Quiz
Arthrology, Myology - Part 1 (b)
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Perguntas do quiz (53)
1The pulse of the femoral artery is best felt at which superficial reference point?
- AAnterior to the ankle joint
- BFemoral triangle
- CMid-thigh
- DPopliteal fossa
- ERight lateral portion of the hypogastrium
2At which site could one expect to enter the femoral vein with a simple percutaneous (through the skin) introduction of an instrument?
- AAbove the middle of the inguinal ligament
- BLateral to the femoral arterial pulse
- CLateral to the pubic tubercle
- DMedial to the femoral arterial pulse
- EMedial to the pubic tubercle
3What anterior thigh muscle must be retracted to expose the adductor canal and its contents?
- AAdductor magnus
- BGracilis
- CRectus femoris
- DSartorius
- EVastus intermedius
4An obturator hernia that compresses the obturator nerve in the obturator canal may affect the function of all of the following muscles EXCEPT:
- AAdductor brevis
- BAdductor longus
- CGracilis
- DPectineus
5Which of the following is NOT located within the adductor canal?
- ASaphenous nerve
- BFemoral artery
- CNerve to vastus medialis
- DFemoral vein
- EDeep femoral artery
6Inability to extend the knee and loss of cutaneous sensation over the anterior surface of the thigh would indicate a lesion or compression of the:
- ASuperior gluteal nerve
- BLateral femoral cutaneous nerve
- CSciatic nerve
- DFemoral nerve
- EObturator nerve
7Which statement is true?
- AThe femoral artery lies medial to the femoral vein
- BThe femoral vein lies medial to the femoral artery
- CThe external iliac veins join to form the inferior vena cava
- DThe inferior vena cava cannot be imaged radiographically
- EA and C
8The femoral artery enters the popliteal fossa (becoming the popliteal artery) by passing through the:
- AAdductor hiatus
- BFemoral canal
- CFemoral sheath
- DFemoral triangle
- ESaphenous opening
9When the femur is fractured, the broken distal end often turns posteriorly to enter the popliteal fossa due to muscle traction. Because of its position deepest in the fossa, which structure is most vulnerable to laceration?
- ACommon fibular n.
- BLesser saphenous v.
- CPopliteal a.
- DPopliteal v.
- ETibial n.
10The deep femoral artery is the principle blood source for the muscles in which compartment of the thigh?
- AAnterior
- BLateral (gluteal)
- CMedial (adductor)
- DPosterior (hamstring)
11A fracture of the ishial tuberosity might be expected to most directly affect the muscles that produce which lower limb movement?
- AAbduction at the hip
- BAdduction at the hip
- CExtension at the knee
- DFlexion at the hip
- EFlexion at the knee
12An elderly patient complains of difficulty in walking up stairs. Tests by her doctor reveal weakness in extension at her hip, but no change in hip flexion, or flexion or extension of the knee. Based upon these results, what muscle is most likely not functioning properly.
- AAdductor magnus
- BGluteus maximus
- CGluteus medius
- DIliopsoas
- ESemitendinosus
13Weakness in climbing stairs or jumping would indicate a lesion of which nerve?
- ATibial
- BSuperior gluteal
- CInferior gluteal
- DObturator
- EFemoral
14The lateral antebrachial cutaneous nerve comes from the:
- AAxillary nerve
- BMedial cord nerve
- CMusculocutaneous nerve
- DRadial nerve
- EUlnar nerve
15In withdrawing a blood sample from the median cubital vein the needle passes slightly deep and medial; which nerve might possibly be injured?
- ADorsal ulnar cutaneous
- BLateral antebrachial cutaneous
- CMedial antebrachial cutaneous
- DPosterior antebrachial cutaneous
- ESuperficial radial
16The vein of choice for withdrawing blood is the:
- ABasilic
- BCaphalic
- CMedian antebrachial
- DMedian cubital
17Which of the following statements for knee joint is true:
- AIs synovial joint:
- BCan only do flexion and extension
- CThe knee cap (patella) takes part in this joint
- DPossesses synovial pockets called bursae
- EMedial meniscus gets 10 times more frequently injured.
18The following nerves are directly related to the humerus
- AThe radial nerve
- BThe median nerve
- CThe ulnar nerve
- DThe axillary (circumflex) nerve
- EThe musculocutaneous nerve.
19The shaft of the humerus
- AHas the lateral head of the triceps muscle attached to its upper posterior part
- BHas a nutrient foramen directed downwards
- CHas the radial nerve posterior to it
- DHas the brachialis muscle attached to its anterior surface
- EIn the adult contains red bone marrow
20The basilic vein
- ABegins on the medial side of the back of the wrist
- BBecomes deep about the middle of the upper arm
- CEnds by joining the subclavian
- DIs medial to the biceps muscle in the upper arm
- EEnds after piercing the clavipectoral fascia.
