McqMate
These multiple-choice questions (MCQs) are designed to enhance your knowledge and understanding in the following areas: Uncategorized topics .
Chapters
| 151. |
The deep fascia of the thigh: |
| A. | is attached to the inguinal ligament |
| B. | is mostly superficial to the long saphenous vein |
| C. | receives the insertion of the whole of the gluteus maximus |
| D. | receives the insertion of the whole of sartorius |
| E. | is less dense than the deep fascia of the upper arm |
| Answer» A. is attached to the inguinal ligament | |
| 152. |
Biceps femoris muscles: |
| A. | has a common origin with semitendinosus from the ischial tuberosity |
| B. | has a short head attached to the femur medial to the attachment of adductor magnus |
| C. | is entirely innervated by common peroneal nerve |
| D. | is deep to the common peroneal nerve |
| E. | is a lateral rotator of the leg on the thigh when the leg is fully extended at the knee joint |
| Answer» A. has a common origin with semitendinosus from the ischial tuberosity | |
| 153. |
The pudendal nerve: |
| A. | leaves the pelvis through the lesser sciatic foramen |
| B. | enters the perineum lateral to the nerve to the obturator internus muscle |
| C. | runs in the roof of the ischiorectal fossa |
| D. | is sensory to the skin of the scrotum |
| E. | innervates the internal rectal sphincter |
| Answer» D. is sensory to the skin of the scrotum | |
| 154. |
The sciatic nerve in the gluteal region: |
| A. | rests directly on ischium |
| B. | is accompanied by posterior cutaneous nerve of thigh |
| C. | supplies obturator internus |
| D. | supplies quadratus femoris |
| E. | none of the above |
| Answer» A. rests directly on ischium | |
| 155. |
Short saphenous vein: |
| A. | perforates the deep fascia in the midcalf |
| B. | medial to the tendoachilles |
| C. | more valves than the long saphenous |
| D. | none of the above |
| E. | all of the above |
| Answer» D. none of the above | |
| 156. |
Pectineus: |
| A. | medial rotator of hip |
| B. | sometimes supplied by obturator nerve |
| C. | flexor of hip |
| D. | all of the above |
| E. | none of the above |
| Answer» D. all of the above | |
| 157. |
The segmental supply to the posterior cutaneous nerve of the thigh is: |
| A. | S3, 4 |
| B. | L4, 5 |
| C. | S1, 2, 3 |
| D. | L4, 5 and S1 |
| E. | none of the above |
| Answer» C. S1, 2, 3 | |
| 158. |
Long saphenous vein: |
| A. | is deep to the deep fascia for most of its course |
| B. | drains the medial side of the leg between tibia and tendocalcaneous |
| C. | arises in the femoral triangle |
| D. | the superficial circumflex iliac vein is a tributary |
| E. | none of the above |
| Answer» D. the superficial circumflex iliac vein is a tributary | |
| 159. |
Attached to proximal tibial epiphysis: |
| A. | the whole of the medial collateral ligament of the knee |
| B. | sartorius |
| C. | ligamentum patellae |
| D. | popliteus |
| E. | semitendinosus |
| Answer» C. ligamentum patellae | |
| 160. |
Emerging from lesser sciatic foramen: |
| A. | piriformis |
| B. | superior gemellus |
| C. | obturator internus |
| D. | inferior gemellus |
| E. | obturator externus |
| Answer» C. obturator internus | |
| 161. |
If the common peroneal nerve is divided the following are lost: |
| A. | plantar flexion of toes |
| B. | inversion of foot |
| C. | dorsiflexion of foot |
| D. | plantar flexion of foot |
| E. | there is no loss of cutaneous sensation |
| Answer» C. dorsiflexion of foot | |
| 162. |
Flexor hallucis longus muscle: |
| A. | is attached to the tibia |
| B. | has a tendon which in the sole, is superficial to that of flexor longus digitorum |
| C. | is a unipennate muscle |
| D. | is attached to the proximal phalanx of the great toe |
| E. | none of the above |
| Answer» E. none of the above | |
| 163. |
Middle cuneiform: |
| A. | articulates with talus |
