Online Quiz: The Knee

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Created on August 19, 2022 By

Prof Kehinde Oluwadiya

Knee

Knee Quiz

The Knee Quiz

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Category: Knee

1. Which of the following structures can be missing in a completely stable and functional knee?

1. ACL

2. PCL

3. oblique ligament

4. patella

5. lateral collateral ligament

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Category: Knee

2. Tibialis anterior

1. Dorsiflexes and everts the foot

2. Arises from the upper 2/3s of the fibula

3. Inserts into the medial cuneiform

4. Shares its site of insertion with peroneus tertius

5. Is supplied by L5,S1

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Category: Knee

3. When standing, the knee joint is locked in extension by:

1. lateral rotation of the tibia

2. medial rotation of the femur

3. tightening of the medial ligament

4. tightening of the lateral ligament

5. tension in the oblique popliteal ligament

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Category: Knee

4. The ligament important in producing the screw home

1. Anterior cruciate ligament

2. Posterior cruciate ligament

3. Arcuate popliteal ligament

4. Patellar retinacula

5. e. All of the above

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Category: Knee

5. The obturator nerve:

1. adductor magnus

2. obturator internus

3. quadratus femoris

4. sartorius

5. inferior gemellus

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Category: Knee

6. Regarding the popliteal vessels:

1. the tibial nerve lies between the popliteal artery and vein

2. the sural arteries supply soleus

3. the middle genicular artery supplies the cruciate ligaments

4. lymph nodes lie alongside the popliteal artery

5. the popliteal artery enters the fossa on the lateral side of the femur

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Category: Knee

7. Which of the following structures lies within the knee joint?

1. Patella Ligament

2. tibia collateral ligament

3. fibular collateral ligament

4. tendon of popliteus

5. patella retinacular

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Category: Knee

8. In the upper part of the popliteal fossa the following are are found from medial to lateral:

1. popliteal artery, popliteal vein, sciatic vein

2. popliteal vein, popliteal artery, sciatic nerve

3. sciatic nerve, popliteal artery, popliteal vein

4. sciatic nerve, popliteal vein, popliteal artery

5. popliteal artery, sciatic nerve, popliteal vein

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Category: Knee

9. If the common peroneal nerve is divided the following are

1. plantar flexion of toes

2. inversion of foot

3. dorsiflexion of foot

4. plantar flexion of foot

5. there is no loss of cutaneous sensation

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Category: Knee

10. Regarding innervation of flexion/extension of the knee

1. All muscles of the quadriceps femoris are supplied by L3/4

2. Vastus medialis are intermedius are supplied by the same branch of the femoral nerve

3. Flexion of the knee by hamstrings is supplied solely by tibial component of sciatic nerve

4. Flexor innervation of the knee can be tested by knee jerk L3

5. Traumatic fracture dislocation of hip affects knee extension greater than flexion

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Category: Knee

11. Stability of the patella in knee extension is maintained

1. inferior fibres of vastus lateralis

2. relative prominence of the medial femoral condyle

3. inferior fibres of vastus medialis

4. tension of medial patella retinaculum

5. articularis genu muscle

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Category: Knee

12. The anterior cruciate ligament:

1. lies within the synovial membrane of the knee joint

2. attaches from the anterior tibial plateau to the medial condyle of the femur

3. prevents forward displacement of the femur on the tibial plateau

4. produces lateral rotation of the femur in the ‘screw home’ position of full extension

