McqMate
Chapters
| 1. |
The ankle joint is |
| A. | Dorsiflexed by tibialis posterior and peroneus tertius |
| B. | Fixed in its own axis of rotation |
| C. | Crossed by the anterior tibial artery lateral to the extensor hallucis longus tendon |
| D. | Supported by the lateral deltoid ligamanet |
| E. | Innervated by the sural and superficial peroneal nerves |
| Answer» C. Crossed by the anterior tibial artery lateral to the extensor hallucis longus tendon | |
| 2. |
A 25 y.o. man is unable to plantarflex his foot. The most likely cause is damage to |
| A. | The superficial peroneal nerve |
| B. | L5 nerve root |
| C. | Tibial nerve |
| D. | Gastrocnemius |
| E. | Soleus |
| Answer» C. Tibial nerve | |
| 3. |
Dorsalis pedis artery |
| A. | Lies medial to the tendon of extensor hallucis longus |
| B. | Lies lateral to the digital branch of the deep peroneal nerve |
| C. | Crosses superficial to the tendon of extensor hallucis brevis |
| D. | Terminates as the arcuate artery |
| E. | Joins the lateral plantar artery to form the plantar arch |
| Answer» E. Joins the lateral plantar artery to form the plantar arch | |
| 4. |
Following an injury to the leg, a patient is unable to dorsiflex their foot. Which nerve is most likely to be damaged? |
| A. | Deep branch of the common peroneal nerve |
| B. | Sural nerve |
| C. | Superficial branch of the common peroneal nerve |
| D. | Saphenous nerve |
| E. | None of the above |
| Answer» A. Deep branch of the common peroneal nerve | |
| 5. |
Which is not a component of the second layer of the sole of the foot? |
| A. | Tendon of flexor hallucis longus |
| B. | Abductor hallucis |
| C. | Flexor accessorius |
| D. | The lumbrical muscles |
| E. | Tendon of flexor digitorum longus |
| Answer» B. Abductor hallucis | |
| 6. |
What muscle cause dorsiflexion and inversion of the foot |
| A. | Tibialis anterior |
| B. | Tibialis posterior |
| C. | Extensor hallucis longus |
| D. | Peroneus tertius |
| E. | Tendon of flexor digitorum longus |
| Answer» A. Tibialis anterior | |
| 7. |
Regarding the structures passing beneath the flexor retinaculum of the ankle which is correct? |
| A. | Posterior tibial artery lies anterior to the flexor digitorum longus |
| B. | Flexor hallucis longus lies anterior to posterior tibial artery |
| C. | The posterior tibial artery lies anterior to the tibial nerve |
| D. | Flexor hallucis longus is the most anterior structure |
| E. | Flexor digitorum longus is the most posterior structure |
| Answer» C. The posterior tibial artery lies anterior to the tibial nerve | |
| 8. |
Regarding the medial longitudinal arch |
| A. | Its stability is due to its bony structures |
| B. | Flexor hallucis brevis acts as a bowstring |
| C. | The plantar aponeurosis is of minimal importance |
| D. | Peroneus longus supports the posterior portion |
| E. | None of the above |
| Answer» E. None of the above | |
| 9. |
At the ankle |
| A. | The deltoid ligament attaches to the tibia and the calcaneous |
| B. | The talus is more narrow anteriorly |
| C. | The capsule attaches to the neck of the talus |
| D. | In plantar flexion there is also eversion |
| E. | Dorsiflexion is produced by tibialis anterior and peroneus brevis |
| Answer» C. The capsule attaches to the neck of the talus | |
| 10. |
All of the following are ankle joint ligaments except |
| A. | Posterior tibio-fibular ligament |
| B. | Deltoid ligament |
| C. | Inferior transverse ligament |
| D. | Posterior talofibular ligament |
| E. | Oblique ligament |
| Answer» E. Oblique ligament | |
| 11. |
Concerning the innervation of the foot |
| A. | The medial plantar nerve supplies the first 3 lumbricals |
| B. | The skin of the first cleft is supplied by the superficial peroneal nerve |
| C. | The plantar digital nerves supply the nail bed |
| D. | All interossei are supplied by the medial plantar nerve |
| E. | The medial and lateral plantar nerves are branches of the common peroneal nerves |
| Answer» C. The plantar digital nerves supply the nail bed | |