| B. | articulates with the third metatarsal |
| C. | receives portion of insertion of tibialis anterior |
| D. | gives attachment to short plantar ligament |
| E. | none of the above |
| Answer» E. none of the above | |
| 164. |
Profunda femoris artery: |
| A. | first branch from femoral artery |
| B. | main arterial supply to leg |
| C. | spirals down from lateral side of the femoral artery and runs behind the upper border of adductor longus |
| D. | lies between obturator externus and adductor magnus |
| E. | none of the above |
| Answer» C. spirals down from lateral side of the femoral artery and runs behind the upper border of adductor longus | |
| 165. |
Talus: |
| A. | receives all its blood supply to the body through dorsal aspect of neck |
| B. | gives attachment to spring ligament |
| C. | posterior aspect of body grooved by flexor longus hallucis |
| D. | gives partial origin to abductor hallucis |
| E. | none of the above |
| Answer» C. posterior aspect of body grooved by flexor longus hallucis | |
| 166. |
Gluteus maximus: |
| A. | superficial muscle of buttock ch???? by small fibre size |
| B. | 90% of muscle inserts into upper end of iliotibial tract |
| C. | four bursa lie beneath to muscle |
| D. | shared common nerve supply with gluteus medius |
| E. | blood supply from both superior and inferior gluteal artery |
| Answer» E. blood supply from both superior and inferior gluteal artery | |
| 167. |
Piriformis is the key to gluteal region. Which relation is not TRUE? |
| A. | in buttock, lower border lie alongside superior gemellus |
| B. | converges to ??? tendon and inserts on upper boarder of greater trochanter |
| C. | emerges through greater sciatic foramen with superior gluteal nerve and vessel above it |
| D. | emerges through the greater sciatic foramen with pudendal nerve and vessels deep to it |
| E. | emerges through greater sciatic foramen with sciatic nerve on its surface |
| Answer» D. emerges through the greater sciatic foramen with pudendal nerve and vessels deep to it | |
| 168. |
Of the hip joint ligaments and capsule: |
| A. | capsule attaches circumferentially to neck of???? anterior trochanteric line |
| B. | retinacular fibres of capsule bind down nutrient ????? from cruciate anaster????? |
| C. | iliofemoral ligament becomes taut on medial rotation and extension |
| D. | all three ligaments attach to capsule and completely enclose joint |
| E. | psoas major tendon separates capsule from femoral nerve |
| Answer» C. iliofemoral ligament becomes taut on medial rotation and extension | |
| 169. |
Superficial cutaneous nerves supplying the thigh include the following EXCEPT: |
| A. | ilioinguinal nerve |
| B. | saphenous nerve |
| C. | femoral branch of genitofemoral nerve |
| D. | medial femoral cutaneous nerve |
| E. | intermediate femoral cutaneous nerve |
| Answer» B. saphenous nerve | |
| 170. |
The flexor compartment of the thigh contains which of the following muscles? |
| A. | gluteus maximus |
| B. | adductor magnus |
| C. | garacilis |
| D. | semimembranosus |
| E. | rectus femoris |
| Answer» D. semimembranosus | |
| 171. |
Which of the following is true of the great saphenous vein? |
| A. | it passes posterior to the medial malleolus |
| B. | it runs behind the lateral border of the tibia |
| C. | it passes through the ???cribriform fascia covering the saphenous opening below the inguinal ligament |
| D. | it joins the femoral vein from the anterolateral side |
| E. | it has no tributaries |
| Answer» C. it passes through the ???cribriform fascia covering the saphenous opening below the inguinal ligament | |
| 172. |
Which is not an origin of vastus lateralis? |
| A. | upper half of the intertrochanteric line |
| B. | aponeurosis of tensor fascia lata |
| C. | lateral lip of the linea aspera |
| D. | upper two thirds of the lateral supracondylar line of femur |
