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Lower Limb Test Questions College of Medicine Gross Anatomy These Questions have come from the old

tests available in the Center For Academic Excellence. Please note that all of the questions have not been checked, and some of the answers may be wrong.

The muscle which can both flex the hip and extend the knee is: A.L2 B. It perforates the femoral sheath E. sural nerve B. A. It passes anterior to the medial malleolus. biceps femoris E. The actions of the gracilis muscle include _______ of the thigh at the hip and _______ of the leg at the knee. When it is removed and inserted as a coronary bypass. both D.S4 2. extension . is attached to the whole length of the inguinal ligament D. C.1. so that the cusps do not obstruct blood flow.S2 E. is designated the cribriform fascia E. Which statement concerning the great saphenous vein is false? A. has an oval opening which transmits the small saphenous vein C. profunda femoral artery C. rectus femoris C. it is reversed.L4 C. 3. vastus lateralis 7. lateral rotation B. Skin on the most dorsal part of the foot is supplied by the: A. The deep fascia of the thigh: A. D. saphenous nerve B. first sacral nerve C. neither 5. both D. Structures passing through the adductor hiatus include: A. medial rotation. sartorius B. (a handbreadth) posterior to the medial border of the patella. B. is thickened on its medial side to form the iliotibial tract B. lies superficial to the superficial inguinal lymph nodes 4. Loss of patellar reflex and loss of cutaneous sensation on the anteromedial side of the leg indicate damage to this spinal nerve: A. It is accompanied by the sural nerve in the leg. lateral rotation.L5 D. It is located about ten cm. semimembranosus D. neither 6.

pectineus m. superior gluteal nerve E. flexion 8. gracilis m. A. semimembranosus B. popliteus 12. divisions of the obturator nerve (an anterior branch and a posterior branch) pass on either side of the: A. B. abduction. extension E. flexion D. After an obturator nerve injury. tibial nerve 10. The muscle that is not a medial rotator of the leg is the: A. After passing through the obturator canal. semitendinosus C. adductor brevis m. adductor magnus m. semitendinosus m. Which muscle is able to produce flexion at the knee joint more efficiently if the hip joint is in flexion at the same time? A. hamstring part of adductor magnus D. sartorius E. short head of biceps femoris 9. flexion. Muscles in the posterior thigh compartment are paralyzed because the sciatic nerve has been severed. Nevertheless the patient can still produce some flexion of the leg at the knee due to action of the: A.C. D. B. short head of biceps femoris E. gastrocnemius 11. inferior gluteal nerve C. semimembranosus B. rectus femoris C. 13. adductor longus m. common peroneal nerve D. C. Difficulty extending the knee can result from damage to the ________. C. sartorius m. adduction. sartorius m. both A and B D. gracilis E. biceps femoris D. some adduction of the thigh is still possible because of double innervation to the: A. . femoral nerve B. E.

the deep fibular nerve may be injured B. Injury to the tibial nerve in the popliteal fossa might result in: A. abductor hallucis m. D. The deep plantar arch: . B. both D. sustentaculum tali 19. C. neither 18. A tight plaster cast that exerted pressure on the head and neck of the fibula might result in loss of: A. The medial plantar nerve innervates: A. adductor hallucis m. there is loss of sensation in the web space between the great and second toes C. abductor digiti minimi m. 14. D. C. adductor longus m. courses through the deep posterior compartment of the leg E. adductor magnus m. E. The medial and lateral plantar neurovascular structures enter the foot deep to the: A. (diminished sensation) on dorsal surface of foot C. D. loss of eversion B. passes anterior to the interosseous membrane C. When the muscles of the anterior compartment of the leg swell from some kind of overuse: A. loss of sensation between the great and second toe 15. inferior peroneal retinaculum B. usually becomes the dorsalis pedis D. foot drop C. none of the above 16. gracilis m. eversion of the foot B. abductor digiti minimi m. inability to stand on one's toes D. drop foot E. neither 17. abductor hallucis m. E. 2-4 lumbrical muscles 20.B adductor brevis m. both D. C. The fibular artery: A. supplies the muscles of the anterior compartment of the leg B. quadratus plantae m.

