Anatomy Orthopedic MCQS online Bank
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Flexor tendons
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Extensor tendon
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Oblique retinacular ligament
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Intrinsic muscles
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PIP joint
PREFERRED RESPONSE 2
(SAE11AN.85) A 59-year-old woman seen in the emergency department reports the rapid onset of pain in the left lower quadrant of her abdomen radiating to the anterior thigh that began about 4 to 5 hours ago. She also notes that now her left knee is buckling, causing her to fall to the ground. History reveals that the woman is an alcoholic and takes warfarin for atrial fibrillation. Examination reveals 1/5 quadriceps strength and pain on hip flexion against resistance. What is a likely pathoanatomic cause for her problem that should be rapidly evaluated to prevent permanent damage?
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A left posterolateral L3-4 disk herniation
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A spontaneous bleed into the iliopsoas sheath
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A spontaneous epidural hematoma at L3-4
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A pseudoaneurysm of the femoral artery at the femoral canal
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A left far lateral L4-5 disk herniation PREFERRED RESPONSE 2
(SAE08UE.92) What are the two terminal branches of the lateral cord of the brachial plexus?
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Musculocutaneous and median
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Musculocutaneous and axillary
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Median and axillary
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Ulnar and median
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Ulnar and medial pectoral PREFERRED RESPONSE 1
(SAE09TR.47) The iliopectineal fascia runs between which of the following structures?
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Iliopsoas muscle and the iliac vessels/femoral nerve
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Lateral femoral cutaneous nerve and the iliac vessels
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Iliopsoas muscle/femoral nerve and the iliac vessels
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Iliac wing and the iliopsoas muscle
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Pubic symphysis and the iliac vessels PREFERRED RESPONSE 3
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Median nerve lesion in the arm
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Radial nerve lesion in the arm
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Anterior interosseous nerve syndrome
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Posterior interosseous nerve syndrome
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Median neuropathy at the wrist PREFERRED RESPONSE 1
(SAE12TR.4) What is the most common anatomic location of the lateral femoral cutaneous nerve?
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Deep to the psoas muscle
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Medial to the femoral vein
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Under the inguinal ligament
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Adjacent to the femoral nerve
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Deep to the iliopectineal fascia PREFERRED RESPONSE 3
(SAE11AN.56) A 29-year-old woman has had a 6-month history of chronic left anterolateral ankle pain after sustaining an inversion ankle sprain while playing soccer. Management consisting of rest, nonsteroidal anti-inflammatory drugs, immobilization, a cortisone injection, and 2 months of physical therapy has failed to allow her to return to her previous level of activities. Examination reveals good strength, motion, and ligamentous stability, with anterolateral ankle tenderness. Radiographs are normal. During an anterolateral approach to the left ankle, the structure labeled with the arrow in Figure 56a is noted to be impinging on the anterolateral dome of the talus and is removed as shown in Figure 56b. Removal of this structure will most likely result in which of the following? Review Topic
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Alleviation of her symptoms
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Destabilization of the syndesmosis
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Increase the anterior drawer but not influence the talar tilt
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Increase the talar tilt but not influence the anterior drawer
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Have no effect on her symptoms or her ankle instability PREFERRED RESPONSE 1
(SAE09TR.16) The axis of forearm rotation occurs between what two anatomic points?
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Radial head, radial styloid
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Radial head, ulnar styloid
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Radial head, ulnar head
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Coronoid, sigmoid notch
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Coronoid, radial styloid PREFERRED RESPONSE 3
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Dorsiflexion
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Eversion
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Dorsiflexion and eversion
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Fifth toe extension
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Lesser toe extension PREFERRED RESPONSE 3
(SAE11AN.20) A 24-year-old man has a deep knife wound across the dorsal aspect of his wrist, transecting all of his wrist and finger extensor tendons. How does the surgeon determine which of the proximal tendon stumps in the fourth dorsal compartment is the extensor indicis proprius? Review Topic
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The tendon runs in a separate compartment.
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The tendon has a more circular cross section.
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The tendon has the most distal muscle belly.
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The tendon is the most radial and superficial.
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The tendon has two separate slips.
