Musculoskeletal System Quiz

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Questions and Answers

Which muscle prevents dislocation of the patella?

  • Biceps femoris
  • Vastus medialis (correct)
  • Vastus lateralis
  • Vastus intermedius

Which type of fracture is associated with an underlying disease?

  • Pathological fracture (correct)
  • Compound fracture
  • Greenstick fracture
  • Buckle fracture

What is the common skeletal abnormality seen in osteomyelitis due to tuberculosis?

  • Elbow
  • Hip
  • Knee
  • Spine (correct)

What muscle is innervated by the medial plantar nerve?

<p>Abductor hallucis (D)</p> Signup and view all the answers

What is the most common complication of osteoporosis?

<p>Kyphoscoliosis (D)</p> Signup and view all the answers

What protein is most abundant in bone?

<p>Collagen I (D)</p> Signup and view all the answers

What is the length of a resting muscle fiber in a sarcomere in micrometers?

<p>2 (D)</p> Signup and view all the answers

Which cells are responsible for maintaining the bone matrix after formation?

<p>Osteocytes (A)</p> Signup and view all the answers

Which muscle is involved in hip stabilization?

<p>Left gluteus medius (B)</p> Signup and view all the answers

Where is the stethoscope placed during blood pressure measurement for percussion?

<p>Brachial artery over cubital fossa (D)</p> Signup and view all the answers

Which nerve is responsible for supplying the tibialis anterior muscle?

<p>Deep peroneal nerve (D)</p> Signup and view all the answers

What is the process called when osteoclast cells break down bone?

<p>Bone resorption (A)</p> Signup and view all the answers

Which factor has the maximum effect in promoting long-term positive health behavior changes?

<p>Behavior (D)</p> Signup and view all the answers

What effect does the Na-K pump have on the potential difference across the membrane?

<p>-4mV (C)</p> Signup and view all the answers

Which of the following cannot stimulate smooth muscle contraction?

<p>Somatic nerves (A)</p> Signup and view all the answers

At what stage do primary ossification centers typically appear in long bones?

<p>12th week of intrauterine life (A)</p> Signup and view all the answers

What term is used to describe the dislodged cartilage found in joints with osteoarthritis?

<p>Joint mice (B)</p> Signup and view all the answers

Which of the following is not a characteristic feature of smooth muscle?

<p>Cannot regenerate (C)</p> Signup and view all the answers

What forms the plantar arterial arch?

<p>Medial and lateral plantar arteries (D)</p> Signup and view all the answers

What is the function of calcitonin in the body?

<p>Decrease plasma calcium concentration (D)</p> Signup and view all the answers

Which artery accompanies the radial nerve in the radial groove of the humerus?

<p>Profunda brachii artery (D)</p> Signup and view all the answers

Which of these is not a branch of the tibial nerve in the leg?

<p>Great saphenous nerve (C)</p> Signup and view all the answers

The bicipital groove of the humerus accommodates which muscle tendon?

<p>Biceps brachii long tendon (D)</p> Signup and view all the answers

What is the main effect related to the Fenn effect in muscle contraction?

<p>Work done is proportional to ATP cleaved (B)</p> Signup and view all the answers

A comminuted fracture is characterized by which of the following?

<p>Fracture in multiple fragments (D)</p> Signup and view all the answers

Which nerve may be injured in a fracture of the shaft of the clavicle leading to neck pain?

<p>Supraclavicular nerves (B)</p> Signup and view all the answers

The primary action of the parathyroid hormone in the body is to increase the concentration of which substance in the plasma?

<p>Calcium (B)</p> Signup and view all the answers

Which vitamin related to vitamin D is synthesized in the skin?

<p>Cholecalciferol (D)</p> Signup and view all the answers

What distinguishes the lateral plantar artery from the medial plantar artery?

<p>It is larger than the medial plantar artery (C)</p> Signup and view all the answers

Which ligament is primarily damaged in shoulder injuries?