it is a ball and socket joint B. ischium. is formed primarily from the lateral plantar artery passes between the first and second muscular layers of the foot both neither 21. supplies quadratus plantae m. attaches to the navicular bone B. the ligamentum teres is attached to the fovea on the femoral head E. Which statement is false concerning the hip joint? A. both D. neither 25. C. courses between quadratus plantae and flexor digitorum brevis muscles B. courses between quadratus plantae and flexor digitorum brevis muscles C. The arcuate artery A. The acetabulum is formed by the ilium. all of the above 24.A. the acetabulum is deepened by the acetabular labrum D. and pubis D. C. The iliofemoral ligament prevents hyperextension of the hip joint E. neither 23. D. both D. pass on either side of the tendon of extensor hallucis longus D. The tendon of peroneus longus: A. neither 22. is a branch of the medial plantar artery B. B. usually sever arteries supplying the femoral head 27. The two bellies of flexor hallucis brevis muscle: A. rather than the femoral shaft. are innervated by the lateral plantar nerve E. The proximal attachment of the iliofemoral ligament is to the ASIS C. courses deep to extensor digitorum brevis C. the entire acetabulum articulates with the femoral head C. attach to the base of the distal phalanx of the great toe C. the iliofemoral ligament attaches to the intertrochanteric line 26.The fibular collateral ligament is: . The lateral plantar nerve: A. both D. have insertions that contain sesmoid bones B. The transverse acetabular ligament bridges the acetabular notch B. Which statement concerning the hip joint is false? A. Fractures of the femoral neck.

and transverse ligament 31. both D. pectineus C. popliteus tendon. fibular collateral ligament. B. D.and iliotibial tract C. C. gluteus medius E. coronary ligament. obturator externus . Important stabilizing structures on the lateral side of the knee joint are: A. deep to pes anserinus patellar_____anterior intercondylar area of the tibia posterior cruciate______posterior surface of tibia. rather than varus stress. cruciate ligament. medial sural 32. quadratus femoris D.and patellar ligament E. tibial collateral ligament. True statements concerning the anterior cruciate ligament include: A. just anterior to the anterior horn of the medial meniscus 29.A. located superficial to the biceps femoris tendon E. E. and iliotibial tract B. iliopsoas B. and pes anserinus D. A. biceps tendon. located superficial to the tendon of popliteus C. just above soleal line tibial collateral_______periphery of medial meniscus anterior cruciate______anterior intercondylar area. to the leg. saphenous E. its attachment to the tibial plateau (top of tibia) is anterior to the attachment of the anterior horn of the medial meniscus B. fibular collateral ligament. neither 30. fibular collateral ligament. it prevents posterior displacement of the femur on the tibia C. biceps tendon. located deep to the iliotibial tract 28. tested by the application of valgus stress. obturator B. sural C. Which muscle attaches to the lesser trochanter of the femur? A. attached to the lateral meniscus D. The _______ ligament of the knee joint attaches to the _______. B. tibial collateral ligament. lateral collateral ____shaft of fibula. superficial peroneal D. The major cutaneous innervation of the anteromedial side of the leg is provided by which nerve? A.

