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37 Cards in this Set

  • Front
  • Back

Which of the following is correct regarding the denticulate ligament of spinal cord?




A they are lateral extensions of pia mater that attach to dura mater to provide horizontal stability to spinal cord


B they are specialized extensions of arachnoid mater


C they are specialized extensions of dura mater


D they are specialized extensions of ligamentum flavum E they are specialized extension of posterior longitudinal ligament

A they are lateral extensions of pia mater that attach to dura mater to provide horizontal stability to spinal cord

The complete disruption of the trapezoid and conoid ligaments would be equivalent to




A dislocation of the acromioclavicular joint


B fracture of the clavicle in the middle third


C fracture of the lateral tip of the clavicle


D rupture of the shoulder joint E none of the above

B fracture of the clavicle in the middle third

Ligation of the axillary artery at this point will compromise blood supply to the upper extremity




A distal to the direct or indirect branch of the scapular circumflex and humeral circumflex arteries


B proximal to the direct or indirect branch of the scapular circumflex and humeral circumflex arteries


C proximal to the origin of the lateral thoracic branch


D proximal to the origin of the thoracoacromial branch E none of the above

A distal to the direct or indirect branch of the scapular circumflex and humeral circumflex arteries

All of the following are true regarding skeletal muscle repair and regeneration except:




A satellite cells in the skeletal muscle fibers play a significant role in the repair and regeneration of skeletal muscle fibers


B they are actively dividing cells


C they are found in the sarcolemma


D they become mitotically active in response to stress and trauma

B they are actively dividing cells

An attempt to do an arterial tap on the brachial artery within the cubital fossa will greatly endanger the




A ulnar nerve


B median nerve


C radial nerve


D deep radial nerve


E none of the above

B median nerve

Volkman's ischemic contracture of the hand due to severe damage to and shortening of the forearm muscles is actually due to compromised blood supply from the




A brachial artery


B ulnar artery


C radial artery


D all of the above

B ulnar artery

The main line of force transmission from the hand to the arm is initially through the




A ulna


B radius


C interosseous membrane


D forearm muscles


E none of the above

B radius



Injury to the radial nerve will usually not produce




A a weakness in pronation


B a weakness in supination


C a weakened grip due to wrist drop


D stronger finger extension

A a weakness in pronation

The nerve to the anconeus is a direct branch from the




A radial nerve


B superficial radial nerve


C deep radial nerve


D posterior interosseous nerve


E none of the above

A radial nerve

Guyon's canal contains the




A median nerve


B flexor carpi ulnaris


C ulnar nerve


D deep branch of the ulnar nerve


E none of the above

C ulnar nerve

The radiocarpal joint is mainly the




A radius, ulna, scaphoid, lunate, trapezium and pisiform bones


B radius, ulna scaphoid, lunate, triquetrum and pisiform bones


C radius, scaphoid, lunate and triquetrum bones


D radius, scaphoid, lunate and capitate bones


E none of the above

C radius, scaphoid, lunate and triquetrum bones

Not true of the shoulder joint




A has the tendon of the long head biceps inside the synovial cavity


B has the tendon of the long head biceps within a sleeve of synovial membrane prolonged as a synovial sheath


C has very lax articular capsule


D reinforced by rotator cuff muscle

A has the tendon of the long head biceps inside the synovial cavity

This patient was involved in an automobile accident that resulted in posterior dislocation of the hip joint .Which of the following nerves is most likely injured by such an accident?




A sciatic


B femoral


C obturator


D lumbosacral trunk


E pelvic splanchnic

A sciatic

A twenty-year-old college student was involved in a motor vehicle accident (MVA). She sustained multiple pelvic fractures. She complains of weakness and numbness of the right leg. She is aware that her right foot is “dropped” relative to the left, and that she must lift her foot up higher to clear her toes. She has weakness of foot dorsiflexion, foot eversion, and toe extension. Her strength is normal in foot plantar flexion, foot inversion, toe flexion, knee extension, thigh adduction, and there is just a hint of weakness in knee flexion. The best diagnosis for this patient would be which of the following choices?




A selective involvement of the fibular nerve fibers at the level of the pelvis due to fractures


B selective involvement of the tibial nerve fibers at the level of the pelvis due to fractures


C selective involvement of the femoral nerve fibers at the level of the pelvis due to fractures


D selective involvement of the fibular (peroneal) nerve fibers at the level of the pelvis due to fractures

A selective involvement of the fibular nerve fibers at the level of the pelvis due to fractures

A patient is a 45-year-old man who complains of burning pain in his right lateral thigh. He is otherwise healthy, though, over the last two years, he has gained 30 pounds because he cannot find time to exercise. He has normal strength in all muscles of his leg muscles, loss of sensation over his lateral thigh, and his reflexes are normal. The best diagnosis for this patient would be which of the following choices?




