Human Anatomy and Physiology : Identifying Muscles of the Lower Extremities

Study concepts, example questions & explanations for Human Anatomy and Physiology

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Example Questions

Example Question #31 : Identifying Muscles Of The Lower Extremities

Where is the gastrocnemius?

Possible Answers:

The back of the thigh

The sole of the foot

The front of the thigh

The back of the leg

Correct answer:

The back of the leg

Explanation:

The gastrocnemius is one of the muscles that makes up the calf muscles in the leg. The other calf muscle is the soleus, which lies under the gastrocnemius. The gastrocnemius also has two heads which give it a "diamond" shape. There are several layers of different muscles on the soles of the feet. The hamstrings are the group of muscles found on the back of the thigh, with the biceps femoris being the largest. The quadriceps are the muscle group on the front of the thigh, the vastus lateralis is the largest of these. 

Example Question #32 : Identifying Muscles Of The Lower Extremities

The three muscles in the pes anserine group are ____________________, and __________, and they function to flex and medially rotate the leg at the knee joint. 

Possible Answers:

sartorius . . . gracilis . . . semitendinosus

adductor longus . . . sartorius . . . gracilis

pectineus . . . adductor longus . . . adductor brevis

adductor longus . . . rectus femoris . . . piriformis

adductor magnus . . . adductor brevis . . . adductor longus

Correct answer:

sartorius . . . gracilis . . . semitendinosus

Explanation:

Sartorius, gracilis, semitendinosus make up the pes anserine group whose conjoined tendons insert onto the anteromedial surface of the proximal extremity of the tibia. They flex and medially rotate the leg at the knee joint. 

Example Question #88 : Muscles

The __________ attaches from the anterior superior iliac spine to the iliotibial band. 

Possible Answers:

Sartorius

gluteus maximus

tensor fascia latae

Pectineus

Piriformis

Correct answer:

tensor fascia latae

Explanation:

The tensor fascia latae attaches from the anterior superior iliac spine to the iliotibial band. 

Example Question #32 : Identifying Muscles Of The Lower Extremities

Which of the following statements about the adductor magnus is false?

Possible Answers:

The gluteus maximus and the short head of the biceps femurs attach directly lateral to the adductor magnus onto the femur. 

The adductor magnus is innervated solely by the sciatic nerve. 

The adductor magnus has an anterior head and a posterior head. 

The adductor magnus is the only member of the adductor group whose major sagittal plane actions are extension of the thigh and posterior tilt of the pelvis at the hip joint. 

From the posterior perspective, the adductor magnus is deep to all three hamstring muscles. 

Correct answer:

The adductor magnus is innervated solely by the sciatic nerve. 

Explanation:

The adductor magnus is innervated by both the sciatic nerve and the obturator nerve. 

Example Question #35 : Identifying Muscles Of The Lower Extremities

What is the largest muscle in the body?

Possible Answers:

Gastrocnemius

Latissimus Dorsi

Biceps Brachii

Deltoid

Gluteus Maximus

Correct answer:

Gluteus Maximus

Explanation:

The largest muscle in the entire body is the Gluteus Maximus which is found in the buttocks. It has the function of keeping the entire body erect by inserting itself in the pelvic bone.

Example Question #33 : Identifying Muscles Of The Lower Extremities

Which nerve innervates gluteus maximus?

Possible Answers:

Inferior gluteal nerve

Superior gluteal nerve

Sciatic nerve

Obturator nerve

Correct answer:

Inferior gluteal nerve

Explanation:

Gluteus maximus is an thigh extensor, additionally it laterally stabilizes the hip and knee, and laterally rotates and adducts the thigh. It's insertion is the gluteal tuberosity. It is innervated by the inferior gluteal nerve.

The superior gluteal nerve innervates the tensor fascia lata, gluteus medius, and gluteus minimus. It does not innervate gluteus maximus, which is innervated by the inferior gluteal nerve. The obturator nerve provides sensation to skin on the medial aspect of the thigh and innervates adductor muscles of the lower extremity. The sciatic nerve provides sensation to most of the skin on the leg, and it innervates muscles of the posterior thigh, leg, and foot.

Example Question #34 : Identifying Muscles Of The Lower Extremities

Which of the following muscles crosses more than one joint?

Possible Answers:

Gracillis

Adductor magnus

Adductor longus

Adductor brevis

Correct answer:

Gracillis

Explanation:

The gracillis muscle is thin and flat muscle at the medial side of the thigh; it is the most superficial muscle on the medial side of the thigh. It originates at the anterior margin of the symphysis pubis and the pubic arch. The muscle runs downward, ending in a tendon that passes behind the medial condyle of the femur and onto the medial condyle of the tibia where it inserts into the tibia below the condyle (as part of the pes anserinus). 

The gracillis adducts, medially rotates, and flexes the hip, it also aids in knee flexion.

Example Question #35 : Identifying Muscles Of The Lower Extremities

Which of the following is not innervated by the superior gluteal nerve?

Possible Answers:

Gluteus medius 

Gluteus minimus

Tensor fascia lata

Gluteus maximus 

Correct answer:

Gluteus maximus 

Explanation:

The superior gluteal nerve innervates the tensor fascia lata, gluteus medius, and gluteus minimus. It does not innervate gluteus maximus, which is innervated by the inferior gluteal nerve. 

Tensor fascia lata helps stabilize the knee, especially in extension, while gluteus medius and minimus abduct the thigh and help to medially rotate the thigh. Paralysis of these gluteal abductors leads to a characteristic limp called the Trendelenburg gait. The Trendelenburg can be described when a person shifts their body weight tot he affected side to keep from tripping over the other side.

Example Question #36 : Identifying Muscles Of The Lower Extremities

Which of the following bones is not a component of the knee joint?

Possible Answers:

Femur

Tibia

Fibula

Patella

Correct answer:

Fibula

Explanation:

The knee is the largest, most complex synovial joint in the body. It is primarily limited to flexion and extension, but allows for some minimal rotation. It is composed of the distal femur, proximal tibia, and patella. The knee is stabilized by the posterior cruciate ligament (PCL), anterior cruciate ligament (ACL), the medial collateral ligament (MCL), the lateral collateral ligament (LCL), and meniscus. The patella is held into place by the patellar ligament. 

Example Question #38 : Identifying Muscles Of The Lower Extremities

Knee buckling refers to involuntary flexion of the knee. Muscles that eccentrically control knee flexion prevent this from occurring.

You have a patient whose left knee buckles when he walks. His quadriceps strength is normal bilaterally. Keeping this in mind, weakness in what other muscle could explain his knee buckling?

Possible Answers:

Tibialis anterior

Gastrocnemius

Tibialis posterior

Soleus

Correct answer:

Soleus

Explanation:

In weight-bearing, as is the case during walking, ankle dorsiflexion and plantarflexion cause the tibia to move anteriorly and posteriorly, respectively. This results in flexion or extension of the knee, respectively. Keeping this in mind, although the gastrocnemius is a plantarflexor, it is also a knee flexor, so weakness in this muscle would not contribute to knee buckling. Because of the effect of dorsiflexion during weight bearing, the tibialis anterior would actually promote knee buckling, not resist it. Although the tibialis posterior is a plantarflexor, its primary role in gait involves maintaining the shape of the medial longitudinal arch. The soleus is ankle plantarflexor that eccentrically resists knee flexion (anterior movement of the tibia during weight-bearing). Accordingly, soleus weakness would explain this patient's knee buckling.

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