Lower limb or inferior extremity MCQ 56+

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• Following structures pierce the cribriform fascia
  ক

  Superficial epigastric artery

  খ

  Superficial external pudendal artery

  গ

  Great saphenous vein

  ঘ

  Superficial external pudendal vein

  ঙ

  Genital branch of genitofemoral nerve
• Muscles that contribute to scissors gait include
  ক

  Adductor longus

  খ

  Gracilis

  গ

  Adductor magnus

  ঘ

  Obturator internus

  ঙ

  Gluteus maximus
• The medial longitudinal arch of the foot is maintained by the followings
  ক

  Bony contour

  খ

  Plantar aponeurosis

  গ

  Flexor hallucis longus tendon

  ঘ

  Short muscles of first layer of foot muscles

  ঙ

  Short plantar ligaments
• Which are the invertors?
  ক

  Tibialis Anterior

  খ

  Tibialis Posterior

  গ

  Flexor Hallucis Longus

  ঘ

  Peroneus Longus

  ঙ

  Extensor Digitorum Longus
• Inversion is assisted by
  ক

  Tibialis posterior

  খ

  Flexor hallucis longus

  গ

  Flexor digitorum longus

  ঘ

  Peroneus longus

  ঙ

  Peroneus brevis
• In eversion of foot
  ক

  Dorsiflexion accompanies the movement

  খ

  Peroneus longus is prime mover

  গ

  Movement is impaired in club foot

  ঘ

  Sole faces medially

  ঙ

  Affected by deep peroneal nerve paralysis
• Muscles causing lateral rotation of the leg
  ক

  Semitendinosus

  খ

  Sartorius

  গ

  Gracillis

  ঘ

  Semimembranosus

  ঙ

  Biceps femoris
• Locking
  ক

  Initiated by quadriceps femoris muscle

  খ

  Anterior cruciate ligament is taut

  গ

  Rectus femoris is relaxed

  ঘ

  By popliteus muscle

  ঙ

  Occurs during hyperextension
• The medial meniscus of the knee joint
  ক

  Embraces the ends of the lateral meniscus

  খ

  Is more liable to injury

  গ

  Gives attachment to the patellar tendon

  ঘ

  Gives attachment posteriorly to the tendon of popliteus

  ঙ

  Is formed the hyaline cartilage
• The knee joint
  ক

  Is separated posteriorly from popliteal vein by popliteal artery

  খ

  Receives an innervation from obturator nerve

  গ

  Has an oblique popliteal ligament which is an extension of the semimembranosus tendon

  ঘ

  Medial femoral condyle is more prominent anteriorly than the lateral

  ঙ

  Has the line of weight passing behind axis of rolling in the fully extended position
• Anterior cruciate ligament of knee
  ক

  Consists of two bundles

  খ

  Is intraarticular and extrasynovial

  গ

  Is primary restraint to rotational stability

  ঘ

  Is avascular in structure

  ঙ

  Has attachment with the posterior cruciate ligament
• Shantons line goes though
  ক

  Lower part of neck of femur

  খ

  Lower part of pubic ramus

  গ

  Upper part of neck of femur

  ঘ

  Upper end of head of femur

  ঙ

  Lower end of head of femur
• The hip joint is directly related
  ক

  Anteriorly to the psoas bursa

  খ

  Inferiory to the obturator externus muscle

  গ

  Superior to the gluteus medius muscle

  ঘ

  Posteriorly to the sciatic nerve

  ঙ

  To the femoral nerve
• In joints of the lower limb
  ক

  The acetabular labrum contributes to stability of the hip joint

  খ

  Gluteus medius and minimus causes medial rotation of the hip

  গ

  Ankle allows inversion and eversion

  ঘ

  The knee locks by rotating the femur laterally

  ঙ

  The quadriceps femoris is responsible for flexion of the knee
• Dorsiflexion of the foot at the ankle joint is produced by
  ক