A femoral nerve neuropathy


B posterior femoral cutaneous nerve neuropathy


C lateral femoral cutaneous neuropathy


D sciatic nerve neuropathy

C lateral femoral cutaneous neuropathy

This nerve splits into anterior and posterior branches , which straddle the adductor brevis along with the vessels of same name and supplies the adductor muscles of the thigh:




A femoral nerve


B obturator nerve


C tibial nerve


D common fibular nerve


E sural nerve

B obturator nerve

A 25-year-old hospital worker comes to see you with a 2-week history of pain in her neck, shoulder, and upper arm. Her symptoms began when she tried to help restrain a combative patient. On exam, she had weakness of shoulder abduction, weakness of elbow flexion, mild weakness of pronation, sensory loss in her lateral forearm and thumb both posteriorly and anteriorly. These findings are most consistent with which of the following pathologies?




A upper brachial plexus lesion


B C6 radiculopathy


C ulnar nerve lesion


D posterior cord lesion


E none of the above

B C6 radiculopathy

A 27-year-old man is shot at multiple sites in the thigh, popliteal fossa, and foot. He complains of burning pain in the foot and weakness of the foot. He has weakness of foot plantar flexion, foot inversion, and toe flexion. He has a sensory loss in the plantar aspect of his foot. Strength is normal in knee flexion, foot dorsiflexion, and foot eversion. His foot has a “cocked up” appearance and is everted compared to the other foot. The best diagnosis for this patient would be which of the following choices?




A fibular nerve neuropathy at the fibular head


B tibial nerve neuropathy at the popliteal fossa


C femoral nerve neuropathy in the anterior thigh


D obturator nerve neuropathy at the mid-thigh"

B tibial nerve neuropathy at the popliteal fossa

A 27-year-old body builder complains of a 4-week history of low back and leg pain. The pain travels down the back of the leg and into the sole of the foot. He is unaware of weakness, and he continues to lift weights. His routine strength exam is normal. He can stand on his heels with ease. He can stand on his tiptoes on the right foot, but not on the left foot. His left ankle jerk reflex is absent, but his right ankle jerk reflex is normal. The sensory exam showed decreased sensation of the sole of the foot, lateral distal leg, and lateral dorsum of the foot.




A Fibular nerve neuropathy


B L4 radiculopathy


C Femoral nerve peripheral nerve injury


D S1 radiculopathy related to a herniated disc

D S1 radiculopathy related to a herniated disc

An 81-year-old man with diabetes mellitus complains of onset of deep aching pain in his right thigh that evolved over a few weeks. He is having trouble walking because his knee “gives out”. He complains of numbness on the top of his leg. He has sensory loss of the anteromedial thigh, anterior knee, and medial leg. He has weakness of hip flexion, knee extension. He has normal strength of hip adduction, hip abduction, and foot dorsiflexion/plantar flexion. His knee jerk is absent; his ankle jerk is preserved. The best diagnosis for this patient would be which of the following choices?




A sciatic nerve neuropathy due to diabetes mellitus


B fibular nerve neuropathy due to diabetes mellitus


C femoral nerve neuropathy due to diabetes mellitus


D tibial nerve neuropathy due to diabetes mellitus

C femoral nerve neuropathy due to diabetes mellitus

An 18 year old soccer player was kicked in the posterolateral calf and sustained a severe ankle sprain during a soccer practice. The patient complains of pain in the back of the leg, behind the outside edge (lateral) of the ankle, and along the outside of the foot to the 4th and 5th toes. There is no loss of strength in his ankle dorsiflexors, plantar flexors, inverters, or evertors. His deep tendon reflexes are normal. He also complains of burning pain on the outside of the hind foot. His symptoms can be aggravated by direct pressure, and the involved area is hypersensitive to touch. What is the most probable cause for his symptoms?




