Top 250+ Solved Lower Limb MCQ Questions Answer
Q. Piriformis is the key to gluteal region. Which relation is not TRUE?
a. in buttock, lower border lie alongside superior gemellus
b. converges to ??? tendon and inserts on upper boarder of greater trochanter
c. emerges through greater sciatic foramen with superior gluteal nerve and vessel above it
d. emerges through the greater sciatic foramen with pudendal nerve and vessels deep to it
e. emerges through greater sciatic foramen with sciatic nerve on its surface
Q. Of the hip joint ligaments and capsule:
a. capsule attaches circumferentially to neck of???? anterior trochanteric line
b. retinacular fibres of capsule bind down nutrient ????? from cruciate anaster?????
c. iliofemoral ligament becomes taut on medial rotation and extension
d. all three ligaments attach to capsule and completely enclose joint
e. psoas major tendon separates capsule from femoral nerve
Q. Superficial cutaneous nerves supplying the thigh include the following EXCEPT:
a. ilioinguinal nerve
b. saphenous nerve
c. femoral branch of genitofemoral nerve
d. medial femoral cutaneous nerve
e. intermediate femoral cutaneous nerve
Q. The flexor compartment of the thigh contains which of the following muscles?
a. gluteus maximus
b. adductor magnus
c. garacilis
d. semimembranosus
e. rectus femoris
Q. Which of the following is true of the great saphenous vein?
a. it passes posterior to the medial malleolus
b. it runs behind the lateral border of the tibia
c. it passes through the ???cribriform fascia covering the saphenous opening below the inguinal ligament
d. it joins the femoral vein from the anterolateral side
e. it has no tributaries
Q. Which is not an origin of vastus lateralis?
a. upper half of the intertrochanteric line
b. aponeurosis of tensor fascia lata
c. lateral lip of the linea aspera
d. upper two thirds of the lateral supracondylar line of femur
e. lateral intermuscular septum
Q. Regarding the adductor canal:
a. it contains the nerve to vastus intermedialis
b. contents leave by piercing adductor longus
c. the femoral artery is always between the saphenous nerve and femoral vein in the thigh
d. below the adductor hiatus, the canal is occupied by the saphenous nerve of the descending genicular nerve
e. at the adductor hiatus, the femoral vein is medial to the artery
Q. At the hip:
a. the ligament of the head of the femur is attached to the acetabular notch
b. the pubofemoral ligament is the weakest ligament at the hip
c. flexion tightens the ligaments
d. the obturator nerve via its anterior division, innervates the capsule and retinacular fibres
e. the normal range of flexion is 160°
Q. Regarding the cuneiform bones:
a. the lateral is the smallest
b. tibialis anterior is inserted into a facet on the intermediate cuneiform
c. flexor hallucis brevis has an origin on the medial cuneiform
d. the anterior surface of the medial cuneiform is triangular in shape
e. the second metatarsal bone articulates with all three cuneiforms
Q. Regarding the dorsum of the foot:
a. cutaneous innervation is primarily from the sural nerve
b. extensor digitorum brevis gives off four tendons to the lateral four toes
c. the superficial peroneal nerve divides into medial and lateral branches below the ankle
d. the inferior extensor retinaculum joins medial and lateral malleoli
e. dorsalis pedis artery runs to the base of the first intermetatarsal space
Q. Regarding the sole of the foot:
a. the heel is supplied by lateral calcanean nerves
b. flexor hallucis brevis lies in the first muscular layer
c. flexor digitorum brevis is the lower limb equivalent of flexor digitorum superficialis
d. the plantar arteries and nerves lie between the second and third muscular layers
e. the medial plantar artery forms the plantar arch with dorsalis pedis artery
Q. At the ankle joint:
a. the distal fibular is not part of the joint
b. the medial ligament is made up of three separate bands
c. the posterior tibiofibular ligament is also known as posterior transverse ligament
d. the long and short peronei muscles assist in plantar flexion
e. nerve supply is from the anterior and posterior tibial nerves
Q. Which is NOT true about fractured neck of femurs?
a. the leg is shortened and externally rotated in most fractured neck of femurs
b. the main source of blood to the femoral head is via the vessels running within cancellous bone from the diaphysis
c. a subcapital fracture cuts off all the blood to the head of the femur resulting in avascular necrosis
d. the blood supply to the head is increased by vessels in the capsular retinacula and it is this which prevents avascular necrosis of the head after an intertrochanteric fracture
e. the ligamentum teres attaches to the central fovea???? on the femoral head and originates from the acetabulum
Q. Trendelenburg’s test is negative if:
a. the hip adductors are paralysed (eg in poliomyelitis)
b. there is an old unreduced or congenital dislocation of the hip
c. there is an ununited fracture of the neck of femur
d. the patient walks with a dipping gait
e. gluteus minimus and medius and tensor fascia latae are weakened severely
Q. Which of the following structures can be missing in a completely stable and functional knee?
a. ACL
b. PCL
c. oblique ligament
d. patella
e. lateral collateral ligament