  Tibialis anterior

  খ

  Peroneus tertius

  গ

  Extensor digitorum longus

  ঘ

  Soleus

  ঙ

  Peroneus longus
• The sacro-iliac joint
  ক

  Movements are slight rotation and gliding

  খ

  Is a fibrous joint

  গ

  Maintains its stability by neighboring muscles

  ঘ

  Related anteriorly to the bifurcation of the common iliac vessels

  ঙ

  Lies anterior to the sciatic nerve
• The superficial inguinal lymph nodes receive lymph from
  ক

  Perianal skin

  খ

  The infraumbilical region of abdominal wall

  গ

  Clefts between the toes

  ঘ

  Prostate

  ঙ

  Testes
• Superficial inguinal lymph nodes receive lymph from
  ক

  Labia minora

  খ

  Skin of the buttock

  গ

  Vagina below the hymen

  ঘ

  Upper anal canal

  ঙ

  Glans penis
• Venous drainage of lower limb
  ক

  Short Saphenous vein accompanied by Sural nerve

  খ

  More valves in deep perforators

  গ

  Superficial vein drain into deep veins

  ঘ

  Both Saphenous vein drain in femoral vein

  ঙ

  Great Saphenous vein accompanied by saphenous nerves that lie posterior to it
• Great saphenous vein
  ক

  Starts from medial side of dorsal venous circle

  খ

  Is intimately related with saphenous nerve

  গ

  is accompanied by the saphenous nerve in the lower leg

  ঘ

  Blood drains into it from deep vein through perforator

  ঙ

  Lies behind the medial malleolus
• The tributaries of the great saphenous veinare
  ক

  Medial marginal vein

  খ

  Superficial circumflex iliac vein

  গ

  Superficial epigastric vein

  ঘ

  Short saphenous vein

  ঙ

  Superior epigastric vein
• The tributaries of great saphenons vein are
  ক

  Medial marginal vein

  খ

  Anterior cutaneous vein of the thigh

  গ

  Superficial epigastric vein

  ঘ

  Small saphenons vein

  ঙ

  Superficial external iliac vein
• Foot drop is usually associated with
  ক

  Lumbar intervertebral disc prolapse at L4/ L5 level

  খ

  Common peroneal nerve injury

  গ

  Tibial nerve injury

  ঘ

  Obturator nerve injury

  ঙ

  Medial Plantar nerve injury
• Intramuscular injections into inferomedial gluteal quadrant result in nerve injury that
  ক

  Could produce foot drop

  খ

  Cause inability to rise from a chair

  গ

  Cause inability to extend the thigh at the hip joint.

  ঘ

  Cause inability to maintain a level pelvis when one is walking

  ঙ

  Preserve Achilles tendon reflex
• Gluteus maximus muscle is supplied by flowing segments
  ক

  L5

  খ

  S1

  গ

  S2

  ঘ

  L3

  ঙ

  L4
• The gluteus maximus muscle
  ক

  Extends the hip

  খ

  Is the chief antigravity muscle in sitting

  গ

  Rotates the femur medially

  ঘ

  Adducts the hip

  ঙ

  Supports the extended knee
• In walking, the hip bone is suspended by the following muscles acting on the supported side of the body
  ক

  Gluteus minimus

  খ

  Gluteus medius

  গ

  Gluteus maximus

  ঘ

  Obturator externus

  ঙ

  Obturator internus
• Gluteus medius muscle is supplied by the following segments
  ক

  L4

  খ

  L5

  গ

  S1

  ঘ

  L3

  ঙ

  S2
• A positive Trendelenburg test indicates weakness in the following muscles
  ক

  Gluteus medius

  খ

  Gluteus minimus

  গ

  Piriformis

  ঘ

  Gluteus maximus

  ঙ

  Tensor fasciae lata
• Upper part of thigh has
  ক

  Lateral circumflex artery

  খ

  Femoral nerve

  গ

  Psoas

  ঘ

  Lacunar ligament

  ঙ

  Deep ring