PREFERRED RESPONSE 3
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Posterior tibial artery
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Peroneal artery
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Flexor hallucis longus
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Posterior tibial nerve
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Calcaneal artery
PREFERRED RESPONSE 1
(SAE13SM.50) A 19-year-old linebacker underwent a coracoid transfer procedure for recurrent anterior glenohumeral instability. At his 1-week postsurgical check-up, his incision is doing well; however, he reports numbness over the lateral aspect of his forearm. What nerve may have been injured during his surgery? Review Topic
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Axillary
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Median
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Musculocutaneous
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Radial
PREFERRED RESPONSE 3
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Teres major
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Latissimus dorsi
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Short head of the biceps
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Pectoralis major
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Subscapularis
PREFERRED RESPONSE 4
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Extensor hallucis longus
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Extensor digitorum brevis
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Tibialis anterior
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Tibialis posterior
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Peroneus longus
PREFERRED RESPONSE 4
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Release of the piriformis tendon
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Release of the anteroinferior capsule
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Release of the posterosuperior capsule
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Trochanteric osteotomy lateral to the piriformis
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Anterior dislocation of the femoral head PREFERRED RESPONSE 2
(SAE08AN.61) An axillary nerve lesion may cause weakness in the deltoid and the Review Topic
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teres major.
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teres minor.
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teres major and teres minor.
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latissimus dorsi.
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latissimus dorsi and teres major. PREFERRED RESPONSE 2
(SAE08OS.2) A 28-year-old man sustains a distal forearm laceration. Surgical exploration reveals complete ulnar nerve transection but an intact median nerve. Motor examination reveals intact finger abduction and adduction. Sensory examination is likely to reveal Review Topic
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intact sensation over the dorsal first web, index finger tip, and little finger tip.
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intact sensation over the dorsal first web and index finger tip but not the little finger tip.
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intact sensation over the dorsal first web and little finger tip but not the index finger tip.
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intact sensation over the dorsal first web but not the index finger or little finger tips.
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no sensation over the dorsal first web, index finger tip, and little finger tip.
PREFERRED RESPONSE 2
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Posterior cruciate ligament: anterolateral bundle
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Posterior cruciate ligament: posteromedial bundle
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Meniscofemoral ligament
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Popliteus
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Oblique popliteal ligament PREFERRED RESPONSE 3
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Acute tendon repair
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DIP joint extension splinting for 6 weeks
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DIP and proximal interphalangeal joint extension splinting for 6 weeks
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Buddy taping to the middle finger for 2 weeks
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Early range-of-motion exercises and return to play as pain permits PREFERRED RESPONSE 1
(SAE11AN.85) A 59-year-old woman seen in the emergency department reports the rapid onset of pain in the left lower quadrant of her abdomen radiating to the anterior thigh that began about 4 to 5 hours ago. She also notes that now her left knee is buckling, causing her to fall to the ground. History reveals that the woman is an alcoholic and takes warfarin for atrial fibrillation. Examination reveals 1/5 quadriceps strength and pain on hip flexion against resistance. What is a likely pathoanatomic cause for her problem that should be rapidly evaluated to prevent permanent damage? Review Topic
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A left posterolateral L3-4 disk herniation
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A spontaneous bleed into the iliopsoas sheath
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A spontaneous epidural hematoma at L3-4
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A pseudoaneurysm of the femoral artery at the femoral canal
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A left far lateral L4-5 disk herniation PREFERRED RESPONSE 2
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greater sciatic notch and passing between the inferior gemellus and the obturator externus.
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greater sciatic notch and passing between the piriformis and the superior gemellus.
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obturator foramen and passing between the obturator internus and the obturator externus.
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lesser sciatic notch and passing between the piriformis and the superior gemellus.
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lesser sciatic notch and passing between the superior gemellus and the inferior gemellus.
