Anatomy Revision

Question 1
A patient present to hospital with a
suspected fracture of their humerus.
Where is the fracture most likely to be?
A. Along the radial groove
B. At the surgical neck
C. At the anatomical neck
D. At the physiological neck
E. Along the supracondylar line

Question 1
A patient present to hospital with a
suspected fracture of their humerus.
Where is the fracture most likely to be?
A. Along the radial groove
B. At the surgical neck
C. At the anatomical neck
D. At the physiological neck
E. Along the supracondylar line

Question 2
What structures are most at risk in a patient
presenting with a fracture of the surgical neck
of humerus?
A. Brachial artery and musculocutaneous nerve
B. Profunda brachii artery and radial nerve
C. Basilic vein and median nerve
D. Posterior circumflex humeral artery and
axillary nerve
E. Anterior circumflex humeral artery and
suprascapular nerve

Question 2
What structures are most at risk in a patient
presenting with a fracture of the surgical neck
of humerus?
A. Brachial artery and musculocutaneous nerve
B. Profunda brachii artery and radial nerve
C. Basilic vein and median nerve
D. Posterior circumflex humeral artery and
axillary nerve
E. Anterior circumflex humeral artery and
suprascapular nerve

Question 3
How best would to assess a patient to
determine if the axillary nerve has
been damaged?
A. Assess sensation over the
regimental badge
B. Assess power of abduction
C. Assess biceps tendon reflex
D. Assess sensation of the C7
dermatome
E. Assess power of medial rotation

Question 3
How best would to assess a patient to
determine if the axillary nerve has
been damaged?
A. Assess sensation over the
regimental badge
B. Assess power of abduction
C. Assess biceps tendon reflex
D. Assess sensation of the C7
dermatome
E. Assess power of medial rotation

Question 4
If the axillary nerve were damaged,
which of the following muscles would
be most affected?
A. Teres major
B. Infraspinatus
C. Supraspinatus
D. Scapularis
E. Teres minor

Question 4
If the axillary nerve were damaged,
which of the following muscles would
be most affected?
A. Teres major
B. Infraspinatus
C. Supraspinatus
D. Scapularis
E. Teres minor

Question 5
A patient present to hospital with a
suspected dislocated shoulder. In
which direction does the shoulder
typically dislocate?
A. Posterior inferiorly
B. Posterior superiorly
C. Anterior inferiorly
D. Anterior superiorly
E. Directly posteriorly

Question 5
A patient present to hospital with a
suspected dislocated shoulder. In
which direction does the shoulder
typically dislocate?
A. Posterior inferiorly
B. Posterior superiorly
C. Anterior inferiorly
D. Anterior superiorly
E. Directly posteriorly

Question 6
An x-ray confirms the patients
shoulder is dislocated. What structure
or structures are at risk?
A. Brachial artery
B. Basilic vein
C. Axillary nerve
D. Radial nerve
E. Cephalic vein

Question 6
An x-ray confirms the patients
shoulder is dislocated. What structure
or structures are at risk?
A. Brachial artery
B. Basilic vein
C. Axillary nerve
D. Radial nerve
E. Cephalic vein

Question 7
The musculocutaneous nerve is a terminal
branch of the brachial plexus. What
muscle does it pierce as it enters the
anterior compartment of the arm?
A. Coracobrachialis
B. Biceps brachii
C. Brachialis
D. Deltoid
E. Triceps brachii

Question 7
The musculocutaneous nerve is a terminal
branch of the brachial plexus. What
muscle does it pierce as it enters the
anterior compartment of the arm?
A. Coracobrachialis
B. Biceps brachii
C. Brachialis
D. Deltoid
E. Triceps brachii

Question 8
A man presents after attempting to lift a heavy
crate and feeling a pain in his left arm. Is unable
to properly flex or supinate his arm. What
structure is most likely to have ruptured?
A. Insertion of biceps brachii tendon
B. Tendon of long head of biceps
C. Tendon of short head of biceps
D. Tendon of triceps
E. Common flexor tendon

Question 8
A man presents after attempting to lift a heavy
crate and feeling a pain in his left arm. Is unable
to properly flex or supinate his arm. What
structure is most likely to have ruptured?
A. Insertion of biceps brachii tendon
B. Tendon of long head of biceps
C. Tendon of short head of biceps
D. Tendon of triceps
E. Common flexor tendon

