McqMate
These multiple-choice questions (MCQs) are designed to enhance your knowledge and understanding in the following areas: Uncategorized topics .
Chapters
| 51. |
Which is NOT true of the tendoachilles? |
| A. | it inserts into the middle third of the posterior surface of the calcaneus |
| B. | it is invested in a synovial sheath |
| C. | it is formed from the soleus and gastrocnemius |
| D. | a bursa lies between the tendon and the upper third of the calcaneus |
| E. | a bursa lies between it and the deep fascia near its insertion |
| Answer» B. it is invested in a synovial sheath | |
| 52. |
Which of the following structures lies within the knee joint? |
| A. | patellar ligament |
| B. | tibial collateral ligament |
| C. | fibular collateral ligament |
| D. | tendon of popliteus |
| E. | patellar retinacula |
| Answer» D. tendon of popliteus | |
| 53. |
Following an injury to the leg, a patient is unable to dorsiflex their foot. Which nerve is most likely to be damaged? |
| A. | the deep branch of the common peroneal nerve |
| B. | the sural nerve |
| C. | the superficial branch of the common peroneal nerve |
| D. | the saphenous nerve |
| E. | none of the above |
| Answer» A. the deep branch of the common peroneal nerve | |
| 54. |
With respect to peroneus longus: |
| A. | it inserts into the base of the 5th metacarpal |
| B. | it is supplied by the superficial peroneal nerve |
| C. | it has a broad tendon that lies between the lateral malleolus and the tendon of peroneus brevis |
| D. | it arises from the upper two thirds of the tibia |
| E. | it is mainly supplied by L4 and L5 segments |
| Answer» B. it is supplied by the superficial peroneal nerve | |
| 55. |
The stability of the weightbearing flexed knee is maintained by: |
| A. | anterior cruciate ligament |
| B. | iliotibial tract |
| C. | posterior cruciate ligament |
| D. | popliteus and posterior cruciate ligament |
| E. | arcuate popliteal ligament and anterior cruciate ligament |
| Answer» C. posterior cruciate ligament | |
| 56. |
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 |
| Answer» D. the long saphenous vein joins the femoral vein within the triangle | |
| 57. |
Inversion of the foot is performed by which pair of muscles? |
| A. | peroneus longus and peroneus brevis |
| B. | peroneus longus and tibialis posterior |
| C. | tibialis anterior and tibialis posterior |
| D. | peroneus brevis and plantaris |
| E. | none of the above |
| Answer» C. tibialis anterior and tibialis posterior | |
| 58. |
The anterior tibial artery: |
| A. | pierces the interosseous membrane |
| B. | supplies the lateral compartment of the leg |
| C. | lies lateral to the deep peroneal nerve |
| D. | lies lateral to tibialis anterior |
| E. | gives the nutrient artery to the tibia |
| Answer» D. lies lateral to tibialis anterior | |
| 59. |
The suprapatellar bursa: |
| A. | does not communicate with the knee joint |
| B. | lies in front of the vastus intermedius muscle |
| C. | extends 5cm or more above the patella |
| D. | lies deep to the patellar retinacula |
| E. | none of the above |
| Answer» C. extends 5cm or more above the patella | |
| 60. |
Which of the following does NOT apply to the popliteus muscle? |
| A. | it inserts into the lateral meniscus of the knee joint |
| B. | it is innervated by the tibial nerve |
| C. | it acts to extend the knee joint |
| D. | it inserts into the lateral condyle of the femur |
| E. | it acts to laterally rotate the femur of the fixed tibia |
| Answer» C. it acts to extend the knee joint | |
| 61. |
A 30 year old man presents with adenopathy of the medial group of superficial inguinal lymph nodes on the right side. Which of the following is the primary site resulting in this finding? |
| A. | right testis |
| B. | right buttock |
| C. | the skin of the right lower limb |
| D. | the anal canal |
| E. | none of the above |
| Answer» D. the anal canal | |
| 62. |
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 |
| Answer» E. its branches include the superficial epigastric artery and the deep external pudendal artery | |
| 63. |
Regarding the popliteal fossa: |
