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Date Completed: 04/06/2022
Page 1 of 18
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Function of the Pectineus Muscle
A patient complains of pain in the hip region following a fall. Imaging has shown a traumatic injury to the pectineus muscle. The pectineus
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Ligaments of the Knee Joint
The oblique popliteal ligament is an extension of which of the following muscles:
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Arches of the Foot
Which of the following structures primarily supports the medial longitudinal arch rather than the lateral longitudinal arch of the foot:
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Ligaments of the Ankle Joint
Regarding the collateral ligaments of the ankle joint, which of the following statements is CORRECT:
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Function of the Tibialis Anterior Muscle
The tibialis anterior muscle acts to produce which of the following movements:
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Articulations of the Tarsal Bones
The cuneiform bones articulate with which of the following bones:
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Anatomy of the Ankle Joint
Regarding the ankle joint, which of the following statements is INCORRECT:
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Arches of the Foot
Which of the following structures primarily supports the lateral longitudinal arch rather than the medial longitudinal arch of the foot:
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Cutaneous Innervation of the Lower Limb
The skin over the webspace between the 1st and 2nd toe is supplied by which of the following nerves:
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Function of the Tibialis Posterior Muscle
The tibialis posterior muscle acts to produce which of the following movements:
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Function of the Gluteus Minimus Muscle
You are performing a thorough neurological examination of a 67 year old female patient. You note marked wasting of the left hip and thigh mu
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Attachments of the Fibularis Brevis Muscle
A 24 year old hockey player presents to hospital having injured her left foot. X-ray demonstrates an avulsion fracture of the tuberosity of
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Boundaries of the Popliteal Fossa
A 67 year old man presents to the ED complaining of pain and swelling to the posterior knee. On examination you note a tender swelling in th
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Innervation of the Fibularis Brevis Muscle
The fibularis brevis muscle is innervated by which of the following nerves:
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Palpation of the Femoral Artery
You are part of the team in the resuscitation area. You have been pre-alerted to the arrival of a 35 year old man who has had a cardiac arre
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Articulations of the Tarsal Bones
The talus bone articulates with which of the following tarsal bones:
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Innervation of the Popliteus Muscle
The popliteus muscle is innervated by which of the following nerves:
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Movements of the Hip Joint
You are examining the lower limbs of a 54 year old man who presented after falling from a ladder at home. During your neurological assessmen
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Innervation of the Quadriceps Femoris Muscle
You are examining a 65 year old man who presents with left leg weakness. You note a loss of power to the left quadriceps femoris muscles. Th
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Articulations of the Tarsal Bones
The navicular bone articulates with all of the following bones except for the:
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Blood Supply of the Hip Joint
A 75 year old lady slips on a wet bathroom floor and presents to ED with her left leg shortened and externally rotated. Imaging demonstrates
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Innervation of the Adductor Muscles
A 32 year old builder is brought to the ED after falling through a glass sky light onto the floor below. A primary survey has been performed
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Function of the Iliacus Muscle
A 25 year old man with haemophilia presents to the ED after falling onto his right hip. Plain x-ray reveals no bony injury. Concerned by his
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Innervation of the Tibialis Anterior Muscle
The tibialis anterior muscle is innervated by which of the following nerves:
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Movements of the Ankle Joint
A 23 year old dancer presents to ED after falling and injuring her left foot. X-ray demonstrates a fracture involving the ankle joint. Which
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Innervation of the Piriformis Muscle
A 32 year old woman is brought to the ED after falling from a horse. Imaging shows multiple injuries to the pelvic region including transect
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Clinical Effects of Femoral Nerve Injury
A 54 year old man presents to ED complaining of leg weakness. Your colleague has examined the patient and suspects femoral nerve palsy. Whic
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Function of the Gastrocnemius Muscle
The gastrocnemius muscle acts to produce which of the following movements:
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Layers of the Sole of the Foot
The plantar arteries and nerves lie within which of the muscular layers of the sole of the foot:
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Structure of the Spring Ligament
While performing an examination of a 40 year old male patient who complains of pain in his foot, you notice an abnormality. His foot is di
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Clinical Effects of Femoral Nerve Injury
A 28 year old man was involved in a motorbike accident where he sustained a crush injury to his pelvis and right leg and damaged a nerve inn
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Anatomical Course of the Common Fibular Nerve
A 21 year old horse rider sustains a kick to the left leg from one of her horses. She has a large bruise over the head of the fibula and you