21The upper end of the humerus
- AHas the subscapularis muscle attached to the greater tuberosity
- BHas the teres major muscle attached to the floor of the intertubercular sulcus (bicipital groove)
- CHas three epiphyses which fuse separately with the shaft
- DHas the capsular ligament of the glenohumeral attached to the whole of the anatomical neck.
- EIs the growing end of the humerus
22The cephalic vein
- ABegins in the region of the anatomical snuff box
- BAt the elbow is deep to the lateral cutaneous nerve of the forearm
- CEnds by joining the brachial vein
- DIs medial to the biceps muscle in the upper arm
- EHas no valves
23The medial cord of the brachial plexus
- AGives a branch to the pectoralis major muscle
- BGives origin to the ulnar nerve
- CForms part of the median nerve
- DContains fibres of the fifth cervical spinal nerve
- ELies medial to the axillary artery
24The axillary nerve
- AHas no cutaneous branches
- BSupplies the deltoid and teres minor muscles
- CPasses backwards inferior to the teres major muscle
- DContains fibres from the fifth and sixth cervical spinal nerves
- EIs medial to the long head of the triceps muscle.
25The pectoralis major muscle
- AIs attached to the floor of the intertubercular sulcus (bicipital groove)
- BIs supplied by branches of the three cords of the brachial plexus
- CIs a lateral rotator of the upper arm at the glenohumeral joint
- DIs involved in flexion of the upper arm at the glenohumeral joint
- EIs used in climbing a rope by means of the upper limbs
26The posterior cord of the brachial plexus
- AContains fibres from only the seventh and eight cervical spinal nerves
- BGives off a branch which joins the median nerve
- CIs posterior to the axillary artery
- DGives off branches which supply the subscapularis, teres major and latissimus dorsi muscles
- EContains fibres which supply the muscles on the back of the forearm.
27The deltoid muscle (or part of it) can be used in
- AMedial rotation of the upper arm at the glenohumeral (shoulder) joint
- BAbduction of the upper arm at the glenohumeral joint
- CLateral rotation of the upper arm at the glenohumeral joint
- DAdduction of the upper arm at the glenohumeral joint
- EFlexion of the upper arm at the glenohumeral joint.
28The lower end of the humerus
- AHas part of the supinator muscle attached to it
- BHas the ulnar nerve running posterior to its lateral part
- CUsually has its four separate epiphyses by 12 years
- DFuses with the shaft before the upper end fuses with the shaft
- EHas part of the pronator teres muscle attached to it.
29Flexion of the upper limb at the shoulder through 180' from the anatomical position
- ARequires the contraction of the sternocostal head of the pectoralis major muscle
- BInvolves the contraction of the anterior part of the deltoid muscle
- CInvolves a muscle supplied by the musculocutaneous nerve
- DInvolves the contraction of the serratus anterior muscle
- EInvolves muscles supplied mainly by the eight cervical spinal nerve
30In the cubital (antecubital) fossa
- AThe ulnar nerve is on the medial side
- BThe radial nerve is on the lateral side
- CThe median nerve passes downwards on the lateral side of the brachial artery
- DAll the superficial veins are deep to the cutaneous nerves
- EThe brachial artery is lateral to the tendon of the biceps muscles.
31The deltoid muscle
- AIs supplied solely by the axillary (circumflex) nerve
- BIs supplied solely by the sixth and seventh cervical spinal nerves
- CIs associated with contraction of the supraspinatus muscle in abduction of the upper arm at the glenohumeral (shoulder) joint
- DIs attached to the posterior surface of the clavicle
- EIs attached to the humerus just distal to the lesser tuberosity.
32The femoral vein in the femoral triangle
- AIs medial to the femoral artery
- BIs lateral to the femoral canal
- CDirectly receives the greater (long) saphenous vein
- DDirectly receives the superficial epigastric vein
- EDirectly receives the profunda femoris vein.
33The following muscles are inserted into the greater trochanter of femur EXCEPT:
- AGluteus maximus
- BGluteus medius
- CGluteus minimus
- DPiriformis
- EObturator externus
34The adductor (subsartorial) canal
- AIs bounded laterally by the vastus lateralis muscle
- BContains the profunda femoris vessels
- CContains a large arterial branch which takes part in the anastomosis round the knee joint
- DContains the nerve to the vastus medialis muscle
- EContains the saphenous nerve
35The femoral canal
- AIs the lateral compartment of the femoral sheath
- BContains some lymph vessels
- CAt its proximal end its posterior to the inguinal ligament
- DAt the proximal end is medial to the femoral vein
- EContains the femoral branch of the genitofemoral nerve
36The obturator nerve:
- AHas an anterior branch which is anterior to the adductor longus muscle
- BSupplies both the hip and knee joints
- CHas no cutaneous branches
- DHas a posterior branch which supplies the obturator externus muscle
- EIs lateral to the ureter in the pelvis
37The piriformis muscle
- AIs attached to the greater trochanter
- BEmerges from the pelvis through the greater sciatic foramen
- CIs a lateral rotator of the thigh at the hip
- DIs inferior to the gluteus medius in the buttock
- EHas the sciatic nerve emerging inferior to its lower border
38The femoral nerve
- AContinues as a cutaneous branch which runs along the lateral border of the foot
- BSupplies the iliacus
- CSupplies the pectineus muscle
- DSupplies the obturator externus muscle
- ELies within the femoral sheath
39The deep fascia of the thigh
- AIs attached to the inguinal ligament
- BIs deep to the great (long) saphenous vein
- CTransmits only veins
- DReceives the insertion of the whole of the tensor fasciae latae muscle
- EContains the saphenous opening which is situated 3cm below and medial to the pubic tubercle.