E. This structure forms the boundary between the greater and lesser sciatic foramina: A. psoas major 35. passes anterior to the medial malleolus B. both D. The principle action of the gracilis muscle is _______ of the thigh at the hip. quadratus femoris . adductor magnus C. posterior superior iliac spine C. His physician suspected an enlarged superficial inguinal lymph node. piriformis muscle 39. abduction D. pectineus B. What areas should be examined to find the source of the problem? A. neither 37. neither 38. pubic tubercle femoral vein femoral artery femoral nerve femoral sheath 36. adductor longus E. B. D. adductor brevis D. The great saphenous vein: A. C. medial rotation C. A 50-year-old man complained of a lump in his groin. sacrotuberous ligament D. both D. passes a handbreadth posterior to the medial border of the patella C.33. In the subsartorial canal this muscle separated the femoral artery from the deep (profunda) femoral artery: A. A. skin of the buttocks B. lateral rotation B. flexion E. sacrospinous ligament E. adduction 34. skin of the scrotum C. ischial tuberosity B. This is the only gluteal muscle to originate from the posterior surface of the sacrum: A. The neck of a femoral hernia lies lateral to the: A.

semimembranosus B. must be intact to resist pelvic tilt during gait D. popliteus . E. obturator externus E. gluteus maximus gluteus medius piriformis biceps femoris 40. medial side of the foot D.B. gracilis E. anteromedial surface of the leg C. semitendinosus C. If the sciatic nerve were damaged by an intramuscular injection in the buttocks. sciatic nerve D. pudendal nerve C. lateral side of the foot E. C. All the following pass through the greater sciatic foramen EXCEPT: A. piriformis 45. both D. dorsum of the foot B. All of the following muscles are lateral rotators of the thigh at the hip EXCEPT the: A. All of the following muscles are medial rotators of the leg EXCEPT: A. leaves the pelvis just inferior to the piriformis muscle C. piriformis muscle B. obturator internus tendon 43. neither 42. the patient would have diminished cutaneous sensation on the: A. contains fibers from the second and third lumbar nerves B. inferior gluteal vessels and nerve E. biceps femoris D. anteromedial side of the leg C. obturator internus D. anterior surface of the thigh B. innervates the piriformis muscle E. none of the above 41. D. innervates the gemellus superior muscle 44. gluteus maximus B. The superior gluteal nerve: A. gluteus minimus C. Nerve injury of sacral spinal nerve 1 will result in pain located along the: A.

common peroneal C. The saphenous nerve A. it flexes at the knee joint D. right femoral nerve 50. help laterally rotate the femur 48. is a sensory branch of the obturator nerve . lateral collateral C. it extends at the hip joint B. it is innervated by the tibial portion of the sciatic nerve 47. medial collateral B. is a motor branch of the femoral nerve B. oblique popliteal 51. right superior gluteal nerve B. form the pes anserinus B. femoral D. it attaches to the medial condyle of the tibia C. left inferior gluteal nerve E. right inferior gluteal nerve D. extend the knee C. all have the same innervation E. sartorius. Excessive anterior movement of the tibia when pulling forward on the leg with the knee flexed would indicate damage to this ligament of the knee: A. emerges through the saphenous hiatus E. What nerve has been damaged in a patient who can no longer extend his knee? A. semimembranosus A. Gracilis. accompanies the short saphenous vein in the leg C. Which statement about the semimembranosus muscle is FALSE? A. tibial 49. posterior cruciate E.46. act across both hip and knee joints D. anterior cruciate D. obturator E. it forms the arcuate ligament E. is the only branch of the femoral nerve that extends considerably below the knee D. sciatic B. What nerve has been damaged in a patient whose pelvis tilts too far toward the right when walking? A. left superior gluteal nerve C.