<p>Coracoacromial ligament (A)</p> Signup and view all the answers

Which teratogenic drug is known for causing malformation of limbs?

<p>Thalidomide (D)</p> Signup and view all the answers

At what anatomical position is the nipple typically located?

<p>4th intercostal space lateral to mid-clavicular line (D)</p> Signup and view all the answers

Which coenzyme is essential for hydroxylation in collagen synthesis?

<p>Ascorbate (D)</p> Signup and view all the answers

The medial malleolus is a feature of which long bone in the lower limb?

<p>Tibia (C)</p> Signup and view all the answers

Which nerve is affected when foot eversion is compromised?

<p>Common peroneal nerve (A)</p> Signup and view all the answers

What enhances the absorption of dietary calcium in the body?

<p>Calciferol (C)</p> Signup and view all the answers

What anatomical structure lies deep to the flexor retinaculum?

<p>Flexor digitorum profundus (A)</p> Signup and view all the answers

Which type of fibers transmit slow pain?

<p>C fibers (A)</p> Signup and view all the answers

Which neurotransmitter inhibits both slow and fast pain transmission in the dorsal horn of the spinal cord?

<p>Enkephalin (A)</p> Signup and view all the answers

In Lambert-Eaton Syndrome, autoantibodies are formed against which of the following?

<p>Presynaptic calcium channels (B)</p> Signup and view all the answers

What is the main role of the Na-K-ATPase pump?

<p>Maintain concentration differences of ions across the cell membrane (C)</p> Signup and view all the answers

Which muscle forms one of the boundaries of the popliteal fossa?

<p>Popliteus muscle (A)</p> Signup and view all the answers

Which muscle is considered the prime mover of medial rotation of the arm?

<p>Subscapularis (A)</p> Signup and view all the answers

What characterizes the feature of a claw hand?

<p>Hyperextension of metacarpophalangeal joints and flexion of interphalangeal joints (B)</p> Signup and view all the answers

What is likely the diagnosis for a child born with multiple fractures due to defective collagen synthesis?

<p>Osteogenesis imperfecta (D)</p> Signup and view all the answers

Flashcards

Where does the small saphenous vein terminate?

The small saphenous vein empties into the popliteal vein, located behind the knee.

What is the most powerful adductor and medial rotator of the arm?

Pectoralis major is the most powerful adductor and medial rotator of the arm. It's a large muscle located in the chest.

What forms the plantar arterial arch?

The plantar arterial arch is formed by the medial and lateral plantar arteries. It's located in the sole of the foot.

What is a comminuted fracture?

A comminuted fracture involves multiple bone fragments. It's a serious type of fracture where the bone is broken into several pieces.

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What does the bicipital groove contain?

The bicipital groove in the humerus houses the long head of the biceps tendon. It's a groove on the upper arm bone.

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What organ does parathyroid hormone act directly on to increase calcium levels?

The parathyroid hormone increases calcium levels in the blood by acting directly on bones. It helps regulate calcium balance in the body.

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What is the function of calcitonin?

Calcitonin decreases plasma calcium concentration by promoting the absorption of calcium into bones. It's a hormone that helps regulate calcium levels.

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What lymph nodes does the central axillary lymph node receive lymph from?

The central axillary lymph nodes receive lymph from the lateral, subscapular, and pectoral lymph nodes. They are located in the armpit area.

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Muscle preventing patella dislocation

The Vastus Medialis muscle, located on the medial side of the thigh, plays a crucial role in preventing the kneecap (patella) from dislocating. It helps stabilize the patella by pulling it inwards during knee extension.

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What is a pathological fracture?

A pathological fracture is a break in a bone caused by an underlying disease, such as osteoporosis, cancer, or infection. It occurs when the bone is already weakened and unable to withstand normal stress.

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Skeletal abnormality in TB osteomyelitis

Osteomyelitis due to tuberculosis commonly affects the spine, leading to skeletal abnormalities. This occurs because tuberculosis bacteria can infect and weaken the vertebral bones, resulting in deformities.

