ANATOMY MVN PART 2 (first half)

25. what muscle is innervated by branches of both the median and ulnar nerve? A. flexor carpi ulnaris B. flexor digitorum profundus C. flexor digitorum superficialis D. flexor pollicis longus E. pronator quadratus

B. flexor digitorum profundus

66. the most usual site for feeling the pulsations of the dorsalis pedis artery in the foot is: A. just behind the medial malleolus B. just lateral to the tendon of the extensor hallucis longus C. behind the tendon of fibularis tertius muscle D. in the second dorsal metatarsal space E. just behind the lateral malleolus

B. just lateral to the tendon of the extensor hallucis longus

23. the anterior interosseus is a branch of which nerve? A. axillary B. median C. musculocutanous D. radial E. ulnar

B. median

13. following a car accident in which the patient received a deep laceration on the medial side of his right knee, the patient notices numbness along the medial side of his right leg and foot. he has no motor deficit. the nerve which appears to have been injured is the: A. femoral nerve B. saphenous nerve C. sural nerve D. superficial fibular nerve E. deep fibular nerve

B. saphenous nerve

20. if the median nerve is cut at the elbow there is: A. loss of sensation in the tips of all fingers B. usually loss of opposition of the thumb C. complete loss of flexion at the wrist D. loss of adduction of the thumb

B. usually loss of opposition of the thumb

72. a patient has been diagnosed with bone cancer in the fibula that necessitates its removal. which of the following muscles would be least affected following removal of the fibula? A. biceps femoris B. extensor digitorum longus C. flexor digitorum longus D. flexor hallucis longus E. peroneus tertius

C. flexor digitorum longus

55. a worker falls from a height and lands on his feet. radiographs reveal a fracture of the sustentaculum tali. the muscle passing immediately beneath it what would be adversely affected is the: A. fibularis longus B. flexor digitorum longus C. flexor hallucus longus D. tibialis anterior E. tibialis posterior

C. flexor hallucus longus

30. when falling on an outstretched hand, the most commonly dislocated carpal bone is the: A. schaphoid B. trapezoid C. lunate D. capitate E. hamate

C. lunate

12. because of the scarring of a patient's median cubital vein, the technician chooses to insert an infusion needle into her basilic vein at the level of the medial epicondyle. despite the certainty that the needle does not pass through the deep fascia, there is still a chance that it might nick or impale which of the following? A. brachial artery B. lateral antebrachial cutaneous nerve C. medial antebrachial cutaneous nerve D. median nerve E. radial nerve

C. medial antebrachial cutaneous nerve

16. a 50 year old female patient has large varicose veins located primarily on the posterior aspect on her calf. these veins are most likely direct tributaries. A. great saphenous vein B. sural vein C. small saphenous vein D. femoral vein E. dorsal venous arch

C. small saphenous vein

62. in an accident involving farm machinery, a farmer receives a cut on the dorsum of his ankle. as you inspect the wound and test for functional and sensory deficits, you find that no tendons have been cut, but the dorsalis pedis artery and the accompanying nerve have been cut. you would expect to find: A. club foot B. foot drop C. inability to extend the big toe D. numbness between the first and second toes E. weakness in inversion of the foot

D. numbness between the first and second toes

54. structures within the carpal tunnel include: A. radial bursa B. ulnar nerve C. palmar aponeurosis D. superficial palmar arterial arch E. adductor pollicis muscle

A. radial bursa

69. a medical student steps on a stingray, which responds by stinging her in the ankle. the stinger pierces the skin, subcutaneous tissue and the flexor retinaculum of the ankle. which other structure passing under the retinaculum may be injured? A. tibial nerve B. tibialis anterior C. quadratus plantae D. anterior tibial artery E. planter arterial arch

A. tibial nerve

1. does the basilic vein perforate the brachial fascia?

A. yes

2. do any structures lie between the two heads of the pronator teres?

A. yes

3. does the flexor pollicis brevis muscle have a deep head?

A. yes

4. does the anterior lateral malleolar artery communicate with the perforating artery?