| A. | the common peroneal nerve passes through the lateral part of the fossa |
| B. | it contains no lymph nodes |
| C. | it has a roof pierced by the tibial nerve |
| D. | the popliteal artery lies superficial to the popliteal vein throughout the fossa |
| E. | the small saphenous vein joins the popliteal vein before its entry into the fossa |
| Answer» A. the common peroneal nerve passes through the lateral part of the fossa | |
| 64. |
Regarding the movements at the knee joint: |
| A. | popliteus ‘unlocks’ the extended knee by producing medial rotation of the femur |
| B. | there is no active rotation of the extended knee |
| C. | passive extension of the knee does not result in ‘locking’ of the joint |
| D. | the posterior cruciate ligament prevents backward displacement of the femur on the tibial plateau |
| E. | the major role of the menisci is in flexion/extension of the knee |
| Answer» B. there is no active rotation of the extended knee | |
| 65. |
The dorsalis pedis artery: |
| A. | lies medial to the tendon of extensor hallucis longus |
| B. | lies lateral to the detail branch of the deep peroneal nerve |
| C. | crosses superficial to the tendon of extensor hallucis brevis |
| D. | terminates at 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 | |
| 66. |
A 25 year old man is unable to plantar flex his foot. The most likely cause is damage to: |
| A. | the superficial peroneal nerve |
| B. | the L5 nerve root |
| C. | the tibial nerve |
| D. | soleus |
| E. | gastrocnemius |
| Answer» C. the tibial nerve | |
| 67. |
Which of the following 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 | |
| 68. |
Which of the following structures does NOT pass through the greater sciatic foramen? |
| A. | the sciatic nerve |
| B. | the pudendal nerve and vessels |
| C. | the posterior cutaneous nerve of the thigh |
| D. | the inferior gluteal nerve and vessels |
| E. | the nerve to obturator externus |
| Answer» E. the nerve to obturator externus | |
| 69. |
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 |
| Answer» A. passes across the front of the capsule of the hip joint | |
| 70. |
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 |
| Answer» B. is formed from the same spinal segments as the obturator nerve | |
| 71. |
The peroneus longus muscle: |
| A. | passes superficial to the superior peroneal retinaculum |
| B. | inserts into the styloid process of the fifth metatarsal bone |
| C. | is supplied by the common peroneal nerve |
| D. | assists in the maintenance of the lateral longitudinal arch |
| E. | has no origin from the tibia |
| Answer» D. assists in the maintenance of the lateral longitudinal arch | |
| 72. |
The short saphenous vein: |
| A. | lies anterior to the lateral malleolus |
| B. | is accompanied by the saphenous nerve |
| C. | drains into the great saphenous vein |
| D. | drains the lateral margin of the foot |
| E. | lies deep to the deep fascia of the calf |
| Answer» D. drains the lateral margin of the foot | |
| 73. |
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 |
| Answer» A. arteries from trochanteric anastomosis in the retinacula | |
| 74. |
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 |
| Answer» E. great saphenous vein | |
| 75. |
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 |
| Answer» C. the femoral artery occupies the lateral compartment of the femoral sheath | |
| 76. |
Regarding the femoral nerve, all of the following are true EXCEPT: |
| A. | the superficial group consists of two cutaneous and two muscular branches |
| B. | the nerve to the vastus medialis passes down on the medial side of the femoral artery |
| C. | the medial femoral cutaneous nerve belongs to the superficial group |
| D. | the saphenous nerve is the only cutaneous branch of the deep group of the femoral nerve |
| E. | the femoral nerve is formed from the posterior divisions of the ventral rami of the lumbar nerves 2, 3 and 4 |
| Answer» B. the nerve to the vastus medialis passes down on the medial side of the femoral artery | |
| 77. |
Regarding the hip joint all of the following statements are true ????EXCEPT: |
