Dishman Final #1

1. Functions of the patella include which of the following?
a. Anterior protection of the knee joint
b. prevention of the femur from posterior movement on the tibial condyles
c. increased biomechanical advantage of the knee extensor system
d. A and B
e. A and C

2. Which of the following tests is most sensitive for an acute ACL injury?
a. Anterior drawer test
b. Lachman's test
c. Apley compression test
d. McMurray test

3. Which of the following muscles is NOT a flexor of the knee joint?
a. Rectus femoris
b. Gracilis
c. Semitendinosus
d. Sartorius

4. All of the following are associated with genum valgum EXCEPT?
a. the presence of knock-knees
b. pronated feet are commonly associated with the condition
c. occurs as a compensation for lordosis
d. is associated with abnormal tightness of the iliotibial band

5. All of the following are descriptions of meniscal tears EXCEPT?
a. Horizontal
b. Bucket-handle
c. Oblique
d. Radial
e. Circumferential

6. Which of the following structures is attached to the medial meniscus?
a. Ligament of Wrisberg
b. Popliteal tendon
c. Cruciate ligament
d. Coronary ligament

7. Avulsion of the patellar tendon at the epiphysis of the tibial tubercle is known as which condition?
a. chondromalacia
b. Osgood-Schlatter's disease
c. Larsen-Johannson disease
d. jumper's knee

8. All of the following are true concerning the menisci of the knee EXCEPT which of the following?
a. the medial meniscus forms an almost complete circle
b. they are avascular except for the outer third component
c. they are comprised of fibrocartilage
d. they help to evenly distribute the forces generated in the knee joint itself

9. Which of the following nerves comprises the sciatic nerve?
a. femoral nerve and tibial nerve
b. femoral nerve and obturator nerve
c. tibial nerve and pudendal nerve
d. common peroneal nerve and tibial nerve

10. Which muscle is most commonly associated with sciatica?
a. Biceps femoris
b. Rectus femoris
c. Pectineus
d. Piriformis

11. The trendelenburg test is used to assess which of the following?
a. the integrity of the menisci
b. the strength of the gluteus medius muscle
c. abnormal tracking of the patella
d. the tightness of the iliiotibial band

12. All of the following are abductors of the hip EXCEPT?
a. Gluteus maximus
b. Gluteus medius
c. Gluteus minimus
d. Tensor fascia latae

13. Which of the following is true regarding the sciatic nerve?
a. It originates between L1 and L3
b. It passes through the greater sciatic foramen
c. It is comprised of the tibial nerve and the obturator nerve
d. It typically emerges superior to the piriformis

14. Which of the following is a condition of the hip typically occurring in school-aged children that is primarily associated with avascular necrosis of the femoral head?
a. slipped capital femoral epiphysis
b. subtrochanteric bursitis
c. Legg-Calve-Perthes disease
d. Hip pointer

15. Which of the following tests would assess for meniscus injury?
a. Apley compression test
b. McMurray's test
c. Apley's distraction test
d. A and B
e. All of the above are correct

16. The orthopedic test to evaluate the iliotibial band is which of the following?
a. trendelenburg test
b. Thomas test
c. Craig test
d. Ober's test

17. An orthopedic test designed to asses the SI joint is which of the following?
a. Lachman's test
b. Thomas test
c. Patrick test
d. Craig test

18. In which of the following is side-posturing adjusting contraindicated in the acute phase of the condition?
a. Sciatica
b. contracture of the hip flexors
c. subtrochanteric bursitis
d. prepatellar bursitis

19. All of the following are extensors of the knee EXCEPT?
a. Biceps femoris
b. Vastus medialis
c. Vastus lateralis
d. Rectus femoris

20. Which of the following statements is correct concerning the medial collateral ligament of the knee?
a. it is a cord-like ligament that attaches to the medial epicondyle of the femur and the head of the fibula
b. its major purpose is to prevent the knee from valgus and external rotating forces
c. it is independent of the joint capsule
d. it stabilizes the knee in the sagittal plane

21. Which of the following structures stabilize the knee laterally?
a. IT band
b. Popliteal muscle
c. Biceps femoris
d. A and C
e. All of the above

22. All of the following muscles are external rotators of the hip EXCEPT?
a. Piriformis
b. Gluteus maximus
c. Superior gemellus
d. Gluteus medius
e. Quadratus femoris

23. Which of the following muscles crosses both the hip joint and the knee joint?
a. Rectus femoris
b. Vastus lateralis
c. Vastus medialis
d. Vastus intermedius
e. Pectineus

24. Which nerve listed below is most likely to be used during a routine nerve biopsy?
a. Saphenous
b. Superficial peroneal
c. Superficial fibular
d. Sural
e. Sciatic

25. Which structure listed below is not classically considered a constituent of the "femoral triangle"?
a. Femoral artery
b. Femoral vein
c. Femoral nerve
d. Ilioinguinal nerve
e. All of the above are part of the triangle

26. Which of the following muscles listed below insert into the pes anserinus?
a. Sartorius, gracilis, semitendonosus
b. Sartorius, gracilis, semimembranosus
c. Sartorius, semitendonosus, semimembranosus
d. Sartorius, semimembranosus, patellar tendon
e. None of the above are correct

