Lower Extremity
The primary blood supply to the foot extensors of the distal phalanges and the great toe is delivered by which of the following arteries? Fibular Artery Posterior Tibial Artery Anterior Tibial Artery Saphenous Artery
Fibular Artery
What arterial branch extends to the lateral leg compartment from the posterior tibial artery?
Fibular Artery
A patient with the inability to extend the knee against resistence most likely has sustained a lesion to which of the following nerve roots? S2 S1 L5 L4
L4
Which structure or vessel listed is NOT contained within the "femoral triangle"? Great Saphenous Vein Femoral Artery Femoral Nerve Lateral Femoral Cutaneous
Lateral Femoral Cutaneous
A person with a positive Trendelenburg sign has an injury to which nerve? Nerve to Piriformis Sciatic Superior Gluteal Inferior Gluteal
Superior Gluteal
The Tensor Fascia Lata muscle is innervated by which of the following nerves? Femoral Inferior Gluteal Superior Gluteal Sciatic
Superior Gluteal Nerve
What functional muscle group is innervated by Gluteal nerve?
Abductors
The Strongest tendon below the hip of the lower extremity is the______ Patellar Plantaris Posterior Tibialis Calcaneal/Achilles
Calcaneal/Achilles
Where is the quadrate tubercle?
Upper third of interotrochanteric crest
The blood supply to the muscles of the lateral compartment of the leg is dervied primarily from which of the following arteries? Anterior Tibial Saphenous Posterior Tibial Fibular
Fibular
How many muscles in the lateral compartment?
2, fibularis longus,fibularis brevis
Branch of Lumbar plexus from L1
Ilioinguinal, Iliohypogastric
two mucles of Layer 4 of foot?
4 PAD 3 DAB
How many muscles in the anterior compartment?
4 muscles
How many spinal levels comprise the lumbar plexus on one side of the body?
6 branches
How many muscles in the posterior compartment?
7, Gastrocnemius,Soleus,Plantaris, Popliteus, Flex Hallicus Longus, Flex Digitorum longus
The Quadratus Plantae muscle receives its nerve supply from which spinal nerve roots? L3,L4 L4,L5 S3,S4 S2,S3
S2, S3
3 muscles on first layer of plantar foot?
Abductor Hallucis Flexor Digitorum Brevis Abductor Digiti Minimi
Where is the adductor tubercle located?
Above the medial epicondyle, medial supracondylar ridge
What are the actions of the pectineus muscle?
Adduction, Flexion, Medial Rotation
What is the medial border of the femoral triangle?
Adductor Longus
Which Adductor Magnus part is the lateral part?
Adductor Part
What are the two parts of adductor magnus?
Adductor part, hamstring part
What functional muscle group is linked with obturator nerve
Adductors
A patient presented to you with pain in the anterior lower leg causing an inability to dorsiflex their foot after begining a running program. They also complained of having a loss of sensation of foot (dorsal surface) between digits 1 and 2. your diagnosis? Popliteal Aneurysm Anterior Compartment Syndrome Tarsal Tunnel Syndrome Lateral Compartment Syndrome
Anterior Compartment Syndrome
The "terrible triad of O'Donahue" refers to an injury of the knee involving the following structures of the knee? -Posterior Cruciate ligament, lateral collateral ligament, Lateral meniscus -Posterior Cruciate Ligament, medial collateral ligament, lateral meniscus -Anterior Cruciate Ligament, Medial Collateral Ligament, Medial Meniscus Anterior Cruciate Ligament, Lateral Collateral ligament, medial meniscus
Anterior Cruciate Ligament, Medial Collateral Ligament, Medial Meniscus
What is the motor innervation to the adductor longus and brevis?
Anterior Division of Opturator Nerve
What functional muscle group what be innervated by femoral nerve?
Anterior Thigh
What palpable artery is located along the medial malleolus of the ankle? Dorsalis pedis Femoral Posterior Tibial Anterior Tibial
Anterior Tibial, MIGHT BE WRONG
A high ankle sprain involves what ankle ligament?