PREFERRED RESPONSE 2
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Long head of the biceps femoris
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Short head of the biceps femoris
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Semimembranosus
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Semitendinosus
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Lateral head of the gastrocnemius PREFERRED RESPONSE 2
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Posterior tibial
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Peroneus longus
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Peroneus brevis
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Flexor digitorum longus
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Flexor hallucis longus PREFERRED RESPONSE 5
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Lateral femoral circumflex artery
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Superior gluteal artery
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Inferior gluteal artery
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Circumflex iliac artery
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Superficial femoral artery PREFERRED RESPONSE 3
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Long head of the biceps
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Supraspinatus
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Subscapularis
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Coracoacromial ligament
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Middle glenohumeral ligament PREFERRED RESPONSE 1
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Adductor magnus
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Obturator internus
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Obturator externus
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Pectineus
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Adductor brevis
PREFERRED RESPONSE 2
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Biceps femoris
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Adductor magnus
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Semitendinosus
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Gracilis
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Semimembranosus
PREFERRED RESPONSE 5
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Obturator internus and superior gemellus
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Obturator internus and inferior gemellus
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Piriformis and superior gemellus
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Piriformis and gluteus minimus
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Inferior gemellus and obturator externus PREFERRED RESPONSE 3
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Subscapularis
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Superior glenohumeral ligament
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Middle glenohumeral ligament
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Anterior labrum
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Biceps tendon
PREFERRED RESPONSE 3
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Axillary
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Median
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Musculocutaneous
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Radial
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Ulnar
PREFERRED RESPONSE 3
(SAE07SM.6) A 30-year-old elite marathon runner reports chronic pain over the lateral aspect of the distal right leg and dysesthesia over the dorsum of the foot with active plantar flexion and inversion of the foot. Examination reveals a tender soft-tissue fullness approximately 10 cm proximal to the lateral malleolus. The pain is exacerbated by passive plantar flexion and inversion of the ankle. There is also a positive Tinel’s sign over the site of maximal tenderness. There is no motor weakness, and deep tendon reflexes are normal. Radiographs and MRI of the leg are normal. What is the next most appropriate step in management? Review Topic
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Biopsy of the soft-tissue mass
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Epidural corticosteroid injection into the lumbar spine
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Four-compartment fasciotomy of the leg
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Fascial release and neurolysis of the superficial peroneal nerve
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Closure of the fascial defect of the superficial peroneal nerve PREFERRED RESPONSE 4
(SAE11AN.31) During a lateral approach to the left ankle of a 69-year-old woman with a displaced bimalleolar fracture, the structure labeled with an arrow in Figure 31 is encountered. Which of the following is an accurate statement concerning this structure? Review Topic
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Proximally, this nerve innervates the muscles of the anterior compartment.
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Proximally, this nerve innervates the muscles of the lateral compartment.
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This is strictly a sensory nerve to the lateral foot.
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This nerve innervates the extensor digitorum brevis muscle
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This nerve supplies sensation to the dorsal aspect of the first interspace. PREFERRED RESPONSE 2
(SAE08AN.55) Which of the following muscles has dual innervation?
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Pronator teres
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Flexor digitorum superificialis
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Coracobrachialis
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Latissimus dorsi
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Brachialis
PREFERRED RESPONSE 5
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More dorsal in the upper lumbar spine and more ventral in the lower lumbar spine
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More ventral in the upper lumbar spine and more dorsal in the lower lumbar spine
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Equally dorsal (junction of anterior two thirds and posterior one third) in the psoas along the lumbar spine
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Equally ventral (junction of anterior one third and posterior two thirds)in the psoas along the lumbar spine
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In the midportion of the psoas along the lumbar spine PREFERRED RESPONSE 1
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Trendelenburg sign
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Flexion, adduction and internal rotation test
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Ober test
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Patrick test
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Thomas test
PREFERRED RESPONSE 1
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Extensor digiti minimi
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Extensor carpi radialis brevis
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Extensor pollicis longus
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Extensor indicis proprius
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Abductor pollicis longus PREFERRED RESPONSE 4
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Lateral bands
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Sagittal bands
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Central slip
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Oblique retinacular ligament
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A healed but lengthened terminal extensor tendon PREFERRED RESPONSE 4
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Deep branch of the ulnar nerve
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Anterior interosseous branch of the median nerve
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Recurrent branch of the median nerve
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Recurrent branch of the ulnar nerve
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Palmar cutaneous branch of the ulnar nerve PREFERRED RESPONSE 3
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Lateral intercondylar ridge
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Lateral bifurcate ridge
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Lateral interfemoral ridge
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Lateral interfascicular ridge
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Lateral cruciate ridge PREFERRED RESPONSE 2
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Genitofemoral
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Ilioinguinal
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Femoral
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Lateral femoral cutaneous
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Iliohypogastric
PREFERRED RESPONSE 1
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Acromial branch of the thoracoacromial artery
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Axillary artery
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Arcuate artery
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Suprascapular artery
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Subclavian artery
PREFERRED RESPONSE 1
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Subscapularis
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Supraspinatus
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Infraspinatus
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Teres minor
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Teres major
PREFERRED RESPONSE 1
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Conus medullaris injury
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Incomplete spinal cord injury
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Cauda equina injury
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Central cord syndrome
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Anterior cord syndrome PREFERRED RESPONSE 1
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Nerve conduction velocity studies and electromyography
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Extension splinting of the fingers
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Exploration and repair of the extensor tendon laceration
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Exploration and repair of the posterior interosseous nerve
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Observation
PREFERRED RESPONSE 4
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Rectus femoris
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Sartorius
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Iliacus
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Obturator externus
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Tensor fascia lata PREFERRED RESPONSE 3
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Popliteal vein
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Popliteal artery
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Posterior tibial nerve
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Common peroneal nerve
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Sural nerve
PREFERRED RESPONSE 2
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artery of the ligamentum teres.