Question 9
A patient present with difficult
abducting their arm in the first 15 of
motion. Is could be due to damage of
which nerve?
A. Suprascapular nerve
B. Lower subscapular nerve
C. Upper subscapular nerve
D. Axillary nerve
E. Radial nerve

Question 9
A patient present with difficult
abducting their arm in the first 15 of
motion. Is could be due to damage of
which nerve?
A. Suprascapular nerve
B. Lower subscapular nerve
C. Upper subscapular nerve
D. Axillary nerve
E. Radial nerve

Question 10
Following a complicated birth, a
neonate presents with a medially
rotated arm, extended elbow and wrist
and fingers flexed. Which of the
following nerves is least likely to be
affected?
A. Suprascapular nerve
B. Axillary nerve
C. Ulna nerve
D. Musculocutaneous nerve

Question 10
Following a complicated birth, a
neonate presents with a medially
rotated arm, extended elbow and wrist
and fingers flexed. Which of the
following nerves is least likely to be
affected?
A. Suprascapular nerve
B. Axillary nerve
C. Ulna nerve
D. Musculocutaneous nerve

Axillary Nerve innervates.

 T minor, deltoid
Skin over regimental badge
C5 and C6

Musculocutaneous Nerve innervates

 Anterior/flexor forearm compartment

Skin of lateral aspect of forearm
C5-7
Pierces coracobrachilais
Becomes lateral cutaneous nerve

Radial nerve innervates

 C5-T1
Posterior compartment of arm
triceps and aconeus
All posterior compartment of forearm
Sensory to posterior forearm, lateral
2/3 of hand dorsum

Median Nerve innervates.

 C5-T1
All forearm compartment muscles
EXCEPT ulnar part of FDP
Adductor policis brevis, opponens
pollicis, superior head of FPB
Sensation to area of carpal tunnel

Ulnar nerve innervates.

 Flexor carpi ulnaris, medial half of

FDP
Sensation over palarma distal dorsal
5th digit and proximal side of 4th digit
Adductor pollicis, deep head of flexor
pollicis brevis

Most common spot for clavical

fracture

Middle 1/3 on the lateral

end

Winged scapula?

Injury to serratus anterior (long

thoracic nerve)

Severed lower trunk of brachial

plexus?

Klumpke Palsy
Mostly ulnar and medial nerve
intrinsic hand muscles affected
Eg breech birth, catching a fall

Severed upper trunk of brachial

plexus?

 Erbs Palsy
Eg MVA
No abduction (axillary), forearm
flexion (musc cut), lateral rotation,
supination

Thoracodorsal nerve injury?

 Lattisimus dorsi paralysis cant raise

trunk with lower limbs
Eg surgery to axilla

Nerve that innervates

rhomboids?

Dorsal scapular nerve

Which rotator cuff muscle most

likely to be injured?

Supraspinatus
Cant adduct limb slowly to 15 deg

Wrist drop?

Radial nerve palsy

Saturday night palsy/honeymoon
palsy
Handcuff neuropathy

Medial epicondylitis

Golfers elbow
Hurts to flex forearm

Lateral epicondylitis?

Tennis elbow
Injury to the forearm extensors

Mallet finger
Avulsion of extensor tendon cant
extend distal IP
Baseball finger

Median Nerve Injury

 Hand of benediction only present

when trying to make a fist
Cant do OK sign pinch sign

Ulnar nerve injury

 Claw hand
Injury looks less bad the higher up it
is

Colles Fracture

Dinner Fork Deformity

Fracture of distal end of radius,
displaced dorsally
Proximal radial fragment has
posterior angulation

Scaphoid fracture

 Avascular necrosis risk due to poor

blood supply
Eg in FOOSH

Question 14
A positive Trendelenburg test
indicates
A. Inferior gluteal nerve palsy of the
raised leg
B. Inferior gluteal nerve palsy of the
fixed leg
C. Superior gluteal nerve palsy of the
raised leg
D. Superior gluteal nerve palsy of the
fixed leg

Question 14
A positive Trendelenburg test
indicates
A. Inferior gluteal nerve palsy of the
raised leg
B. Inferior gluteal nerve palsy of the
fixed leg
C. Superior gluteal nerve palsy of the
raised leg
D. Superior gluteal nerve palsy of the
fixed leg

Which drug for glaucoma?