| A. | the anterior fibres of the gluteus medius and minimus act as medial rotator of the hip joint |
| B. | the gluteus maximus is the most powerful lateral rotator of the hip joint |
| C. | gluteus medius and minimus are supplied by the inferior gluteal nerve (L5, S1, S2) |
| D. | the superior gluteal nerve (L4, L5, S1) emerges from the greater sciatic notch |
| E. | the iliofemoral ligament limits extension at the hip joint |
| Answer» C. gluteus medius and minimus are supplied by the inferior gluteal nerve (L5, S1, S2) | |
| 78. |
Regarding the popliteal fossa, which of the following statements is true? |
| A. | the common peroneal nerve slopes downwards lateral to the biceps tendon |
| B. | the sural nerve is a cutaneous branch of the common peroneal nerve |
| C. | the middle genicular artery of the popliteal artery supply the cruciate ligaments |
| D. | the popliteus muscle is supplied by a branch of the common peroneal nerve |
| E. | the recurrent genicular nerve is a branch of the tibial nerve |
| Answer» C. the middle genicular artery of the popliteal artery supply the cruciate ligaments | |
| 79. |
Regarding the extensor compartment of the lower leg, all of the following statements are true EXCEPT: |
| A. | the tibialis anterior muscle is supplied by the deep peroneal and recurrent genicular nerves (L4) |
| B. | extensor digitorum longus and peroneus tertius muscle lie lateral to tibialis anterior artery throughout |
| C. | the deep peroneal nerve arises within the peroneus longus muscle |
| D. | the extensor digitorum longus dorsiflex the lateral toes |
| E. | the extensor hallucis longus arises from the middle two-fourths of the tibia and the adjacent interosseous membrane |
| Answer» E. the extensor hallucis longus arises from the middle two-fourths of the tibia and the adjacent interosseous membrane | |
| 80. |
Regarding the foot, all of the following statements are true EXCEPT: |
| A. | the tibialis posterior muscle inverts and adducts the forefoot |
| B. | the tibialis posterior muscle plantarflex the ankle joint |
| C. | the tibialis anterior muscle dorsiflex the ankle and inverts the foot |
| D. | all interossei muscles are supplied by the lateral plantar nerve |
| E. | calcaneal branches of the deep peroneal nerve supply the skin of the heel |
| Answer» E. calcaneal branches of the deep peroneal nerve supply the skin of the heel | |
| 81. |
The popliteal artery: |
| A. | is superficial to the tibial nerve |
| B. | extends from the hiatus in adductor longus |
| C. | enters the popliteal fossa on lateral aspect of the femur |
| D. | has four genicular branches in fossa |
| E. | supplies the cruciate ligaments |
| Answer» E. supplies the cruciate ligaments | |
| 82. |
The obturator nerve: |
| A. | adductor magnus |
| B. | obturator internus |
| C. | quadratus femoris |
| D. | sartorius |
| E. | inferior gemellus |
| Answer» A. adductor magnus | |
| 83. |
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 |
| Answer» D. adductor longus – obturator nerve | |
| 84. |
The anterior cruciate ligament:: |
| A. | lies within the synovial membrane of the knee joint |
| B. | attaches from the anterior tibial plateau to the medial condyle of the femur |
| C. | prevents forward displacement of the femur on the tibial plateau |
| D. | produces lateral rotation of the femur in the ‘screw home’ position of full extension |
| E. | none of the above |
| Answer» E. none of the above | |
| 85. |
The surface marking for the femoral nerve is: |
| A. | midway between the A.S.I.S. and pubic tubercle |
| B. | midway between the A.S.I.S. and pubic synthesis |
| C. | medial to the femoral artery |
| D. | 2cm lateral and 2cm interior to the pubic tubercle |
| E. | none of the above |
| Answer» A. midway between the A.S.I.S. and pubic tubercle | |
| 86. |
In the popliteal fossa, the deepest of these structures is: |
| A. | popliteal vein |
| B. | popliteal artery |
| C. | tibial nerve |
| D. | sural nerve |
| E. | plantaris muscle |
| Answer» B. popliteal artery | |
| 87. |
Which of the following bursae is most likely to communicate with the knee joint? |
| A. | deep infrapatellar bursa |
| B. | superficial infrapatellar bursa |
| C. | prepatellar bursa |