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Function of the Posterior Leg Muscles
The muscles of the posterior compartment of the leg collectively act together to primarily produce which of the following movements:
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Innervation of the Pectineus Muscle
Imaging of a patient who has been involved in a car accident has shown damage to the nerve supplying the pectineus muscle. Which of the foll
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Movements of the Ankle Joint
Which of the following nerves is most important for plantarflexion of the foot at the ankle joint:
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Boundaries of the Femoral Triangle
You are discussing approaches to analgesia in a patient with a fractured neck of femur. Your consultant suggests a femoral nerve block. The
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Function of the Psoas Major Muscle
A 76 year old woman presents with left flank pain and fever. A CT scan has shown a psoas abscess. The psoas major muscle acts primarily to p
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Anatomical Relations of the Femoral Canal
A 74 year old woman presents to the ED complaining of a painful swelling in her left groin. She has been examined by your consultant who sus
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Boundaries of the Femoral Triangle
You are discussing clinically relevant lower limb anatomy with a group of medical students. The femoral triangle is an important, clinically
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Branches of the Femoral Artery
You have been asked to give a tutorial to a group of medical students about the vascular anatomy of the lower limb. The profunda femoris art
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Layers of the Sole of the Foot
The long flexor tendons of the flexor digitorum longus and flexor hallucis longus muscles lie within which of the muscular layers of the sol
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Function of the Popliteus Muscle
During rehabilitation after a significant road traffic accident, it is noted that a patient has a problem unlocking the extended knee joint
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Layers of the Sole of the Foot
A 65 year woman presents to ED with a laceration to her right foot. On further assessment, it is determined she has cut through the first la
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Assessment of the Medial Thigh Muscles
A patient presents with lower limb weakness. After a thorough examination, you suspect an injury to the muscles of the medial compartment of
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Cutaneous Innervation of the Lower Limb
A 21 year old man dropped a knife which penetrated the dorsum of his foot. He complains of loss of sensation over the webspace between the 1
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Cutaneous Innervation of the Lower Limb
A 65 year old man comes to the ED with complaints of long-standing altered and burning sensation in the region of his thigh shown in the pi
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Screw Home Mechanism of the Knee Joint
The 'screw home' mechanism involved in locking of the knee joint refers to which of the following actions:
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Muscles of the Anterior Leg
Which of the following muscles is NOT found in the anterior compartment of the leg:
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Innervation of the Posterior Leg Muscles
The muscles of the posterior leg are all innervated by which of the following nerves:
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Clinical Effects of Tibial Nerve Injury
A 34 year old farmer has sustained a deep laceration to the popliteal fossa and damaged the nerve which lies more medially. Which of the fol
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Function of the Quadriceps Femoris Muscle
An 18 year old man is brought into the ED after sustaining a deep wound to his left thigh after an accident on a building site. Imaging has
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Function of the Fibularis Brevis Muscle
A 21 year old gang member presents to ED having been shot in the foot. Imaging shows severe damage to the base of the fifth metatarsal with
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Function of the Common Fibular Nerve
The common fibular nerve directly innervates which of the following muscles:
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Clinical Effects of Common Fibular Nerve Injury
A 21 year old man presents to ED complaining of numbness over the dorsum of his left foot and inability to dorsiflex or evert his foot. He h
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Origin of the Femoral Nerve
You form part of the trauma team caring for a roofer who fell approximately 7 metres from a roof, landing across a beam. Imaging of the spin
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Articulations of the Hip Joint
An 85 year old man is brought to the ED complaining of fever and pain in his right hip. You suspect a septic arthritis of the right hip join
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Cutaneous Innervation of the Lower Limb
The skin over the medial side and sole of heel is primarily supplied by which of the following nerves:
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Cutaneous Innervation of the Lower Limb
The skin over the upper lateral leg is primarily supplied by which of the following nerves:
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Ligaments of the Knee Joint
A patient presents to ED following a road traffic collision where they sustained a large force to their flexed leg against the dashboard. On
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Anatomical Course of the Femoral Nerve
A 34 year old man presents to the ED after sustaining multiple deep stab wounds during an altercation in a pub. Imaging has shown an injury
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Clinical Effects of Tibial Nerve Injury
A 21 year old man sustains an injury to his left leg during a judo match. He is complaining of loss of sensation over the sole of his foot
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Articulations of the Tarsal Bones
