Zill Flashcards

0
Q

Cutaneous Nerve for Anterior Thigh

A

Branches from Femoral Nerve

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1
Q

Cutaneous Nerve of Lateral Thigh

A

Lateral Femoral Cutaneous Nerve

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2
Q

Cutaneous Nerve of the Medial Thigh

A

Branches from the Obturator Nerve

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3
Q

Cutaneous Nerve of Medial Leg

A

Saphenous Nerve (from the Femoral Nerve)

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4
Q

Cutaneous Nerve of the Lateral Leg

A

Lateral Sural Cutaneous Nerve (from the Common Peroneal)

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5
Q

Cutaneous Nerve of the Posterior Leg

A

Sural Nerve (from the Tibial Nerve)

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6
Q

Cutaneous Nerve of Dorsal Foot

A

Superficial Peroneal Nerve

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7
Q

Cutaneous Nerve of the Sole of Foot

A

Medial and Lateral Peroneal Nerve

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8
Q

Superficial Inguinal Lymphatic Nodes: Name, Location, and Function

A

Horizontal Group: located below inguinal ligament and drain gluteal region and posterior thigh

Vertical Group: along termination of Great Saphenous and drains lymph from most of lower extremity

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9
Q

Fascia Lata

A

Fascia covering of the thigh; attached superiorly to Pelvis, Scarpa’s Fascia, and Inguinal Ligament

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10
Q

Inguinal Ligament: Origin and Insertion

A

Anterior Superior Iliac Spine and Pubic Tubercle

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11
Q

Falcifrom Margrin

A

sharped edge lateral side of the Saphenous Opening

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12
Q

What does a Patellar Tendon Tap Test?

A

L2 - L4 (Femoral Nerve)

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13
Q

Hip Pointer

A

Contusion at Anterior Superior Iliac Spine

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14
Q

Pes Anserinus

A

“Goose Foot”

Insertion site on the Tibia for Sartorius, Gracilis, and Semintendinosus

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15
Q

Pulled Groin

A

Tear or stretch of Adductor group at Pubis (adductor magnus specifically)

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16
Q

Obturator Nerve Spinal Origin

A

L2-L4

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17
Q

Femoral Sheath

A

Surrounds femoral artery, vein, and canal but NOT nerve

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18
Q

Two Types of Hernia and Differences

A

Inguinal: neck of hernia above inguinal ligament and more common in males

Femoral: neck of hernia below inguinal ligament and more common in females

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19
Q

Arteries that supplies Anterior Abdominal Wall and Scrotum

A

Superficial Circumflex Iliac, Superficial Epigastric, and Superficial External Pudendal (all from the femoral)

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20
Q

Gluteal Gait

A

caused by injury to Superior Gluteal Nerve, Poliomyelitis, and Congenital Dislocation of Hip; Positive Trendelenburg (pelvis tilts towards non-paralyzed side)

21
Q

Location of Bursa in the Hip

A

Trochanteral Bursa: separates Gluteus Maximus from Greater Trochanter of Femur and Vastus Lateralis

Ischial Bursa: separates Gluteus Maximus from Ischial Tuberosity

22
Q

Posterior Cutaneous Nerve of Thigh

A

Large sensory nerve to posterior thigh and Gluteal region; medial to the sciatic nerve

23
Q

Treating a Popliteal Aneurism

A

Ligate the Femoral above the knee in the Subsartorial Canal (Hunter’s Canal)

24
Q

Nerves and Arteries for Anterior, Lateral, and Posterior Leg

A

Anterior: Deep Peroneal Nerve and Anterior Tibial Artery
Lateral: Superficial Peroneal Nerve and Posterior Tibial Artery (Lateral Branch)
Posterior: Tibial Nerve and Posterior Tibial Artery

25
Q

Achilles Tendon Tap reflex test which spinal nerves?

A

S1 and S2

26
Q

Sustenticulum Tali

A

part of the calcaneus that acts as a pulley system for the Flexor Hallucis Longis

27
Q

Tarsel Tunnel Syndrome

A

Swelling of the synovial sheaths under the Flexor Retinaculum in the ankle (medial side)

28
Q

Main Inverters and Everters

A

Inverters: Tibialis Anterior and Posterior

Everters: Peroneus Longus and Brevis (also Tertias)

29
Q

Peroneal Artery

A

Branch of the Posterior Tibial Artery; descends in lateral part of posterior compartment

30
Q

Intermittent Claudication

A

arteriosclerosis of the posterior tibial artery; painful cramps when moving but subsides after rest

31
Q

Pulses of the Leg and Foot

A

Pulse of Posterior Tibial Artery: taken between medial malleolus and calcaneus

Pulse of Dorsalis Pedis Artery: taken on dorsum of foot between medial and lateral malleoli

32
Q

Blount’s Disease

A

a condition of severe genu varus that occurs more frequently in black children; progressive and may eventually require surgery

33
Q

Causes of Genu Varus (Bow legged-ness)

A

Blount’s Disease
Epiphyseal Dysplasia (growth plate issues)
Trauma (at the growth plate)
Rickets (Vitamin D deficiency)

34
Q

Acetabulum Labrum

A

Rim of fibrocartilage at the acetabulum that deepens the cavity; bridges the Acetabular Notch (strengthened by the Transverse Acetabular Ligament)

35
Q

Iliofemoral Ligament

A

Strongest ligament in the body; Connects at the Ilium and Intertrochanteric Line; Prevents overextension of the hip

36
Q

Pubofemoral Ligament

A

Limits extension and abduction; Attaches at the superior ramus of the Pubis and the lower part of the Intertrochanteric Line

37
Q

Ischiofemoral Ligament

A

Limits extension; Attached to Ischium and Greater Trochanter

38
Q

Congenital Hip Dislocation

A

Failure of the upper lip of acetabulum to form; Head of femur dislocated Superiorly; leg is rotated medial and appears shorter

39
Q

Fracture of Neck of Femur

A

Leg is rotated laterally; Common in elderly; Can lead to avascular necrosis of the head of the femur (due to loss of Medial Femoral Circumflex Artery blood supply)

40
Q

High Ankle Sprain

A

Tear of the Anterior Inferior Tibio-Fibular Ligament

41
Q

Medial (Deltoid) Ligament

A

Attaches to medial malleolus, Talus, and Calcaneus; Limits eversion of foot

42
Q

Lateral Ankle Ligaments

A

Anterior Talofibular, Posterior Talofibular, and Calcaneofibular Ligament

43
Q

Joints of Inversion and Eversion

A

Subtalar Joint: talus and calcaneus

Transverse Tarsal Joint: between talus and navicular bones medially, calcaneus and cuboid bones laterally

44
Q

Pott’s Fracture

A

caused by excessive eversion; medial malleolus is fractured because the deltoid ligament will not break; shaft of fibula is fractured

45
Q

Innervations of the Muscles of Foot

A

Medial: Flexor Hallucis Brevis, Abductor Hallucis, Flexor Digitorum Brevis, First Lumbrical

Lateral: Everything else

46
Q

Medial Arch

A

Formed by calcaneus, talus, navicular, cuneiforms, and medial three metatarsels; highest arch; responsible for “fallen arches”

47
Q

Plantar Calcaneonavicular Ligament

A

“Spring Ligament”; keeps head of talus above ground; most important in medial arch support along with Tibialis Posterior and Anterior; weakening associated with flat feet

48
Q

Lateral Longitudinal Arch

A

formed by the calcaneus, cuboid, and lateral two metatarsels; supported by Long Plantar Ligament and Peroneal Tendons

49
Q

Transverse Arch

A

formed by cuneiform, cuboid, and metatarsels