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Questions and Answers
Which artery supplies the majority of blood to the forefoot?
Which artery supplies the majority of blood to the forefoot?
What muscle group is primarily supplied by the Obturator artery?
What muscle group is primarily supplied by the Obturator artery?
Which artery contributes to the blood supply of the pelvic diaphragm?
Which artery contributes to the blood supply of the pelvic diaphragm?
Which artery primarily supplies the lateral compartment of the leg?
Which artery primarily supplies the lateral compartment of the leg?
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Which artery is responsible for supplying the muscles of the anterior compartment of the lower leg?
Which artery is responsible for supplying the muscles of the anterior compartment of the lower leg?
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What type of movement occurs when the pelvis and lumbar spine move in the same direction?
What type of movement occurs when the pelvis and lumbar spine move in the same direction?
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Which muscles are primarily involved in producing a posterior pelvic tilt?
Which muscles are primarily involved in producing a posterior pelvic tilt?
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What is the normal Q-angle measurement in degrees?
What is the normal Q-angle measurement in degrees?
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Which muscle is innervated by the inferior gluteal nerve?
Which muscle is innervated by the inferior gluteal nerve?
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Which of the following statements about the Q-angle is true?
Which of the following statements about the Q-angle is true?
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What happens during contradirectional movement of the pelvis and lumbar spine?
What happens during contradirectional movement of the pelvis and lumbar spine?
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Which muscle primarily assists in hip hiking?
Which muscle primarily assists in hip hiking?
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What is the effect of a larger Q-angle on the knee joint?
What is the effect of a larger Q-angle on the knee joint?
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Which joint is involved in dorsiflexion and plantarflexion?
Which joint is involved in dorsiflexion and plantarflexion?
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What is the primary function of the Transverse Tarsal joint?
What is the primary function of the Transverse Tarsal joint?
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Which joints are involved in inversion and eversion of the foot?
Which joints are involved in inversion and eversion of the foot?
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Which joint of the foot is known as the 'Mortise' joint?
Which joint of the foot is known as the 'Mortise' joint?
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What is the primary function of the Rectus Femoris muscle?
What is the primary function of the Rectus Femoris muscle?
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The rearfoot pronation and forefoot supination occurs at which joint?
The rearfoot pronation and forefoot supination occurs at which joint?
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Which of the following muscles is responsible for flexing the leg at the knee and medially rotating it?
Which of the following muscles is responsible for flexing the leg at the knee and medially rotating it?
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Which of the following joints is involved in decreased mobility for foot stability during push-off?
Which of the following joints is involved in decreased mobility for foot stability during push-off?
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Which of the following statements about the subtalar joint is correct?
Which of the following statements about the subtalar joint is correct?
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What action does the Gastrocnemius perform when the leg is extended?
What action does the Gastrocnemius perform when the leg is extended?
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Which muscle is part of the deep layer of the posterior lower leg and assists in flexing the great toe?
Which muscle is part of the deep layer of the posterior lower leg and assists in flexing the great toe?
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What type of joint is the Intermetatarsal joint?
What type of joint is the Intermetatarsal joint?
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The Calcaneonavicular joint is formed by which two bones?
The Calcaneonavicular joint is formed by which two bones?
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What is the main action of the Adductor Longus muscle?
What is the main action of the Adductor Longus muscle?
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Which term describes the mechanism providing stability in the foot?
Which term describes the mechanism providing stability in the foot?
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Which artery provides the primary blood supply to the femoral head?
Which artery provides the primary blood supply to the femoral head?
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What action is performed by the Tibialis Anterior?
What action is performed by the Tibialis Anterior?
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Which muscle is responsible for laterally rotating the thigh and steadying the head of the femur?
Which muscle is responsible for laterally rotating the thigh and steadying the head of the femur?
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What is the role of the Popliteus muscle?
What is the role of the Popliteus muscle?
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Which muscle assists in weakly flexing the leg at the knee and is part of the superficial layer of the posterior lower leg?
Which muscle assists in weakly flexing the leg at the knee and is part of the superficial layer of the posterior lower leg?
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Which of the following ligaments is primarily injured during ankle inversion?
Which of the following ligaments is primarily injured during ankle inversion?
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What is the primary action of the Tibialis Anterior muscle at the ankle?
What is the primary action of the Tibialis Anterior muscle at the ankle?
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In an open chain environment, which movement components are involved in pronation?
In an open chain environment, which movement components are involved in pronation?
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Which ligament is responsible for supporting the medial longitudinal arch of the foot?
Which ligament is responsible for supporting the medial longitudinal arch of the foot?
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Which nerve is responsible for weakness in toe flexion and plantarflexion?
Which nerve is responsible for weakness in toe flexion and plantarflexion?
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During supination in closed chain kinematics, which describes the movement of the talus and calcaneus?
During supination in closed chain kinematics, which describes the movement of the talus and calcaneus?
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What motion occurs at the subtalar joint when inversion is performed?
What motion occurs at the subtalar joint when inversion is performed?
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Which muscle primarily assists in the eversion of the foot?
Which muscle primarily assists in the eversion of the foot?
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Which artery descends anteromedially to the first interosseous space and divides into plantar and arcuate arteries?
Which artery descends anteromedially to the first interosseous space and divides into plantar and arcuate arteries?
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Which of the following describes the open-packed position of Chopart's joint?
Which of the following describes the open-packed position of Chopart's joint?
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What are the two arteries that the posterior tibial artery divides into?
What are the two arteries that the posterior tibial artery divides into?
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What is the primary role of Plantar calcaneocuboid ligament?
What is the primary role of Plantar calcaneocuboid ligament?
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Which nerve descends through the popliteal fossa and runs inferiorly on Tibialis Posterior?
Which nerve descends through the popliteal fossa and runs inferiorly on Tibialis Posterior?
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What are the actions of the Gastrocnemius muscle at the ankle and knee?
What are the actions of the Gastrocnemius muscle at the ankle and knee?
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Where does the superficial fibular nerve arise from?
Where does the superficial fibular nerve arise from?
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What does full supination of the subtalar joint create?
What does full supination of the subtalar joint create?
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Which artery originates from the posterior tibial artery and descends in the posterior compartment?
Which artery originates from the posterior tibial artery and descends in the posterior compartment?
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What is the main function of the medial plantar nerve?
What is the main function of the medial plantar nerve?
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Which nerve branches from the tibial nerve and passes inferior to the lateral malleolus?
Which nerve branches from the tibial nerve and passes inferior to the lateral malleolus?
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What artery is important for palpation after a hip replacement or popliteal bypass?
What artery is important for palpation after a hip replacement or popliteal bypass?
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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)
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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.
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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.
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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)
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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.
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Muscle Compartments: Focus on the specific nerves innervating muscles within each compartment of the lower limb.
Biomechanics and Arthrokinematics (Unit 4)
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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.
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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!