Lumbar Plexus Anatomy Quiz
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Questions and Answers

What is the primary role of the obturator nerve in regards to muscle movement?

  • Bending and extending the leg from the thigh to the knee (correct)
  • Flexing the knee
  • Extending the spine
  • Rotating the arm
  • Which nerve is responsible for sensory innervation of the skin on the medial leg and foot?

  • Femoral nerve (correct)
  • Superior gluteal nerve
  • Obturator nerve
  • Inferior gluteal nerve
  • Which muscle is NOT supplied by the obturator nerve?

  • Adductor longus
  • Gluteus maximus (correct)
  • Gracilis
  • Adductor magnus
  • What structure does the sacral plexus primarily form from?

    <p>Ventral rami of L4-L5 and S1-S4</p> Signup and view all the answers

    Which nerve innervates the hip adductors?

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

    What is the primary sensory function of the pudendal nerve?

    <p>Supplies sensory information to the skin of the perineum</p> Signup and view all the answers

    Which muscle is associated with the superior gluteal nerve?

    <p>Tensor fasciae latae</p> Signup and view all the answers

    What is one of the sensory functions of the obturator nerve?

    <p>Sensory supply to the skin over the proximal part of the medial thigh</p> Signup and view all the answers

    Which muscle does the nerve to the quadratus femoris NOT innervate?

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

    Which nerve branches off the sciatic nerve?

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

    Which nerve exits through the greater sciatic foramen above the piriformis muscle?

    <p>Superior gluteal nerve</p> Signup and view all the answers

    Which area does the posterior femoral cutaneous nerve primarily innervate?

    <p>Posterior surface of the thigh</p> Signup and view all the answers

    Which of the following muscles is NOT innervated by the tibial nerve?

    <p>Short head of the biceps femoris</p> Signup and view all the answers

    What is the innervation of the external anal sphincter?

    <p>Pudendal nerve</p> Signup and view all the answers

    Which of the following is NOT a branch of the sacral plexus?

    <p>Long thoracic nerve</p> Signup and view all the answers

    Which structure does the tibial nerve primarily provide sensory rami to?

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

    Which nerve is primarily responsible for the sensory innervation of the dorsum of the foot?

    <p>Superficial fibular nerve</p> Signup and view all the answers

    What is the primary motor function of the deep fibular nerve?

    <p>Extension of the toes and dorsiflexion of the ankle</p> Signup and view all the answers

    Which of the following muscles is primarily responsible for lateral rotation of the knee?

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

    What sensory function is associated with the sural nerve?

    <p>Posterolateral leg and lateral side of the foot</p> Signup and view all the answers

    Which muscle does NOT receive innervation from the tibial nerve in the posterior compartment of the leg?

    <p>Short head of biceps femoris</p> Signup and view all the answers

    Which plantar nerve innervates digits IV and V?

    <p>Lateral plantar nerve</p> Signup and view all the answers

    Which region does the lateral cutaneous branch of the iliohypogastric nerve provide sensory innervation to?

    <p>Posterolateral gluteal region</p> Signup and view all the answers

    Which cutaneous nerve is formed by the lateral sural and medial sural nerves?

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

    Which spinal nerves contribute to the lumbar plexus?

    <p>L1 – L4 and T12</p> Signup and view all the answers

    What is the primary motor innervation provided by the iliohypogastric nerve?

    <p>Transvers abdominis muscle</p> Signup and view all the answers

    Which muscle is responsible for flexing the great toe?

    <p>Flexor hallucis longus</p> Signup and view all the answers

    What can result in damage to the iliohypogastric nerve?

    <p>Surgical trauma during appendectomy</p> Signup and view all the answers

    Which nerve arises from L1 and is positioned posterior to the psoas major?

    <p>Genitofemoral nerve</p> Signup and view all the answers

    What is the primary function of the ilioinguinal nerve?

    <p>Sensory innervation to the abdominal wall and groin</p> Signup and view all the answers

    Which muscle is NOT innervated by the iliohypogastric nerve?

    <p>Rectus abdominis</p> Signup and view all the answers

    Which condition can lead to burning pain in the suprapubic area associated with iliohypogastric nerve damage?

    <p>Rapid abdomen expansion during pregnancy</p> Signup and view all the answers

    What potential complication is associated with inguinal hernia repair regarding ilioinguinal nerve?

    <p>Chronic groin pain lasting over three months</p> Signup and view all the answers

    The upper lateral border of which muscle does the iliohypogastric nerve emerge from?

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

    Which of the following conditions can lead to ilioinguinal nerve damage?

    <p>Surgical trauma during hernia repairs</p> Signup and view all the answers

    Which area of the body does the lateral femoral cutaneous nerve primarily supply?

    <p>Anterior and lateral thigh</p> Signup and view all the answers

    Which muscles are supplied by the ilioinguinal nerve?

    <p>Transversus abdominis and internal oblique</p> Signup and view all the answers

    Which of the following correctly describes the genitofemoral nerve?

    <p>Divides into femoral and genital branches upon leaving the psoas major muscle</p> Signup and view all the answers

    What sensation is provided by the femoral branch of the genitofemoral nerve?