A. yes

17. the distal part of the lesser saphenous vein was mobilised for grafting. following the operation, the patient complained of numbness on the distal lateral side of the leg and the lateral side of the foot. what nerve was damaged during the operation? A. deep fibular B. posterior femoral cutaneous C. saphenous D. superficial fibular E. sural

E. sural

5. in the process of escaping from T.rex in jurassic park, the heroine punctures the skin on the medial side of her wrist on a spiny bush. A few days later, due to the toxin, an infection is seen spreading up the medial side of her arm along the large cutaneous vein extending from the dorsum of her hand to the medial side of her arm. the vein involved is the: A. basilic B. brachial C. cephalic D. medial cubital E. ulnar

A. basilic

8. a sixteen year old boy received a superficial cut on the ulnar side of his forearm. the superficial vein most likely affected is the: A. basilic B. cephalic C. median antebrachial D. medial cubital E. radial

A. basilic

65. the lateral plantar nerve is a branch of which nerve? A. deep fibular B. femoral C. saphenous D. sural E. tibial

E. tibial

44. what arterial vessel accompanies the deep branch of the ulnar nerve across the palm? A. deep palmar arterial arch B. radial C. radialis indicis D. superficial palmar arterial arch E. ulnar

A. deep palmar arterial arch

35. a girl playing softball cuts the palm of her hand as she scoops up a piece of glass along with the ball. if the only nerve damaged is the recurrent branch of the median nerve, she would lose what movement of the thumb? A. abduction B. adduction C. flexion of the distal phalanx D. opposition

D. opposition

19. the flexor digitorum superficialis muscle: A. has attachments to the humerus, radius and ulna B. has only 2 tendons just above the flexor retinaculum C. is supplied by the ulnar nerve D. is attached to the base of the distal phalanx of the medial four digits

A. has attachments to the humerus, radius and ulna

9. during insertion of an IV cannula in the median cubital vein, the patient suddenly lost feeling on the radial side of the forearm. what nerve was injured? A. lateral antebrachial cutaneous B. medial antebrachial cutaneous C. musculocutaneous D. posterior antebrachial cutaneous E. superficial radial nerve

A. lateral antebrachial cutaneous

40. the signs and symptoms of carpal tunnel syndrome may vary among patients, but they always result from compression of what structures in the carpal canal? A. median nerve B. radial artery C. superficial radial nerve D. ulnar artery E. ulnar nerve

A. median nerve

14. a saphenous vein cut down is a procedure used to locate the great saphenous vein at the ankle. to find this vein, the skin would be incised: A. anterior to the lateral epicondyle B. posterior to the medial epicondyle C. anterior to the medial malleolus D. posterior to the lateral malleolus E. over the base of the 5th metatarsal

C. anterior to the medial malleolus

21. supination of the hand and forearm would be diminished by loss of radial nerve function. but one very powerful supinator would remain intact and unaffected, namely: A. brachialis B. brachioradialis C. biceps brachii D. flexor carpi radialis E. supinator

C. biceps brachii

27. the tendons on the dorsal side of the wrist are held in place by a thickening of the antebrachial fascia called the: A. bicipital aponeurosis B. extensor expansion C. extensor retinaculum D. interosseous membrane E. palmar carpal ligament

C. extensor retinaculum

60. pain may result from friction of the tendon of which muscle that passes deep to the anterior fibres of the long plantar ligament. A. tibialis posterior B. flexor hallucis longus C. fibularis longus D. tibialis anterior E. flexor hallucis brevis

C. fibularis longus

57. a deep laceration, 2cm in length, immediately posterior to the medial malleolus, may injure any of the following except: A. fibular artery B. tibial nerve C. tendon of the tibialis posterior m D. tendon of the flexor digitorum longus m E. tendon of flexor hallucis longus m

A. fibular artery

53. what movement of the thumb would be most affected by lesion of the median nerve in the cubital fossa: A. flexion B. abduction C. adduction D. extension

A. flexion

28. developmental of "tennis elbow" involves the origin of which muscle? A. abductor pollicis longus B. anconeous C. brachioradialis D. extensor carpi radialis brevis E. triceps brachii

D. extensor carpi radialis brevis

59. compression of the lateral plantar nerve as it passes between the flexor digitorum brevis and quadratus plantae could result in weakness of any of the following actions except: A. abduction of the great toe B. adduction of the middle toe C. abduction of the little toe D. adduction of the great toe E. abduction of the middle toe

A. abduction of the great toe

74. a car strikes a pedestrian on the lateral side of her leg. following the accident, she has "foot drop". her foot hangs loosely in plantar flexion when she raises it off the ground. she can still invert her foot, but cannot evert it. she can flex but not extend her toes. which nerve is most likely to have been crushed in her accident? A. common fibular B. tibial C. superficial fibular D. medial plantar E. sciatic