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Muscle innervated by the medial plantar nerve

The Abductor Hallucis muscle, located on the medial side of the foot, is innervated by the Medial Plantar Nerve. It is responsible for moving the big toe away from the other toes.

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How to prevent/treat osteoporosis

Senile and postmenopausal osteoporosis can be prevented and treated by supplementing with calcium and vitamin D. Calcium is essential for strong bones, and vitamin D helps your body absorb calcium.

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Actin filament attachment point

The Z disk is a structure in muscle fibers where actin filaments attach and extend in both directions. It is crucial for muscle contraction because it provides a point of attachment for the thin filaments.

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Great Saphenous Vein route

The Great Saphenous Vein travels superficially to the fascia lata (a tough fibrous membrane covering the thigh muscles) and anterior to the medial condyle of the tibia and femur (knee joint).

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Sesamoid bone in the tendon of Quadriceps Femoris

The Patella, or kneecap, is a sesamoid bone found in the tendon of the Quadriceps Femoris muscle. It's not specifically related to the Quadratus Femoris muscle.

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What is the potential difference generated by the Na-K pump?

The Na-K pump, also known as the sodium-potassium pump, is a protein found in the cell membrane that actively transports sodium ions (Na+) out of the cell and potassium ions (K+) into the cell. This process requires energy and is essential for maintaining the electrochemical gradient across the cell membrane, which is vital for nerve impulse transmission, muscle contraction, and other cellular processes. Each cycle of the pump moves 3 Na+ ions out and 2 K+ ions in, generating a potential difference which is approximately -3mV because there are more positive charges leaving the cell.

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What stimulates smooth muscle contraction?

Smooth muscles are involuntary muscles that are found in the walls of internal organs, such as the stomach, intestines, bladder, and blood vessels. They are responsible for various functions, including digestion, blood pressure regulation, and bladder control. Unlike skeletal muscles, smooth muscles are not directly controlled by conscious thought. They can be stimulated in various ways, namely by the autonomic nervous system, hormones, and local factors like stretch However, smooth muscles are not directly stimulated by somatic nerves. Somatic nerves control voluntary movements like conscious muscle contractions.

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When do primary ossification centers appear?

Primary ossification centers are regions within developing bones where bone formation initially begins. These centers start to appear in the long bones around the 12th week of intrauterine life. They serve as the foundation for the growth and development of long bones.

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What are joint Mice?

Joint mice are small pieces of cartilage or bone that break off from the articular cartilage within a joint. They can be caused by conditions like osteoarthritis, trauma, or a loose body within the joint. They are free-floating and can cause pain, stiffness, and locking of the joint.

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What is the shape of a smooth muscle cell?

Fusiform refers to the spindle-shaped structure of smooth muscle cells, which are thick in the middle and taper at both ends. This shape makes it possible for these cells to contract and relax easily.

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What is the most common acute leg injury in a tennis player?

The plantaris tendon is responsible for plantar flexion of the foot. It is often injured in athletes, especially tennis players, due to overuse and repetitive stress on the tendon. It is more commonly injured than the tendo calcaneus (Achilles tendon).

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Which artery runs alongside the radial nerve in the spiral groove of the humerus?

The profunda brachii artery, also known as the deep brachial artery, is a branch of the brachial artery. Running with the radial nerve, in the radial groove of the humerus, known as the spiral groove, it supplies blood to the muscles in the posterior compartment of the arm.

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What is related to the biceps brachii?

The bicipital aponeurosis is a flat, triangular sheet of fibrous tissue that is an extension of the biceps brachii tendon. It covers the coracobrachialis muscle and plays a role in stabilizing the shoulder joint.

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Left gluteus medius

The left gluteus medius is responsible for abducting (moving away from the body) the hip. It's a key muscle in walking and maintaining balance.

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Where is the stethoscope placed for a blood pressure reading?

During blood pressure measurement, the stethoscope is placed over the brachial artery, which is located in the cubital fossa (the crease of the elbow), to listen for the sounds of blood flow.