| D. | semimembranosis bursa |
| E. | suprapatellar bursa |
| Answer» E. suprapatellar bursa | |
| 88. |
Adductor longus is inserted onto the: |
| A. | upper half of the linea aspera of the femur |
| B. | upper two thirds of the linea aspera of the femur |
| C. | upper one third of the linea aspera of the femur |
| D. | lower two thirds of the linea aspera of the femur |
| E. | lower half of the linea aspera of the femur |
| Answer» D. lower two thirds of the linea aspera of the femur | |
| 89. |
The muscle which provides the most control of hip joint movement during the act of sitting is: |
| A. | iliacus |
| B. | semitendinosis |
| C. | semimembranosis |
| D. | gluteus maximus |
| E. | gluteus medius |
| Answer» D. gluteus maximus | |
| 90. |
Structures passing through the greater sciatic foramen include all of the following EXCEPT: |
| A. | tendon of obturator internus |
| B. | piriformis muscle |
| C. | posterior cutaneous nerve of the thigh |
| D. | pudendal nerve |
| E. | nerve to quadratus femoris |
| Answer» A. tendon of obturator internus | |
| 91. |
The medial compartment of the thigh: |
| A. | contains obturator internus |
| B. | contains the adductor canal |
| C. | contains the femoral triangle |
| D. | is limited superiorly by the obturator membrane |
| E. | is supplied mainly by the obturator artery |
| Answer» D. is limited superiorly by the obturator membrane | |
| 92. |
The strongest fibres of the ‘deltoid’ ligament in the ankle run from the tibial malleolus to: |
| A. | medial tubercle of the talus |
| B. | the neck of the talus |
| C. | the sustenaculum tali |
| D. | the navicular bone |
| E. | the medial cuneiform |
| Answer» C. the sustenaculum tali | |
| 93. |
In the femoral triangle: |
| A. | the femoral nerve emerges from the femoral sheath |
| B. | the saphenous nerve lies medial to the femoral artery at the apex |
| C. | the genitofemoral nerve pierces the anterior surface of the femoral sheath |
| D. | the profunda femoris artery arises from the medial aspect of the femoral artery |
| E. | the obturator nerve passes anterior to pectineus |
| Answer» C. the genitofemoral nerve pierces the anterior surface of the femoral sheath | |
| 94. |
The iliotibial tract is the conjoined aponeurosis of the tensor fasciae lata and: |
| A. | gluteus minimus |
| B. | gluteus medius |
| C. | gluteus maximus |
| D. | Camper’s fascia |
| E. | Scarpa’s fascia |
| Answer» C. gluteus maximus | |
| 95. |
Fourth lumbar nerve root supplies: |
| A. | hip flexors |
| B. | tibialis anterior |
| C. | skin on the big toe |
| D. | flexor longus digitorum |
| E. | flexor accessories (quadratus plantae) |
| Answer» B. tibialis anterior | |
| 96. |
The base of Scarpa’s femoral triangle is formed by: |
| A. | sartorius |
| B. | adductor longus |
| C. | inguinal ligament |
| D. | pubic tubercle |
| E. | none of the above |
| Answer» C. inguinal ligament | |
| 97. |
Passing through the greater sciatic notch deep to the sciatic nerve is which of the following? |
| A. | internal pudendal vessels and nerve |
| B. | inferior gemellus muscle |
| C. | posterior cutaneous nerve of the thigh |
| D. | nerve to quadratus femoris |
| E. | none of the above |
| Answer» D. nerve to quadratus femoris | |
| 98. |
The femoral vein lies …….. to the femoral artery in the femoral sheath: |
| A. | lateral |
| B. | medial |
| C. | anterior |
| D. | posterior |
| E. | femoral vein is not in the femoral sheath |
| Answer» B. medial | |
| 99. |
The main function of gluteus maximus is which of the following: |
| A. | a site for injections |
| B. | a cushion for sitting |
| C. | a flexor of the hip |
| D. | a lateral rotator of the hip |
| E. | none of the above |
| Answer» E. none of the above | |
| 100. |
Tensor fascia latae: |
| A. | is quadrangular in shape |
| B. | is supplied by the femoral nerve |
| C. | extends the hip |
| D. | is an atavistic remnant of the panniculus carnosus muscle |
| E. | lies edge to edge with sartorius at the anterior superior iliac spine |
| Answer» E. lies edge to edge with sartorius at the anterior superior iliac spine | |
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