27. The adductor magnus muscle, which is comprised of two parts (hamstring and adductor) inserts into?
a. Gluteal tuberosity
b. Medial supracondylar line
c. Adductor tubercle
d. A and B only
e. A, B and C

28. Which of the following structure(s) do not traverse or pass through the popliteal fossa?
a. Tibial nerve
b. Sural nerve
c. Popliteal vein
d. Popliteal artery
e. All of the above are correct

29. The biceps femoris has two heads of origin, with the long head being supplied by the __________ nerve, while the short head receives its innervation from the __________ nerve?
a. tibial division of sciatic, tibial division of sciatic
b. tibial division of sciatic, common fibular division of sciatic
c. common fibular division of sciatic, tibial division of sciatic
d. superficial peroneal, tibial
e. none of the above are correct

30. The posterior femoral cutaneous nerve?
a. is a part of the popliteal fossa
b. supplies the skin on the medial knee region
c. innervates the deep structures of the knee
d. receives most of its fibers from the S3 nerve root
e. supplies the skin over the midline of the posterior thigh

31. Which artery provides arterial blood supply to the neck of the femur?
a. posterior scapular circumflex
b. posterior humeral circumflex
c. medial femoral circumflex
d. lateral humeral circumflex
e. none of the above

32. Which of the following muscles listed below are not innervated by the obturator nerve?
a. Pectineus
b. Adductor longus
c. Adductor brevis
d. Gracilis
e. A and D

33. The soleus muscle?
a. doesn't cross the knee joint
b. is innervated by the tibial nerve
c. is innervated mostly by fibers from the S1 nerve root
d. A and C
e. A, B and C

34. The superficial peroneal nerve, also known as the __________ nerve, is a distal branch of the __________ nerve, and arises from the spinal nerve roots of the __________ level?
a. sural, medial plantar, L5
b. superficial plantar, common peroneal, L4
c. superficial fibular, common fibular, L5
d. deep fibular, common peroneal, L4
e. none of the above are correct

35. Which tendon of a muscle listed below forms a portion of the oblique popliteal ligament?
a. Popliteus
b. Pectineus
c. Semimembranosus
d. Semintendinosus
e. Short head of biceps femoris

36. The action of the obturator externus is?
a. Adduction of the thigh
b. Lateral rotation of the thigh
c. Medial rotation of the thigh
d. Abduction of the thigh
e. None of the above

37. Which of the following arteries does not arise form the popliteal artery?
a. Superior lateral genicular artery
b. Superior medial genicular artery
c. Saphenous artery
d. Middle genicular artery

38. Which of the muscles listed below are supplied by the femoral nerve?
a. Short head of biceps femoris
b. Long head of biceps femoris
c. Rectus femoris
d. A and B
e. None of the above

39. The tensor fascia lata muscle inserts into which structure?
a. superior facet of greater trochanter of the femur
b. middle facet of greater trochanter of the femur
c. inferior facet of greater trochanter of the femur
d. iliotibial tract
e. none of the above

40. Which sensory nerve subserves the skin on the majority of the dorsum of the foot?
a. Sural
b. Deep fibular
c. Saphenous
d. Superficial fibular
e. Tibial

41. The Sural nerve receives most of its fibers from which nerve root level?
a. L4
b. L5
c. S1
d. S2
e. None of the above

42. The articularis genu muscle?
a. is innervated by the femoral nerve
b. inserts into the synovial joint capsule of the knee
c. originates from the linea aspera of femoral shaft
d. A and B only
e. A, B and C

43. Cutaneous sensation of the skin between the great and second toes is subserved by which nerve?
a. Superficial fibular
b. Deep fibular
c. Sural
d. Saphenous
e. Lateral sural cutaneous

44. The extensor hallucis longus muscle is innervated by the __________ nerve, and receives its fibers from the__________ spinal nerve root levels?
a. superficial fibular, L5-S1
b. superficial peroneal, L5-S1
c. deep fibular, L4-5
d. deep peroneal, L5-S1
e. none of the above

45. A patient with hip and thigh pain presents for a consultation. You note pain and paresis upon resisted external (or lateral) rotation of the hip joint. Which muscle listed below would not be implicated as the primary pain generator?
a. Piriformis
b. Superior gemellus
c. Inferior gemellus
d. Quadratus femoris
e. Pectineus

46. The superficial fibular nerve?
a. is a "mixed" nerve
b. innervates the lateral aspect of the foot
c. innervates the fibularis longus muscle
d. A and C
e. A, B and C

47. What is the most likely nerve lesion that is iatrogenically induced as a result of a surgical repair of an inguinal hernia?
a. Iliohypogastric
b. Ilioinguinal
c. Genitofemoral
d. Femoral
e. Lateral femoral cutaneous

48. The tendon of which muscle listed below is often used for repair of other tendons in the body?
a. Soleus
b. Gastrocnemius
c. Popliteus
d. Pectineus
e. Plantaris

49. The femoral nerve, along with the __________ vein and __________ artery traverses, the __________ canal, in the region of the mid to lower medial thigh?

a. Femoral, femoral, subsartorial
b. Saphenous, femoral, subsartorial
c. Femoral, femoral, Hunter's
d. A and B
e. A and C