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Deep peroneal nerve: What muscle does it innervate?

The deep peroneal nerve innervates the tibialis anterior muscle, which plays a crucial role in dorsiflexing (bending the foot upwards) and inverting (turning the sole inward) the foot.

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Injury to the common peroneal nerve causes?

An injury to the common peroneal nerve would cause an inability to evert the foot (turn the sole outward). This nerve controls the muscles responsible for this movement.

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What is Bone resorption?

Bone resorption is the process where osteoclasts, specialized cells, break down bone tissue, releasing calcium and other minerals into the bloodstream.

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Slow pain

C fibers are responsible for transmitting slow, dull, aching pain, which is often described as throbbing or burning. They are unmyelinated, which accounts for the slower transmission speed.

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Enkephalin's role in pain

Enkephalins are endogenous opioid peptides that act as neurotransmitters in the central nervous system. They inhibit pain transmission by binding to opioid receptors in the dorsal horn of the spinal cord, reducing the release of pain signal neurotransmitters like glutamate and substance P.

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Lambert-Eaton Syndrome

Lambert-Eaton Syndrome is an autoimmune disorder characterized by the presence of autoantibodies against presynaptic calcium channels. This leads to impaired release of acetylcholine, causing muscle weakness.

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Claw hand Deformity

Damage to the ulnar nerve can lead to a characteristic 'claw hand deformity', characterized by hyperextension of the metacarpophalangeal joints and flexion of the interphalangeal joints of the fourth and fifth fingers.

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Na-K-ATPase pump

The Na-K-ATPase pump plays a crucial role in maintaining the concentration gradient of ions across the cell membrane. It actively moves 3 sodium ions (Na+) out of the cell for every 2 potassium ions (K+) pumped in. This process requires energy and helps establish and maintain the resting membrane potential.

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Prime mover for medial rotation

The subscapularis muscle is the primary medial rotator of the arm. It plays a vital role in shoulder stability and movement.

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Osteogenesis imperfecta

Osteogenesis imperfecta is a genetic disorder that affects collagen synthesis, leading to bones that are brittle and prone to multiple fractures. It often presents with bowing of the long bones.

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T-Tubules in contraction

The T-tubules are invaginations of the muscle membrane that carry the action potential into the interior of the muscle cell, ensuring that the signal reaches all sarcomeres simultaneously for effective muscle contraction.

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What ligament is damaged in an AC joint separation?

The coracoclavicular ligament is a strong ligament connecting the coracoid process of the scapula to the clavicle. It helps to stabilize the shoulder joint, preventing excessive movement and dislocation.

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Which teratogenic drug causes limb malformations?

Thalidomide is a teratogenic drug that can cause severe limb deformities in fetuses. It was widely used in the 1950s and 1960s as a sedative and anti-nausea medication before its harmful effects were discovered.

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Where is the anatomical position of the nipple?

The nipple is typically located in the 4th intercostal space, lateral to the mid-clavicular line. This is a consistent anatomical landmark used for various clinical assessments.

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What coenzyme is crucial in collagen synthesis?

Ascorbate, also known as Vitamin C, acts as a coenzyme in the hydroxylation process during collagen synthesis. It's essential for the formation of strong collagen fibers.

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What long bone forms the medial malleolus?

The medial malleolus is a prominent bony projection on the inner side of the ankle. It is formed by the distal end of the tibia, the main weight-bearing bone in the lower leg.

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What nerve is damaged when foot eversion is impaired?

The common peroneal nerve controls the muscles responsible for eversion (turning the foot outwards). Injury to this nerve can lead to difficulty in everting the foot, resulting in a characteristic foot drop.

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Which muscle is impaired when hip flexion, abduction, and lateral rotation are limited?

The sartorius muscle is the longest muscle in the human body. It allows for hip flexion, abduction (moving the leg away from the body), and lateral rotation of the thigh.

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What is damaged in carpal tunnel syndrome?

Carpal tunnel syndrome occurs when the median nerve is compressed at the wrist. This compression can cause numbness, tingling, and pain in the hand and fingers.

