Anatomy Exam 2 Question Bank.

2
A patient sustained a comminuted (multiple fragment) fracture of the left ankle involving
the medial malleolus. Also, the upper ankle joint dislocated medially tearing a ligament
and a neural structure. Which nerve was injured?
a. tibial
b. deep peroneal
c. anterior cruciate
d. none of the above
A patient has patella alta (high riding patella). Which structure(s) would be contributing
to this condition?
a. stretched or torn anterior cruciate ligament
b. stretched or torn medial collateral ligament
c. stretched or torn patellar retinacula
d. stretched or torn oblique popliteal ligament
A large hemotoma has formed under the inguinal ligament near the symphysis pubis.
Neural transmission of the mixed nerve passing deep to the inguinal ligament has been
completely interrupted. The patient reports numbness in the lower extremity. Where is
this patient's sensation intact?
a. skin of anteromedial thigh
b. skin of posterocentral thigh
c. skin of lateral thigh
d. skin of medial leg
e. skin of lateral leg
f. b, c & e
g. a & d
A patient has sustained a large contusion with edema over the anterior aspect of the iliac
portion of the innonimate bone in the vacinity of the anterior superior iliac spine. A
neuropathy has been confirmed. What physical finding would you expect to see in this
patient?
a. weakness of the hip flexors
b. weakness of quadriceps femoris
c. sensory loss over the lateral thigh
d. sensory loss over the medial thigh
e. a & b
d. a & b & d

Group 2 - 1

What clinical sign(s) would you expect to see as a result of a complete superior gluteal
nerve palsy?
a. inability to adduct the hip
b. inability to abduct the hip
c. weakness of hip internal rotation
d. inability to flex the hip
e. all of the above
f. none of the above (a-d)
Which ligament takes part of its attachment from the medial tibial spine of the tibia?
a. medial collateral
b. lateral collateral
c. anterior cruciate
d. posterior cruciate
e. oblique popliteal
The upper ankle is classified as what type of joint?
a. hinge
b. condyloid
c. plane
d. universal
Which muscle is NOT an inverter of the lower ankle joint?
a. tibialis posterior
b. peroneus longus
c. flexor hallucis longus
d. flexor digitorum longus
Which ligament is considered a bowstring ligament of the longitudinal plantar arch?
a. calcaneofibular
b. calcaneocuboid
c. anterior tibiotalor
d. anterior talofibular
Two-joint muscles in the lower extremity are more efficient that one-joint muscles in gait
because:
a. two-joint muscles work across both joints simultaneously
b. while one end of the muscle is contracting the other end is being elongated over the
second joint thereby maintaining the most effective length
c. they are usually phasic muscles
d. all of the above

Group 2 - 2

The action of popliteus is to:

a. unlock the knee after heel strike
b. rotate femur relative to tibia
c. extend the knee
d. a & b
A patient dislocated the right knee compressing a nerve in the popliteal fossa. A paralysis
ensued. What deficit would you anticipate seeing?
a. drop-foot
b. lack of hip abduction
c. inverted foot
c. lack of push-off during late stance
Where would you expect sensory loss if the femoral nerve was compressed in the femoral
triangle and incapable of transmitting action potentials?
a. skin of the lateral thigh
b. skin of the medial thigh
c. skin of the medial leg
d. skin of the lateral leg
e. b & c
Which ligament restricts eversion of the lower ankle joint?
a. deltoid
b. calcaneofibular
c. anterior talofibular
d. ilioinguinal
The posterior divisions of the anterior primary rami of the sacral plexus comprise the:
a. femoral nerve
b. obturator nerve
c. common peroneal neve
d. tibial nerve
The muscles that can dorsiflex the ankle are:
a. tibialis anterior, extensor hallucis longus and extensor digitorum longus
b. tibialis posterior, flexor digitorum longus, flexor hallucis longus and gastrocsoleus complex
c. peroneus longus and brevis
d. musculature of the medial compartment of the leg
One of the components of the sciatic nerve divides over the fibular neck into:
a. anterior and posterior tibial
b. superficial and deep pudendal
c. medial and lateral plantar
d. none of the above

Group 2 - 3

What is the relationship of the tendon of plantaris to the triceps surae?

a. lies deep to soleus
b. lies superficial to gastronemius
c. lies between soleus and gastrocnemius
Motions at the upper ankle joint are:
a. dorsiflexion/plantarflexion
b. inversion/eversion
c. supination/pronation
d. protraction/retraction
What bone articulates with the talus?
a. third metatarsal
b. navicular
c. medial cuneiform
d. middle cuneiform
A gunshot wound has severed a nerve in the distal one-third of the popliteal fossa. Which
nerve has been injured?
a. sciatic
b. tibial
c. common peroneal
d. saphenous
Which muscle lies deep to rectus femoris?
a. gluteus maximus
b. gluteus minimus
c. vastus intermedius
d. vastus lateralis
A muscle test reveals that the anterior compartment muscles of the leg are completely
paralyzed. Assuming a nerve root injury has occurred, which root has been damaged?
a. L2
b. L3
c. S2
d. S4

Group 2 - 4

A patient is unable to extend her knee due to complete paralysis of her extensors. A
tumor has been found causing compression and complete interruption of neural
transmission at the nerve root level. Which nerve root(s) would you expect to be
involved?
a. L2
b. L3
c. S2
d. S3
e. a or b or both
f. S5
A patient demonstrates partial numbness over the lateral aspect of the thigh with
weakness of iliopsoas also noted. A nuclear magnetic resonance scan demonstrates a
herniated nucleus pulposus ("slipped disc") which is believed to be completely blocking
nerve conduction. Which nerve root is being compressed?
a. T2
b. L2
c. L5
d. S1
A sprain is defined as an injury causing a rupture (tear) of ligmentous (or other soft
tissue) structures. It is usually due to excessive motion in one direction which
overstresses the ligament, ultimately causing it to fail and tear. A patient sustained an
eversion sprain to her left ankle. Which ligament was probably injured?
a. anterior talofibular
b. posterior talofibular
c. calcaneofibular
d. deltoid
e. trapezoid
f. cruciate
g. a, b & c

Group 2 - 5