Chapter: Lower Limb
201.

The great saphenous vein

A. arises on the lateral aspect of the foot
B. can be found 2cm medial to the patella
C. pierces the fascia lata on the lateral side of the thigh
D. receives no tributaries above the knee
E. contains approximately 20 valves
Answer» E. contains approximately 20 valves
202.

Regarding the femoral triangle

A. The lateral border is formed by the lateral border of sartorius
B. The medial border is the medial border of adductor magnus
C. The femoral nerve is contained in the femoral sheath
D. The lymph node of cloquet lies in the femoral canal
E. The femoral vein is lateral to the artery
Answer» D. The lymph node of cloquet lies in the femoral canal
203.

Regarding the femoral artery, all of the following are true EXCEPT

A. The artery enters the femoral triangle at the mid-inguinal point
B. Passes anterior to the profunda femoris branch
C. Supplies muscles of the adductor compartment
D. Ceases at the mid point of the popliteal fossa
E. Lies medial to the femoral nerve
Answer» D. Ceases at the mid point of the popliteal fossa
204.

Regarding the femoral nerve, all of the following are true EXCEPT

A. It is formed from the anterior divisions of the anterior rami of L2/3/4
B. It supplies the muscles of the anterior compartment
C. It does not lie within the femoral sheath
D. It supplies iliacus but not psoas
E. Branches include the medial and intermediate femoral cutaneous nerves
Answer» A. It is formed from the anterior divisions of the anterior rami of L2/3/4
205.

Regarding the obturator nerve, all of the following are true EXCEPT

A. It is formed from the anterior divisions of the anterior rami of L2/3/4
B. Its anterior division supplies adductor longus, brevis, pectineus and gracilis
C. Its posterior division supplies all of adductor magnus
D. It gives a cutaneous branch which supplies the medial thigh
E. It gives articular branches to the hip and knee joints
Answer» C. Its posterior division supplies all of adductor magnus
206.

Gluteus maximus

A. Arises from the gluteal fossa of the ileum between the middle and superior gluteal lines
B. is supplied by the superior gluteal nerve
C. extends and medially rotates the hip
D. mostly inserts into the iliotibial tract
E. paralysis results in a waddling gait
Answer» D. mostly inserts into the iliotibial tract
207.

The pudendal nerve

A. Arises from L5/S1/2
B. Emerges from the upper border of piriformis
C. Contains only sensory fibres
D. Passes medial to the ischial spine
E. Passes through the greater sciatic foramen to enter the pelvis
Answer» D. Passes medial to the ischial spine
208.

Regarding the hamstring muscles, all of the following are true EXCEPT

A. All of the hamstrings arise from the innominate bone
B. All of the hamstring muscles are supplied by the tibial part of the sciatic nerve
C. The long head of biceps femoris and semitendinosus have a common origin
D. The adductor magnus is not part of the hamstring group
E. Biceps forms the medial border of the popliteal fossa
Answer» E. Biceps forms the medial border of the popliteal fossa
209.

The sciatic nerve

A. Arises from L3/4/5/S1/2
B. Emerges from the lower border of piriformis
C. Most commonly divides onto common peroneal and tibial branches in the middle of the hamstring compartment
D. Can be injured by intramuscular injections in the upper outer quadrant of the buttock
E. Gives no branches in the gluteal compartment
Answer» B. Emerges from the lower border of piriformis
210.

All of the following are lateral rotators of the hip EXCEPT

A. Gluteus maximus
B. Gluteus medius
C. Gamellus superior
D. Quadratus femoris
E. Piriformis
Answer» B. Gluteus medius
211.

Ligamentous stability for the hip joint is provided chiefly by the

A. Ligamentum teres
B. Ischiofemoral ligament
C. Pubofemoral ligament
D. Iliofemoral ligament
E. Transverse ligament
Answer» D. Iliofemoral ligament
212.

Contents of the popliteal fossa include all of the following EXCEPT

A. Sural nerve
B. Superior medial genicular artery
C. Sural communicating nerve
D. Inferior medial genicular artery
E. Anterior tibial artery
Answer» E. Anterior tibial artery
213.

Regarding ligaments of the knee joint

A. The anterior cruciate ligament inserts into the posteromedial aspect of the lateral femoral condyle
B. The arcuate ligament is an expansion of the tendon of semimembranosus
C. The meniscofemoral ligaments cross in front and behind the anterior cruciate
D. The medial collateral ligament is a cord-like structure
E. The transverse ligament connects the posterior aspects of the menisci
Answer» A. The anterior cruciate ligament inserts into the posteromedial aspect of the lateral femoral condyle
214.

Regarding the menisci of the knee

A. They are attached to the femoral condyles
B. They have a rich blood supply
C. The medial meniscus is firmly attached to the capsule of the joint
D. The medial meniscus gives origin to the meniscofemoral ligaments
E. They are composed of mainly elastic fibres Anatomy – lower limb
Answer» C. The medial meniscus is firmly attached to the capsule of the joint
215.

Regarding movements of the knee joint

A. Sartorius assists with flexion
B. The only action of popliteus is unlocking of the knee
C. Extension occurs to zero degrees
D. Locking of the knee is an active process
E. Rotation takes place above the menisci
Answer» A. Sartorius assists with flexion
216.

Regarding the extensor compartment of the leg

A. Tibialis anterior arises from the upper two thirds of the tibia and fibula
B. Extensor digitorum longus has a small origin from the lateral condyle of the tibia
C. Extensor hallucis longus is superficial to extensor digitorum longus
D. All muscles are supplied by the common peroneal nerve
E. Peroneus tertius and tibialis anterior both cause eversion of the foot
Answer» B. Extensor digitorum longus has a small origin from the lateral condyle of the tibia
217.

Which of the following structures does not pass anterior to the medial malleolus

A. Tibialis anterior
B. Extensor hallucis longus
C. Flexor hallucis longus
D. Anterior tibial artery
E. Peroneus tertius
Answer» C. Flexor hallucis longus
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