contains only two muscles C. tibial B. does not attach to the leg bone 57. only a and b above are correct 54. C. usually contains no major artery B. deep peroneal D. is thickened laterally forming the iliotibial tract D. is found in the femoral triangle B. superficial peroneal C. D. The biceps femoris muscle A. E. The femoral sheath A. The lateral compartment of the leg A. contains the femoral artery. Where would you feel for the pulse of the dorsalis pedis artery? A. contains the peroneus tertius muscle E. includes muscles innervated by the deep fibular nerve 56. is fused with the inguinal ligament from the anterior superior iliac spine to the pubic tubercle C. What nerve is damaged in a patient whose foot is everted and dorsiflexed and who cannot flex his/her toes? A. B. Fascia lata A. lies medial to the popliteal fossa C. has a medially located compartment called the femoral canal C. medial peroneal 53. vein and nerve D. common peroneal E.52. both a and b are correct D. only b and c are correct 55. is the investing fascia of the thigh B. gives rise to the oblique popliteal fossa E. lies lateral to the popliteal fossa B. forms the floor of the popliteal fossa D. directly posterior to the tendon of flexor digitorum longus directly lateral to the tendon of tibialis anterior directly lateral to the tendon of extensor hallucis longus directly posterior to the tendon of peroneus longus directly lateral to the tendon of extensor digitorum longus . all of the above are correct E. all of the above are correct E.

Which nerve has been damaged in a patient whose pelvis tilts down to the left when he stands on his right foot? A. retinacular vessels C.58. is innervated by the superior gluteal nerve E. none of the above 60. leaves the pelvis just inferior to the piriformis muscle C. posterior tibial E. deep peroneal B. common peroneal 62. L4 C. left inferior gluteal nerve D. superficial peroneal C. is a flexor of the thigh at the hip D. S2 63. one of the muscles that is paralyzed is the: . S1 E. The gluteus maximus muscle: A. anterior tibial D. must be intact to resist pelvic tilt during gait D. inserts only onto the femur C. left superior gluteal nerve E. If the foot is inverted due to paralysis of some muscles. The most important arterial supply to the head of the femur is via: A. the artery of the ligamentum teres B. innervates the tensor faschiae latae muscle E. contains fibers from the second and third lumbar nerves B. has an origin from the ischium B. innervates the gemellus inferior muscle 61. The spinal cord segment that supplies the cutaneous innervation to the lateral side of the foot is: A. internal pudendal artery 64. The inferior gluteal nerve: A. L3 B. left obturator nerve 59. vessels traveling along the spermatic cord D. The nerve supply to the muscles of the lateral fascial compartment of the leg is directly by this nerve: A. right superior gluteal nerve C. right inferior gluteal nerve B. L5 D.

fatty connective tissue E. usually terminates as the dorsalis pedis artery D. all of the above 69. deep femoral lymphatics D. runs with the deep peroneal nerve on the anterior surface of the interosseus membrane of the leg C. C. The deep peroneal nerve supplies motor fibers to: A. the obturator nerve D. The branch(es) of the femoral nerve that extend into the leg proper (ie lower leg) is (are): A. D. B. C. femoral artery B. B. carrying only sensory fibers E. The blood supply to the anterior compartment muscles of the leg is normally: A. all of the above E. the saphenous nerve. D. The anterior tibial artery: A. the motor nerve to the vastus lateralis B. femoral vein C. E. all of the above . peroneus longus peroneus brevis peroneus tertius (a portion of extensor digitorum longus) flexor hallicis longus all of the above 67. D. C. a branch of the posterior tibial artery the deep femoral artery A and B above A and C above 66. E. The following structures are in the femoral sheath. only A and B above 68. which is an extension of abdominal and pelvic fascias: A. tibialis posterior tibialis anterior peroneus longus extensor hallucis longus extensor digitorum longus 65. E. is normally a branch of the popliteal artery B. a branch of the popliteal artery the peroneal artery.A. the common peroneal nerve C. the anterior tibial artery. B.