A. common fibular

45. the fourth dorsal interosseous muscle is innervated by the: A. deep branch of the ulnar nerve B. dorsal branch of the ulnar nerve C. recurrent branch of the median nerve D. superficial branch of the radial nerve E. superficial branch of the ulnar nerve

A. deep branch of the ulnar nerve

48. a patient sustained multiple deep lacerations on the palm of his hand and anterior surface of his wrist. During examination, the physician put a piece of paper between adjacent surfaces of the patient's index and middle fingers and found him unable to squeeze them together with sufficient force to hold the paper. the most specific nerve branch to the tested muscles is the: A. deep branch of the ulnar nerve B. median nerve C. recurrent branch of the median nerve D. superficial branch of the ulnar nerve E. ulnar nerve

A. deep branch of the ulnar nerve

31. if the musculotaneous nerve is severed at its origin from the brachial plexus, flexion at the elbow is greatly weakened but not abolished. what muscle remains operative and can contribute to flexion? A. brachialis B. brachioradialis C. corcacobrachialis D. long head of biceps brachii E. short head of biceps brachii

B. brachioradialis

7. a sixteen year-old boy receives a superficial cut on the thumb side of his forearm. the superficial vein most likely affected is the: A. basilic B. cephalic C. median antebrachial D. medial cubital E. radial

B. cephalic

68. a long distance runner complained of swelling and pain of his shin. at physical examination, skin testing showed normal cutaneous sensation of the leg. however, muscular strength tests showed marked weakness of dorsiflexion and impaired inversion of the foot. which nerve serves the muscles involved? A. common fibular B. deep fibular C. sciatic D. superficial fibular E. tibial

B. deep fibular

56. a patient has stepped on a board with a long nail sticking up from it, and the nail penetrated the patient's foot between the bases of the first and second metatarsals. what artery is most likely injured at this location? A. arcuate B. deep plantar C. dorsalis pedis D. lateral plantar E. medial plantar

B. deep plantar

52. after suffering a cut deep to the hypothenar eminence, the patient is unable to hold a sheet of paper between the second and third digits. the nerve most likely injured was the: A. deep radial B. deep ulnar C. recurrent branch of median D. superficial radial

B. deep ulnar

58. a construction worker lacerates the dorsum of his foot just below his ankle. profuse bleeding that occurs would result from cutting which vessel? A. small saphenous vein B. dorsalis pedis artery C. medial plantar artery D. anterior tibial artery E. fibular artery

B. dorsalis pedis artery

11. while having an IV needle inserted into the cephalic vein of the forearm, the patient suddenly screamed in pain and felt tingling in the part of the skin if the forearm supplied by the nerve accompanying the vein. what nerve was injured? A. posterior antebrachial cutaneous B. lateral antebrachial cutaneous C. medial antebrachial cutaneous D. musculocutaneous E. superficial radial

B. lateral antebrachial cutaneous

22. a worker doing repetitive lifting develops an inflammation in the tendon of origin of the extensor carpi radialis brevis muscle, commonly called "tennis elbow". the focal point of pain would most likely be near which palpable bony landmark? A. coronoid process of ulna B. lateral epicondyle of humerus C. lateral suracondylar ridge of humerus D. medial epicondyle of humerus E. medial supercondylar ridge of humerus F. olecranon G. posterior border of ulna

B. lateral epicondyle of humerus

63. while walking barefoot on the beach following final exams, a medical student steps on a sharp shell which punctures the sole of her foot. she notices that she can no longer spread her toes apart. which nerves must have been injured? A. deep fibular B. lateral plantar C. medial plantar D. sural E. tibial

B. lateral plantar

42. the point of insertion of the flexor digitorum superficialis tendon to the index finger is on the: A. distal phalanx B. middle phalanx C. proximal phalanx D. second metacarpal E. trapezoid bone

B. middle phalanx

61. a construction worker steps on a board with a nail in it. the nail pierces the sole of his boot and enters his foot 2 cm anterior to his calcaneal tuberosity, at the middle of the width of his foot. before reaching bone, the nail would pass through in order: A. skin, calcaneometatarsal ligement, flexor digitorum brevis, quadratus plantae, long plantar ligament B. skin, plantar aponeurosis, flexor digitorum brevis, quadratus plantae, long plantar ligament C. skin, plantar aponeurosis, flexor digitorum brevis, tendons of the flexor digitirum longus, long plantar ligament D. skin, plantar aponeurosis, quadratus plantae, flexor digitorum brevis, long plantar ligament E. skin, transverse metatarsal ligament, flexor digitorum brevis, quadratus planate, long plantar ligament

