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Lower extremeties
| Question | Answer |
|---|---|
| artery that runs through the greater sciatic foramen above the piriformis muscle | superior gluteal artery |
| Artery that enters the buttocks through the greater sciatic foramen below the piriformis muscle | inferior gluteal artery |
| Artery of considerable importance in children because it supplies the head of the femur | artery of the ligamentum teres |
| Artery that is important in the surgical repair of the femoral hernia | obturator artery |
| All of the following arteries are a branch of the internal iliac artery except superior gluteal artery inferior gluteal artery obturator artery or the femoral artery | The femoral artery is a continuation of the external iliac artery distal to the inguinal ligament and enters the femoral triangle |
| Where does the superior and inferior gluteal artery | the greater sciatic foramen |
| Where is the preferred entry site of the femoral artery for fluoroscopy or percutaneous arterial catheterization | Below the inguinal ligament at the level of the mid femoral head |
| What is the main artery of the head and neck of the femur in the adult | Medial circumflex artery a branch of the profunda femoris or deep femoral artery of the femoral artery |
| Participates in the genicular anastomosis around the knee joint by sending a descending branch | lateral circumflex artery |
| The following are branches of the internal iliac artery | the inferior gluteal artery and the superior gluteal artery |
| What is the continuation of the internal iliac artery | the obturator artery |
| What is the continuation of the femoral artery | popliteal artery |
| Artery that descends on the interior surface of the interosseous membrane with the deep fibular nerve | anterior tibial artery |
| Artery that passes behind the medial malleolus with the tibial nerve | Posterior tibial artery |
| True or false in emergency situations the femoral artery can be ligated anywhere along its course in the anterior compartment of the thigh without risking total loss of blood supply to the lower limb distal to the ligature site | true |
| Acute arterial occlusion is mostly caused by what and where in the lower limb | Voces where the femoral artery gives of the profunda femori, lead to loss of lower limb due to muscle and nerve damage within 48 hours if prompt treatment does not occur |
| How many valves does the great saphenous vein have and where is its course | 10-12 valves passes anterior to the medial malleolus then to the middle of the femur |
| The small saphenous vein travels with what nerve | Sural nerve |
| Trauma at femoral triangle or pelvic fracture causes injury to what nerve | Femoral nerve lost of knee jerk reflex anesthesia on anterior thigh |
| Anterior hip dislocation or radical retropubic prostatectomy will cause injury to what | Obturator nerve adoption of the tie is loss and sensory loss on middle thai |
| posterior hip dislocation and poliomyelitis | Wadding gate and positive trendelenburg sign |
| Posterior hip dislocation cause injury to what nerve | Inferior gluteal nerve face and pull in the body trunk backward at heel strike |
| Nerve injury caused by a blow to the lateral aspect of the leg or a fracture of the neck of the fibula | Common fibular nerve injury patient will percent with foot drop cannot stand on heels foot slap |
| Trauma at the popliteal fossa will cause injury to what nerve | Tibial nerve patient will present with foot dorsiflex and averted and cannot stand on toes |
| what is the landmark of the gluteal | piriformis muscle |
| Where is should gluteal intramuscular injections be safely made | Supero lateral portion of the buttocks |
| The largest ligament that reinforces the hip joint anteriorly is | Iliofemoral ligament or the ligament of bigelow |
| This reinforces the hip joint inferiorly | Pubo femoral ligament |
| Thinnest ligament that reinforces the dip joint posteriorly | Ischiofemoral ligament |
| Play some minor role in the stability of the ship that carries the artery to the head of the | |
| ligamentum teres | |
| Boundaries of the femoral triangle | Superiorly the inguinal ligament laterally the sartorius muscle medially the adductor longus muscle |
| femoral triangle | Floor Pectineua and iliopsoas muscle roof fascial lata |
| Structures in the femoral triangle from medial to lateral | femoral canal femoral vein femoral artery femoral nerve |
| Fracture that most commonly occur in high-energy motor vehicle accidents or false where indirect force are transmitted to the femoral head | acetabular fractures |
| Anterior dislocations of the hip joint are common true or false | False |
| What type of hip joint dislocation if the lower limb is external irritated and abducted | Anterior dislocation |
| What type of hip joint dislocation where the lower limb is internally rotated adducted and shorter than the normal named | posterior dislocation |
| What is injured in anterior dislocations of the hip joint and what are injured in the posterior dislocation of the hip joint | Anterior femoral artery in the posterior the sciatic nerve and the necrosis of the femoral head |
| Factor that commonly occurs in elderly women with osteoporosis | femoral neck fracture |
| Type of fracture where the lower leg is externally rotated and shorter than the normal limb live lim | Femoral neck fracture |
| 7 year old boy in your office complaining of pain in the left me and the left hip you can put any weight on his left leg he fell 8 months ago after a fall patient had worsening limp | legg perthes disease |
| 14 year old girl plays basketball complaining of pain in the right chin for 1 month which is the proximal tibial tuberosity visible soft tissue swelling at the insertion of the patellar ligament radiograph showed mild separation of small ossicles | Knee pain in active adolescents osgood-schlatter disease |
| 22 year old man kick very hard in the left leg while playing soccer complaining of severe pain in the left leg swollen very hard and tender their cell is pedis pulse is absent temperature of his left foot was less cannot stand on toes no fracture on xray | anterior compartment syndrome |
| An abnormal passive abduction of the extended can be a sign of a torn ligament | Tibial collateral ligament |
| Abnormal passive addiction of the extended leg | fibular collateral ligament |
| An abnormal passive anterior displacement at the tibia resulting from a hyperextension injury at the knee joint | Torn anterior cruciate ligament |
| Abnormal passive posterior displacement of the tibia from a hyperflexion injury | Torm posterior cruciate ligament |
| Knee joint menisci shape which is most commonly associated with anterior cruciate ligament tears | lateral meniscus |
| What is the terrible triad of donahue Fixation of a semi flex leg with the blue on the lateral side | Anterior cruciate ligament torn lateral meniscus torn tibial collateral ligament is torn due to excessive abduction and lateral rotation. |
| Avulsion of the tuberosity of the fifth metatarsal is called what type of fracture | jones fracture |
| Most common ankle injury | Inversion injury |
| Anna version injury of the ankle is also called what | pott fracture |
| Avulsion of the medial malleolus and fracture of the fibula | eversion injury or butt fracture |
| Results in the fracture of the distal portions of the tibia and fibula | Ski boot injury |
| This type of injury occurs when a person jumps from great height | Rapture which involves the subtalar joint and usually associated with fractures of the lumbar vertebra and neck of the femur |
| This occurs when bikers get their foot caught in the pedal clips or a result of a high-energy car accident | Lisfranc injury or a fracture or dislocation at the tarsometatarsal joint |