IFS-2 Comprehensive Exam: Foot and Ankle Joints
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Questions and Answers

Which artery supplies the majority of blood to the forefoot?

  • Lateral Plantar artery
  • Fibular artery
  • Dorsalis Pedis artery (correct)
  • Anterior Tibial artery
  • What muscle group is primarily supplied by the Obturator artery?

  • Muscles of the Medial Compartment (correct)
  • Hamstrings
  • Gluteal muscles
  • Anterior Tibial muscles
  • Which artery contributes to the blood supply of the pelvic diaphragm?

  • Perforating artery
  • Popliteal artery
  • Inferior Gluteal artery (correct)
  • Superior Gluteal artery
  • Which artery primarily supplies the lateral compartment of the leg?

    <p>Fibular (Peroneal) artery</p> Signup and view all the answers

    Which artery is responsible for supplying the muscles of the anterior compartment of the lower leg?

    <p>Anterior Tibial artery</p> Signup and view all the answers

    What type of movement occurs when the pelvis and lumbar spine move in the same direction?

    <p>Ipsidirectional</p> Signup and view all the answers

    Which muscles are primarily involved in producing a posterior pelvic tilt?

    <p>Hip extensors and rectus abdominis</p> Signup and view all the answers

    What is the normal Q-angle measurement in degrees?

    <p>10° - 15° valgus</p> Signup and view all the answers

    Which muscle is innervated by the inferior gluteal nerve?

    <p>Gluteus Maximus</p> Signup and view all the answers

    Which of the following statements about the Q-angle is true?

    <p>An abnormal Q-angle is greater than 20°.</p> Signup and view all the answers

    What happens during contradirectional movement of the pelvis and lumbar spine?

    <p>The pelvis rotates anteriorly while the lumbar spine maintains lordosis.</p> Signup and view all the answers

    Which muscle primarily assists in hip hiking?

    <p>Quadratus Lumborum</p> Signup and view all the answers

    What is the effect of a larger Q-angle on the knee joint?

    <p>It increases the risk of patellofemoral joint pathologies.</p> Signup and view all the answers

    Which joint is involved in dorsiflexion and plantarflexion?

    <p>Talocrural joint</p> Signup and view all the answers

    What is the primary function of the Transverse Tarsal joint?

    <p>Stabilize the foot on uneven terrain</p> Signup and view all the answers

    Which joints are involved in inversion and eversion of the foot?

    <p>Calcaneocuboid and Talonavicular joints</p> Signup and view all the answers

    Which joint of the foot is known as the 'Mortise' joint?

    <p>Talocrural joint</p> Signup and view all the answers

    What is the primary function of the Rectus Femoris muscle?

    <p>Extend leg at the knee and flex thigh at the hip</p> Signup and view all the answers

    The rearfoot pronation and forefoot supination occurs at which joint?

    <p>Transverse Tarsal joint</p> Signup and view all the answers

    Which of the following muscles is responsible for flexing the leg at the knee and medially rotating it?

    <p>Semitendinosus</p> Signup and view all the answers

    Which of the following joints is involved in decreased mobility for foot stability during push-off?

    <p>Tarsometatarsal joint</p> Signup and view all the answers

    Which of the following statements about the subtalar joint is correct?

    <p>It allows for movement in the frontal plane.</p> Signup and view all the answers

    What action does the Gastrocnemius perform when the leg is extended?

    <p>Plantarflex the ankle</p> Signup and view all the answers

    Which muscle is part of the deep layer of the posterior lower leg and assists in flexing the great toe?

    <p>Flexor Hallucis Longus</p> Signup and view all the answers

    What type of joint is the Intermetatarsal joint?

    <p>Plane joint</p> Signup and view all the answers

    The Calcaneonavicular joint is formed by which two bones?

    <p>Calcaneus and Navicular</p> Signup and view all the answers

    What is the main action of the Adductor Longus muscle?

    <p>Adduct the thigh</p> Signup and view all the answers

    Which term describes the mechanism providing stability in the foot?

    <p>Screw-home mechanism</p> Signup and view all the answers

    Which artery provides the primary blood supply to the femoral head?

    <p>Medial Femoral Circumflex Artery</p> Signup and view all the answers

    What action is performed by the Tibialis Anterior?

    <p>Dorsiflexes the ankle and inverts the foot</p> Signup and view all the answers

    Which muscle is responsible for laterally rotating the thigh and steadying the head of the femur?

    <p>Obturator Externus</p> Signup and view all the answers

    What is the role of the Popliteus muscle?

    <p>Unlocks the knee by rotating the femur</p> Signup and view all the answers

    Which muscle assists in weakly flexing the leg at the knee and is part of the superficial layer of the posterior lower leg?

    <p>Plantaris</p> Signup and view all the answers

    Which of the following ligaments is primarily injured during ankle inversion?

    <p>Anterior Talofibular Ligament</p> Signup and view all the answers

    What is the primary action of the Tibialis Anterior muscle at the ankle?

    <p>Dorsiflexion</p> Signup and view all the answers

    In an open chain environment, which movement components are involved in pronation?

    <p>Dorsiflexion, Eversion, Abduction</p> Signup and view all the answers

    Which ligament is responsible for supporting the medial longitudinal arch of the foot?

    <p>Plantar Calcaneonavicular Ligament</p> Signup and view all the answers

    Which nerve is responsible for weakness in toe flexion and plantarflexion?