| E. | lateral intermuscular septum |
| Answer» B. aponeurosis of tensor fascia lata | |
| 173. |
Regarding the adductor canal: |
| A. | it contains the nerve to vastus intermedialis |
| B. | contents leave by piercing adductor longus |
| C. | the femoral artery is always between the saphenous nerve and femoral vein in the thigh |
| D. | below the adductor hiatus, the canal is occupied by the saphenous nerve of the descending genicular nerve |
| E. | at the adductor hiatus, the femoral vein is medial to the artery |
| Answer» C. the femoral artery is always between the saphenous nerve and femoral vein in the thigh | |
| 174. |
At the hip: |
| A. | the ligament of the head of the femur is attached to the acetabular notch |
| B. | the pubofemoral ligament is the weakest ligament at the hip |
| C. | flexion tightens the ligaments |
| D. | the obturator nerve via its anterior division, innervates the capsule and retinacular fibres |
| E. | the normal range of flexion is 160° |
| Answer» D. the obturator nerve via its anterior division, innervates the capsule and retinacular fibres | |
| 175. |
Regarding the cuneiform bones: |
| A. | the lateral is the smallest |
| B. | tibialis anterior is inserted into a facet on the intermediate cuneiform |
| C. | flexor hallucis brevis has an origin on the medial cuneiform |
| D. | the anterior surface of the medial cuneiform is triangular in shape |
| E. | the second metatarsal bone articulates with all three cuneiforms |
| Answer» E. the second metatarsal bone articulates with all three cuneiforms | |
| 176. |
Regarding the dorsum of the foot: |
| A. | cutaneous innervation is primarily from the sural nerve |
| B. | extensor digitorum brevis gives off four tendons to the lateral four toes |
| C. | the superficial peroneal nerve divides into medial and lateral branches below the ankle |
| D. | the inferior extensor retinaculum joins medial and lateral malleoli |
| E. | dorsalis pedis artery runs to the base of the first intermetatarsal space |
| Answer» E. dorsalis pedis artery runs to the base of the first intermetatarsal space | |
| 177. |
Regarding the sole of the foot: |
| A. | the heel is supplied by lateral calcanean nerves |
| B. | flexor hallucis brevis lies in the first muscular layer |
| C. | flexor digitorum brevis is the lower limb equivalent of flexor digitorum superficialis |
| D. | the plantar arteries and nerves lie between the second and third muscular layers |
| E. | the medial plantar artery forms the plantar arch with dorsalis pedis artery |
| Answer» C. flexor digitorum brevis is the lower limb equivalent of flexor digitorum superficialis | |
| 178. |
At the ankle joint: |
| A. | the distal fibular is not part of the joint |
| B. | the medial ligament is made up of three separate bands |
| C. | the posterior tibiofibular ligament is also known as posterior transverse ligament |
| D. | the long and short peronei muscles assist in plantar flexion |
| E. | nerve supply is from the anterior and posterior tibial nerves |
| Answer» D. the long and short peronei muscles assist in plantar flexion | |
| 179. |
Which is NOT true about fractured neck of femurs? |
| A. | the leg is shortened and externally rotated in most fractured neck of femurs |
| B. | the main source of blood to the femoral head is via the vessels running within cancellous bone from the diaphysis |
| C. | a subcapital fracture cuts off all the blood to the head of the femur resulting in avascular necrosis |
| D. | the blood supply to the head is increased by vessels in the capsular retinacula and it is this which prevents avascular necrosis of the head after an intertrochanteric fracture |
| E. | the ligamentum teres attaches to the central fovea???? on the femoral head and originates from the acetabulum |
| Answer» C. a subcapital fracture cuts off all the blood to the head of the femur resulting in avascular necrosis | |