A. 1-adrenoceptor agonists
B. 1-adrenoceptor antagonists
C. 2-adrenoceptor agonists
D. 2-adrenoceptor antagonists
E. 1-adrenoceptor agonists

2-adrenoceptor agonists

Question 16
What is the sensitivity of the
following screening test?
A. 40/55
40
15
B. 35/45
C. 40/50
10
35
D. 35/50
50
50
E. 50/100
Biopsy
positive

Biopsy
negative

Screenin
g test
positive

55

Screenin
g test
negative

45
100

Question 16
What is the sensitivity of the
following screening test?
A. 40/55
40
15
55
B. 35/45
C. 40/50 true positive/positive test
10
35
45
results
50
50
100
D. 35/50
E. 50/100
Biopsy
positive

Screenin
g test
positive

Screenin
g test
negative

Biopsy
negative

Question 44
Following a neurological examination of the lower
limb, a patient presents with a + knee jerk reflex,
decreased power of knee extension and is unable
to feel vibration or pain sensation on the lateral
aspect of their thigh. What structure is most
likely to be affected?
A. Sciatic nerve
B. Obturator nerve
C. Femoral nerve
D. Tibial nerve
E. Common fibular nerve

Question 44
Following a neurological examination of the lower
limb, a patient presents with a + knee jerk reflex,
decreased power of knee extension and is unable
to feel vibration or pain sensation on the lateral
aspect of their thigh. What structure is most
likely to be affected?
A. Sciatic nerve
B. Obturator nerve
C. Femoral nerve
D. Tibial nerve
E. Common fibular nerve

Question 45
When completing an eye
examination, an enlarged optic disc
indicates
A. Clouding of the lens
B. Altered curvature of the cornea
C. Optic nerve atrophy
D. Angiogenesis of the vessels of the
eye
E. Increased intraocular pressure

Question 45
When completing an eye
examination, an enlarged optic disc
indicates
A. Clouding of the lens
B. Altered curvature of the cornea
C. Optic nerve atrophy
D. Angiogenesis of the vessels of the
eye
E. Increased intraocular pressure

Question 1
An elderly lady presents with osteoarthritis
of her right hip. She is asked to stand on
her right leg and her left hip drops. This is
most likely due to weakness of
A. Left gluteus medius
B. Left gluteus minimus
C. Right gluteus medius
D. Right gluteus minimus
E. Left gluteus maximus

Question 1
An elderly lady presents with osteoarthritis
of her right hip. She is asked to stand on
her right leg and her left hip drops. This is
most likely due to weakness of
A. Left gluteus medius
B. Left gluteus minimus
C. Right gluteus medius
D. Right gluteus minimus
E. Left gluteus maximus

Question 2
A patient presents with a below the knee cast
and complains that it is too tight. You are
worried it might be compressing the common
fibular nerve. Which of the following is most
likely to be affected
A. Flexor digitorum longus
B. Tibialis anterior
C. Flexor hallicus longus
D. Gastrocnemius
E. Soleus

Question 2
A patient presents with a below the knee cast
and complains that it is too tight. You are
worried it might be compressing the common
fibular nerve. Which of the following is most
likely to be affected
A. Flexor digitorum longus
B. Tibialis anterior
C. Flexor hallicus longus
D. Gastrocnemius
E. Soleus

Question 3
The lateral collateral ligament
A. Is longer than the medial collateral
ligament
B. Is weaker and more likely to tear
than the medial meniscus
C. Is attached to the head of fibula
D. Is attached to the lateral meniscus

Question 3
The lateral collateral ligament
A. Is longer than the medial collateral
ligament
B. Is weaker and more likely to tear
than the medial meniscus
C. Is attached to the head of fibula
D. Is attached to the lateral meniscus

Question 4
A football player presents after being tackled
and hearing a pop from his right knee. On
examination there is significant forward
sliding of the tibia on the femur. Which
structure is most likely to have ruptured?
A. MCL
B. LCL
C. PCL
D. ACL

Question 4
A football player presents after being tackled
and hearing a pop from his right knee. On
examination there is significant forward
sliding of the tibia on the femur. Which
structure is most likely to have ruptured?
A. MCL
B. LCL
C. PCL
D. ACL

Question 5
A ballerina presents with an inversion
injury. She has swelling and tenderness
around the base of the 5 th metatarsal. What
structure is most likely to be damaged?
A. Rupture of tibialis anterior tendon
B. Rupture of tibialis posterior tendon
C. Rupture of fibularis longus tendon
D. Rupture of fibularis brevis tendon
E. Rupture of flexor hallicus longus