The calcaneus bone articulates with which of the following bones:
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Innervation of the Tibialis Posterior Muscle
The tibialis posterior muscle is innervated by which of the following nerves:
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Function of the Quadriceps Femoris Muscle
A 23 year old rugby player presents to the ED complaining of ongoing thigh pain following a match 3 days ago. Imaging has been arranged whic
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Innervation of the Gluteus Minimus Muscle
You are performing a thorough neurological examination of a 67 year old female patient. You note marked wasting of the left hip and thigh mu
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Clinical Effects of Common Fibular Nerve Injury
A 49 year old man presents to ED complaining of weakness in his foot. As you call him into a cubicle you note he has foot drop when he is wa
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Site of Gluteal Intramuscular Injection
A patient presents to ED for treatment having been informed by the GUM clinic that he has tested positive for gonorrhoea. You administer int
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Function of the Spring Ligament
A 22 year old man has injured his right foot in an ice-skating accident. X-ray demonstrates an inferior displacement of the head of the tal
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Movements of the Knee Joint
A 43 year old man presents to the ED complaining of weakness at the right knee. On examination you note he is unable to extend the leg at th
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Anatomical Factors Preventing Lateral Patellar Draw
A 17 year old man has dislocated his left patella during a rugby match. Which of the following muscles should the physiotherapist focus on i
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Boundaries of the Femoral Triangle
You have been asked to perform an arterial blood gas collection from a patient's femoral artery. The femoral triangle is bordered medially b
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Components of the Quadriceps Femoris Muscle
A 27 year old woman has sustained an injury to her quadriceps femoris muscle group after falling through a glass door. Which of the followin
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Innervation of the Psoas Major Muscle
A 65 year old man presents with weakness in the right hip, most marked on flexion. You consider the possibility of a psoas major pathology.
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Articulations of the Knee Joint
Which of the following bones are involved in articulations at the knee joint:
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Function of the Anterior Leg Muscles
A 23 year old tennis player sustains an injury to her leg and is complaining of weakness of dorsiflexion and inversion of her foot. Which of
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Function of the Obturator Nerve
A 43 year old window cleaner is brought to the ED after falling from a 5 metre platform. Imaging has shown multiple vertebral fractures and
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Ligaments of the Ankle Joint
A 19 year old professional athlete presents to ED having injured his right foot during training. There is bruising and swelling over the med
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Function of the Gluteus Maximus Muscle
An unknown male is brought into the department after being struck by a lorry whilst crossing the road. Imaging shows extensive injuries in t
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Function of the Hamstring Muscles
A 21 year old man presents to the ED after sustaining multiple deep lacerations to the posterior thigh during a fight. You suspect an injury
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Innervation of the Fibularis Tertius Muscle
The fibularis tertius muscle is innervated by which of the following nerves:
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Function of the Fibularis Brevis Muscle
The fibularis brevis muscle acts to produce which of the following movements:
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Cutaneous Innervation of the Lower Limb
A 64 year old man undergoes coronary artery bypass graft surgery (CABG) using the great saphenous vein. Following the procedure he complains
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Contents of the Femoral Canal
You are teaching hip and thigh anatomy to a group of medical students. The femoral canal contains which of the following structures:
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Function of the Obturator Nerve
A 43 year old window cleaner is brought to the ED after falling from a 5 metre platform. Imaging has shown multiple vertebral fractures and
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Innervation of the Gluteus Medius Muscles
You are performing a thorough neurological examination of a 67 year old female patient. You note marked wasting of the left hip and thigh mu
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Attachments of the Popliteus Muscle
Which of the following muscle tendons enters the joint capsule of the knee:
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Clinical Effects of Superficial Fibular Nerve Injury
Superficial fibular nerve palsy results in which of the following clinical features:
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Cutaneous Innervation of the Lower Limb
The skin over the medial leg is primarily supplied by which of the following nerves:
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Attachments of the Tibialis Posterior Muscle
The main portion of the tibialis posterior inserts distally onto which of the following bones:
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Boundaries of the Femoral Ring
A 87 year old woman presents to the ED after her carers noted she was complaining of pain in the right groin. On examination you note a tend
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Anatomical Relations of the Femoral Ring
A 49 year old overweight female presents to ED complaining of a lump in her groin. You examine the patient and diagnose a femoral hernia. Wh
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Attachments of the Gluteus Medius Muscle
Which of the following muscles insert onto the greater trochanter.
