) nerve to vastus medialis
c) femoral nerve
11) The femoral canal:
- a) is the lateral compartment of the femoral sheath
- b) lies medial to the pubic tubercle
- c) contains the femoral nerve
- d) is medial to the femoral vein
- e) transmits the femoral branch of the genitofemoral nerve
d) is medial to the femoral vein
- a) is the medial compartment of the femoral sheath
- b) lies medial to the pubic tubercle
- c) contains the lower limb lymph, fat, and loose connective tissue
- e) transmits the femoral branch of the genitofemoral nerve
18) Regarding the femoral triangle:
- a) the lateral border of the adductor longus makes up its medial boundary
- b) it is bisected by the femoral nerve
- c) the lateral border of sartorius muscle makes up its lateral boundary
- d) the long saphenous vein joins the femoral vein within the triangle
- e) rectus femoris makes up part of the floor
a) the lateral border of the adductor longus makes up its medial boundary
‘Medially by the lateral border of the adductor longus’
d) the long saphenous vein joins the femoral vein within the triangle (along with profunda vein)
They say D, A is also correct as per Moores 8th ed
- b) it is bisected by the femoral nerve
- Femoral nerve splits into terminal branches within the triangle
- c) the medial border of sartorius muscle makes up its lateral boundary
- e) iliacus and pectineus makes up part of the floor
24) Regarding the femoral artery:
- a) it enters the thigh directly beneath the deep inguinal ring
- b) it lies lateral to the femoral nerve in the femoral sheath
- c) it gives rise to the profunda femoris artery which pierces the femoral sheath
- d) does not contribute to the trochanteric anastomosis
- e) its branches include the superficial epigastric artery and the deep external pudendal artery
e) its branches include the superficial epigastric artery and the deep external pudendal artery
- a) it enters the thigh directly beneath the deep inguinal ring
- Enters at mid-inguinal point (sometimes claimed to also be site of deep inguinal ring, but E is more correct [deep ring is not mentioned in the section on the femoral artery in Moores])
- b) it lies medial to the femoral nerve in the femoral sheath
- NAVY Lat->Med
- c) it gives rise to the profunda femoris artery which pierces the femoral sheath
- The femoral sheath blends with adventitia of vessels prior to profunda splitting (or at least is implied by Moores).
- If a long sheath occurs, it is pierced by the great saphenous vein and lymph (does not mention profunda artery)
- d) does not contribute to the trochanteric anastomosis
- Medial and lateral circumflex femoral arteries are branches of the profunda femoral artery usually
31) The psoas muscle:
- a) passes across the front of the capsule of the hip joint
- b) is a powerful lateral rotator of the femur
- c) inserts into the greater trochanter
- d) is supplied by L4 and L5 nerve roots
- e) arises from the iliac crest and sacroiliac joint
- a) passes across the front of the capsule of the hip joint
- b) is a powerful flexor and stabiliser of the femur,
- c) inserts into the lesser trochanter
- d) is supplied by L1+2 nerve roots
- e) Iliacus arises from the iliac crest and sacroiliac joint
- Psoas major - T12-L5 vertebra and discs, and transverse processes of all lumbar vertebra
- Minor - Sides of T12-L1 vertebra and discs
32) The 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
b) is formed from the same spinal segments as the obturator nerve
L2-4 for both
- a) is formed from the (??something other than anterior divison) of the anterior primary rami of L2-4
- c) divides within the femoral triangle
- d) cuteneous branches are the saphenous nerve, and the medial and intermediate cutaneous nerves of the thigh
- e) enters the thigh lateral to the femoral sheath, on top of iliopsoas
35) Following a subcapital fracture of the neck of the femur, an 80 year old 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 trochanteric anastomosis 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
a) arteries from trochanteric anastomosis in the retinacula
Main supply is retinacular arteries which are branches of the circumflex femoral (medial primarily as they pass beneath the unattached posterior joint capsule, rather than penetrating it)
36) Which structure does NOT bass under the inguinal ligament?
- a) femoral vein
- b) lateral cutaneous nerve of the thigh
- c) femoral nerve
- d) femoral branch of the genitofemoral nerve
- e) great saphenous vein
e) great saphenous vein
Enters the femoral vein in the femoral triangle
37) Regarding the femoral triangle:
- a) adductor magnus makes up part of the floor
- b) no motor branches of the femoral nerve leave the triangle to enter the sartorius canal
- c) the femoral artery occupies the lateral compartment of the femoral sheath
- d) the main cutaneous nerve supply of the skin overlying the triangle is by the ilioinguinal nerve
- e) the femoral vein lies medial to the femoral artery throughout the triangle
c) the femoral artery occupies the lateral compartment of the femoral sheath
- a) adductor longus, iliopsoas, and pectineus makes up the floor
- b) One motor branche of the femoral nerve leaves the triangle to enter the sartorius canal: nerve to vastus medialis
- d) the main cutaneous nerve supply of the skin overlying the triangle is by branches of the genitofemoral nerve
- e) the femoral vein lies medial to the femoral artery throughout the triangle
- Proximally it is medial but at the base it is posterior
45) Which of the following is 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
d) adductor longus – obturator nerve



















