1.
A 27-year-old patient exhibits a loss of skin sensation and paralysis of muscles on the
plantar aspect of the medial side of the foot. Which of the following nerves is most likely
damaged?
A. 
B. 
C. 
D. 
E. 
2.
A patient with a deep knife wound in the buttock walks with a waddling gait that is
characterized by the pelvis falling toward one side at each step. Which of the following
nerves is damaged?
A. 
B. 
Nerve to obturator internus
C. 
D. 
E. 
3.
A patient is unable to prevent anterior
displacement of the femur on the tibia when
the knee is flexed. Which of the following
ligaments is most likely damaged?
A. 
B. 
C. 
D. 
E. 
4.
A 41-year-old man was involved in a fight and felt weakness in extending the knee
joint. On examination, he was diagnosed with a lesion of the femoral nerve. Which of
the following symptoms would be a result of this nerve damage?
A. 
Paralysis of the psoas major muscle
B. 
Loss of skin sensation on the lateral side of the foot
C. 
Loss of skin sensation over the greater trochanter
D. 
Paralysis of the vastus lateralis muscle
E. 
Paralysis of the tensor fasciae latae
5.
A 47-year-old woman is unable to invert her foot after she stumbled on her driveway. Which of the following nerves are most likely injured?
A. 
Superficial and deep peroneal
B. 
C. 
Superficial peroneal and tibial
D. 
Medial and lateral plantar
E. 
6.
A 22-year-old patient is unable to "unlock"
the knee joint to permit flexion of the leg.
Which of the following muscles is most likely
damaged?
A. 
B. 
C. 
D. 
E. 
7.
A patient presents with sensory loss on adjacent sides of the great and second toes and impaired dorsiflexion of the foot. These signs probably indicate damage to which of the following nerves?
A. 
B. 
C. 
D. 
E. 
8.
A motorcyclist falls from his bike in an accident and gets a deep gash that severs the superficial peroneal nerve near its origin. Which of the following muscles is paralyzed?
A. 
B. 
C. 
Extensor digitorum longus
D. 
E. 
Extensor digitorum brevis
9.
A 67-year-old patient has been given a
course of antibiotics by gluteal intramuscular
injections after a major abdominal surgery. To
avoid damaging the sciatic nerve during an
injection, the needle should be inserted into
which of the following areas?
A. 
Over the sacrospinous ligament
B. 
Midway between the ischial tuberosity and the lesser trochanter
C. 
Midpoint of the gemelli muscles
D. 
Upper lateral quadrant of the gluteal region
E. 
Lower medial quadrant of the gluteal region
10.
A 20-year-old patient cannot flex and
medially rotate the thigh while running and
climbing. Which of the following muscles is
most likely damaged?
A. 
B. 
C. 
D. 
E. 
11.
A 21-year-old man was involved in a motorcycle
accident, resulting in destruction of the
groove in the lower surface of the cuboid bone.
Which of the following muscle tendons is most
likely damaged?
A. 
B. 
C. 
D. 
E. 
12.
A construction worker falls feet-first from a roof. He sustains a fracture of the groove on the
undersurface of the sustentaculum tali of the calcaneus bone. Which of the following muscle
tendons is most likely torn?
A. 
B. 
C. 
D. 
E. 
13.
A thoracic surgeon is going to harvest a portion of the greater saphenous vein for coronary bypass surgery. He has observed that this vein runs:
A. 
Posterior to the medial malleolus
B. 
C. 
Anterior to the medial condyles of the tibia and femur
D. 
Superficial to the fascia lata of the thigh
E. 
Along with the femoral artery
14.
A 52-year-old woman slipped and fell and complained of being unable to extend her leg at the knee joint. Which of the following muscles was paralyzed as a result of this accident?
A. 
B. 
C. 
D. 
E. 
15.
A patient experiences weakness in dorsiflexing
and inverting the foot. Which of the
following muscles is damaged?
A. 
B. 
C. 
D. 
Extensor digitorum longus
E. 
16.
Questions 16-20: A 62-year-old woman slips and falls on the bathroom floor. As a result, she has a posterior dislocation of the hip joint and a fracture of the neck of the femur.
Rupture of the ligamentum teres capitis
femoris may lead to damage to a branch of
which of the following arteries?
A. 
Medial circumflex femoral
B. 
Lateral circumflex femoral
C. 
D. 
E. 
17.
A 62-year-old woman slips and falls on the bathroom floor. As a result, she has a posterior dislocation of the hip joint and a fracture of the neck of the femur.
Fracture of the neck of the femur results in
avascular necrosis of the femoral head, probably
resulting from lack of blood supply from which
of the following arteries?
A. 
B. 
C. 
D. 
Medial femoral circumflex
E. 
Lateral femoral circumflex
18.
A 62-year-old woman slips and falls on the bathroom floor. As a result, she has a posterior dislocation of the hip joint and a fracture of the neck of the femur.
If the acetabulum is fractured at its posterosuperior
margin by dislocation of the hip joint, which of the following bones could be
involved?
A. 
B. 
C. 
D. 
E. 
19.
A 62-year-old woman slips and falls on the bathroom floor. As a result, she has a posterior dislocation of the hip joint and a fracture of the neck of the femur.
The woman experiences weakness when
abducting and medially rotating the thigh after
this accident. Which of the following muscles
is most likely damaged?
A. 
B. 
C. 
D. 
E. 
20.
A 62-year-old woman slips and falls on the bathroom floor. As a result, she has a posterior dislocation of the hip joint and a fracture of the neck of the femur.
The woman undergoes hip surgery. If all of
the arteries that are part of the cruciate anastomosis
of the upper thigh are ligated, which of
the following arteries maintains blood flow?
A. 
Medial femoral circumflex
B. 
Lateral femoral circumflex
C. 
D. 
E. 
21.
A 34-year-old woman sustains a deep cut on the dorsum of the foot just distal to her ankle joint by a falling kitchen knife. A physician in the emergency department has ligated the dorsalis pedis artery proximal to the injured area. Which of the following conditions most likely occurs as a result of the injury?
A. 
Lschemia in the peroneus longus muscle
B. 
Aneurysm in the plantar arterial arch
C. 
Reduction of blood flow in the medial tarsal artery
D. 
Low blood pressure in the anterior tibial artery
E. 
High blood pressure in the arcuate artery
22.
A patient experiences paralysis of the muscle that originates from the femur and contributes directly to the stability of the knee joint. Which of the following muscles is involved?
A. 
B. 
C. 
D. 
Biceps femoris (long head)
E. 
23.
A patient is involved in a motorcycle wreck that results in avulsion of the skin over the anterolateral leg and ankle. Which of the following structures is most likely destroyed with this type of injury?
A. 
B. 
Extensor digitorum longus muscle tendon
C. 
D. 
E. 
Superficial peroneal nerve
24.
A knife wound penetrates the superficial
vein that terminates in the popliteal vein. Bleeding
occurs from which of the following vessels?
A. 
B. 
C. 
D. 
E. 
25.
A 10-year-old boy falls from a tree house. The resultant heavy compression of the sole of his foot against the ground caused a fracture of the head of the talus. Which of the following structures is unable to function normally?
A. 
B. 
C. 
Lateral longitudinal arch
D. 
Tendon of the peroneus longus
E.