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Cutaneous Innervation of the Lower Limb
A 75 year old woman presents to the ED complaining of a loss of sensation to the skin over the anterior thigh. This area is primarily suppl
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Innervation of the Fibularis Longus Muscle
The fibularis longus muscle is innervated by which of the following nerves:
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Anatomical Course of the Popliteal Artery
A 67 year old man presents to the ED complaining of swelling to the posterior knee. On examination you note a pulsatile mass in popliteal f
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Contents of the Popliteal Fossa
A 24 year old man sustains a laceration of his left leg that transects the superficial vein that enters the popliteal fossa to terminate in
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Innervation of the Anterior Leg Muscles
The muscles in the anterior compartment of the leg are all innervated by which of the following nerves:
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Clinical Effects of Femoral Nerve Injury
A 28 year old man was involved in a road traffic accident, and subsequently complained of weakness in extending his leg at the knee joint. F
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Function of the Tibialis Posterior Muscle
A 25 year old cyclist is knocked off his bike by a car. He complains of weakness of plantarflexion and inversion of his foot. Which of the f
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Surface Anatomy of the Femoral Vein
A patient with very poor peripheral access requires urgent intravenous fluids. The femoral vein in his groin is determined the most accessib
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Function of the Adductor Muscles
A 32 year old builder is brought to the ED after falling through a glass sky light onto the floor below. A primary survey has been performed
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Movements of the Foot Joints
Eversion of the foot is primarily produced by which of the following muscles:
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Layers of the Sole of the Foot
The tendons of the tibialis posterior and fibularis longus muscles lie within which of the muscular layers of the sole of the foot:
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Function of the Sartorius Muscle
A 24 year old athlete presents to ED complaining of pain in his hip with a limp. He reports that he was performing the 100m sprint when he
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Ligaments of the Hip Joint
A 76 year old woman present to the ED after feeling in a "pop" in her right hip. She recently underwent a right total hip replacement, you s
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Cutaneous Innervation of the Lower Limb
The skin over the lower posterolateral leg is primarily supplied by which of the following nerves:
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Clinical Effects of Obturator Nerve Injury
A 63 year old woman with advanced ovarian malignancy presents to ED complaining of weakness of her left leg while walking. Examination revea
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Innervation of the Iliacus Muscle
You are assessing a 76 year old woman who presents with weakness to the left hip following a fall. She is pain free. On examination she has
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Function of the Tibial Nerve
Which of the following best describes the cutaneous innervation of the tibial nerve and its branches:
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Clinical Effects of Deep Fibular Nerve Injury
A 28 year old man presents to hospital having injured his leg playing football. X-ray demonstrates fractures of both the tibia and fibula. T
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Dermatomal Supply of the Lower Limb
A 27 year old woman presents to the Emergency Department complaining of progressive weakness in her lower limbs following a recent episode o
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Articulations of the Knee Joint
Which of the following synovial joint types best describes the knee joint:
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Function of the Hamstring Muscles
A 32 year old man presents to the ED after sustaining multiple stab wounds to the right thigh during an altercation in a pub. Imaging has sh
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Function of the Piriformis Muscle
A 32 year old woman is brought to the ED after falling from a horse. Imaging shows multiple injuries to the pelvic region including transect
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Function of the Fibularis Tertius Muscle
The fibularis tertius muscle acts to produce which of the following movements:
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Bones of the Lateral Longitudinal Arch
Which of the following bones does NOT help to form the lateral longitudinal arch:
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Function of the Femoral Nerve
You form part of the trauma team caring for a roofer who fell approximately 7 metres from a roof, landing across a beam. Imaging of the spin
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Function of the Superficial Fibular Nerve
The superficial fibular nerve innervates which of the following muscles:
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Function of the Popliteus Muscle
Contraction of the popliteus muscle in initiation of knee flexion produces which of the following actions:
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Innervation of the Hip Joint
A 79 year old woman presents to the ED after falling. She complains of pain in the right groin and you note her right leg is shortened and e
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Function of the Deep Fibular Nerve