Question 5
A ballerina presents with an inversion
injury. She has swelling and tenderness
around the base of the 5 th metatarsal. What
structure is most likely to be damaged?
A. Rupture of tibialis anterior tendon
B. Rupture of tibialis posterior tendon
C. Rupture of fibularis longus tendon
D. Rupture of fibularis brevis tendon
E. Rupture of flexor hallicus longus

Question 6
A elderly female patient presents with
a fracture neck of femur and requires a
hemiarthroplasty. Which artery most
likely been damaged?
A. Medial circumflex femoral artery
B. Lateral circumflex femoral artery
C. Superior gluteal artery
D. Inferior gluteal artery
E. Artery of ligament of head of femur

Question 6
A elderly female patient presents with
a fracture neck of femur and requires a
hemiarthroplasty. Which artery most
likely been damaged?
A. Medial circumflex femoral artery
B. Lateral circumflex femoral artery
C. Superior gluteal artery
D. Inferior gluteal artery
E. Artery of ligament of head of femur

Question 7
A surgeon needs to insert a catheter into the femoral
artery to perform an angiogram. The femoral artery
can be found?
A. At the mid-inguinal point
B. At the mid-point of the inguinal ligament
C. Medial to the femoral nerve
D. Lateral to the femoral nerve
E. A and C
F. A and D
G. B and C
H. B and D

Question 7
A surgeon needs to insert a catheter into the femoral
artery to perform an angiogram. The femoral artery
can be found?
A. At the mid-inguinal point
B. At the mid-point of the inguinal ligament
C. Medial to the femoral nerve
D. Lateral to the femoral nerve
E. A and C
F. A and D
G. B and C
H. B and D

Question 8
A patient present with a positive
Trendelenburgs sign when raising their
right leg. Which nerve is most likely
affected?
A. Right superior gluteal nerve
B. Right inferior gluteal nerve
C. Left superior gluteal nerve
D. Left inferior gluteal nerve
E. Sciatic nerve

Question 8
A patient present with a positive
Trendelenburgs sign when raising their
right leg. Which nerve is most likely
affected?
A. Right superior gluteal nerve
B. Right inferior gluteal nerve
C. Left superior gluteal nerve
D. Left inferior gluteal nerve
E. Sciatic nerve

Question 9
A patient complains of paraesthesia down the
lateral side of their leg to their foot. It is found that
the sciatic nerve is compressed. To exit the pelvis,
the sciatic nerve
A. Runs through the lesser sciatic foramen
B. Runs through the greater sciatic foramen
superior to piriformis
C. Runs through the greater sciatic foramen inferior
to piriformis
D. Runs through the obturator foramen
E. Runs deep to the inguinal ligament

Question 9
A patient complains of paraesthesia down the
lateral side of their leg to their foot. It is found that
the sciatic nerve is compressed. To exit the pelvis,
the sciatic nerve
A. Runs through the lesser sciatic foramen
B. Runs through the greater sciatic foramen
superior to piriformis
C. Runs through the greater sciatic foramen inferior
to piriformis
D. Runs through the obturator foramen
E. Runs deep to the inguinal ligament

Question 10
A footballer sustains an avulsion
fracture to their semimembranosus of
their right leg. Semimembranosus
originates from
A. Ischial tuberosity
B. Lateral lip of linea aspera
C. Gluteal line of femur
D. Great trochanter
E. Ischiopubic ramus

Question 10
A footballer sustains an avulsion
fracture to their semimembranosus of
their right leg. Semimembranosus
originates from
A. Ischial tuberosity
B. Lateral lip of linea aspera
C. Gluteal line of femur
D. Great trochanter
E. Ischiopubic ramus

Question 1
A footballer gets his index finger caught in an
opponents jumper when attempting to tackle.
There is no apparent deformity but he cannot
flex the distal phalange of his index finger. This
injury is most likely a
A. Rupture of the flexor digitorum profundus
B. Rupture of the flexor digitorum superficialis
C. Rupture of extensor indicis
D. Rupture of the distal collateral ligament
E. Rupture of the extensor hood

Question 1
A footballer gets his index finger caught in an
opponents jumper when attempting to tackle.
There is no apparent deformity but he cannot
flex the distal phalange of his index finger. This
injury is most likely a
A. Rupture of the flexor digitorum profundus
B. Rupture of the flexor digitorum superficialis
C. Rupture of extensor indicis
D. Rupture of the distal collateral ligament
E. Rupture of the extensor hood

Question 2
Which of the following bones is not
connected to the flexor retinaculum?
A. Scaphoid
B. Lunate
C. Trapezium
D. Hamate
E. Pisiform