    <p>Anterior thigh skin</p> Signup and view all the answers

    The cremaster muscle is innervated by which nerve branch?

    <p>Genital branch of the genitofemoral nerve</p> Signup and view all the answers

    Study Notes

    Lumbar Plexus

    • Spinal nerves L1-L4 form the lumbar plexus
    • Contains contributions from the anterior ramus of T12

    Iliohypogastric Nerve (T12 - L1)

    • Innervates quadratus lumborum muscle and transversus abdominis muscle
    • Sensory branches supply skin on the posterolateral gluteal region and suprapubic region
    • Motor branches supply the transversus abdominis and internal oblique muscles

    Ilioinguinal Nerve (L1)

    • Located posterior to psoas major, anterior to quadratus lumborum
    • Passes through transverse abdominis and internal oblique muscles before exiting via the superficial inguinal ring
    • Sensory function for skin over the pubis and superior antero-medial thigh
    • Motor function for the transversus abdominis and internal oblique muscles

    Genitofemoral Nerve (L1-L2)

    • Divides into femoral branch, which supplies anterior skin of upper and medial thigh, and genital branch, which supplies anterior scrotal skin in males and mons pubis and labia majora in females.
    • Motor function for cremaster muscle in males

    Lateral Femoral Cutaneous Nerve (L2-L3)

    • Emerges from the lateral border of psoas major
    • Passes through the inguinal ligament
    • Supplies sensory input to the parietal peritoneum of the iliac fossa
    • Supplies the skin of the anterior and posterior lateral thigh to the knee

    Femoral Nerve (L2-L4)

    • Emerges from the lower lateral border of psoas major and passes below the inguinal ligament
    • Supplies motor and sensory innervation to the thigh and leg
    • Contains Anterior Compartment of Thigh
      • Sartorius
      • Pectineus
      • Psoas Major
      • Iliacus
    • Contains Extensors of Knee (Quadriceps Femoris)
      • Rectus femoris
      • Vastus lateralis
      • Vastus medialis
      • Vastus intermedius

    Obturator Nerve (L2-L4)

    • Enters the medial thigh through the obturator canal
    • Motor supply to the following muscles:
      • Obturator externus
      • Adductor longus
      • Adductor brevis
      • Adductor magnus
      • Gracilis
      • Pectineus
    • Sensory information across proximal medial thigh and articular branch

    Sacral Plexus

    • Formed by ventral rami of L4-L5 and S1-S4
    • Located on the posterior pelvic wall.

    Superior Gluteal Nerve (L4-S1)

    • Passes through the greater sciatic foramen superior to piriformis
    • Supplies Gluteus medius, Gluteus minimus, Tensor fascia latae

    Inferior Gluteal Nerve (L5-S2)

    • Passes through the greater sciatic foramen inferior to piriformis, superficial to sciatic nerve
    • Supplies Gluteus maximus

    Perforating Cutaneous Nerve (S2-S3)

    • Passes through the greater sciatic foramen
    • Supplies inferior medial regions of the buttock.

    Pudendal Nerve (S2-S4)

    • Supplies external urethral sphincter, external anal sphincter, penis/clitoris and perineum skin

    Sciatic Nerve (L4-S3)

    • Exits the pelvic cavity through the greater sciatic foramen
    • Divides into tibial and common fibular nerves
    • Supplies a variety of muscles and regions of the thigh and lower leg

    Tibial Nerve (Sciatic Nerve Branch)

    • Supplies muscles in the posterior compartment of the leg including plantaris, soleus, gastrocnemius.
    • Supplies deeper muscles including, popliteus, flexor digitorum longus, flexor hallucis longus, and tibialis posterior

    Common Fibular Nerve (Sciatic Nerve Branch)

    • Divides into superficial and deep fibular nerves
    • Supplies muscles in the lateral compartment of the leg, including fibularis longus and brevis
    • Provides sensory innervation to the sural nerve

    Superficial Fibular Nerve (Common Fibular Nerve Branch)

    • Supplies the muscles of the lateral compartment of the lower leg
    • Provides sensory innervation for the lateral foot and the distal anterior aspect of the lower leg

    Deep Fibular Nerve (Common Fibular Nerve Branch)

    • Supplies anterior compartment muscles of the lower leg
    • Sensory innervation to the triangular area between the 1st and 2nd toes

    Sural Nerve (S1-S2)

    • A mixed nerve that emerges from the medial and lateral sural cutaneous nerves
    • Provides sensory innervation to the skin of the posterior lateral leg from the knee to the heel, and the lateral dorsal foot

    Sciatic Nerve Injury

    • Causes include herniated discs, degenerative disk disease, injuries, and tumors/cysts
    • Manifestations include pain, paresthesia, numbness, and muscle weakness

    Superior Gluteal Nerve Injury

    • The Trendelenburg sign is a characteristic sign of injury
    • In a patient standing on the affected leg, the pelvis often drops on the opposite side

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    Description

    Test your knowledge on the anatomy and functions of the lumbar plexus. This quiz covers the key nerves and their sensory and motor functions, including the iliohypogastric, ilioinguinal, and genitofemoral nerves. Perfect for anatomy students and healthcare professionals.

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