Which one of the following muscles is NOT innervated by the deep fibular nerve:
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Dermatomal Supply of the Lower Limb
You have been asked to teach a group of medical students about neurological examination of the lower limbs. The L3 dermatome is best tested
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Bones of the Hip Joint
A 65 year old lady is brought to ED after falling off a ladder. The acetabulum is fractured at its posterosuperior margin by dislocation of
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Lymphatic Drainage of the Lower Limb
A 34 year old man presents to the ED following a 3 day history of fever. On examination you note tender lymphadenopathy at the superficial i
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Clinical Effects of Superior Gluteal Nerve Injury
A 28 year old man is brought into ED following a motorcycle accident where his left lower limb was caught beneath the bike, and stabilised i
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Movements of the Foot Joints
Inversion of the foot is primarily produced by which of the following muscles:
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Innervation of the Gluteus Maximus Muscle
You have been asked to give a teaching session to a group of medical students regarding the anatomy of the hip and gluteal region. As part o
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Function of the Obturator Externus Muscle
A 19 year old man self presents to the ED following a fight in a nearby street. He has sustained multiple stab wounds and lacerations to the
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Bones of the Medial Longitudinal Arch
Which of the following bones does not help to form the medial longitudinal arch:
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Dermatomal Supply of the Lower Limb
The S1 dermatome is best tested at which of the following landmarks:
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Innervation of the Posterior Leg Muscles
Which of the following muscles is NOT innervated by the tibial nerve:
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Innervation of the Hamstring Muscles
You form part of the trauma team caring for a motorcyclist who was involved in a collision with a van. You receive a phone call from the on-
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Anatomical Course of the Great Saphenous Vein
A 65 year old woman presents to the ED with a tender left leg. She has been assessed by your Consultant colleague who feels she may have thr
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Boundaries of the Popliteal Fossa
A 67 year old man presents to the ED complaining of pain and swelling to the posterior knee. On examination you note a tender swelling in th
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Function of the Gluteal Muscles
A 45 year old man sustains a gunshot wound to the gluteal region. During rehabilitation he complains of weakness abducting and medially rota
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Dermatomal Supply of the Lower Limb
The L4 dermatome is best tested at which of the following landmarks:
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Attachments of the Fibularis Brevis Muscle
The fibularis brevis muscle attaches distally to which of the following structures:
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Clinical Effects of Deep Fibular Nerve Injury
A patient receives a deep laceration to his left leg while trying to escape an angry farmer through a barbed-wire fence. He is unable to dor
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Boundaries of the Femoral Ring
A 87 year old woman presents to the ED after her carers noted she was complaining of pain in the right groin. On examination you note a tend
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Attachments of the Fibularis Longus Muscle
A 35 year old man who is training for a marathon presents to ED with pain around the back and side of his foot. He has been assessed by the
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Ligaments of the Ankle Joint
A 25 year old female presents with a swollen right ankle after twisting her ankle whilst wearing high heels on a night out. There is pain an
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Clinical Effects of Obturator Nerve Injury
A 21 year old male is involved in a road traffic collision and sustains a pelvic fracture. In rehabilitation it is noted that he has an inab
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Movements of the Ankle Joint
Which of the following nerves is most important for dorsiflexion of the foot at the ankle joint:
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Surface Anatomy of the Femoral Nerve
A 83 year old lady has sustained a distal femur fracture from a fall down stairs. Your consultant wishes to administer a femoral nerve block
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Articulations of the Tarsal Bones
The cuboid bone articulates with all of the following tarsal bones EXCEPT for the:
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Ligaments of the Knee Joint
A 23 year old professional footballer is brought to hospital after injuring his left leg in a tackle, where lateral force was applied to his
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Clinical Effects of Tibial Nerve Injury
Which of the following clinical features would you NOT expect to see in a tibial nerve palsy:
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Movements of the Foot Joints
A 28 year old woman is unable to invert her foot after sustaining an injury to her leg playing water-polo. Which of the following nerves are
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Ligaments of the Knee Joint
A 30 year old male was hit by a car in his lateral knee joint region. His knee was in extension when struck. Which of the following structur