Question 2
Which of the following bones is not
connected to the flexor retinaculum?
A. Scaphoid
B. Lunate
C. Trapezium
D. Hamate
E. Pisiform

Question 3
Which of the carpal
bones is mostly
commonly fractured
on a fall on an out
stretched hand?
A. 1
B. 2
C. 3
D. 4
E. 5

4 3 5
2 1

Question 3
Which of the carpal
bones is mostly
commonly fractured
on a fall on an out
stretched hand?
A. 1
B. 2
C. 3
D. 4
E. 5

4 3 5
2 1

Question 4
A patient presents with pain and
paraesthesia in their thumb, index and
middle fingers. What nerve is mostly
likely affected?
A. Ulna nerve
B. Radial nerve
C. Median nerve
D. Superficial branch of the radial
nerve
E. Superficial branch of the ulna nerve

Question 4
A patient presents with pain and
paraesthesia in their thumb, index and
middle fingers. What nerve is mostly
likely affected?
A. Ulna nerve
B. Radial nerve
C. Median nerve
D. Superficial branch of the radial
nerve
E. Superficial branch of the ulna nerve

Question 5
The patient is diagnosed with carpal
tunnel syndrome. Which of the
following structures does not pass
through the carpal tunnel?
A. Tendons of flexor digitorum
profundus
B. Tendons of flexor digitorum
superficialis
C. Median nerve
D. Tendon of flexor pollicis longus

Question 5
The patient is diagnosed with carpal
tunnel syndrome. Which of the
following structures does not pass
through the carpal tunnel?
A. Tendons of flexor digitorum
profundus
B. Tendons of flexor digitorum
superficialis
C. Median nerve
D. Tendon of flexor pollicis longus

Question 6
The patient later admits to
experiencing some weakness in their
hand too. Which muscles are most
likely to be affected?
A. Dorsal interossei
B. Palmar interossei
C. Hypothenar muscle
D. Thenar muscles
E. Palmaris brevis

Question 6
The patient later admits to
experiencing some weakness in their
hand too. Which muscles are most
likely to be affected?
A. Dorsal interossei
B. Palmar interossei
C. Hypothenar muscle
D. Thenar muscles
E. Palmaris brevis

Question 7
A doctor wishes to insert a short-term
IV cannula into the cephalic vein.
Where can it be easily found and
accessed?
A. Lateral to the styloid process of the
ulna
B. Between the index and middle
fingers on the dorsum of the hand
C. Over the anatomical snuffbox
D. Medial to the styloid process of the

Question 7
A doctor wishes to insert a short-term
IV cannula into the cephalic vein.
Where can it be easily found and
accessed?
A. Lateral to the styloid process of the
ulna
B. Between the index and middle
fingers on the dorsum of the hand
C. Over the anatomical snuffbox
D. Medial to the styloid process of the

Question 8
A patient presents with a spiral
fracture of the humerus. Which of the
following actions is most likely to be
affected?
A. Flexion of the wrist
B. Extension of the wrist
C. Pronation
D. Supination
E. Flexion of the elbow

Question 8
A patient presents with a spiral
fracture of the humerus. Which of the
following actions is most likely to be
affected?
A. Flexion of the wrist
B. Extension of the wrist
C. Pronation
D. Supination
E. Flexion of the elbow

Surgical neck of humerus, what

nerve?

Axillary nerve

Radial groove on humerus, which

nerve, what fracture?

 in spiral fracture
Radial groove radial nerve

Distal end of humerus, what nerve

is affected?

Median nerve

Medial epicondyle; what nerve is

affected

Ulnar nerve

Nerve roots in brachial

reflex?

C5-6

Which part of the brachial plexus is

endangered if the clavicle is fractured?

Divisions

Femoral nerve injury

How
Motor and sensory deficits?

 Hip/pelvic fracture
Stab/gunshot
Motor: knee extension and thigh
flexion
Sensory: anterior and medial thigh &
lower leg

Obturator nerve injury

How
Motor/sensory deficits

 Anterior hip dislocation

Motor: thigh adduction
Sensory: medial thigh

Lateral cutaneous nerve of thigh

injury
How
Motor/sensory deficits

Meralgia paraesthesia
Compression near ASIS
Sensory: lateral and posterior thigh

LL reflexes.