5. none of the above

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Category: Knee

13. The greatest factor in preventing lateral displacement of the patella during quadriceps contraction is

1. the forward prominence of the lateral condyle of the femur

2. the action of articularis genu

3. the action of vastus medialis

4. the action of rectus femoris

5. the tension of the medial patellar retinaculum

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Category: Knee

14. Of muscles and tendons crossing the knee

1. Popliteus medially rotates the femur to unlock the knee from extension

2. Soleus crosses the posterolateral aspect of the joint

3. Semitendinosis tendon passes anterior to the medial condyle

4. Gluteus maximus crosses the knee joint by way of the iliotibial tract

5. Biceps femoris inserts into the anterolateral aspect of the tibia

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Category: Knee

15. The stability of the weight bearing flexed knee is maintined

1. Anterior cruciate ligament

2. Ilio-tibial tract

3. Posterior cruciate ligmanet

4. Popliteus and posterior cruciate ligament

5. Arcuate popliteal ligament and anterior cruciate ligament

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Category: Knee

16. In the popliteal fossa

1. The sural nerve branches from the common peroneal nerve

2. The roof is formed by biceps femoris

3. The popliteal vein lies between the popliteal artery and tibial nerve

4. The inferomedial border is soleus

5. The politeal artery runs vertically

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Category: Knee

17. In the lateral compartment of the leg

1. The muscles are supplied by the deep peroneal nerve

2. The peroneus longus muscles arise only from the fibula

3. The peroneal muscle tendons are bound at the lateral malleolus by the inferior peroneal retinaculum

4. The peroneal muscles share a common synovial sheath at the lateral malleolus

5. The blood supply is from the anterior tibial artery

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Category: Knee

18. The nerve supply to the knee joint comes from:

1. ciatic

2. femoral

3. obturator

4. all of these

5. none of these

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Category: Knee

19. The cruciate anastomosis is NOT joined by:

1. transverse branch of the lateral circumflex A

2. descending branch of the internal pudendal A

3. ascending branch of the first perforating A

4. descending branch of the inferior gluteal A

5. transverse branch of the medial circumflex

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Category: Knee

20. With regards to the knee joint

1. The medial collateral ligament extends 8cm below the joint margin

2. The medial collateral ligament is extra-articular

3. The tenson of politeus is intra-articular

4. The lateral meniscus is more C-shaped

5. All of the avove

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Category: Knee

21. With regard to the stability of the knee joint

1. The posterior cruciate ligament prevents the femur from slipping posteriorly on the tibia

2. The lateral collateral ligament is more prone to damage than the medial

3. The medial meniscus is more prone to damage than the lateral

4. The integrity of the anterior cruciate ligament is most important when walking down stairs

5. The fit of the articular surfaces of the tibia and femur is the most important factor in providing stability to the knee

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Category: Knee

22. The knee:

1. the cruciate ligaments are intra-synovial

2. the posterior cruciate ligament stabilises the flexed weight-bearing knee

3. the posterior horn of the medial meniscus is attached to the intercondylar area of the tibia behind the posterior cruciate ligament

4. the knee joint normally contains 5.0ml of synovial fluid

5. active rotation may occur in the extended knee

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Category: Knee

23. The patellar plexus takes twigs from all but which of the following?

1. infrapatellar branch of the common peroneal nerve

2. medial femoral cutaneous nerve

3. lateral femoral cutaneous nerve

4. intermediate femoral cutaneous nerve

5. infrapatellar branch of the saphenous nerve

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Category: Knee

24. Regarding the movements at the knee joint:

1. popliteus ‘unlocks’ the extended knee by producing medial rotation of the femur

2. there is no active rotation of the extended knee

3. passive extension of the knee does not result in ‘locking’ of the joint

4. the posterior cruciate ligament prevents backward displacement of the femur on the tibial plateau

5. the major role of the menisci is in flexion/extension of the knee

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Category: Knee

25. Politeus

1. Arises from the tibia above the condyles

2. Slopes upwards and medially

3. Inserts into the lateral meniscus

4. In innervated by a branch of the common peroneal nerve

5. Acts to “lock” the knee in full extension

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Category: Knee

26. Popliteus muscle

1. Is a weak flexor of the knee

2. Is extracapsular

3. originates from the joint capsule

4. Is supplied by the femoral nerve

5. None of the above

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Category: Knee

27. The cruciate anastomsosis

1. Is supplied by the inferior branch of the medial circumflex femoral artery

2. Is supplied by the descending branch of the first perforating artery

3. Begins at the level of the greater trochanter

4. Is supplied by the transverse branch of the lateral circumflex femoral artery

5. Gives blood supply to the head of the femur

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Category: Knee

28. At the knee joint:

1. the fibular collateral ligament is attached to the lateral meniscus and joint capsule

2. there are three main gaps in the joint capsule

3. the tibial collateral ligament is tight in flexion

4. the posterior cruciate ligament is attached to the lateral condyle of the femur

5. the cruciate ligaments are sensitive and the menisci are not

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Category: Knee

29. The ‘screw-home’ movement in extension of the knee joint begins with tightening of the:

1. anterior cruciate ligament

2. oblique popliteal ligament

3. medial collateral ligament

4. lateral collateral ligament

5. posterior cruciate ligament

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Category: Knee

30. The cruciate ligaments would be anaesthetized by injury to

1. Femoral nerve

2. Common peroneal nerve

3. Tibial nerve

4. Obturator nerve

5. None of the above

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