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Supply of the Femoral Artery
A 32 year old man presents to the ED after falling through a glass door. He has sustained a deep laceration to the thigh. Imaging shows a so
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Bursa of the Knee Joint
A 42 year old carpet layer, who spends a lot of time working on his hands and knees, presents to ED complaining of a painful knee. On examin
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Dermatomal Supply of the Lower Limb
The L5 dermatome is best tested at which of the following landmarks:
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Cutaneous Innervation of the Lower Limb
A 54 year old man presents to the ED complaining of a numbness over the posterior thigh. The skin in this area is primarily supplied by whic
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Blood Supply of the Hip Joint
An 83 year old woman is brought to ED following a fall in which she has sustained posterior dislocation and fracture of the neck of femur. A
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Movements of the Foot Joints
Which of the following nerves are most important for inversion of the foot:
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Cutaneous Innervation of the Lower Limb
The skin over the sole of the foot is primarily supplied by which of the following nerves:
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Function of the Anterior Thigh Muscles
A 23 year old woman is brought to the Emergency Department after falling from a ride at an amusement park. Imaging has shown trauma to the s
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Contents of the Popliteal Fossa
A 26 year old male has sustained a stab wound to the popliteal fossa and has injured the most lateral structure within this region. Which o
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Dermatomal Supply of the Lower Limb
You are examining a 38 year old woman who presents with lower back pain associated with bilateral sciatica. On examination you note loss of
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Origin of the Femoral Artery
A 35 year old woman presents to the Emergency Department with a painful swelling in her left groin. She is an intravenous drug user who regu
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Origin of the Obturator Nerve
A 43 year old window cleaner is brought to the ED after falling from a 5 metre platform. Imaging has shown multiple vertebral fractures and
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Ligaments of the Ankle Joint
A 21 year old professional athlete sustains an inversion injury to her left ankle during the 800m. Which of the following ligaments is most
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Function of the Gluteus Maximus Muscle
A 21 year old man received a stab wound to the posterior part of his gluteal region. Following resuscitation, he is found to have great diff
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Dermatomal Supply of the Lower Limb
A 45 year old tree surgeon is brought into the ED following a fall from approximately 5 metres. A full trauma primary survey has been perfor
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Function of the Popliteus Muscle
Which one of the following muscles is most important in 'unlocking' the knee from the extended position:
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Function of the Hamstring Muscles
A 32 year old man presents to the ED after sustaining multiple stab wounds to the right thigh during an altercation in a pub. Imaging has sh
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Function of the Fibularis Longus Muscle
The fibularis longus muscle acts to produce which of the following movements:
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Movements of the Hip Joint
You are examining the lower limbs of a 54 year old man who presented after falling from a ladder at home. During your neurological assessmen
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Menisci of the Knee Joint
A 28 year old presents to the ED after sustaining a right knee injury whilst skiing. You examine the knee and suspect a medial meniscal inju
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Clinical Effects of Obturator Nerve Injury
You are giving a teaching session to a group of final year medical students regarding lower limb neurology. Which of the following clinical
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Cutaneous Innervation of the Lower Limb
A 65 year old man presents to the ED complaining of loss of sensation over the lateral thigh. This area is primarily supplied by which of th
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Boundaries of the Femoral Ring
A 87 year old woman presents to the ED after her carers noted she was complaining of pain in the right groin. On examination you note a tend
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Clinical Effects of Deep Fibular Nerve Injury
Which of the following would you NOT expect from a deep fibular nerve palsy:
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Function of the Gracilis Muscle
A 54 year old woman is brought into the ED following a multiple vehicle collision on the nearby motorway. She is haemodynamically stable and
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Movements of the Hip Joint
You are examining the lower limbs of a 54 year old man who presented after falling from a ladder at home. During your neurological assessmen
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Function of the Sartorius Muscle
A 31 year old rugby player presents with a hip injury. On examination you find weakness of flexion, abduction and lateral rotation of the th
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Bursa of the Knee Joint
Which of the following knee bursae typically communicates with the synovial cavity of the knee joint:
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