Chapter: Knee and Leg
1.

Of muscles and tendons crossing the knee

A. Popliteus medially rotates the femur to unlock the knee from extension
B. Soleus crosses the posterolateral aspect of the joint
C. Semitendinosis tendon passes anterior to the medial condyle
D. Gluteus maximus crosses the knee joint by way of the iliotibial tract
E. Biceps femoris inserts into the anterolateral aspect of the tibia
Answer» D. Gluteus maximus crosses the knee joint by way of the iliotibial tract
2.

Regarding innervation of flexion/extension of the knee

A. All muscles of the quadriceps femoris are supplied by L3/4
B. Vastus medialis are intermedius are supplied by the same branch of the femoral nerve
C. Flexion of the knee by hamstrings is supplied solely by tibial component of sciatic nerve
D. Flexor innervation of the knee can be tested by knee jerk L3
E. Traumatic fracture dislocation of hip affects knee extension greater than flexion
Answer» A. All muscles of the quadriceps femoris are supplied by L3/4
3.

Tibialis anterior

A. Is supplied by the superficial peroneal nerve
B. Has a synovial sheath that continues below superior extensor retinaculum
C. Dorsiflexes and everts the foot
D. Inserts into the lateral cuneiform
E. Originates from the tibia and fibula
Answer» B. Has a synovial sheath that continues below superior extensor retinaculum
4.

With regard to the stability of the knee joint

A. The posterior cruciate ligament prevents the femur from slipping posteriorly on the tibia
B. The lateral collateral ligament is more prone to damage than the medial
C. The medial meniscus is more prone to damage than the lateral
D. The integrity of the anterior cruciate ligament is most important when walking down stairs
E. The fit of the articular surfaces of the tibia and femur is the most important factor in providing stability
Answer» C. The medial meniscus is more prone to damage than the lateral
5.

The ligament important in producing the screw home position in full extension of the knee is the

A. Anterior cruciate ligament
B. Posterior cruciate ligament
C. Arcuate popliteal ligament
D. Patellar retinacula
E. All of the above
Answer» A. Anterior cruciate ligament
6.

The cruciate ligaments would be anaesthetized by injury to

A. Femoral nerve
B. Common peroneal nerve
C. Tibial nerve
D. Obturator nerve
E. None of the above
Answer» C. Tibial nerve
7.

The cruciate anastomsosis

A. Is supplied by the inferior branch of the medial circumflex femoral artery
B. Is supplied by the descending branch of the first perforating artery
C. Begins at the level of the greater trochanter
D. Is supplied by the transverse branch of the lateral circumflex femoral artery
E. Gives blood supply to the head of the femur
Answer» D. Is supplied by the transverse branch of the lateral circumflex femoral artery
8.

In the popliteal fossa

A. The sural nerve branches from the common peroneal nerve
B. The roof is formed by biceps femoris
C. The popliteal vein lies between the popliteal artery and tibial nerve
D. The inferomedial border is soleus
E. The politeal artery runs vertically
Answer» C. The popliteal vein lies between the popliteal artery and tibial nerve
9.

Politeus

A. Arises from the tibia above the condyles
B. Slopes upwards and medially
C. Inserts into the lateral meniscus
D. In innervated by a branch of the common peroneal nerve
E. Acts to “lock” the knee in full extension
Answer» C. Inserts into the lateral meniscus
10.

With regards to the knee joint

A. The medial collateral ligament extends 8cm below the joint margin
B. The medial collateral ligament is extra-articular
C. The tenson of politeus is intra-articular
D. The lateral meniscus is more C-shaped
E. All of the avove
Answer» E. All of the avove
11.

Tibialis anterior

A. Dorsiflexes and everts the foot
B. Arises from the upper 2/3s of the fibula
C. Inserts into the medial cuneiform
D. Shares its site of insertion with peroneus tertius
E. Is supplied by L5,S1
Answer» C. Inserts into the medial cuneiform
12.

In the lateral compartment of the leg

A. The muscles are supplied by the deep peroneal nerve
B. The peroneus longus muscles arise only from the fibula
C. The peroneal muscle tendons are bound at the lateral malleolus by the inferior peroneal retinaculum
D. The peroneal muscles share a common synovial sheath at the lateral malleolus
E. The blood supply is from the anterior tibial artery
Answer» D. The peroneal muscles share a common synovial sheath at the lateral malleolus
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