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epiphyseal branch of the lateral femoral circumflex artery.
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posterosuperior and posteroinferior retinacular branches of the lateral femoral circumflex artery.
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posterosuperior and posteroinferior retinacular branches of the medial femoral circumflex artery.
PREFERRED RESPONSE 4
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Loss of digital extension
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Weakness of the interossei
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Decreased sensation in the ring and little fingers
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Decreased sensation in the ulnar dorsal forearm
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Loss of flexor pollicis longus function PREFERRED RESPONSE 1
(SAE09TR.70) What vessel is marked with an asterisk in Figure 44?
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Obturator artery
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Inferior epigastric artery
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Superior gluteal artery
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Internal pudendal artery
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Lateral sacral artery PREFERRED RESPONSE 3
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A patent ulnar artery and deep palmar arch
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A patent ulnar artery and superficial palmar arch
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A patent radial artery and deep palmar arch
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A patent radial artery and superficial palmar arch
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A patent radial artery and an ulnar artery aneurysm PREFERRED RESPONSE 3
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Popliteus
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Plantaris
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Semitendinosus
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Gracilis
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Soleus
PREFERRED RESPONSE 1
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Quadriceps
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Adductor longus
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Iliacus
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Sartorius
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Psoas
PREFERRED RESPONSE 2
(SAE08OS.55) Figures 16a and 16b show the radiographs of a 2-year-old boy who has right arm swelling and pain. He also has multiple scalp lesions and chronic ear pain that has failed to respond to antibiotics. A biopsy specimen is shown in Figure 16c. Figure 16d shows an immunohistochemical stain with CD1a. What is the most likely diagnosis?
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Langerhans' cell histiocytosis
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Aneurysmal bone cyst
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Ewing's sarcoma
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Osteomyelitis
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Ollier's enchondromatosis
PREFERRED RESPONSE 1
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Metaphyseal vessels
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Medial epiphyseal artery
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Superficial branch of the medial femoral circumflex artery
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Deep branch of the lateral femoral circumflex artery
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Deep branch of the medial femoral circumflex artery PREFERRED RESPONSE 5
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Spiral groove of the humerus
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Midshaft of the radius
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Radial neck
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Anatomic neck of the humerus
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Surgical neck of the humerus PREFERRED RESPONSE 3
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The nerve is reliably extrafascial at the joint line.
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The nerve is anterior to the sartorius.
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The nerve becomes extrafascial between the gracilis and the semitendinosus.
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The nerve is anterior to the semitendinosus with the knee in extension.
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The sartorial branch exits the adductor canal and travels to the anteromedial aspect of the knee.
PREFERRED RESPONSE 4
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Radial
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Posterior interosseous
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Anterior interosseous
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Median
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Musculocutaneous
PREFERRED RESPONSE 2
(SAE11AN.16) Following fixation of a comminuted both-bone forearm fracture, the patient has weakness of the flexor pollicis longus and flexor digitorum profundus to the index finger. Which of the following structures has most likely been injured?
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Anterior interosseous nerve
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Posterior interosseous nerve
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Radial nerve
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Ulnar nerve
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Lateral antebrachial cutaneous nerve PREFERRED RESPONSE 1
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Adductor magnus
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Adductor longus
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Adductor brevis
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Sartorius
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Gracilis
PREFERRED RESPONSE 2