| 180. |
Trendelenburg’s test is negative if: |
| A. | the hip adductors are paralysed (eg in poliomyelitis) |
| B. | there is an old unreduced or congenital dislocation of the hip |
| C. | there is an ununited fracture of the neck of femur |
| D. | the patient walks with a dipping gait |
| E. | gluteus minimus and medius and tensor fascia latae are weakened severely |
| Answer» A. the hip adductors are paralysed (eg in poliomyelitis) | |
| 181. |
Which of the following structures can be missing in a completely stable and functional knee? |
| A. | ACL |
| B. | PCL |
| C. | oblique ligament |
| D. | patella |
| E. | lateral collateral ligament |
| Answer» D. patella | |
| 182. |
Which statement about femoral hernias is INCORRECT? |
| A. | it is commoner in males than females |
| B. | it is never due to a congenital sac |
| C. | the femoral cord acts as a lymphatic pathway from the lower limb to the external iliac nodes |
| D. | the neck of a femoral hernia can be distinguished from an inguinal hernia because it lies below and lateral to the pubic tubercle |
| E. | the femoral cord normally contains a fat plug and cloquet’s gland but can also accommodate a distended femoral vein |
| Answer» A. it is commoner in males than females | |
| 183. |
In the sole: |
| A. | plantar arteries and nerves lie between second and third layers |
| B. | the myotome is essentially S1 |
| C. | the medial plantar nerve supplies the medial 4½ toes |
| D. | tendons for peroneus longus and tibialis posterior lie in the third layer |
| E. | abductor digiti minimi is in the first layer |
| Answer» E. abductor digiti minimi is in the first layer | |
| 184. |
Which is supplied by the medial plantar nerve? |
| A. | adductor hallucis |
| B. | abductor digiti minimi |
| C. | flexor hallucis longus |
| D. | flexor accessories |
| E. | first lumbrical |
| Answer» E. first lumbrical | |
| 185. |
At the ankle: |
| A. | the capsule is attached to the posterior tibiofibular ligament |
| B. | the deltoid ligament has three parts |
| C. | the joint is a simple hinge joint |
| D. | the joint undergoes dorsiflexion, plantar flexion, inversion and eversion |
| E. | nerve supply is deep and superficial peroneal nerves and tibial nerves |
| Answer» A. the capsule is attached to the posterior tibiofibular ligament | |
| 186. |
The cruciate anastomosis is NOT joined by: |
| A. | transverse branch of the lateral circumflex A |
| B. | descending branch of the internal pudendal A |
| C. | ascending branch of the first perforating A |
| D. | descending branch of the inferior gluteal A |
| E. | transverse branch of the medial circumflex |
| Answer» B. descending branch of the internal pudendal A | |
| 187. |
Stability of the patella in knee extension is maintained primarily by: |
| A. | inferior fibres of vastus lateralis |
| B. | relative prominence of the medial femoral condyle |
| C. | inferior fibres of vastus medialis |
| D. | tension of medial patella retinaculum |
| E. | articularis genu muscle |
| Answer» C. inferior fibres of vastus medialis | |
| 188. |
Regarding the branches of the femoral nerve: |
| A. | does NOT supply cutaneous sensation to skin over the femoral triangle |
| B. | femoral cutaneous nerves pass through the fascia lata via the saphenous canal |
| C. | saphenous nerve follows the course of the great saphenous vein |
| D. | branch to pectineus passes between the femoral artery and vein |
| E. | generally branch within the femoral sheath |
| Answer» A. does NOT supply cutaneous sensation to skin over the femoral triangle | |
| 189. |
Profunda femoris artery is separated from the femoral artery by: |
| A. | pectineus |
| B. | satorius |
| C. | fascia lata |
| D. | femur |
| E. | adductor longus |
| Answer» E. adductor longus | |
| 190. |
Femoral canal contains: |
| A. | femoral nerve |
