Lower Limb Flashcards

1
Q

Tenderness of the head of the femur is a signal of

A

Arthritis

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2
Q

Coxa vara

A

Decrease in the increase of the head of the femur and the shaft of the femur

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3
Q

Coxa valga

A

Increase in angle between the neck of the femur and the shaft. Occurs in dislocation

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4
Q

The upper part of the neck of the femur is supplied by

A

Medial femoral circumflex artery

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5
Q

Fracture of the neck equals

A

Loss of blood

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6
Q

The neck of the femur is at with angle in children and then adults

A

160 and 125

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7
Q

Subcapital fractures occur in

A

Elderly or post menopausal women due to decrease estrogen

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8
Q

Trochanteric fractures of the femur are seen in

A

Children and the middle age.

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9
Q

Sacrotuberious liagment

A

From back of sacrum to Ishial tuberosity

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10
Q

Sacrospinous ligament

A

Connects to back of sacrum to spine of the ischium

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11
Q

Contents in the greater sciatic foramen

A

Piriformis muscle
Sciatic nerve
Posterior cutaneous nerve of the thigh
Internal pudendal artery and vein
Superior and inferior gluteal nerve, artery and vein
Nerves of obrutor interns and quadratus femoris.

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12
Q

Lesser sciatic nerve contents

A

Tendon of obturator muscle
Nerve to obrutor intern us
Internal prudent artery and vein

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13
Q

Which should the intramuscular injection be given in the gluteus Maximus?

A

Upper outer quadrant of the butt

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14
Q

What is the largest nerve in the body

A

Sciatic nerve

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15
Q

Sciatic nerve splits into

A

Tibial and common perineal nerves at the popliteal fossa

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16
Q

Contents of the femoral triangle

A
Femoral artery
Femoral nerve
Femoral vein
Fat
Deep inguinal lymph nodes 
Femoral branch of genital femoral branch
Femoral sheath
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17
Q

Lateral side of femoral triangle

A

Medial border of satorius

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18
Q

Medial side of femoral triangle

A

Medial border of adductor longus

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19
Q

Apex of femoral triangle

A

Meeting point of sartorius and adductor longus

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20
Q

Roof of femoral triangle

A

Skim, superficial and deep fascia

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21
Q

Floor of femoral triangle

A

Pectineus, adductor longus, psoas major and iliacus

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22
Q

Anterior wall of femoral sheath

A

Fascia transveralis

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23
Q

Posterior wall of femoral sheath

A

Fascia lliaca

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24
Q

Lateral compartment of femoral sheath

A

Femoral artery and femoral branch of genito femoral nerve

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25
Q

Intermediate compartment of the femoral sheath

A

Femoral vein

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26
Q

Medial compartment of sheath

A

Femoral canal , lymphatic compartment

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27
Q

When is a femoral hernia formed

A

When the intestine descend in the medial aspects of the the femoral sheath

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28
Q

Where is the hunters canal?

A

Middle one third of the thigh

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29
Q

Anterolateral of the hunters canal

A

Vastus medialis

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30
Q

Posterior floor of the hunters canal

A

Adductor longus and adductor Magnus

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31
Q

Roof of hunter canal

A

Aponeurosis stretching from anterolateral to posterior wall.

32
Q

Contents of hunter canal

A

Femoral artery
Femoral vein
Femoral nerve and saphenous nerve
obruator nerve

33
Q

Superolateral boundary of the popliteal fossa

A

Biceps femoris

34
Q

Inferolateral of popliteal

A

Lateral head of gastrocnemius

35
Q

Superomedial of popliteal q

A

Semi membranous and semitendinosus

36
Q

Infernomedial

A

Medial head of gastrocnemius

37
Q

Floor of popliteal

A

Popliteus muscle and fascia
Capsule of the knee joint and oblique popliteal liagment
Popliteal surface of femur

38
Q

Popliteal fossa contents

A
Popliteal artery and its branches
Popliteal vein and its tributaries
Tibial nerve and branches
Common peroneal branch
Popliteal lymph nodes
Genicular branches of posterior division of obruator nerve
39
Q