| 12. |
The talus |
| A. | Has its sole articulation with calcaneous in the talocalcaneonavicular joint |
| B. | Has a long plantar ligament attached to its plantar surface |
| C. | Has an upper articular surface narrow in front and broad behind |
| D. | Receives a good blood supply from dorsalis pedis, posterior tibial and peroneal arteries |
| E. | Is connected to navicular by the spring ligament |
| Answer» D. Receives a good blood supply from dorsalis pedis, posterior tibial and peroneal arteries | |
| 13. |
The ankle joint |
| A. | Is stabilised laterally by the deltoid ligament |
| B. | Relies on the fibula for weight bearing |
| C. | Acts purely as a hinge joint |
| D. | Has 3 ligaments radiating from the lateral malleolus |
| E. | Owes stability primarily to the shape of the tibiotalar articulating surface |
| Answer» D. Has 3 ligaments radiating from the lateral malleolus | |
| 14. |
The lumbrical muscles of the foot |
| A. | Pass forward on the lateral sides of the metatarsophalangeal joints |
| B. | Arise from the tendons of flexor digitorum longus |
| C. | Are all supplied by the lateral plantar nerve |
| D. | Have no real function in walking or running |
| E. | Do not insert into the extensor expansions |
| Answer» B. Arise from the tendons of flexor digitorum longus | |
| 15. |
With regard to the calcaneus |
| A. | It is the largest of the tarsal bones |
| B. | It has a convex medial surface |
| C. | The peroneal trochlea is found on it medial surface |
| D. | It articulates with the talus, navicular and cuboid |
| E. | The upper surface carries articular surfaces on its posterior half |
| Answer» A. It is the largest of the tarsal bones | |
| 16. |
Regarding the ankle joint |
| A. | The lateral ligament has 2 layers |
| B. | The posterior talofibular ligament is strong and runs horizontally |
| C. | The deep portion of the medial ligament is triangular in shape |
| D. | The superficial portion of the medial ligament is rectangular in shape |
| E. | The nerve supply of the capsule is by the superficial peroneal nerve |
| Answer» B. The posterior talofibular ligament is strong and runs horizontally | |
| 17. |
Under the extensor retinaculum of the foot the most lateral structure is |
| A. | Sural nerve |
| B. | Dorsalis pedis artery |
| C. | Peroneus tertius |
| D. | Extensor digitorum longus |
| E. | Extensor hallucis longus |
| Answer» C. Peroneus tertius | |
| 18. |
With regard to the cutaneous innervation of the lower limb |
| A. | Superficial peroneal nerve supplies the first inter-digital cleft |
| B. | Sural nerve supplies the medial malleolus |
| C. | Deep peroneal nerve supplies the third inter-digital cleft |
| D. | The medial plantar nerve supplies a greater area than the lateral |
| E. | Branches of the tibial nerve supply much of the dorsum of the foot |
| Answer» D. The medial plantar nerve supplies a greater area than the lateral | |
| 19. |
Regarding the ankle joint |
| A. | The capsule is attached anteriorly to the neck of the talus |
| B. | It has a fixed rotation of axis |
| C. | The weight bearing surfaces are the upper facet of the talus, the inferior facet of the tibia and the medial and lateral malleoli |
| D. | The lateral ligament is made up of three separate bands that all insert into the talus |
| E. | In full plantarflexion a significant amount of inversion and eversion is possible at the ankle joint |
| Answer» A. The capsule is attached anteriorly to the neck of the talus | |
| 20. |
All of the following structures pass deep into the superior extensor retinaculum at the ankle except |
| A. | Extensor digitorum longus |
| B. | Deep peroneal nerve |
| C. | Anterior tibial artery |
| D. | Superficial peroneal nerve |
| E. | Peroneus tertius |
| Answer» D. Superficial peroneal nerve | |
| 21. |
The dermatome supplying the great toe is usually supplied by |
| A. | L3 |
| B. | L4 |
| C. | L5 |
| D. | S1 |
| E. | S2 |
| Answer» C. L5 | |
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