B. skin, plantar aponeurosis, flexor digitorum brevis, quadratus plantae, long plantar ligament

24. in an attempt to commit suicide by slashing the ventral side of the wrist, the two tendons of the flexor digitorum superficialis located most superficially were completely severed. what movement would be affected? A. flexion of the MP and IP joints of the thumb B. flexion of the PIP joints of digits 2 and 5 C. flexion of the PIP joints of digits 3 and 4 D. flexion of the DIP joints of digits 2 and 5 E. flexion of the DIP joints of digits 3 and 4

C. flexion of the PIP joints of digits 3 and 4

33. the pulse of the radial artery at the wrist is felt immediately lateral to which tendon? A. abductor pollicis longus B. extensor digitorum C. flexor carpi radialis D. flexor digitorum profundus E. palmaris longus

C. flexor carpi radialis

34. if the medial condyle of the humerus is fractured and the nerve passing dorsal to it its injured, which muscle would be most affected? A. extensor carpi ulnaris B. extensor digitorum C. flexor carpi ulnaris D. flexor digitorum profundus E. flexor digitorum superficialis

C. flexor carpi ulnaris

6. the lateral antebrachial cutaneous nerve comes from the: A. axillary nerve B. medial cord nerve C. musculocutaneous nerve D. radial nerve E. ulnar nerve

C. musculocutaneous nerve

37. what sesamoid bone develops in the tendon of flexor carpi ulnaris and is therefore not a part of the wrist joint? A. capitate B. lunate C. pisiform D. schapoid E. triquetral

C. pisiform

26. a boy fell onto a sharp object and cut his deep radial nerve as it emerged from the supinator muscle. the artery joining it at this point was also injured. the injured artery is the: A. anterior interosseous B. common interosseous C. posterior interosseous D. radial E. ulnar

C. posterior interosseous

10. after trying to throw a curve ball, a pitcher lost sensation from the tip of the little finger. this indicates injury to which nerve? A. radial B. median C. ulnar D. musculocutaneous E. medial antebrachial cutaneous

C. ulnar

18. the deep peroneal nerve supplies: A. tibialis anterior B. extensor hallucis longus C. extensor digitorum longus D. all of the above E. A and B only

D. all of the above

76. while water skiing following final exams, a medical student falls and twists her ankle. her foot is forcibly everted, which could cause a sprain of which ligament? A. anterior talofibular B. anterior tibiofobular C. calcaneofibular D. deltoid E. plantar calceaneonavicular

D. deltoid

64. a medical student goes for a swim while on vacation after final exams. a barracuda bites his foot, severing an artery on the dorsum of his foot just below his ankle. which artery has been severed? A. anterior tibial B. deep fibular C. deep plantar D. dorsalis pedis E. dorsal metatarsal

D. dorsalis pedis

39. while watching her boyfriend split wood, a teenager was struck on the back of her carpals by a sharp-edged flying wedge. her extensor digitorum tendons were exposed, though not severed, indicating that the surrounding synovial sheath had been opened. what other muscle has its tendon surrounded by the same synovial sheath? A. extensor carpi radialis brevis B. extensor carpi radialis longus C. extensor digiti minimi D. extensor indicis E. extensor pollicis longus

D. extensor indicis

71. a pedestrian is struck by a car, and his fibular neck is fractured. there is no indication of foot drop, but he cannot evert his foot and the top of his foot is numb. this apparent nerve lesion would affect which of the following muscles? A. tibialis posterior B. tibialis anterior C. fibularis tertius D. fibularis longus E. adductor hallucis

D. fibularis longus

32. if the tendon of palmaris longus were transected, what movement would be affected? A. flexion of the MP and IP joints of the thumb B. flexion of the proximal IP joints of digits 2 and 5 C. flexion of the proximal IP joints of digits 3 and 4 D. flexion of the wrist E. extension of the wrist

D. flexion of the wrist

51. in carpal tunnel syndrome, a compression of the median nerve in the carpal tunnel affects which hand muscle? A. adductor pollicis B. second palmar interosseous C. opponens digiti minimi D. flexor pollicis brevis