 Knee L3/4 (femoral)

Ankle S1/S2 (sciatic)
Babinski L5/S1

Tibial Nerve Injury

How
Motor/sensory deficits

 Posterior knee dislocation

Rare popliteal laceration
Motor: foot plantar flexion and
inversion
Sensory: sole of foot

Common peroneal nerve

injury
How
Motor/sensory deficits

 Injury at neck of fibula

Tightly applied lower limb plaster
case
FOOT DROP
Motor foot dorsiflexion and
eversion, great toe extension
Sensory dorsum of foot and lower
lateral part of leg

Superior gluteal nerve injury

How
Motor/sensory deficits

 Misplaced IM injection
Hip surgery, pelvic #
Posterior hip dislocation
Motor: hip abduction
Positive trendelenburg sign

Inferior gluteal nerve injury

How
Motor/sensory deficits

 In association with sciatic nerve

injury
Cant jump or climb stairs
Cant rise from seated position
Motor: hip extension an lateral
rotation

Superficial vs deep fibular

nerves

 Deep foot drop; does sensory

between 1st and 2nd toes
Superficial cant evert foot, does
sensory for dorsum of foot except
between 1st and 2nd toes

Effect of cutting B? Function of E?

Action of D?

 B sensory loss to medial 1.5 digits

= ulnar nerve
E = abductor pollciis brevis abducts
thumb at 1st MP joint
D lumbricals. Flex MP, extend IP via
insertion into dorsal digital expansion

Effect of severance of the

nerves?

 A axillary nerve. Loss of deltoid, loss of

sensation over lateral aspect of
shoulder/upper arm
B radial nerve. Loss of power in triceps
(not all of it). Loss of all forearm extensors,
snesation on dorsum of forearm and part of
hand (snuffbox)
C ulnar nerve. Loss of sensation to medial
forearm and medial 1.5 digits. Loss of FCU,
of FDP and intrinsic hand muscles

What are C, D, E?

 C = talus neck
D = navicular
E = cuneiforms (intermediate)

What dermatomes?

 10: L5
11: S1

Borders and clinical importance of

the femoral triangle

Inguinal ligament superiorly

Meidal border or sartorius laterally
Medial border of adductor longus medially
Floor: pectineus

Importance:
Placement of femoral nerve blocks
Femoral artery puncture
Femoral hernias

Contents; NAVY
Nerve
Artery
Vein
Y (between the legs)

Mid inguinal point vs mid point of

inguinal ligament

 Mid inguinal point: halfway between

ASIS and pubic symphysis
Femoral ARTERY

Mid point of inguinal ligament

Femoral NERVE

Where can you inject in the LL (2

spots)

 Gluteal upper outer quadrant

Middle third of vastus lateralis in the
thigh

Three mechanisms for ACL

injury

 Lead, land (+/- hyperextension) and

collapse
Running, change direction and
collapse
Collision
Pop sound
Swelling in < 2 hours

Haemarthrosis in knee
injury

ACL tear

Mechanism of injury to PCL?

Big hit to anterior aspect of

proximal tibia
MVA, knee hits dashboard
Ruck contest
Knee bangs onto hard ground
O/E medial joint line, tibia sunk
backards

Knee unhappy triad?

 MCL
Medial meniscus tear
ACL

Most common ligament for ankle

sprain

Anterior talo-fibular
ligament

 What comes out of each of the pelvic

foramen?

 Greater sciatic sciatic nerve,

piriformis, pudendal nerve
Lesser sciatic - pudendal nerve (S24), obtruator internus
Obturator obturatory nerve, artery

Differences between above and

below the pectinate/dentate line?

 Above:
Columnar epithelium
IMA derived B.S, portal venous
Visceral motor with no pain fibres
Internal iliac LN

Below:
Keratinised, stratified epithelium
IIA derived BS, systemic venous
Somatic motor nerves
Superficial inguinal LN

 A 14 year-old male presents to his GP one- week

following internal fixation of an ankle fracture. He
complains of the plaster cast being tight, and suffers
anaesthesia and paraesthesia in the leg and foot.
Upon removal of the cast you notice an inability to
extend the ankle to any degree. Which nerve is most
likely involved?
Common fibular (peroneal)
Tibial
Superficial fibular
Deep fibular
Sural

Common fibular (peroneal)

 A patient has a restricted ability to

invert the foot. You suspect that the
patient has a peripheral neuropathy, but
affecting which nerve?
Sural
Tibial
Superficial fibular
Deep fibular
Common fibular

Tibial Nerve

 Which of the following muscle

attaches distally to the 1st
metatarsal?
Tibialis posterior
Flexor digitorum longus
Fibularis longus
Fibularis tertius
Flexor hallicus longus

Fibularis longus