between medial malleolus and calcaneus D. peroneus brevis C. the tuberosity of the fifth metatarsal may be avulsed (pulled off) by the tendon of this muscle: A. both D. between the first and second metatarsal bones 72. hamstring part of adductor magnus C. neither 73. calcaneus E. A barefoot child steps on a broken bottle and severs an artery on the medial side of the plantar surface of the big toe. between the tendons of tibialis anterior and extensor hallucis longus B. posterior to the medial malleolus 75. peroneus tertius D. lateral to the neck of the fibula C. cuboid B. posterior to the lateral malleolus E. on the dorsum of the foot. the best place to apply pressure to stop bleeding would be: A. on the plantar surface of the foot. tibialis anterior E. gracilis B. The patellar tendon reflex involves which spinal nerves? . navicular 71. peroneus longus B. against the popliteal surface of the tibia B. evert the foot B. Severing the common peroneal nerve results in inability to: A. The pulse of the posterior tibial artery is best felt: A. neither 76. fourth and fifth cuneiform bones D. between the tendons of extensor digitorum longus and peroneus tertius C. second and third cuneiform bones C. anterior to the lateral malleolus D. The anterior part of the talus articulates with the: A. on the dorsum of the foot. When the foot is suddenly and violently inverted.70. extend (dorsiflex) the foot C. between lateral malleolus and calcaneus E. tibialis posterior 74. first. both D. Muscles inserting on the medial aspect of the proximal end of the tibia include: A.

It is motor to all muscles in the superficial and deep compartments of the leg. 80. C. It passes posterior to the medial mallolus E. Much of the vastus lateralis and vastus medialis originate from the linea aspera. L3 and L4 C. It is a branch of the sciatic nerve. B. Femoral hernias: A. plantaris C. emerge superior to the pubic tubercle D. The muscle that contracts to unlock the extended knee joint is the: A. straight head of rectus femoris—anterior inferior iliac spine D. pectineus—superior ramus of pubis E. Its terminal branches are the medial and lateral plantar nerves. C. utilize the lateral compartment of the sheath E. L5 and S1 E. The tone of quadriceps femoris is very important to the stability of the knee joint. soleus 81. D. Each of the following matchings of thigh muscles with points of origin is correct EXCEPT: A. semitendinosus—linea aspera of femur 79.A. sciatic nerve . B. The final insertion of most of its fibers is to the tibial tuberosity via the patellar ligament. sartorius—anterior superior iliac spine B. long head of biceps femoris—ischial tuberosity C. pass downward anterior to the inguinal ligament B. Which statements concerning the quadriceps femoris is FALSE? A. pass downward posterior and inferior to the inguinal ligament 82. S2 and S3 77. The lowest fibers of vastus medialis prevent medial displacement of the patella. L1 and L2 B. L4 and L5 D. A sharp blow to the neck of the fibula is most apt to result in damage to which structure? A. popliteus B. 78. lateral head of gastrocnemius E. Each of the following statements concerning the tibial nerve is true EXCEPT: A. pass medial to the pubic tubercle C. It passes down the leg between gastrocnemius and soleus D. medial head of the gastrocnemius D.

E. insert on the tuberosity of the navicular bone C. Paralysis of which nerve would result in “foot drop”? A. common peroneal nerve tibial nerve popliteal nerve none of the above 83. B. Tibialis anterior and tibialis posterior BOTH: A. D. obturator 84. D. femoral B. tibial C. D. The damaged nerve is the: A. C. peroneal D. the head of the femur usually receives most of its blood supply from a branch of the: A. superficial peroneal D. deep peroneal E. Your patient is unable to stand on his toes. neither 87. B. posterior tibial B. invert the foot B. both D. This artery passes posterior to the medial malleolus: A. In a very young child. external iliac artery C. C. femoral tibial superficial peroneal deep peroneal sural 85. E. E. anterior tibial C.B. obturator artery B. arcuate artery 86. C. femoral artery . distal ends of tibia and fibula calcaneus and medial malleolus lateral malleolus and calcaneus medial malleolus and talus talus and navicular 88. The flexor retinaculum of the foot attaches to which two bony structures? A. dorsalis pedis E.