Anterior Tibiofibular
The most injured ligament with a high ankle inversion sprain is the? Anterior talofibular Calcaneofibular Calcaneonavicular Anterior Tibiofibular
Anterior Tibiofibular
What muscle lies deep to the vastus lateralis whos actions retract the synovial capsule of the patella during leg extension to prevent pinching? Articularis Genu Plantaris Popliteus Biceps Femoris
Articularis Genu
What muscle lies to the vastus intermedius and pulls up on the synovial capsule and prevents pinching
Articularis Genu
What muscle is supplied by the common fibular nerve? Biceps Femoris (short head) Biceps Femoris (Long head) Semimembranosus Adductor Magnus
Biceps Femoris (short head)
Which muscle listed helps form the superior lateral wall or margin of the popliteal fossa? biceps femoris Plantaris Semimembranosus Gastrocnemius
Biceps femoris (long head)
In the following joint combinations, identify the INCORRECT joint classifications Acetabulum-Ball and socket Superior tibiofibular-synovial plane Middle Tibiofibular- syndesmosis Distal Tibiofibular- Synovial Plane
Distal Tibiofibular-Synovial Plane
A patient presented to you with pain in the anterior lower leg causing an inability to dorsiflex their foot after begining a running program. They also complained of having a loss of sensation of the foot (dorsal surface) between DIGITS 1 and 2. The loss of SENSATION to the dorsum of the foot between the web of digits 1 and 2 is due to the injury of what nerve? Sural Tibial Superficial Fibular Deep Fibular
Deep Fibular
The Cutaneous innervation on the anterior medial aspect of tibia (lower leg) is supplied by which nerve? Superficial fibular Deep fibular Lateral Sural Cutaneous Saphenous
Deep Fibular
The Extensor Digitorum Brevis muscle is innervated by which nerve? Deep Fibular Medial Plantar Superficial Fibular Lateral Fibular
Deep Fibular
Which of the following nerves innervates the fibularis tertius muscle? Superficial Fibular Tibial Deep Fibular Common Fibular
Deep Fibular
In the following combinations, identify the INCORRECT muscle/invervation Extensor Hallucis Brevis - Superficial fibular nerve Flexor Hallucis Longus- Tibial Nerve Flexor Digitorum Brevis- Medial Plantar Nerve Extensor Digitorum Brevis - Deep fibular nerve
Extensor Hallucis Brevis - Superficial Fibular Nerve
A construction worker severed his tibial nerve just distal to the popliteal fossa. which of the following muscles would remain intact and functional? Soleus Flexor Hallucis Longus Tibialis Posterior Extensor Hallucis Longus
Extensor Hallucis Longus
In a patient with a lumbar herniated disc (L4) causing a L5 radiculopathy, which of the following muscles is MOST likely to exhibit weakness upon manual muscle testing? Soleus Extensor Hallucis Longus Vastus Medialis Piriformis
Extensor Hallucis Longus
What functional muscle group is innervated by Sciatic Nerve?
Extensors
Cutaneous Innervation to the femoral triangle
Femoral Branch of Genitofemoral nerve
Saphenous nerve is a branch off of what?
Femoral Nerve
What nerve innervates the anterior thigh
Femoral Nerve
What two veins enter the femoral triangle from the inferior?
Femoral Vein, Great Saphenous Vein
Which muscle listed is NOT innervated by the deep fibular nerve? Fibularis Tertius Fibularis Brevis Tibialis Anterior Extensor digitorum longus
Fibularis Brevis
Actions of Femoral Nerve?