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Study Notes

Questions and Answers

  • Q1: Which muscle prevents patellar dislocation?

    • Vastus medialis
  • Q2: Fracture due to underlying disease?

    • Pathological fracture
  • Q3: Common skeletal abnormality in tuberculosis osteomyelitis?

    • Spine
  • Q4: Muscle innervated by medial plantar nerve?

    • Adductor hallucis
  • Q5: Senile/postmenopausal osteoporosis prevention/treatment?

    • Calcium and vitamin D supplementation
  • Q6: Actin filament attachment disk?

    • Z disk
  • Q7: Correct description of great saphenous vein?

    • Superficial to fascia lata
  • Q8: Sesamoid bone in quadratus femoris tendon?

    • Patella
  • Q9: Most common osteoporosis complication?

    • Kyphoscoliosis
  • Q10: Yellow/grayish membrane on larynx/pharynx?

    • Diphtheria
  • Q11: Muscle involved in shrugging shoulders?

    • Trapezius
  • Q12: Skin cancer (melanoma) from buttocks metastasis?

    • Horizontal group of superficial inguinal lymph nodes
  • Q13: Length of resting muscle fiber in sarcomere?

    • 2 micrometers
  • Q14: Abundant bone protein?

    • Collagen
  • Q15: Fibril-forming collagen most abundant in cartilage?

    • Type II collagen
  • Q16: Cells maintaining bone matrix?

    • Osteocytes
  • Q17: Not a complication of chronic osteomyelitis?

    • Secondary amyloidosis
  • Q18: Na-K pump potential difference?

    • -3 mV
  • Q19: Doesn't stimulate smooth muscle?

    • Somatic nerves
  • Q20: Primary ossification centers in long bones?

    • 12th week of intrauterine life
  • Q21: Cartilage pieces in osteoarthritis?

    • Joint mice
  • Q22: Not a feature of smooth muscle?

    • Cannot regenerate
  • Q23: Severe common acute leg injury in tennis players?

    • Plantaris tendon
  • Q24: Artery running with radial nerve in radial groove?

    • Axillary artery
  • Q25: Related to biceps brachii?

    • Bicipital aponeurosis
  • Q26: Not a branch of tibial nerve in leg?

    • Medial calcaneal branch
  • Q27: Fenn effect and work done?

    • Work done is proportional to ATP cleaved
  • Q28: Muscles forming the floor of femoral triangle?

    • Iliopsoas and pectineus and adductor longus
  • Q29: Winging of scapula cause?

    • Injury to long thoracic nerve
  • Q30: Vaccine specifically for older adults?

    • Influenza virus
  • Q31: Small saphenous vein termination?

    • Great saphenous vein
  • Q32: Most powerful adductor/medial rotator of arm?

    • Pectoralis major
  • Q33: Plantar arterial arch components?

    • Medial and lateral plantar arteries, and dorsalis pedis artery
  • Q34: Comminuted fracture description?

    • Fracture with splintered bones
  • Q35: Bicipital groove contents?

    • Short head of Biceps, Long head of biceps
  • Q36: Parathyroid hormone target to increase serum calcium levels?

    • Intestines
  • Q37: Calcitonin function?

    • Decreases plasma calcium concentration
  • Q38: Parathyroid hormone effect on plasma conc.?

    • Calcium
  • Q39: Central axillary lymph node drainage?

    • Lateral axillary lymph nodes
  • Q40: Fracture of clavicle causing neck pain affects which nerve?

  • Axillary nerve

  • Q41: Vitamin D type made in skin and taken in diet?

    • Cholecalciferol
  • Q42: Chondroitin sulfate components?

    • N-acetylgalactosamine sulfate + glucuronic acid
  • Q43: Collagen synthesis coenzyme?

    • Ascorbate
  • Q44: Myosin-actin binding ionic presence?

    • Calcium ions, ATP and Magnesium ions
  • Q45: Shoulder separation from clavicle injury?

