Paid Orthobullet MCQs - Anatomy
Paid Orthobullet MCQs - Anatomy
Paid Orthobullet MCQs - Anatomy
1) Flexor tendons
2) Extensor tendon
3) Oblique retinacular ligament
4) Intrinsic muscles
5) 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?
PREFERRED RESPONSE 2
(SAE08UE.92) What are the two terminal branches of the lateral cord of the brachial plexus?
Review Topic
PREFERRED RESPONSE 1
(SAE09TR.47) The iliopectineal fascia runs between which of the following structures?
Review Topic
PREFERRED RESPONSE 3
(SAE08AN.100) The patient in Figure 55 is actively attempting to make a fist. This clinical
scenario suggests which of the following anatomic lesions? Review Topic
PREFERRED RESPONSE 1
(SAE12TR.4) What is the most common anatomic location of the lateral femoral cutaneous
nerve? Review Topic
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
PREFERRED RESPONSE 1
(SAE09TR.16) The axis of forearm rotation occurs between what two anatomic points?
Review Topic
PREFERRED RESPONSE 3
(SAE09FA.25) The peroneus tertius is a commonly used landmark for arthroscopic portal
placement. What is the function of this tendon? Review Topic
1) Dorsiflexion
2) Eversion
3) Dorsiflexion and eversion
4) Fifth toe extension
5) 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
PREFERRED RESPONSE 3
(SAE11AN.86) A sagittal MRI scan of the hindfoot and ankle is shown in Figure 86. The arrow
points to what structure? Review Topic
PREFERRED RESPONSE 1
1) Axillary
2) Median
3) Musculocutaneous
4) Radial
PREFERRED RESPONSE 3
(SAE08AN.97) Which of the following muscle tendons inserts just lateral to the long head of
biceps tendon on the proximal humerus? Review Topic
1) Teres major
2) Latissimus dorsi
3) Short head of the biceps
4) Pectoralis major
5) Subscapularis
PREFERRED RESPONSE 4
PREFERRED RESPONSE 4
PREFERRED RESPONSE 2
(SAE08AN.61) An axillary nerve lesion may cause weakness in the deltoid and the Review
Topic
1) teres major.
2) teres minor.
3) teres major and teres minor.
4) latissimus dorsi.
5) 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
1) intact sensation over the dorsal first web, index finger tip, and little finger tip.
2) intact sensation over the dorsal first web and index finger tip but not the little finger
tip.
3) intact sensation over the dorsal first web and little finger tip but not the index finger
tip.
4) intact sensation over the dorsal first web but not the index finger or little finger tips.
5) no sensation over the dorsal first web, index finger tip, and little finger tip.
PREFERRED RESPONSE 2
(SAE11AN.21) Figure 21 shows a coronal T1-weighted MRI scan of the knee. The arrow
indicates what anatomic structure? Review Topic
PREFERRED RESPONSE 3
(SAE07SM.93) An 18-year-old rugby player has had pain in his ring finger after missing a
tackle 1 week ago. Examination reveals tenderness in the distal palm, and he is unable to
actively flex the distal interphalangeal (DIP) joint. Radiographs are normal. What is the most
appropriate management? Review Topic
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
PREFERRED RESPONSE 2
(SAE08AN.49) The anatomy of the sciatic nerve as it exits the pelvis is best described as
exiting through the Review Topic
1) greater sciatic notch and passing between the inferior gemellus and the obturator
externus.
2) greater sciatic notch and passing between the piriformis and the superior gemellus.
3) obturator foramen and passing between the obturator internus and the obturator
externus.
4) lesser sciatic notch and passing between the piriformis and the superior gemellus.
5) lesser sciatic notch and passing between the superior gemellus and the inferior
gemellus.