Flexion and Extension
What muscle listed below is NOT found in the second layer(plantar) of the foot? 4th lumbrical Flexor Digiti Minimi Brevis Quadratus Plantae 1st Lumbrical
Flexor Digiti Minimi brevis
Which of the following is NOT a constituent within the tarsal tunnel? Flexor Digitorum brevis tendon Posterior Tibial Artery Flexor Hallicus Longus Tendon Tibial Nerve
Flexor Digitorum Brevis Tendon
3 muscles of third layer of foot
Flexor hallucis Brevis Adductor Hallucis Flexor Digiti Minimi Brevis
Cutaneous Innervation to the Femoral Triangle is supplied by which of the following nerves? Anterior Femoral Cutaneous Illioinguinal Iliohypogastric Genitofemoral
Genitofemoral
Lumbar plexus branch that pierces the psoas major
Genitofemoral Nerve
How many gluteal muscles will medially rotate and abduct the thigh?
Gluteus Medius, Gluteus Minimus, Tensor Fascia lata
what muscle attaches to the adductor tubercle?
Hamstring part of adductor magnus
What is the name of the anatomical space where the femoral artery and vein pass through, as well as two nerves
Hunters Canal, Adductor Canal, Subsartorial canal
What part of the lumbosacral plexus that innervates the gluteus maximus
Inferior Gluteal
Where is the quadratus muscle lying in relation to the inferior gemelus?
Inferior to inferior gemellus
Genitofemoral Branch Spinal Levels?
L1 and L2
Lateral Femoral Cutaneous Spinal Branches?
L2 and L3
Femoral Spinal Branches?
L2,L3,L4
Obturator Nerve spinal levels?
L2,L3,L4
Assessory Obturator Nerve spinal levels?
L3,L4
The Extensor Hallucis Brevis muscle receives most of its axons from which nerve root level? S1/S2 L5/S1 S2/S3 L4/L5
L5/S1
The cutaneous termination (branch) of the sural nerve is the ___________ lateral dorsal cutaneous Deep Fibular Superficial Fibular Saphenous
Lateral Dorsal Cutaneous
All of the following anatomy listed passes through the hunters canal EXCEPT? Femoral Artery Lateral Femoral Cutaneuous Nerve Nerve to the vastus medialis Saphenous Nerve
Lateral Femoral Cutaneous Nerve
Which of the following nerves innervates the abductor digiti minimi of the foot? Medial Plantar Deep Fibular Superficial Fibular Lateral Plantar
Lateral Plantar
A 49 yr. old overweight male presents with numbness and burning pain of his anterior /lateral right thigh. your most likely diagnosis? Lateral Femoral Cutaneous Nerve Entrapment Obturator Nerve Entrapment Saphenous Nerve entrapment Sciatica
Lateral femoral cutaneous nerve entrapment
Which of the following statements with respect to lateal femoral cutaneious neuralgia is correct? Leads to pain and Numbness on anterior lateral thigh Leads to pain and numbness on the anteral lateral lower leg Leads to pain and numbness on the posterior medial thigh Leads to pain and numbness on medial thigh
Leads to pain and numbness on anterior lateral thigh
What vein runs with the sural, and empties into the popliteal vein
Lesser or small saphenous vein
At what point does the tibial nerve bifurcate into 2 plantar nerves?
Medial Malleoulus or Tarsal Tunnel
What is the nerve branch that comes off of the tibial branch(division) that goes to the sural nerve?
Medial Sural Cutaneous Nerve
Where is the obturator nerve cutaneous innervation?
Medial lower thigh by the
The superior gemellus muscle is innervated by which of the following nerves? Nerve to obturator internus Nerve to quadratus femoris Nerve to the superior gemellus Nerve to Obturator Externus
Nerve to Obturator Internus
What nerves innervates the obturator internus?