40The biceps femoris muscle
- AHas a common origin with the semitendinosus muscle from the ischial tuberosity
- BHas a short head which is attached to the femur medial to the attached of the adductor magnus muscle
- CIs entirely innervated by the common peroneal (lateral popliteal) nerve
- DIs superficial to the common peroneal nerve
- EIs a lateral rotator of the leg on the thigh when the leg is fully extended at the knee joint
41With regard to the quadriceps femoris muscle
- AThe rectus femoris has one attachment to the hip bone.
- BThe vastus intermedius is attached to the medial surface of the femur
- CThe vastus lateralis has fleshy fibres extending more distally than those of the vastus medialis
- DThe lowermost fibres of the vastus medialis are vertically arranged
- EIts nerve supply comes from the lumbar and sacral spinal nerves.
- FNone of the above (option not included on the test)
42The gluteus maximus muscle
- AIs attached to the introchanteric line of the femur
- BIs attached to the iliotibial tract
- CIs an extensor of the trunk on the lower limb
- DContracts during normal walking on flat ground
- EContracts during normal walking upstairs.
43The femoral nerve
- AGives directly or indirectly branches to the hip and knee joints
- BGives branches to the quadriceps femoris muscle
- CGives off the lateral femoral cutaneous nerve
- DOriginates from the second, third and fourth lumbar spinal nerves
- ELies between the psoas and iliacus muscle external to the fascia iliiaca
44The popliteal artery
- AIs anterior to the popliteal vein
- BIs anterior to the tibial (medial popliteal nerve)
- CIs anterior to the popliteus muscle
- DDivides into the anterior and posterior tibial arteries at the lower border of the popliteus muscle
- EIs lateral to the semimembranosus muscle
45The psoas major muscle
- AIs innervated by the anterior primary rami of the first three lumbar spinal nerves
- BIs attached to the lesser trochanter
- CIs an extensor of the thigh at the hip
- DIs lateral to the femoral nerve
- EIn its upper part is posteromedial to the ureter.
46The femoral triangle
- AIs bounded below and medially by the adductor brevis muscle
- BHas a floor formed by the iliacus muscle, the psoas major tendon, the pectineus muscle and adductor longus muscle
- CContains the femoral vessels with the femoral nerve medial to them
- DIs roofed over by the fascia lata of the thigh
- EContains the obturator nerve
47The right gluteus medius muscle
- AIs attached to the lateral side of the greater trochanter
- BIs innervated by the inferior gluteal nerve
- CIs essential for normal walking on flat ground
- DIs an abductor of the thigh at the hip
- EIs usually contracted when standing on the right lower limb.
48The femoral artery
- AIs anterior to the femoral vein in the upper part of the adductor (subsartorial) canal
- BPasses through the adductor longus muscle
- CIs deep to the adductor brevis muscle
- DHas no branches in the adductor canal
- ELies behind psoas major on the capsule of the hip joint
49The obturator nerve
- AArises from the second, third and fourth lumbar nerves
- BLies above the obturator vessels on the lateral wall of the pelvis
- CSupplies the obturator internus muscle
- DHas no sensory branches
- ESupplies the gracilis muscle
50The deltoid
- AInitiates abduction of the shoulder
- BHas an extensive range of action because it is multipennate
- CIs supplied by the radial nerve
- DInserts into a rough elevation on lateral aspect of humerus
- ETogether with the head of humerus, it is responsible for the characteristic roundness of the shoulder
51The axillary artery
- ABegins at the upper border of the clavicle
- BTerminates as it crosses the inferior border of pectoralis minor
- CIs contained in the axillary sheath
- DHas the median nerve anterior to its proximal third
- EHas the radial nerve behind its distal third
52The biceps brachii:
- AFlexes both the shoulder and the elbow joints
- BBoth supinates and pronates the forearm
- CShort head arises from clavicle
- DTendon of long head is partially enclosed in synovial membrane
- EIs supplied by the median nerve
53In the adult vertebral column
- AThe primary curves are in the thoracic and sacral region.
- BThere is more flexion and extension in the lumbar region than in the thoracic region
- CThere is more rotation about a longitudinal axis in the thoracic region than in the lumbar region
- DThe transverse processes are posterior to the articular processes in all the vertebrae
- EThe shape of the intervertebral discs contributes to the secondary curves
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