D. flexor pollicis brevis

41. what muscle tendon is enclosed within its own synovial sheath in the carpal canal? A. flexor carpi ulnaris B. flexor digitorum profundis to 2nd digit C. flexor digitorum superficialis to 2nd digit D. flexor pollicis longus E. palmaris longus

D. flexor pollicis longus

73. a player is kicked on the front of his leg during a soccer game, and a large bruise develops. a hematoma deep to the crural fascia can create extreme pressure within the anterior compartment of the leg, compressing structures within it. the most likely finding resulting from this anterior compartment syndrome is: A. numbness on the dorsum of the foot B. inability to evert the foot C. inability to invert the foot D. foot drop E. inability to planterflex the foot

D. foot drop

75. a soldier developed "fallen arches" from marching with a heavy pack in boots that lacked arch support. the ligament that normally supports the head of the talus and is primarily responsible for holding up the medial longitudinal arch of the foot is the: A. calcaneometatarsal B. deltoid C. long plantar D. plantar calcaneonavicular E. short plantar

D. plantar calcaneonavicular

46. a student is rollerblading on the Diag and while trying to avoid a bicyclist falls heavily on his right wrist. After the fall he notes severe pain in the anatomical snuffbox. Radiological studies reveal a fracture of the bone deep to the snuff box is called: A. capitate B. hamate C. lunate D. scaphoid E. trapezium

D. scaphoid

47. a patient sustained multiple deep lacerations on the palm of his hand and anterior surface of his wrist. During examination, the physician put a piece of paper between adjacent surfaces of the patient's index and middle fingers and found him unable to squeeze them together with sufficient force to hold the paper. what muscles are being tested? A. first dorsal and first palmar interosseous muscles B. first dorsal and second palmar interosseous muscles C. first lumbrical and second dorsal interosseous muscles D. second dorsal and first palmar interosseous muscles

D. second dorsal and first palmar interosseous muscles

15. a patient with a diabetic ulcer in the anterior midline of the ankle region experienced loss of cutaneous sensation on the dorsal surface of the food. which nerve was most likely damaged? A. femoral B. lateral sural cutaneous C. saphenous D. superficial fibular E. sural

D. superficial fibular

49. bleeding from a superficial cut in the middle of the palm of the hand near the proximal transverse crease comes mainly from what vessel? A. princeps pollicis artery B. radial artery C. radialis indicis artery D. superficial palmar arch E. ulnar artery

D. superficial palmar arch

70. your patient was struck by a car's bumper as she crossed the street, and her fibular neck is broken. after the bone has healed, she has foot drop. denervation of which of the following muscles would be associated with foot drop A. fibularis longus B. tibialis posterior C. fibularis brevis D. tibialis anterior E. popliteus

D. tibialis anterior

36. the main sources of blood to the superficial palmar arterial arch is: A. deep branch of the ulnar artery B. radial artery C. superficial palmar branch of the radial artery D. ulnar artery

D. ulnar artery

67. a patient with a fracture to the left upper tibia was treated with a plaster cast. a few days later he started to develop progressive numbness over the dorsum of the foot and weakness in dorsiflexion. the cast was quickly changes and the signs were attributed to nerve compression. the compressed nerve was most likely the: A. tibial B. obturator C. sciatic D. femoral E. common fibular

E. common fibular

38. in order to check the pulse of a child whose forearm is in a cast, the pediatrician presses her finger into the depth of the anatomical snuffbox. the tendon lying immediately medial to the physician's finger belongs to what muscle? A. brachioradialis B. extensor carpi radialis brevis C. extensor carpi radialis longus D. extensor pollicis brevis E. extensor pollicis longus

E. extensor pollicis longus

43. in order to evaluate the carpal-metacarpal joint of the thumb, the median nerve must be deadened at the wrist to test the joint. which movement of the thumb would be most affected by the anesthetic? A. abduction B. adduction C. extension D. flexion E. opposition

E. opposition

29. in an industrial accident, the artery passing lateral to the pisiform bone is cut. this artery is the: A. deep palmar arch B. radial C. superficial palmar arch D. superficial palmar arch of the radial artery E. ulnar

E. ulnar

50. a deep puncture wound in the palmar surface of the little finger near the proximal IP joint might introduce infection into the synovial cavity: A. bursa of flexor carpi ulnaris B. fibrous digital sheath of fingers C. intercarpal joint space D. radial bursa E. ulnar bursa

E. ulnar bursa