Superficial branches of the femoral vein

A

Superior epigastric artery
Superior external iliac artery
Superior external pudenal artery

40
Q

The superior epigastric artery merges withq

A

The inferior epigastric artery

41
Q

Direction of the superior circumflex iliac artery

A

Along the inguinal liagment to saphenous hiatus. Goes towards the ASIS. Merges with deep circumflex iliac artery

42
Q

Deep branches the femoral artery

A

Deep external pudenal
Descending genicular
Deep femoral

43
Q

Branches of the deep femoral arteries

A

Medial and lateral femoral circumflex
Perforating arteries
Descending genicular

44
Q

Deep external pudenal arteries passes which muscles

A

Pectineus and adductor longus

45
Q

Deep genicular

A

Arises in the adductor canal

46
Q

Which artery runs with the deep genicular?

A

Saphenous nerve

47
Q

obruator nerve is derived from the

A

internal illiac artery

48
Q

obruator runs with the

A

anterior and posterior obturatore nerves and branches at the adductor brevis

49
Q

branches of the obruator artery

A

acetabular artery which supplies the head of the femur through the liagmentum teres

50
Q

branches of the popliteal artery

A

medial and lateral superior genicular arteries
medial and lateral inferior genicular arteries
middle genicular artery and branches

51
Q

what are the contributors of the genicular anastomosis?

A

descending branches of the deep femoral and femoral artery
genicular branches of the popliteal artery
ascending branches of anterior and posterior tibial arteries

52
Q

anterior tibial artery facts

A

terminal branch of the popiteal artery
arises at inferior border of popliteus muscles
passes anterior to the interosseus membrane

53
Q

anterior tibial artery is accompanied by?

A

deep peroneal artery

54
Q

the deep fermoral artery passes posteriorly to

A

adductor longus muscle

55
Q

medial formal circumflex has two branches.

A

ascending branch : anastomoses with inferior gluteal artery

transverse: anastomoses with lateral fermoral circumflex artery

56
Q

what are the branches of the lateral circumflex branches

A

ascending branch: superior gluteal artery

transverse: medial femoral circumflex artery
descending: genicular artery

57
Q

what are the root values of genitofemoral

A

l2, l3

58
Q

roots values of femoral and obruator

A

L2,L3,L4 FEMORAL IS VENTRAL AND OBRUATOR IS DORSI

59
Q

LATERAL CUTANEOUS

A

L2,L3

60
Q

ILIOHYPOGASTRIC AND ILIOINGUINAL IS

A

L1

61
Q

where can the femoal nerve be palpitated

A

the midpoint of the ASIS and the pubic symphysis

62
Q

the lower medial aspect of the skin is supplied by

A

obruator

63
Q

where is the sacral plexus located?

A

piriformis muscle

64
Q

root of obruator internus and sup gemellus

A

L5- S2

65
Q

roots to quadratic femorialis inferior gemillus

A

L4, L5, S1w

66
Q

common peroneal component of sciatic nerve

A

L4, L5, S1, S2

67
Q

Superior gluteal nerve

A

L4- S1

68
Q

inferior gluteal nerve

A

L5- S2

69
Q

sciatic nerve

A

L4- S3

70
Q

femoral nerve damage

A

loss the extension due to qradrants and weak flexion of the hip

71
Q

lateral cutaneous loss

A

meralgia paraesthetica

72
Q

obruator nerve damage

A

loss of adductors of the thigh, medial aspect of the thigh

73
Q

sciatic nerve

A

paralysis of hamstrings, muscle of the leg and foot. sensory supply of thigh and popliteal fossa

74
Q

common peroneal nerve

A

foot drop , paralysis of the extensors of the ankle and elevators of the foot

75
Q

tibal nerve paralysis

A

paralysis of muscles of posterior compartment of leg and sole of foot. loss of sensory over the posterior lateral aspect of the lower leg, the sole of the foot and dorsal skin of nail bed.

76
Q

hiltons law

A

this law states that the nerve supplying the joint also supplies the muscles and skin of that joint.