A tibial nerve neuropathy at the popliteal fossa


B femoral nerve neuropathy in the anterior thigh


C obturator nerve neuropathy at the mid-thigh


D sural nerve neuropathy of the leg

The cutaneous innervation of the posterior compartment of leg is mainly via




A sural nerve


B saphenous nerve


C superficial fibular nerve


D posterior cutaneous nerve of the thigh


E none of the above

B saphenous nerve

The sartorius muscle is innervated by the:




A obturator nerve


B femoral nerve


C nerve to vastus medialis


D superior gluteal nerve


E lateral cutaneous nerve of the thigh

B femoral nerve

The fibularis brevis muscle is supplied by the:




A deep fibular nerve


B superficial fibular nerve


C sural nerve


D tibial nerve


E none of the above

B superficial fibular nerve

An 83 year old man has trouble walking .During his physical examination he is asked to stand on his right foot and you observe that his left hip drops .Which of the following nerves is most likely damaged causing his problem?




A left inferior gluteal


B left obturator


C left superior gluteal


D right inferior gluteal


E right superior gluteal

E right superior gluteal

Which of the following is incorrect pertaining to the human locomotion (gait cycle)?




A the stance phase of walking begins with the foot flat so that the entire plantar surface of foot contacts the ground


B the stance phase of walking is longer than the swing phase


C the swing phase begins after the push off and ends when the heel strikes the ground


D the dorsiflexion of ankle during the terminal swing phase is brought about by tibialis anterior


E none of the above

A the stance phase of walking begins with the foot flat so that the entire plantar surface of foot contacts the ground

The blood supply to the ankle joint is from the following arteries except:




A malleolar branches of fibular artery


B anterior tibial artery


C posterior tibial artery


D dorsalis pedis artery

D dorsalis pedis artery

A twenty-year-old college student was involved in a motor vehicle accident (MVA). She sustained multiple pelvic fractures. She complains of weakness and numbness of the right leg. She is aware that her right foot is “dropped” relative to the left, and that she must lift her foot up higher to clear her toes. She has weakness of foot dorsiflexion, foot eversion, and toe extension. Her strength is normal in foot plantar flexion, foot inversion, toe flexion, knee extension, thigh adduction, and there is just a hint of weakness in knee flexion. The best diagnosis for this patient would be which of the following choices?




A selective involvement of the fibular nerve fibers at the level of the pelvis due to fractures


B selective involvement of the tibial nerve fibers at the level of the pelvis due to fractures


C selective involvement of the femoral nerve fibers at the level of the pelvis due to fractures


D selective involvement of the fibular (peroneal) nerve fibers at the level of the pelvis due to fractures

A selective involvement of the fibular nerve fibers at the level of the pelvis due to fractures

The fibrous capsule of the knee joint is completely closed and attached to femur , tibia , patella , quadriceps tendon and patellar ligament except for an opening that allows for the _______________ on its way to tibia:




A inferior lateral genicular artery


B popliteus tendon


C plantaris tendon


D iliotibial tract


E none of the above

B popliteus tendon

Which of the following is incorrect pertaining to the hamstrings?




A they all attach to tibia


B they all attach to the ischial tuberosity


C they all can produce both hip extension and knee flexion


D they all are supplied by the tibial division of the sciatic nerve


E one of them is part of the pes anserinus

A they all attach to tibia

The femoral sheath is formed by which of the following layers of fascia?




A the pectineus fascia


B iliopsoas fascia and the fascia transversalis


C the fascia lata and the membranous layer of superficial fascia


D the psoas fascia and the fatty layer of superficial fascia


E none of the above

B iliopsoas fascia and the fascia transversalis

The bones of the medial longitudinal arch does not include which of the following bones?




A calcaneus


B talus


C navicular


D medial cuneiform


E cuboid

E cuboid

The talus articulates with all of the following except:




A cuboid


B navicular


C tibia


D calcaneus


E fibula

A cuboid

A 12 year old girl has a deep cut immediately posterior to the medial malleolus after falling on a sharp edge of a tin can .Which of the following structures is most likely injured?




A tendon of tibialis anterior


B tendon of fibularis longus


C superficial fibular nerve


D sural nerve


E tibial nerve

E tibial nerve

The dorsal tubercle of Lister on the radius is functionally the pulley for the




A abductor pollicis longus


B extensor pollicis brevis


C extensor pollicis longus


D extensor carpi radialis brevis


E extensor carpi radialis longus

C extensor pollicis longus

the muscle that contracts to unlock the extended knee joint is




A popliteus


B plantaris


C soleus


D medial head of gastrocnemius


E lateral head of gastrocnemius

A popliteus

Rupture of the tendocalcaneus results in an inability to:




A dorsiflex the foot


B evert the foot


C invert the foot


D plantar flex the foot


E none of the above

D plantar flex the foot