Nerve to the obturator internus
What cutaneous nerve supplies the distal medial thigh region Anterior Femoral Cutaneous Obturator Illioinguinal Genitofemoral
Obturator
Which nerves innervate the adductor magnus? -Obturator posterior division and sciatic common fibular division -Obturator anterior division and sciatic common fibular division -Obturator posterior division and sciatic tibial division -Obturator anterior division and sciatic tibial division
Obturator Posterior Division and sciatic tibial division
A patient with hip/thigh pain presents for a consultation. There is pain and paresis (weakness) upon resisted external (lateral) rotation of the posterior hip joint. Which muscle would not be implicated as the primary pain/weakness generator. Pectineus Piriformis Quadratus Femoris Superior Gemellus
Pectineus
A construction worker has his common fibular nerve completely severed and all contents destroyed when a plate glass window falls and strikes his fibular head region. Which of the following action can NOT be performed as a result? Inversion of Foot Eversion of foot Plantar Flexion of foot Flexion of foot digits
Plantar Flexion of Foot
What muscle tendon is commonly harvested for surgical tendon grafting of the hand Pes Anserine Arcuate Ligament Plantaris Oblique Popliteal
Plantaris
What compartment of the lower leg is affected with a tibial nerve injury?
Posterior Compartment
Excessive anterior movement of the tibia when pulling the tibia forward on the leg with the knee in non weight bearing flexion (a positive anterior drawer sign) indicates damage to which structure Popliteal Ligament Anterior Cruciate Ligament Posterior Cruciate Ligament Medial Meniscus
Posterior Cruciate Ligament
What nerve innervates the obturator externus?
Posterior Division of Obturator Nerve
The Fibular Artery branches off from what other aterial branch? Anterior Tibial Artery Popliteal Artery Posterior Tibial Artery Tibial artery
Posterior Tibial Artery
Function of Posterior Cruciate Ligament?
Prevents anterior displacement of femur on tibia
Function of Anterior Cruciate Ligament?
Prevents posterior displacement of femur on tibia
*What 2 nerves are in the hunters canal?*
Saphenous Nerve, Nerve to vastus medialis
What nerve typically exits inferior to piriformis muscle?
Sciatic Nerve
Name the muscle whose distal tendon inserts into the posterior aspect of the medial condyle of the tibia and continues from medial to lateral across the popliteal fossa as the oblique popliteal ligament? Semitendinosus Popliteus Biceps Femoris Semimembranosus
Semimembranosus
Where is the oblique popliteal ligament reflects off of a muscle of the posterior thigh, which muscle is it?
Semimembranosus
What 3 muscles make up the upper and lower borders of the popliteal fossa, 2 upper borders, 1 lower border
Semimembranosus, Semitendonosus (superior), medial head of gastrocnemius(lower border)
Name the posterior compartment thigh muscle that contributes a muscle tendon to the pes anserene
Semitendonosus
What are the three muscles that form the pes anserene
Semitendonosus, Gracilis, Sartorius
Motor innervation to the lateral compartment of lower leg and cutaneous innervation to the majority dorsum of the foot is innervated by which of the following nerves? Common Fibular Saphenous Sural Superficial Fibular
Superficial Fibular
Positive Trendelenberg sign is a lesion of what nerve?
Superior Gluteal nerve
cutaneous innervation down the posterior calf and into the lateral foot is provided by which of the following nerves? Sural Femoral Saphenous Posterior Femoral Cutaneous
Sural
The Popliteal artery bifurcates into what 2 arteries?
The Anterior and posterior Tibial arteries
Where does the deep fibular nerve go after coming off the common fibular?
The anterior compartment
Tarsal Tunnel Syndrome typically involves a lesion of which nerve? Saphenous Tibial Superficial Fibular Deep Fibular
Tibial
In a patient that is suspected of having an SI radiculopathy, which of the muscles listed below would be the LEAST likely to exhibit evidence of paresis? Tibialis Anterior Gastrocnemius (Lateral Head)
Tibialis Anterior
Which muscle listed is the primary or strongest dorsi-flexor of the ankle? Tibialis Anterior Fibularis Longus Extensor Hallucis Longus Tibialis Posterior
Tibialis Anterior
What 4 muscles laterally rotate an extended thigh, and abduct a flexed thigh?
Triceps coxxae(superior gemellus, Piriformis
Adductor Magnus innervation?
posterior division of obturator nerve
What attaches to intertrochanteric crest?
quadratus femoris