anterior displacement of the leg at the knee D. none of the above 94. is the source of the peroneal artery B. both D. Posterior tibiotalar C. Anterior tibiotalar B. continues as dorsalis pedis artery C. The iliofemoral ligament: A. C. The gastrocnemius muscle can produce: A. The anterior tibial artery: A. fibula and calcaneus tibia and calcaneus tibia and talus talus and navicular calcaneus and navicular 92. all of the above E. is a plantar flexor of the foot . is innervated by the tibial nerve B. resists flexion at the hip C. neither 95. usually travels with the superficial peroneal nerve D. flexion of the leg at the knee C. The “spring” ligament attaches to what two bones? A. both D. plantar flexion of the foot B. deep femoral artery E. Lateral collateral 93. A torn anterior cruciate ligament would permit: A.D. B. The soleus muscle: A. pudendal artery 89. D. valgus displacement of the leg at the knee B. all of the above 91. E. The ligament usually injured in a hyper-inversion of the foot (sprained ankle) is the: A. varus displacement of the leg at the knee C. neither 90. Medial collateral D. posterior displacement of the leg at the knee E. attaches to the anterior superior iliac spine B.

both D. evertors of the foot C. to the knee joint located superficial to the tendon of the popliteus attached to the lateral meniscus located superficial to the biceps femoris tendon located deep to the iliotibial tract 100. is torn less commonly than the lateral ligament of the ankle . Which statement concerning ligaments of the hip joint is FALSE? A. tested by the application of valgus stress. B. D. B. E. The deltoid ligament : A. E. B. is attached to the talus. The muscles of the lateral compartment of the leg are: A. C. neither 96. C. B. E. dorsiflexors of the foot B. peroneus longus tibialis anterior flexor hallucis longus flexor hallucis brevis gastrocnemius 99. navicular and calcaneus B. D. the iliofemoral ligament prevents hyperextension the ligament of the head of the femur is attached to the transverse acetabular ligament the iliofemoral ligament is in the shape of an inverted Y the ishiofemoral ligament attaches to the intertochanteric crest the transverse acetabular ligament bridges the acetabular notch 101. C.C. C. both D. Which muscle inserts onto the tuberosity of the fifth metatarsal bone? A. E. Abductor digiti minimi Peroneus brevis Peroneus longus Tibialis anterior Tibialis posterior 97. D. Which muscle is essential to lift the heel off the ground in walking? A. neither 98. rather than varus stress. The fibular collateral ligament is: A. D.

E. The medial meniscus: A. neither 104. inferior border of the gluteus maximus lateral malleolus great saphenous vein neck of the fibula medial side of the patella 107. medial sural C. C. medial part of the plantar surface of the foot B. B. The best diagnostic test for the anterior compartment syndrome of the leg is to check for loss of cutaneous sensation on the: A. D. is nearly circular (O.shaped) D. is much broader behind than in front C. is separated from the joint capsule by the popliteus tendon E. lateral sural B. B. both C.C. lateral part of the plantar surface of the foot . is attached to some of the inserting fibers of pes anserinus 103. neither 102. The sural nerve is located most closely to the: A. medial femoral cutaneous 106. communicates directly with the knee joint cavity A. Which one of the following structures attaches to the most anterior part of the tibial plateau? A. D. both D. E. The suprapatellar bursa: A. superficial peroneal E. C. is torn less commonly than the lateral meniscus B. Which nerve is endangered during a canulation of the great saphenous vein? A. anterior cruciate ligament posterior cruciate ligamet anterior horn of the medial meniscus anterior horn of the lateral semilunar cartilage ligament of Wrisberg 105. saphenous D. is located superficial to the quadriceps femoris muscle B.

anterolateral side of the leg 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 B E C D D B E A A A C B B C D A C C A A B C A D B B B D B B 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 D A E D A C C D B D A E C B C D C C B C C A E D C A C B E B 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 B D B C A C D E D E C C B E A B C E C A E B D B A A B A D C 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 E D B C C B B E B D C B A C C B C . dorsolateral side of the foot and little (5th) toe E. between the first and second toes D.C. dorsum of the foot.