| B. | lymph node (of cloquet) |
| C. | femoral artery |
| D. | femoral vein |
| E. | B, C and D are correct |
| Answer» B. lymph node (of cloquet) | |
| 191. |
Regarding the saphenous opening: |
| A. | transmits the contents of the femoral sheath |
| B. | posterior wall lies immediately anterior to pectineus |
| C. | the great saphenous vein passes superiomedially through it |
| D. | bounded medially by the lacunar ligament |
| E. | the falciform edge attaches superiorly to the pectineal line |
| Answer» B. posterior wall lies immediately anterior to pectineus | |
| 192. |
Piriformis: |
| A. | is an abductor of the hip in hip flexion |
| B. | passes through the lesser sciatic foramen |
| C. | is the preferred site of intramuscular gluteal injection |
| D. | passes anterior to the femoral neck |
| E. | lies deep to the sciatic nerve |
| Answer» A. is an abductor of the hip in hip flexion | |
| 193. |
Popliteus: |
| A. | attaches to the medial femoral condyle |
| B. | “locks” the knee in extension |
| C. | supplied by a branch of the femoral nerve |
| D. | lies immediately deep to the popliteal artery |
| E. | may attach to the medial meniscus |
| Answer» D. lies immediately deep to the popliteal artery | |
| 194. |
The femoral triangle: |
| A. | the femoral triangle is bounded by the inguinal ligament medial border of sartorius and lateral border of adductor longus |
| B. | the mid-inguinal joint is midway between the pubic tubercle and the anterior superior iliac spine |
| C. | the femoral canal contains the lymph node of cloquet |
| D. | the femoral sheath contains the femoral nerve and femoral artery |
| E. | the femoral and profunda femoris arteries are separated by adductor brevis |
| Answer» C. the femoral canal contains the lymph node of cloquet | |
| 195. |
The knee: |
| A. | the cruciate ligaments are intra-synovial |
| B. | the posterior cruciate ligament stabilises the flexed weight-bearing knee |
| C. | the posterior horn of the medial meniscus is attached to the intercondylar area of the tibia behind the posterior cruciate ligament |
| D. | the knee joint normally contains 5.0ml of synovial fluid |
| E. | active rotation may occur in the extended knee |
| Answer» B. the posterior cruciate ligament stabilises the flexed weight-bearing knee | |
| 196. |
Which one of the following muscles has a double nerve supply? |
| A. | rectus femoris |
| B. | sartorius |
| C. | pectineus |
| D. | adductor longus |
| E. | active rotation may occur in the extended knee |
| Answer» C. pectineus | |
| 197. |
Inversion and eversion of the foot take place MAINLY at the: |
| A. | ankle joint |
| B. | joints between the talus and calcaneus |
| C. | joint between calcaneus and navicular bone |
| D. | calcanocuboid joint |
| E. | inferior tibiofibular joint |
| Answer» B. joints between the talus and calcaneus | |
| 198. |
Which one of the following has a tendo that is intracapsular? |
| A. | plantaris |
| B. | popliteas |
| C. | rectus femoris |
| D. | psoas major |
| E. | peroneal longus |
| Answer» A. plantaris | |
| 199. |
The deltoid ligament belongs to the: |
| A. | ankle joint |
| B. | hip joint |
| C. | knee joint |
| D. | talocalcaneonavicular joint |
| E. | calcaneocuboid joint |
| Answer» A. ankle joint | |
| 200. |
Regarding superficial nerves of the anterior thigh |
| A. | The ilioinguinal nerve only supplies external genitalia |
| B. | The genitofemoral nerve supplies the skin over the femoral triangle |
| C. | The medial femoral cutaneous nerve arises from L3/4 |
| D. | The intermediate femoral cutaneous nerve supplies a small area of skin over the inguinal ligament |
| E. | The lateral femoral cutaneous nerve runs lateral to the anterior superior iliac spine |
| Answer» B. The genitofemoral nerve supplies the skin over the femoral triangle | |
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