PREFERRED RESPONSE 2
(SAE11AN.75) The peroneal division of the sciatic nerve innervates which of the following
muscles in the thigh? Review Topic
PREFERRED RESPONSE 2
(SAE11AN.88) An axial MRI scan of an ankle is shown in Figure 88. The arrow indicates what
tendinous structure? Review Topic
1. Posterior tibial
2. Peroneus longus
3. Peroneus brevis
4. Flexor digitorum longus
5. Flexor hallucis longus
PREFERRED RESPONSE 5
(SAE11AN.3) Which of the following vascular structures provides the most significant
secondary contribution to the blood supply of the femoral head? Review Topic
PREFERRED RESPONSE 3
(SAE08OS.95) Figure 31 shows an MRI scan of a left shoulder. The arrow is pointing to what
structure? Review Topic
PREFERRED RESPONSE 1
(SAE11AN.12) Figure 12a shows a cross section of the pelvis at the level of the greater
trochanters. What structure is marked with the arrow? Review Topic
1) Adductor magnus
2) Obturator internus
3) Obturator externus
4) Pectineus
5) Adductor brevis
PREFERRED RESPONSE 2
(SAE11AN.79) Figure 79a shows the cross-section image of the mid thigh. What structure is
marked by the arrow? Review Topic
1) Biceps femoris
2) Adductor magnus
3) Semitendinosus
4) Gracilis
5) Semimembranosus
PREFERRED RESPONSE 5
(SAE11AN.37) During the posterolateral approach to the hip, the sciatic nerve is most
frequently identified passing between which of the following structures? Review Topic
PREFERRED RESPONSE 3
(SAE11AN.93) Figure 93 shows an arthroscopic view of a left shoulder (posterior portal,
beach chair position). The asterisk indicates what anatomic structure? Review Topic
1) Subscapularis
2) Superior glenohumeral ligament
3) Middle glenohumeral ligament
4) Anterior labrum
5) Biceps tendon
PREFERRED RESPONSE 3
1) Axillary
2) Median
3) Musculocutaneous
4) Radial
5) 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
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
PREFERRED RESPONSE 2
(SAE08AN.55) Which of the following muscles has dual innervation? Review Topic
1) Pronator teres
2) Flexor digitorum superificialis
3) Coracobrachialis
4) Latissimus dorsi
5) Brachialis
PREFERRED RESPONSE 5
(SAE12SN.77) In approaching the lateral lumbar spine through the psoas, the
lumbosacral plexus is in danger of being injured. The location of the plexus is best
described as which of the following? Review Topic
1) More dorsal in the upper lumbar spine and more ventral in the lower lumbar
spine
2) More ventral in the upper lumbar spine and more dorsal in the lower lumbar
spine
3) Equally dorsal (junction of anterior two thirds and posterior one third) in the
psoas along the lumbar spine
4) Equally ventral (junction of anterior one third and posterior two thirds)in the
psoas along the lumbar spine
5) In the midportion of the psoas along the lumbar spine
PREFERRED RESPONSE 1
1) Trendelenburg sign
2) Flexion, adduction and internal rotation test
3) Ober test
4) Patrick test
5) Thomas test
PREFERRED RESPONSE 1
(SAE08AN.65) Which of the following tendons is found in the same dorsal
compartment of the wrist as the posterior interosseous nerve? Review Topic
PREFERRED RESPONSE 4
1) Lateral bands
2) Sagittal bands
3) Central slip
4) Oblique retinacular ligament
5) A healed but lengthened terminal extensor tendon
PREFERRED RESPONSE 4
(SAE08AN.4) When performing surgical excision of the lesion shown in the MRI
scan in Figure 3, what nerve is most likely at risk? Review Topic
PREFERRED RESPONSE 3
(SAE11AN.78) What osseous ridge separates the femoral attachments of the
anteromedial and posterolateral bundles of the anterior cruciate ligament? Review
Topic
PREFERRED RESPONSE 2
1) Genitofemoral
2) Ilioinguinal
3) Femoral
4) Lateral femoral cutaneous
5) Iliohypogastric
PREFERRED RESPONSE 1
(SAE11AN.51) During an anterior approach to the shoulder, what is the most likely
arterial structure to be encountered in the superior extent of the deltopectoral interval
(just distal to the anterior edge of the clavicle)? Review Topic
PREFERRED RESPONSE 1
(SAE11AN.6) Figure 6 shows a sagittal oblique MRI scan of a right shoulder. The
asterisk indicates what anatomic structure? Review Topic
1) Subscapularis
2) Supraspinatus
3) Infraspinatus
4) Teres minor
5) Teres major
PREFERRED RESPONSE 1
PREFERRED RESPONSE 1
(SAE09TR.50) A 35-year-old man sustained a 1-inch stab incision in his proximal
forearm while trying to use a screwdriver 2 weeks ago. The laceration was routinely
closed, and no problems about the incision site were noted. He now reports that he has
been unable to straighten his fingers or thumb completely since the injury. Clinical
photographs shown in Figures 30a and 30b show the man passively flexing the wrist.