    <p>Tibial Nerve</p> Signup and view all the answers

    During supination in closed chain kinematics, which describes the movement of the talus and calcaneus?

    <p>Talus moves laterally, Calcaneus moves medially</p> Signup and view all the answers

    What motion occurs at the subtalar joint when inversion is performed?

    <p>Adduction</p> Signup and view all the answers

    Which muscle primarily assists in the eversion of the foot?

    <p>Fibularis Brevis</p> Signup and view all the answers

    Which artery descends anteromedially to the first interosseous space and divides into plantar and arcuate arteries?

    <p>Anterior Tibial Artery</p> Signup and view all the answers

    Which of the following describes the open-packed position of Chopart's joint?

    <p>Midway between supination and pronation</p> Signup and view all the answers

    What are the two arteries that the posterior tibial artery divides into?

    <p>Medial and Lateral Plantar Arteries</p> Signup and view all the answers

    What is the primary role of Plantar calcaneocuboid ligament?

    <p>Support Lateral Longitudinal Arch</p> Signup and view all the answers

    Which nerve descends through the popliteal fossa and runs inferiorly on Tibialis Posterior?

    <p>Tibial Nerve</p> Signup and view all the answers

    What are the actions of the Gastrocnemius muscle at the ankle and knee?

    <p>Plantarflex ankle when the leg is extended, flex knee</p> Signup and view all the answers

    Where does the superficial fibular nerve arise from?

    <p>Between fibularis longus and neck of fibula</p> Signup and view all the answers

    What does full supination of the subtalar joint create?

    <p>Rigidity for propulsion forward</p> Signup and view all the answers

    Which artery originates from the posterior tibial artery and descends in the posterior compartment?

    <p>Fibular Artery</p> Signup and view all the answers

    What is the main function of the medial plantar nerve?

    <p>Divides into muscular and cutaneous branches</p> Signup and view all the answers

    Which nerve branches from the tibial nerve and passes inferior to the lateral malleolus?

    <p>Sural Nerve</p> Signup and view all the answers

    What artery is important for palpation after a hip replacement or popliteal bypass?

    <p>Dorsalis Pedis Artery</p> Signup and view all the answers

    Study Notes

    Study Guide for IFS-2 Comprehensive Exam

    • Exam Structure: The exam covers units 1-7, with units 6-7 comprising 40-50% of the IFS-2 portion. Students should not underestimate the importance of any unit, even those with fewer items. Mastery of biomechanics, neuroanatomy, gross anatomy, and physiology are essential for upper-level courses.

    Foot and Ankle Joints (Units 6-7)

    • Joint Overview: This section focuses on the joints of the foot and ankle, including the talocrural, subtalar, transverse tarsal, metatarsophalangeal (MTP), and calcaneocuboid joints. Understanding their locations and functions is crucial for the exam.

    • Joint Structure: Examining the joints in detail from proximal to distal:

      • Talocrural joint: Formed by the tibia, fibula, and talus, it enables dorsiflexion and plantarflexion.
      • Subtalar joint: Located between the talus and calcaneus, supporting inversion and eversion of the foot.
      • Transverse tarsal joint (Chopart's joint): A primary stabilizer for uneven terrain, with talonavicular and calcaneocuboid joints.
        • Closed Chain Movement: Rearfoot pronation/Forefoot supination.
      • Distal intertarsal joints: Include important joints like the cuneonavicular joint and others.
      • Forefoot joints: Covering tarsometatarsal joints (supporting foot stability, especially for push-off), intermetatarsal joints, metatarsophalangeal joints, and interphalangeal joints.

    Innervation of the Leg (Unit 3)

    • Nerve Pathways: Review and understand the pathways of the obturator nerve, sciatic nerve branches (common fibular and tibial nerves), and their role in innervating muscles throughout the lower limb; this includes cutaneous innervation to the foot.

    • Muscle Compartments: Focus on the specific nerves innervating muscles within each compartment of the lower limb.

    Biomechanics and Arthrokinematics (Unit 4)

    • Ankle/Foot Movements: Understanding the planes and axes of dorsiflexion, plantarflexion, inversion, and eversion is essential, along with their open-chain and close-chain kinematics.

    • Ligaments: Be sure to review the function of the ligaments, including their role in static and dynamic stability of the joints.

      • Ankle: Anterior Talofibular, Calcaneofibular, Posterior Talofibular, and Deltoid Ligament.
      • Foot: Long plantar ligament, plantar calcaneocuboid and plantar calcaneonavicular (spring) ligament, supporting the medial longitudinal arch.

    Other Important Aspects

    • Muscle Actions: Thorough knowledge of the muscles in the lower leg and their actions (flexion, extension, adduction, abduction, and rotation) is vital for understanding the movement of the foot and ankle. Be aware of which nerves control each muscle group.
    • Nervous System Involvement: Review how the autonomic nervous system (sympathetic and parasympathetic) and spinal nerves influence the foot and ankle.
    • Blood Supply: A crucial area of study; familiarize yourself with the arteries (anterior and posterior tibial, dorsalis pedis, lateral and medial plantar) and their roles in blood flow to the lower extremities.
    • Additional Areas: Important considerations are the basics of ECGs and the blood supply to the heart.

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    Description

    This quiz covers Units 6-7 of the IFS-2 Comprehensive Exam, focusing specifically on the foot and ankle joints. Master concepts such as the talocrural, subtalar, and transverse tarsal joints, and their functions essential for biomechanics and anatomy. Prepare thoroughly to excel in your exam!

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