    • Coracoclavicular ligament
  • Q46: Limb malformation teratogenic drug?

    • Thalidomide
  • Q47: Nipple anatomical position?

    • 4th intercostal space, lateral to mid-clavicular line
  • Q48: Collagen hydroxylation coenzyme?

    • Ascorbate
  • Q49: Medial malleolus bone?

    • Tibia
  • Q50: Nerve damaged with foot eversion impairment?

    • Common peroneal nerve
  • Q51: Tailor unable to flex/abduct/rotate thigh?

    • Sartorius
  • Q52: Carpal tunnel syndrome damage?

    • Median nerve
  • Q53: Dietary calcium absorption enhancement?

    • Calciferol
  • Q54: Deep to flexor retinaculum?

    • Flexor digitorum superficialis and Ulnar artery
  • Q55: Upper outer quadrant breast palpable mass lymph involvement?

    • Pectoral nodes
  • Q56: Anatomical structure not palpable in snuffbox apex?

    • Radial styloid process
  • Q57: Nerst equation relation in semipermeable membrane?

    • Concentration of many ions
  • Q58: Not a diagnostic criteria of rheumatoid arthritis?

    • Serum rheumatoid factor
  • Q59: Slow pain transmission fibers?

    • C fibers
  • Q60: Neurotransmitter inhibiting pain transmission?

    • Enkephalin
  • Q61: Autoantibodies in Lambert-Eaton Syndrome target?

    • Presynaptic calcium channels
  • Q62: Ape hand appearance related nerve damage?

    • Median nerve
  • Q63: Na-K-ATPase pump function relating to cell?

    • Maintains ion concentration difference across cell membrane
  • Q64: Muscle boundaries of popliteal fossa?

    • Popliteus muscle
  • Q65: Prime mover of medial arm rotation?

    • Subscapularis muscle
  • Q66: Claw hand feature?

    • Hyperextension of metacarpophalangeal joints, and flexion of interphalangeal joints
  • Q67: Excitation-contraction coupling structure?

    • T-Tubules
  • Q68: Defective collagen synthesis disease?

    • Osteogenesis imperfecta
  • Q69: Powerful lateral rotator of shoulder joint?

    • Infraspinatus
  • Q70: Not present in axilla?

    • Trunks of brachial plexus
  • Q71: Myasthenia gravis cause?

    • Antibodies against acetylcholine receptors are formed
  • Q72: Posterior tibial artery branch exception?

    • Peroneal artery
  • Q73: Spinal segments of femoral nerve?

    • L2, L3, L4
  • Q74: Great saphenous vein companion nerve?

    • Saphenous nerve
  • Q75: Best key principle of health education?

    • Learning by doing
  • Q76: Patient injury involving axillary posterior cord, affected structure?

    • Deltoid
  • Q77: Common disease in older people?

    • Dementia
  • Q78: Sufficient revenue for awareness creation in developed countries?

    • Increased aging population
  • Q79: Cause of inability to abduct/extend arm after quadrangular space injury?

    • Deltoid
  • Q80: Nerve passing through quadrangular space?

    • Axillary nerve
  • Q81: Knee extension nerve affected?

    • Femoral nerve
  • Q82: Pelvic girdle components?

    • Ischium, pubis, ilium
  • Q83: Left foot lifting inability related muscle?

    • Left gluteus medius
  • Q84: Blood pressure measurement stethoscope placement?

    • Brachial artery over cubital fossa
  • Q85: Deep peroneal nerve supply?

    • Peroneus tertius
  • Q86: Common peroneal nerve injury inability?

    • Evert foot
  • Q87: Bone resorption process?

    • Osteoclasts break down bone
  • Q88: High bone turnover osteoporosis cause?

    • Low estrogen
  • Q89: Health promotion positive change factor?

    • Supporting environment
  • Q90: Skin of medial digits and palm supply nerve?

    • Superficial branch of ulnar nerve
  • Q91: Third amino acid in collagen?

    • Glycine

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