What is the most appropriate management? Review Topic
PREFERRED RESPONSE 4
(SAE11AN.61) Figure 61a shows the cross-sectional anatomy of the pelvis at the
level of the femoral heads. What structure is marked by the arrow? Review Topic
1) Rectus femoris
2) Sartorius
3) Iliacus
4) Obturator externus
5) Tensor fascia lata
PREFERRED RESPONSE 3
(SAE08OS.92) Which of the following neurovascular structures is closest to the
posterior capsule of the knee? Review Topic
1) Popliteal vein
2) Popliteal artery
3) Posterior tibial nerve
4) Common peroneal nerve
5) Sural nerve
PREFERRED RESPONSE 2
(SAE13PE.74) The main blood supply to the capital femoral epiphysis in a 10-year-
old child is supplied from the Review Topic
PREFERRED RESPONSE 4
PREFERRED RESPONSE 1
(SAE09TR.70) What vessel is marked with an asterisk in Figure 44? Review Topic
1) Obturator artery
2) Inferior epigastric artery
3) Superior gluteal artery
4) Internal pudendal artery
5) Lateral sacral artery
PREFERRED RESPONSE 3
(SAE08AN.95) Figure 53 shows the arteriogram of a 45-year-old man who has severe
vasculitis. What do the findings show? Review Topic
PREFERRED RESPONSE 3
(SAE11AN.39) Extended exposure of the posteromedial aspect of the knee can be
obtained using the interval between the medial border of the gastrocnemius and the
posterior border of the semimembranosus tendon. Further exposure of the
posteromedial tibial surface or the posterior cruciate ligament (PCL) fossa requires
dissection of what structure? Review Topic
1) Popliteus
2) Plantaris
3) Semitendinosus
4) Gracilis
5) Soleus
PREFERRED RESPONSE 1
1) Quadriceps
2) Adductor longus
3) Iliacus
4) Sartorius
5) 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?
PREFERRED RESPONSE 1
(SAE10HK.13) During surgical hip dislocation for the management of femoral
acetabular impingement, preservation of what structure is paramount to maintaining
vascularity to the femoral head? Review Topic
1) Metaphyseal vessels
2) Medial epiphyseal artery
3) Superficial branch of the medial femoral circumflex artery
4) Deep branch of the lateral femoral circumflex artery
5) Deep branch of the medial femoral circumflex artery
PREFERRED RESPONSE 5
PREFERRED RESPONSE 3
(SAE10SM.3) Which of the following statements best describes the anatomy of the
sartorial branch of the saphenous nerve during medial meniscal repair? Review Topic
PREFERRED RESPONSE 4
(SAE11AN.58) Following a posterior approach to the radius (dorsal Thompson), the
patient is unable to extend his thumb and index finger at the metacarpophalangeal
joint. He has sensation to the radial forearm and dorsal thumb and can extend his wrist
but with radial deviation. What nerve was injured? Review Topic
1) Radial
2) Posterior interosseous
3) Anterior interosseous
4) Median
5) Musculocutaneous
PREFERRED RESPONSE 2
PREFERRED RESPONSE 1
(SAE11AN.38) Figure 38a shows the cross-sectional anatomy of the proximal thigh.
What structure is indicated by the arrow? Review Topic
1) Adductor magnus
2) Adductor longus
3) Adductor brevis
4) Sartorius
5) Gracilis
PREFERRED RESPONSE 2